Prof Rakesh Garg

📢 Call for Manuscripts – JOAPM
📝 The Journal of Onco-Anaesthesiology and Perioperative Medicine (JOAPM)
📤 Submit online:
🌐 review.jow.medknow.com/joapm
📚
✍️ Prof. Rakesh Garg
Editor-in-Chief
Journal of Onco-Anaesthesiology and Perioperative Medicine (JOAPM)

🩺 Greetings from the Indian Journal of Anaesthesia (IJA)!
✨ The November 2025 Issue is now live!

🔗 Read now: journals.lww.com/ijaweb/pages...

— Prof. Rakesh Garg
Editor-in-Chief, IJA | AIIMS, New Delhi
📧 drrgarg@hotmail.com | 📞 9810393950

🚨 Indian Journal of Anaesthesia 🚨
Systematic Review & Meta-Analysis:
“Comparison of desflurane and sevoflurane as maintenance inhalational anaesthetic agents for adult patients undergoing neurosurgeries”

DOI: 10.4103/ija.ija_1215_24
journals.lww.com/ijaweb/fullt...
#IJA #Indian_J_Anaesth

Indian Journal of Anaesthesia 69(1):p 54-64, January 2025. | DOI: 10.4103/ija.ija_1027_24
journals.lww.com/ijaweb/fullt...
💉 SAP vs TPV Block – Which is Better?

#RegionalAnaesthesia #PainManagement #IJA #AnaesthesiaResearch #ChestWallSurgery

📖 Indian Journal of Anaesthesia
journals.lww.com/ijaweb/fullt...

#RegionalAnaesthesia #PainManagement #PercutaneousNephrolithotomy #IJA #Anaesthesiology #EvidenceBasedMedicine

Systematic review and network meta-analysis. Indian Journal of Anaesthesia 69(1):p 12-22, January 2025. | DOI: 10.4103/ija.ija_679_24
journals.lww.com/ijaweb/fullt...
💉 Regional Anaesthesia in PCNL – What Works Best?

#RegionalAnaesthesia #PCNL #PainManagement #IJA #AnaesthesiaResearch

Impact of Enhanced recovery after surgery (ERAS) protocols in idiopathic scoliosis of children: A systematic review with meta-analysis and trial sequential analysis.
Indian J Anaesth. 2025 Jan;69(1):23-37. doi: 10.4103/ija.ija_953_24

journals.lww.com/ijaweb/fullt...

IJA Study Alert!
A network meta-analysis comparing regional anaesthesia for PCNL shows:
👉 ESPB, PVB, and QLB significantly reduce opioid use vs placebo

📖 Read full article
journals.lww.com/ijaweb/fullt...

New interfascial plane block for spine surgery: Serratus posterior superior intercostal plane block - PubMed New interfascial plane block for spine surgery: Serratus posterior superior intercostal plane block

🆕 IJA case report:
Serratus Posterior Superior Intercostal Plane (SPSIP) block introduced for spine surgery.
Novel interfascial plane block → effective analgesia & reduced opioid need.
🔗 pubmed.ncbi.nlm.nih.gov/40800707/
#Indian_J_Anaesth #RegionalAnaesthesia #SpineSurgery

A comparison of different bispectral index sensor placements in a neurosurgical patient and their impact on density spectral array data - PubMed A comparison of different bispectral index sensor placements in a neurosurgical patient and their impact on density spectral array data

🧠 New #IJA case report:
Impact of different BIS sensor placements on density spectral array (DSA) in a neurosurgical patient.
Findings: Placement significantly alters EEG-derived data → crucial for safe anaesthesia titration.
🔗 pubmed.ncbi.nlm.nih.gov/40800706/
#Indian_J_Anaesth #BISMonitoring

Thoracic segmental spinal anaesthesia for scapular fracture: A case report - PubMed Thoracic segmental spinal anaesthesia for scapular fracture: A case report

🦴 New #IJA case report:
Thoracic Segmental Spinal Anaesthesia (TSSA) for scapular fracture surgery.
Targeted block → stable haemodynamics & an alternative to GA in selected trauma patients.
🔗 pubmed.ncbi.nlm.nih.gov/40800705/
#Indian_J_Anaesth #RegionalAnaesthesia

Is the pericapsular nerve group (PENG) block truly superior to the suprainguinal fascia iliaca (SIFI) block in terms of functional outcome with better quadriceps strength and enhanced weight bearing i... Is the pericapsular nerve group (PENG) block truly superior to the suprainguinal fascia iliaca (SIFI) block in terms of functional outcome with better quadriceps strength and enhanced weight bearing i...

