Anesthesiology is an evolving branch. Most of the procedures done by anesthesiologists, are blind except for endotracheal intubation. Ultrasonography (USG) helps anesthesiologists to see the actual anatomy in real time and thus helps them to give safe anesthesia minimizing the complications in every aspect of the field like difficult airway, vascular access, regional anesthesia, chronic pain management and critical care.
Currently we are at the peak of the second wave of pandemic. Availability of beds & oxygen is at nadir. The patients coming to us for surgery are the ones where surgery cannot wait. Mainly the load is obstetric. As a matter of COVID pandemic policy we are using regional anaesthesia unless contraindicated or the surgery demands general anaesthesia. The aim is to avoid/reduce aerosolization which is part & parcel of GA, despite the efforts to minimise it. The policy is to protect the anaesthesiologists, surgeons, OT staff & other patients as well. The present manuscript is to review the role of regional anaesthesia & its safe performance.
Enhanced recovery after surgery is a concept put forward by Henrik Kehlet in 1997 for colorectal surgery & presented a protocol. Since then, it is adopted for various surgical procedures in many developed countries. Obstetricians & obstetric anaesthesiologists are also following the same line. In 2020 Society for obstetric anaesthesia & perinatology (SOAP) USA published a consensus statement on “early recovery after caesarean section”, presenting the pathways. Is it possible to adopt it fully in our country? Do we need to modify here & there? We are trying to find out the answers.
Ayurved advocates that drug should be collected with proper classical methods. In Ayurvedic texts, specific time, season and procedures or methods have been highlighted for getting better potency, efficacy and therapeutic properties of drug by describing the standard methods of drug collection and preservation in details. Now a day, due to lack of proper traditional knowledge and time very few people bother to follow all these methods of collection given by Acharya. Hence, the potency of medicines is of question. Aragvadha (Cassia fistula Linn.) has been popular as a common drug of choice treatment since ancient time. Classic text like Charaka Samhita has quoted the classical and particular method for the collection and preservation of Aragvadha Phalamajja (Cassia fistula Linn.). Acharya Charaka has quoted this collection method of Aragvadha Phalamajja(Cassia fistula Linn.)as follows- The good qualities of collected pods should be kept covered in river bed sand for seven days. After seven days these pods should be removed and kept in sunlight for some time. And thereafter, fruit pulp (phalamajja) should be extracted and stored in a clean vessel. Therefore, study of classically collected Aragvadha Phalamajja (Cassia fistula Linn.) and Market sample of Aragvadha Phalamajja (Cassia fistula Linn.) was carried out.
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