A5079424680- Traumatic Brain Injury and Neurovascular Disturbances
- Intracranial Aneurysms: Treatment and Complications
- Neurosurgical Procedures and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Anesthesia and Neurotoxicity Research
- Cerebrospinal fluid and hydrocephalus
- Intraoperative Neuromonitoring and Anesthetic Effects
- Anesthesia and Sedative Agents
- Head and Neck Surgical Oncology
- Airway Management and Intubation Techniques
- Vascular Malformations Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Meningioma and schwannoma management
- Intensive Care Unit Cognitive Disorders
- Tracheal and airway disorders
- Spinal Fractures and Fixation Techniques
- Takotsubo Cardiomyopathy and Associated Phenomena
- Cardiac Arrest and Resuscitation
- Pituitary Gland Disorders and Treatments
- Pain Management and Opioid Use
- Spine and Intervertebral Disc Pathology
- Spinal Dysraphism and Malformations
- Neurological Complications and Syndromes
- Cardiovascular and Diving-Related Complications
Post Graduate Institute of Medical Education and Research
2016-2025
Intensive Care Foundation
2016-2022
Nizam's Institute of Medical Sciences
2021
Sharda University
2021
National Institute of Mental Health and Neurosciences
2021
Tata Main Hospital
2021
Command Hospital Air Force
2021
Adesh University
2018-2019
Institute of Medical Sciences
2018-2019
M.S. Ramaiah Medical College
2018
Postoperative vision loss, a rare but devastating complication, has been reported after spine, cardiac, and head–neck surgeries. Its incidence following spine surgeries exceeds that cardiothoracic Various causes attributed to postoperative blindness include ischemic optic neuropathy, central or branch retinal artery occlusion, cortical blindness, rarely external ocular injury. Other contributory factors described are microvascular diseases intraoperative hemodynamic compromise. However, the...
A rapid and smooth emergence is essential in patients undergoing trans-sphenoidal pituitary surgeries. Ketofol has been used as an anesthetic agent with good recovery characteristics. We conducted this study to compare the profile of receiving propofol-dexmedetomidine or ketofol-dexmedetomidine infusions for excision tumours. Forty adult endoscopic surgery received either infusion propofol (Group P) ketofol, 1:5 KP)at 0.6-0.9ml/kg/h. Dexmedetomidine (0.5 μg/kg/ h) was administered both...
Electrocardiographic (ECG) and echocardiographic changes that are subsequent to aneurysmal subarachnoid hemorrhage (a-SAH) commonly observed with a prevalence varying from 27% 100% 13% 18%, respectively. There sparse data in the literature about pattern of ECG patients SAH after clipping aneurysm. Hence, we effect on during first week surgery, impact these outcome at end 1 year.This prospective, observational study was conducted 100 consecutive a-SAH undergoing ruptured were recorded...
Stellate ganglion block (SGB) causes blockage of sympathetic nerve activity, which may lead to intracerebral vessel dilatation and relieve cerebral vasospasm in patients aneurysmal subarachnoid hemorrhage (aSAH).The aim this study was evaluate the efficacy safety SGB on clinicoradiological parameters.We prospectively included 20 with clinical angiographic evidence post clipping. Cerebral blood flow velocity Lindegaard ratio were assessed using transcranial Doppler (TCD). Location vasospasm,...
Background and Aims: Most vital aspect of Endoscopic Sinus Surgery (ESS) is an optimal visibility in the surgical field. This invariably requires controlled hypotension to facilitate dissection decrease operative time. We used esmolol magnesium sulfate achieve assessed quality field ESS. Material Methods: A total 30 patients undergoing ESS, were enrolled three parallel groups 10 each a prospective randomized double-blind study. "Magnesium Sulfate group" received 40 mg/kg intravenously (i.v.)...
Background The intracranial pressure (ICP) is measured through various noninvasive methods to overcome complications of invasive ICP monitoring. In this study, transcranial Doppler was used measure pulsatility index (PI) and resistive (RI) that were correlated with opening intraventricular ICP. the placement catheter in lateral ventricle without loss cerebrospinal fluid. Methods prospective, observational study conducted on 40 patients clinical radiological features raised who underwent...
