Journal of Scientific Innovations in Anesthesiology

Beyond the chair: Comprehensive care under general anesthesia in pediatric dentistry

June 2026 · Vol. 1, Issue 2 (2026) · Pages 45-49

Background: Uncooperative behavior and severe dental anxiety in young children frequently preclude the delivery of routine dental care, necessitating alternative management strategies. General anesthesia (GA) is an established option for such patients; however, its selection remains largely subjective in the absence of a standardized clinical decision-making tool. Case Presentation: A 5-year-old child with no signifi...

Anesthesia in a patient with Ehlers-Danlos syndrome: A case report

June 2026 · Vol. 1, Issue 2 (2026) · Pages 50-53

Ehlers-Danlos syndrome (EDS) is an inheritable group of connective tissue disorders characterized by joint hypermobility and instability, skin and vascular fragility and anomalies in various internal organs. Since collagen is found in multiple organ systems, distinct anesthesia considerations for each organ system have to be outlined as per patient symptoms. Anesthesia in EDS can be challenging due to involvement of...

Airway and positioning challenges in a patient with ankylosing spondylitis undergoing cholecystectomy: Role of intubating laryngeal mask airway and fiberoptic guidance

June 2026 · Vol. 1, Issue 2 (2026) · Pages 54-59

Ankylosing spondylitis (AS) produces progressive spinal rigidity, fixed deformity and restrictive lung disease, posing major challenges for airway management, positioning and ventilation. We report the anesthetic management of a 49‑year‑old man with severe AS, fixed cervicothoracic kyphosis, restrictive lung physiology and chronic voice change who presented for cholecystectomy. He could not lie supine and tolerated o...

Perioperative challenges and tailored anesthetic management in a frail elderly patient undergoing orthopedic surgery

June 2026 · Vol. 1, Issue 2 (2026) · Pages 60-61

Evaluation and comparison of clinical efficacy of Ambu AuraGain with i-gel, in patients undergoing laparoscopic cholecystectomy

January 2026 · Vol. 1, Issue 1 (2026) · Pages 1-9

Background and Aim: Second and third-generation supraglottic airway devices (SADs) are increasingly used in laparoscopic surgeries due to their improved oropharyngeal seal and gastric drainage. This study evaluated and compared the clinical efficacy of the Ambu AuraGain (AAU) and the i-gel in patients undergoing laparoscopic cholecystectomy. Materials and Methods: In this prospective, randomized comparative study, 80...

Challenges in achieving adequate local anesthesia in dental procedures: A KAP assessment of practitioners' techniques

January 2026 · Vol. 1, Issue 1 (2026) · Pages 10-18

Background: In dental practice, local anesthesia plays a very important role as it makes the patient more comfortable during his or her procedures. Nevertheless, difficulty in getting adequate anesthesia is still common because of several reasons such as the differences in anatomy, psychological considerations as well as technique related problems. The research paper will identify the knowledge, attitudes and practic...

Dexmedetomidine infusion impact on recovery profile, quality of recovery, and postoperative analgesia in lower abdominal surgeries: A prospective observational study

January 2026 · Vol. 1, Issue 1 (2026) · Pages 19-24

Background: Measurement of patient health status, or quality of life, has become an important end-point in clinical studies as it represents in part the patient perception of their outcome of care. The objective of this study was to evaluate the effects of systemic dexmedetomidine on intraoperative hemodynamics, postoperative quality of recovery and analgesia. Materials and Methods: 90 subjects posted for elective lo...

Management of an anticipated difficult airway due to a vallecular cyst in an adult patient: When surgical airway takes the lead!!

January 2026 · Vol. 1, Issue 1 (2026) · Pages 25-27

Vallecular cysts, although infrequent in adults, pose a challenge for anesthesiologists in view of the risk of airway obstruction at anesthesia induction or aspiration in case of cyst rupture. The present case is of a 35-year-old male patient who was scheduled for excision of a vallecular cyst. An awake technique was initially decided for nasotracheal intubation using a flexible videolaryngoscope, AmbuscopeTM, after...

Non-invasive cardiac output monitoring in brain trauma–induced takotsubo: A case report

January 2026 · Vol. 1, Issue 1 (2026) · Pages 28-31

To report a case of neurogenic stress cardiomyopathy post-trauma, managed using Non-Invasive Cardiac Output Monitor (NICOM)-guided conservative therapy. A middle-aged patient with traumatic subdural and subarachnoid hemorrhages developed hemodynamic instability. ECG showed QT prolongation; echocardiography revealed apical ballooning. We used NICOM which indicated low cardiac output (3.5 L/min). Fluids and inotropes w...