International Journal of Advanced & Integrated Medical Sciences https://portal.ijaims.in/index.php/ijaims <p><strong>International Journal of Advanced &amp; Integrated Medical Sciences</strong> is an official publication of the society for Advanced &amp; Integrated Medical Sciences (Registered under Society Reg. Act. No. -21,1860). IJAIMS is a peer-reviewed, print and online, open access quarterly journal. It is a multidisciplinary journal for the presentation of original ideas in various specialities. The types of articles accepted include original articles, review articles, case reports and any other scientific publication. The articles should not have been published or being considered for publication elsewhere. The paper should be submitted online or to ijaims.editor@gmail.com. The Editorial Board will ensure the quality of the articles.</p> en-US <p>CC-BY-NC</p> drabhinavsrivastava07@gmail.com (Dr Abhinav Srivastava) abhinav.inspub@gmail.com (Abhinav Kumar) Fri, 20 Jun 2025 10:48:22 +0000 OJS 3.3.0.7 http://blogs.law.harvard.edu/tech/rss 60 Case reports Anaesthetic management of late onset Myasthenia gravis with fracture humerus, with undiagnosed thymoma. https://portal.ijaims.in/index.php/ijaims/article/view/52 <p><strong>Background: </strong>Myasthenia gravis (MG) is an autoimmune disorder characterized by fatigable weakness of skeletal muscles resulting from an antibody-mediated immunologic attack directed at acetylcholine receptors (or receptor-associated proteins) in the postsynaptic membrane of the neuromuscular junction.</p> <p><strong>Case Presentation: </strong>62 years old, 86 kg male patient had road traffic accident and had blunt injury chest and fracture humerus. He was known case of MG, on treatment (Pyridostigmine and Prednisolone).He was scheduled for open reduction internal fixation(ORIF) proximal&nbsp; humerus ( left side).Tailor made plan was made to minimise any adverse incident(myasthenia crisis).Further investigations revealed associated thymoma and immunosuppressant’s were started.</p> <p><strong>Conclusion:</strong> Patients with MG should be thoroughly investigated for associated thymoma. Regional anaesthesia with close monitoring is the key to successful outcome and avoidance of myasthenia crisis.</p> <p>&nbsp;</p> Dr Pallavi Ahluwalia, Dr Anushree pathak, Dr Neeharika Arora Copyright (c) 2023 International Journal of Advanced & Integrated Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 https://portal.ijaims.in/index.php/ijaims/article/view/52 Fri, 20 Jun 2025 00:00:00 +0000 Videolaryngoscopes https://portal.ijaims.in/index.php/ijaims/article/view/80 <p>INTRODUCTION<br>Airway management is of paramount importance difficult intubation, often unexpected, has been identified as commonest contributory factor to anesthetic-related death. laryngoscopy with conventional Macintosh laryngoscope involves extension of head and flexion which can be a potential risk in patients with unstable cervical spine.<br>The purpose of this study is to compare the efficacy and , visualization of glottic structure with kingsvision videolaryngoscope to glidescope in patient with simulated difficult airway. <br>METHODS- This is a randomised control trial. After obtaining informed and written consent , 80 patients were randomly divided into 2 groups. Group 1 used glideoscope and group 2 used kings vision (non channelled) vediolaryngoscope to intubate patients with simulated difficult airway. Preoperative airway assessment was done. Intra operative indices was observed and noted like POGO Score , efficacy , hemodynamic parameters was noted for each attempt. Data was represented in form of mean and SD.<br>Result – Statistically, no significant difference was seen in mean HR,SBP,DBP in both groups. Mean age of patients in group 1 was 35.6 ±9.2 years and in group 2 was 36.0±10.2 years . Mean laryngoscopic view (pogo score) in group 1 was 99.0 ± 3.2 and in group 2 was 98.0 ± 6.3.Esophageal intubation was not present in any of the group glidescope and kings vision video laryngoscope group .<br>CONCLUSION – the use of glideoscope resulted in better glottic view , easier intubation , than kings vision vedio laryngoscope in patients with simulated difficult airway<br>Key words – Glidescope ,king vision guided endotracheal intubation.</p> Dilpreet singh Dilpreet singh Copyright (c) 2023 International Journal of Advanced & Integrated Medical Sciences https://creativecommons.org/licenses/by-nc/4.0 https://portal.ijaims.in/index.php/ijaims/article/view/80 Fri, 20 Jun 2025 00:00:00 +0000