Background: Fluid imbalance is common after aneurysmal subarachnoid hemorrhage and negatively impacts clinical outcomes. We compared intraoperative goal-directed fluid therapy (GDFT) using left ventricular outflow tract velocity time integral (LVOT-VTI) measured by transesophageal echocardiography with central venous pressure (CVP)-guided during aneurysm clipping in patients. Methods: Fifty adults scheduled for urgent craniotomy were randomly allocated to 2 groups: group G (n=25) received...
Background Ultrasonographic (USG) measurement of optic nerve sheath diameter (ONSD) has been proposed as a non-invasive, bedside method to detect raised intracranial pressure (ICP) in various clinical settings. We aimed correlate the ONSD obtained from ultrasonography with gold standard, intraventricular ICP, and find out cut-off point which predicts ICP accurately at different levels. Methodology A prospective double-blind study was carried by performing ocular ultrasounds 30 adult patients...
Introduction: Hyperosmotic agents are used to decrease intracranial pressure (ICP). We aim compare the effect of euvolemic solutions 3% hypertonic saline (HTS) and 20% mannitol on intraoperative brain relaxation in patients with clinical or radiological evidence raised ICP undergoing surgery for supratentorial tumors.Materials Methods: A prospective double-blind study was conducted 30 randomized into two equal groups. Each patient administered 5 ml/kg either HTS over 15 minutes (min) after...
For maintenance of anesthesia for intracranial aneurysmal neck clipping, both intravenous and inhalational anesthetics are in vogue. We aimed to evaluate the superiority one agent over other long-term neurological outcomes these patients.This prospective assessor-blind randomized study was conducted 106 patients 18-65 years age with World Federation Neurosurgeons Grade I-II subarachnoid hemorrhage. After written informed consent, were into - group (Propofol) (Desflurane). The primary outcome...
Background: The use of nonsteroidal anti-inflammatory drugs in neurosurgery remains controversial because potential risk hematoma formation secondary to platelet dysfunction. This study aimed investigate the efficacy and safety diclofenac compared with paracetamol for management postcraniotomy pain. Methods: In all, 110 adult patients undergoing craniotomy supratentorial tumors were randomized receive either intravenous (15 mg/kg) or sodium (1.5 30 minutes before end surgery postoperatively...
Pre-emptive analgesia using caudal epidural technique is an underutilized in lumbosacral spine surgery patients. We intend to study if pre-emptive with a single injection of ropivacaine effective method postoperative by assessing the quality and duration pain relief intraoperative opioid requirement.Eighty patients undergoing surgeries posterior approach were randomized (R) group (n = 40) saline (S) 40). Patients R received 20 ml 0.2% for at or below L5 lumbar 25 between L2 spine. S similar...
Postoperative nausea and vomiting (PONV) is a significant complication for neurosurgical patients. PONV affects patient satisfaction, prolongs hospital stay, increases the economic burden morbidity. In addition to these problems, there are certain consequences of specific craniotomy, including increased intracranial pressure risk tumor bed hematoma formation. Expert panels have suggested that, if deleterious patients, then prophylaxis should be instituted. This article describes...
Background: The effects of ketofol (propofol and ketamine admixture) on systemic hemodynamics outcomes in patients undergoing emergency decompressive craniectomy for traumatic brain injury (TBI) are unknown explored this study. Methods: Fifty with moderate/severe TBI were randomized to receive (n=25) or propofol induction maintenance anesthesia during surgery. Intraoperative hemodynamic stability was assessed by continuous measurement mean arterial pressure (MAP) need rescue interventions...
Abstract The coronavirus disease 2019 (COVID-19) is a major health emergency in today’s time. In December 2019, cluster of pneumonia cases Wuhan, China was attributed to novel coronavirus. World Health Organization declared it as pandemic. As the majority suffering from COVID-19 are mildly symptomatic or asymptomatic, becomes great challenge identify infected persons absence extensive testing. hospital environment, can infect several other vulnerable patients and healthcare providers,...
Anaesthesiology is an ever-changing science and amongst its sub-specialities, the field of neuroanaesthesia making rapid strides. The fragility brain spinal cord multitude complexities involved in neurosurgery interventional neuroradiological procedures demand dedicated training neuroanaesthesia. With advancement other neuroscience specialties, too has made outstanding progress, owing to establishment structured training, publication high-quality scientific research, invention novel...
Abstract Indocyanine green (ICG) angiography is widely used in cerebrovascular neurosurgery. We would like to report a case of intraoperative anaphylaxis ICG during aneurysmal clipping and view from the neurosurgeons’ perspective such an event.