Assessment of teaching curriculum in anaesthesiology for undergraduate medical students- A questionnaire based cross sectional study

Background of the study:The life- saving skills like airway management,artificial ventilation, establishing an intravenous access along with fluid management and oxygen therapy devices are clearly taught by fellow Anesthesiologists in a simple manner to theundergraduate medical students. As a medical teacher it is very important to assess the students’ fund of knowledge, procedural skills, interest in learning and systems based approach in a periodical manner. Aim and objectives:To establish the insight about Anesthesiology to theundergraduate medical students and periodical assessment at the end of clinical posting. Materials and methods: The second part of III MBBS students (a total of 99 students) were enrolled in our study. A formulated teaching module was followed during their posting in our Anesthesiology department. At the end of clinical posting feedback was obtained from the students using questionnaire consisting of six questions. The data were analyzed using appropriate statistical methods Results:All the students who were enrolled in our study responded that the posting was interesting. 85% of students have told the practicaldemonstration was adequate and gave an insight into the subject of anesthesiology. 50% of the students felt that the period of posting was inadequate. 22 students gave some suggestions to improve our teaching curriculum. The top most suggestions from our study were extended duration of posting and more practical demonstration with hands on training

Optimisation of intramuscular dosage of dexmedetomidine for hypotensive anesthesia in functional endoscopic sinus surgery- a prospective randomized double blind study

Background of the study: Dexmedetomidine, a selective alpha-2 agonist which is being used widely in anesthesia and critical care practice. It has both sedative and analgesic property. The studies on intravenous usage of dexmedetomidine are numerous but not with intramuscular route. With this background we conducted a study on optimisation of intramuscular dosage of dexmedetomidine in patients undergoing functional endoscopic sinus surgery. Aim and objectives:To optimize the dosage of intramuscular dexmedetomidine in patients undergoing functional endoscopic sinus surgery for providing bloodless field for the surgeon. Materials and methods: We enrolled a total of 50 patients who have planned to undergo functional endoscopic sinus surgery under general anesthesia. After randomization, group D1 patients received intramuscular dexmedetomidine at the dosage of 0.5mcg/kg and group D2 1mcg/kg respectively. Hemodynamic parameters like blood pressure (MAP) and heart rate were recorded at regular intervals. The surgical field score was done by the operating ENT surgeon using Boerzaart scale. The targeted mean arterial blood pressure was kept between 55-65mmHg. The other parameters like additional requirement of opioid, usage of other vasodilators, time to emergence along with other side effects were noted peri-operatively. Results:After statistical analysis, the mean duration of surgery in both groups were 92±21.8 and 85±22.15 minutes respectively. The targeted mean arterial blood pressure was achieved in the patients who have received 1mcg/kg of dexmedetomidine (Group D2) intramuscularly. The surgeon felt satisfied with bloodless operating field in the patients who received 1mcg/kg of dexmedetomidine. Conclusion:From our study we concluded that 1mcg/kg of dexmedetomidine will be the adequate intramuscular dose for both premedication and hypotensive agent in functional endoscopic sinus surgery