A 24-year-old woman with previous undiagnosed congenital methemoglobinemia presented for the emergency cesarean section in view of fetal distress. The patient had a persistent low oxygen saturation on pulse oximetry normal heart rate and blood pressure. Arterial gas values were normal. was asymptomatic respiratory cardiovascular system examination underwent under general anesthesia shifted to Intensive Care Unit postoperatively. throughout intraoperative postoperative period. complete...

ABSTRACT Background: Viscoelastic tests are now routinely used for coagulopathy correction in patients with cirrhosis. Thromboelastography (TEG ® ) and rotational thromboelastometry (RoTEM®) the most widely studied this population. However, they have not been compared each other critically ill liver disease presenting nonvariceal bleed. Hence, we aimed to compare these bleeding. Methods: Sixty adult cirrhosis presented intensive care unit, a upper gastrointestinal (GI) bleed (diagnosed by...

Three phases (dissection, anhepatic, and neohepatic) exist for propofol pharmacokinetics during liver transplantation (LT), resulting in varying cardiac output, volume of distribution, drug metabolism. The primary objective was to compare the mean target concentration required maintain bispectral index (BIS) between 40 60 three LT by using a target-controlled infusion total intravenous anaesthesia (TCI-TIVA).

Severe hemodynamic instability is observed during portal vein de-clamping in the form of post-reperfusion syndrome liver transplantation. The protective effect magnesium on inflammation and ischemia-reperfusion injuries various organs evident, but its role prevention transplantation not clear. We investigated sulphate incidence living donor secondary outcomes were requirement vasopressor boluses levels serum magnesium, lactate C-reactive protein. Seventy transplant recipients randomized into...

Pregnancy induced hypertension is one of the most common causes maternal morbidity and mortality. A G2L1A1 female with period gestation 36 weeks presented in our hospital early labour pains. She was a known case pregnancy thrombocytopenia had been operated on lumbar spine for Potts spine. administered intradermal sterile water injection analgesia every 3 hours. The uneventful patient normal vaginal delivery male baby. postnatal course satisfied analgesia.

Objective: To evaluate the epidemiology, clinical profile and treatment for patients with snake bite in intensive care unit of our hospital.Methods: A retrospective analysis admitted to a tertiary hospital, North Delhi, was conducted between January 2013 October 2018. Their demographic profile, time site bite, manifestations interval anti-snake venom administration were recorded.Results: total number 102 studied, which 54.9% males 45.1% females. Most presented monsoon season bites occurred...

A 24-year-old woman with a ventriculoperitoneal shunt in situ presented the anesthesia clinic at 35 weeks of gestation for labor analgesia and anesthetic options operative delivery, if required. The patient had been diagnosed space-occupying lesion posterior fossa. This was found to be neurocysticercosis which she underwent surgery placement right 14 years ago. antenatal period uneventful went into spontaneous 37 gestation. given four injections sterile water block after every 3 h normal...

Clonidine an alpha 2 adrenoceptor agonist possesses analgesic properties and has been used as adjuvant in epidural analgesia. The addition of clonidine to other analgesics may result enhanced analgesia through additive mechanisms or synergistic mechanisms. lead a decrease the dosage drugs along with reduction side effects.The purpose this study was evaluate effect adding ropivacaine fentanyl mixture terms quality effects patients total knee replacement surgery.A prospective randomised double...

Chikungunya viral infection is a mosquito borne illness which known to have limited course and complete recovery seen in most of the patients. However virus has been reported atypical manifestations lethal complications patients suffering from chikungunya infection. In present outbreak national capital territory Delhi we report case fever pregnant female with no significant medical history. The patient developed thrombocytopenia, hepatic injury disseminated intravascular coagulation...

A 12 year old patient was taken up for adenotonsillectomy. Preoperative and intraoperative course normal. Reversal of neuromuscular blockade done with injection Neostigmine extubation after a thorough oropharyngeal examination by the surgeon anaesthesiologist. Within minutes developed stridor fall in oxygen saturation to 77% on room air. Laryngoscopy revealed gross uvular posterior pharyngeal wall edema. Patient immediately intubated Adrenaline, Dexamethasone Chlorpheniramine maleate were...