🦴 New #IJA article:
Is the PENG block truly superior to the SIFI block for hip surgery patients?
Focus: quadriceps strength, weight-bearing, & functional outcomes.
Evidence evolving → more RCTs needed.
🔗 pubmed.ncbi.nlm.nih.gov/40800702/
#Indian_J_Anaesth #RegionalAnaesthesia

Enhancing clinical decision-making: The imperative of reporting number needed to treat in anaesthesia research - PubMed Enhancing clinical decision-making: The imperative of reporting number needed to treat in anaesthesia research

📊 New #IJA article:
Highlighting the importance of reporting Number Needed to Treat (NNT) in anaesthesia research.
NNT provides a clear, clinically relevant measure of benefit → improves decision-making & patient-centred care.
🔗 pubmed.ncbi.nlm.nih.gov/40800695/
#Indian_J_Anaesth

Investigating the association between intention for labour epidural analgesia (LEA), actual delivery with LEA and postnatal depression: A secondary analysis - PubMed Investigating the association between intention for labour epidural analgesia (LEA), actual delivery with LEA and postnatal depression: A secondary analysis

🌸 New #IJA study:
Intention vs actual use of labour epidural analgesia (LEA) & risk of postnatal depression.
Findings: Gaps between expectation & reality in intrapartum care may influence maternal mental health outcomes.
🔗 pubmed.ncbi.nlm.nih.gov/40800709/
#Indian_J_Anaesth

Comparison of the efficacy of Enhanced Recovery After Surgery (ERAS) protocol tailor-made for head and neck free flap oncosurgery with conventional perioperative care: A randomised clinical trial - Pu... At least 90% compliance with the described 15-element ERAS protocol reduces LOS and time to RIOT in head-neck oncosurgery patients with free-flap reconstruction.

📢 New #IJA RCT:
ERAS protocol vs conventional care in head & neck free flap oncosurgery.
Findings: ERAS improved recovery, reduced complications & shortened hospital stay → a safe & effective pathway for complex cancer surgery.
🔗 pubmed.ncbi.nlm.nih.gov/40800711/
#Indian_J_Anaesth

Modulating AMPA receptor-dependent synaptic plasticity: Mechanistic interventions against remifentanil-induced hyperalgesia in reoperative rats - A randomised controlled trial - PubMed Repetitive remifentanil administration during consecutive operations within a short temporal window significantly potentiated opioid-induced hyperalgesia in a rat reoperation model. This hyperalgesic ...

🧠 New #IJA RCT:
AMPA receptor modulation reduces remifentanil-induced hyperalgesia in reoperative rats.
Mechanistic study shows targeted synaptic interventions can mitigate opioid-induced pain sensitisation.
🔗 pubmed.ncbi.nlm.nih.gov/40800697/
#Indian_J_Anaesth #PainMedicine

Ultrasound-guided external oblique intercostal plane block versus thoracic erector spinae block for post-thoracotomy pain: A randomised double-blinded non-inferior clinical study - PubMed The analgesic effect of EOIB was non-inferior to ESPB for post-thoracotomy pain, as evidenced by comparable total opioid consumption, time of first request for analgesia, and pain score in the first 2...

🫁 New #IJA RCT:
External Oblique Intercostal Plane Block vs Thoracic Erector Spinae Block for post-thoracotomy pain.
Findings: EOIP block was non-inferior to ESP → effective analgesia, easier option for thoracic surgery patients.
🔗 pubmed.ncbi.nlm.nih.gov/40800700/
#Indian_J_Anaesth

Cognitive recovery assessment in patients after desflurane versus sevoflurane-based general anaesthesia: A randomised, comparative, double-blinded study - PubMed Both desflurane and sevoflurane are comparable for cognitive recovery and duration of the PACU stay following GA.

🧠 New #IJA RCT:
Cognitive recovery after desflurane vs sevoflurane anaesthesia
Both agents enable fast recovery, but show differences in cognitive outcomes → key for early discharge & safety.
Read: pubmed.ncbi.nlm.nih.gov/40800694/
#Indian_J_Anaesth #Anaesthesia

Lignocaine instilled through the suction channel of a subglottic suction drainage tracheal tube improves tube tolerance during extubation compared to intravenous lignocaine: A double-blinded randomise... Subglottic instillation of lignocaine significantly improves tube tolerance during extubation and has favourable effects on heart rate compared to intravenous administration.

