Indian Journal of Anesthesia and Analgesia

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The objective of this short communication was to reiterate the role of anesthesiology journals in informed decision making by summarizing studies on analyses of those journals found in PubMed database. There were five studies analyzing anesthesiology journals, three on authorship and two on randomized controlled trials. Whilst the two authorship studies reported increase in Chinese contribution, one authorship study reported decline in American contribution. The two studies on RCTs had emphasized improved quality of reporting which is needed in anesthesiology journals.

Keywords: Evidence analysis; Journal analysis; Evidence-based anesthesiology; Publication policies.

Pheochromocytoma, tumours originating from chromaffin tissue and typically occurs in patients of 30-50 years of age, commonly present with symptoms and signs of catecholamine excess. A 22 year old female patient presented with right sided flank pain, palpitation and occasional giddiness scheduled for right adrenalectomy. Diagnosis was confirmed by CT scan abdomen and post operatively by histopathological examination.

Preoperatively patient’s blood pressure was normal. Here we discuss her intraoperative management and post operative course in anaesthesia room as well as in surgical ICU, especially pulmonary oedema that occurred within 2 hours after resection. (Half life of cortisol is 80-110 minutes.)The anesthetic  technique used was combined general and regional anaesthesia with control of blood pressure during operation and manipulation of tumor with nitroglycerine infusion.Post-operative concerns included acute adrenal insufficiency and pulmonary oedema which were successfully managed in anaesthesia room and surgical ICU.Epidural analgesia was used for post-operative pain relief.One month later she was reassessed and was symptom free.

Keywords: Pheochromocytoma (adrenalectomy); Hypertension; Anaesthetic management; Pulmonary oedema.

This review article was primarily intended to update the evidence on analyses of critical care journals through a search of PubMed database. There were 11 studies analyzing critical care journals in aspects of journals’ prices, editorial board composition, impact factor, national representation, national productivity, international representation, European contribution, Chinese contribution, and equal-credit authorship, survey reporting, and referencing accuracy. There is need for recent studies on analyzing methodological issues, ethical issues and conflicts of interest policies in critical care journals.

Keywords: Critical care; Intensive care; Journal trend; Publication policies; Anesthesiology research.

Background: Evidence informed practice relied upon evidence from systematic reviews and meta-analyses as the highest in the hierarchy in order to inform clinical practice decisions in foot and ankle rehabilitation in people with Diabetic peripheral neuropathic pain (DPNP) and Painful diabetic peripheral neuropathy (PDPN). Purpose:This study aimed to perform a systematic review and quantitative content analysis of systematic reviews on DPNP andPDPN. Materials and Methods:The extracted data about every included study included: journal, year of publication, number of authors, country of manuscript origin, goal of article (evaluation or intervention or both), subtypes of intervention (medical, surgical, or allied health), population characteristics (homogeneous or heterogeneous), and professional dimension. Results: There were 36 systematic reviews found, most of which were published from developed countries, in many scientific journals across the past 15 years, with lesser number of authors, with search strategy that utilized limited number of databases, included few studies, and they were predominantly on medical interventions. Conclusion: The few systematic reviews and meta-analyses on DPNP and PDPN provided evidence information for decision making towards evaluation and management of foot and ankle dysfunction in this population.

Key words: Evidence-based diabetes care; Diabetic peripheral neuropathic pain; Foot and ankle dysfunction; Painful diabetic peripheral neuropathy.

Gordon Jackson Rees, known to all hisfriends   as   ‘Jack’,   was   born   on   8 December   1918. He   was   educated   at Oswestry School and entered the University of   Liverpool   to   study   medicine in 1937, and qualified M.B.Ch.B. in late1942.   His   scholastic achievements,by his   standards,   were   modest   and   gave  little hint of his later academic brilliance and practical innovative ability. Early in 1943, Jack was called up into the Royal Air Force medical branch and served as  a   station   medical   officer   before   being sent to the Radcliffe Infirmary, Oxford, to   study   anaesthesia   under   Professor  Robert   Macintosh   and   William Mushin.   He   obtained   the   one   part Diploma in Anaesthetics in 1946.He   became   a   consultant   anaesthetist  to   the   Royal   Liverpool   Hospitals   in 1949 and, on the invitation of Professor Cecil   Gray,   joined   the   new   University Department   of   Anaesthesia   as   a   part time   demonstrator. The current article is to enlight the work of this brilliant “Pioneer of paediatric anaesthesia”

Keywords: Pediatric anesthesia; Gordon Jackson; Triad of anesthesia.