🫁 New #IJA RCT:
Lignocaine via suction channel of subglottic suction drainage tube improves tube tolerance during extubation vs IV lignocaine.
Less coughing, better airway comfort → a practical airway innovation.
🔗 pubmed.ncbi.nlm.nih.gov/40800710/
#Indian_J_Anaesth

Effect of dexmedetomidine combined with magnesium sulphate on intracranial tension in patients with severe pre-eclampsia using ultrasonographic optic nerve sheath Diameter - A randomised clinical tria... Dexmedetomidine infusion in combination with magnesium sulphate effectively mitigates the elevation of intracranial tension observed in pre-eclamptic patients with severe features without increasing m...

🚨 #IJA:
RCT on dexmedetomidine + magnesium sulphate in severe pre-eclampsia.
Using optic nerve sheath diameter (ONSD), combo therapy reduced intracranial tension → potential for safer maternal outcomes.
🔗 pubmed.ncbi.nlm.nih.gov/40800704/
#Indian_J_Anaesth #MaternalHealth #NeuroAnaesthesia

Publications by Indian authors on erector spinae plane block: A bibliometric analysis - PubMed The erector spinae plane block (ESPB), first described in 2016, has gained immense popularity worldwide due to its simplicity and effectiveness in providing pain relief for various surgeries. This bib...

📊 ESPB research from India is on the rise!
✅ Publications span thoracic, abdominal, ortho & paediatric surgery
✅ Case reports, trials & reviews included
Bibliometric analysis 👉 pubmed.ncbi.nlm.nih.gov/40800696/
#IJA #ESPB #RegionalAnaesthesia
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Comparison of propofol and inhalational anaesthetics for brain relaxation in neurosurgery: A systematic review and network meta-analysis - PubMed Although all anaesthetic agents had similar effects, propofol showed a tendency towards better brain relaxation during neurosurgery. Further robust evidence is required to confirm the potential advant...

🧠💉 Propofol vs inhalational anaesthetics in neurosurgery:
✅ Both effective for brain relaxation
✅ Propofol may be superior in some cases
Systematic review & network meta-analysis 👉 pubmed.ncbi.nlm.nih.gov/40800708/
#IJA #Neuroanaesthesia #BrainRelaxation

Efficacy of erector spinae plane block versus caudal block for postoperative analgesia in paediatric surgery: A systematic review and meta-analysis - PubMed We conclude that ESPB provides better postoperative analgesia than CB in children undergoing lower abdominal or lower limb surgeries. ESPB reduces postoperative pain intensity scores and analgesic req...

🧒💉 ESPB vs Caudal Block in paediatric surgery:
✅ ESPB provides comparable/superior analgesia
✅ Less need for rescue meds
✅ Safe & effective alternative
Systematic Review & Meta-analysis 👉 pubmed.ncbi.nlm.nih.gov/40800701/
#IJA #RegionalAnaesthesia

Effects of intravenous lignocaine on haemodynamic responses to laryngoscopy and tracheal intubation in adults under general anaesthesia: A systematic review and meta-analysis - PubMed IV lignocaine 1-2 mg/kg can effectively suppress the increase in MAP caused by laryngoscopy and tracheal intubation. However, the effectiveness of lignocaine regarding HR seems to require optimisation...

💉 IV lignocaine reduces haemodynamic surges during laryngoscopy & intubation.
✅ Better stability under GA
✅ Useful in high-risk patients
Systematic review & meta-analysis 👉 pubmed.ncbi.nlm.nih.gov/40800699/
#IJA #AirwayManagement #Anaesthesia
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Precision medicine and the expanding perioperative role by Anaesthesiologists - PubMed Precision medicine and the expanding perioperative role by Anaesthesiologists

📢 Indian Journal of Anaesthesia
Precision Medicine & the Expanding Perioperative Role of Anaesthesiologists 🎯🩺
✅ Personalised perioperative care
✅ Improved outcomes & recovery
🔗 pubmed.ncbi.nlm.nih.gov/40800698/
#IJA #Indian_J_Anaesth