- Airway Management and Intubation Techniques
- Anesthesia and Pain Management
- Pediatric Pain Management Techniques
- Tracheal and airway disorders
- Anesthesia and Sedative Agents
- Cerebral Palsy and Movement Disorders
- Anesthesia and Neurotoxicity Research
- Nausea and vomiting management
- Neurogenetic and Muscular Disorders Research
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Congenital Diaphragmatic Hernia Studies
- Head and Neck Surgical Oncology
- Congenital Anomalies and Fetal Surgery
- Neonatal and fetal brain pathology
- Botulinum Toxin and Related Neurological Disorders
- Nerve Injury and Rehabilitation
- Neonatal Respiratory Health Research
- Dental Anxiety and Anesthesia Techniques
- Pectus Deformity Diagnosis and Treatment
- Thyroid and Parathyroid Surgery
- Patient-Provider Communication in Healthcare
- Pain Management and Opioid Use
- Mitochondrial Function and Pathology
- Pediatric Hepatobiliary Diseases and Treatments
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
2025
Shriners Hospitals for Children - Philadelphia
2020-2024
Vanderbilt University Medical Center
2024
Monmouth Medical Center
2024
Boston University
2024
Lake Erie College of Osteopathic Medicine
2024
Thomas Jefferson University Hospital
2024
Temple University Hospital
2024
Cornell University
2024
Thomas Jefferson University
2018-2023
We designed this study to examine the incidence and degree of movement after administration rocuronium in children adolescents measure treatment effect lidocaine for its prevention.One hundred patients (aged 5-18 yr) were randomly assigned two groups. After general anesthesia was induced with 5 mg/kg thiopental sodium manual occlusion venous outflow performed, one group received 0.1 mL/kg 1% IV. A second isotonic chloride solution as a placebo control. Venous held 15 s, released, immediately...
We performed this study to compare the correlation of bispectral index (BIS) values with different sevoflurane concentrations between normal children and those quadriplegic cerebral palsy mental retardation (CPMR). Twenty CPMR (Group I) 21 II) 2 14 yr age were studied. Anesthesia was induced maintained 66% N2O/O2. Bispectral recorded on an Aspect Medical Systems (Natick, MA) monitor, measured Ohmeda (Hanover, inhaled anesthetic monitor. The BIS after midazolam premedication; induction...
We designed this study to examine the incidence and degree of movement after administration rocuronium in children adolescents measure treatment effect lidocaine for its prevention.One hundred patients (aged 5-18 yr) were randomly assigned two groups. After general anesthesia was induced with 5 mg/kg thiopental sodium manual occlusion venous outflow performed, one group received 0.1 mL/kg 1% IV. A second isotonic chloride solution as a placebo control. Venous held 15 s, released, immediately...
Anaphylaxis is an acute, severe, and potentially life-threatening allergic reaction that caused by a variety of foreign substances. Food, venom, medications including beta-lactam antibiotics nonsteroidal anti-inammatory drugs are common triggers 1,2 anaphylaxis
Summary Background Pain following Nuss procedure is severe and its management challenging. Many different pain treatment modalities are currently being used, but none of them have been found to be ideal. Aim In this retrospective review, we compare our current multimodal approach, which involves continuous ropivacaine infusion through chest wall catheters ( CWC ), intravenous patient‐controlled analgesia IV ‐ PCA adjunctive medications (gabapentin clonidine), with the technique that used in...
BACKGROUND: There are few comparative data on the analgesic options used to manage patients undergoing minimally invasive repair of pectus excavatum (MIRPE). The Society for Pediatric Anesthesia Improvement Network was established investigate outcomes procedures where there is significant management variability. For our first study, we a multicenter observational database characterize strategies pediatric MIRPE. Outcome from participating centers were assess association between strategy and...
Quality and patient/parent satisfaction are goals for pediatric perioperative services. As part of the implementation our operating room electronic medical record (EMR), a postoperative phone call questionnaire was developed to assess patients discharged after outpatient surgery. The goal this initiative determine rate common complications understand reasons dissatisfaction.Institutional Review Board approval obtained chart review. survey attempted by postanesthesia care unit nursing staff...
Summary Larsen syndrome is a complex with genetic heterogeneity, and both autosomal dominant recessive patterns of inheritance. It characterized by congenital dislocation joints, flat faces complicated issues relating to respiratory, cardiac, musculoskeletal central nervous systems. This report describes the anaesthetic management two patients syndrome. The first case 4‐year‐old patient who had cervical cord compression secondary instability was scheduled for anterior corpectomy fusion...
Despite increased focus on pediatric pain, uncontrolled pain is still a problem for hospitalized inpatients. A program was designed to find patients with and develop framework oversee their management. This report details the development of stewardship data from first year its activity.Hospitalized inpatients in tertiary care center mid-Atlantic region were included study. Pain scores are recorded every 4 hours hospital electronic health record. constructed all an average score ≥7 preceding...
Summary Background Resistance to the passage of endotracheal tube (ETT) is frequently encountered in children as it advanced over fiberoptic scope for placement into trachea because gets hung up at laryngeal inlet. Literature adults indicates that a 90° counterclockwise rotation ( CCR ) ETT before advancing results smooth passage. We found no literature children. Objectives Our aim was study if advancement leads larynx Methods Following IRB approval, we performed this two parts: Part 1: An...
Introduction Caudal block is frequently performed to provide analgesia for hypospadias repair. Literature suggests that pudendal provides prolonged postoperative as compared with caudal in children between 2 and 5 years. We the efficacy of blocks less than Methods 60 scheduled repair received standard general anesthesia along either or (groups 30 each). Variables collected were demographic data, time, operating room intraoperative pain medication need, assessment score need recovery at home....
Intravenous cannulation is obtained in almost all patients scheduled for operative intervention under anaesthesia. In our practice, inhalational induction precedes children order to avoid pain and discomfort, delayed until the child adequately anaesthetized fear of precipitating laryngospasm due painful stimulus venepuncture light stage This study was performed on 150 between two eight years age determine if there a difference incidence untoward incidents, when are lightly (Early, Group E),...
Alagille's syndrome is an inherited disorder affecting multiple organ systems. Most characteristic the paucity of interlobular bile ducts with cholestasis. The anaesthetic plan for these patients should be based on careful preoperative preparation and attention to issues involving hepatobiliary, cardiac, neurodevelopmental, nutritional, haematological, ocular facial abnormalities. We report case a five-and-a-half-year old patient who sustained pathological fracture femur was scheduled closed...
Background: Vertebral body tethering (VBT) requires a thoracoscopic approach to visualize the vertebral bodies. Lung collapse and re-expansion have potential cause acute lung injury, resulting in increased oxygen ventilation requirements. Aims: We compared intraoperative ventilator management, intra- postoperative blood gas determinations, hospital stay information between adolescents undergoing unilateral versus bilateral isolation for tethering. Methods: A study cohort of 132...
Study objective: Epidural blood patches (EBPs) are frequently performed in children with cerebral palsy (CP) to manage post-dural puncture headache (PDPH) due cerebrospinal fluid (CSF) leak after intrathecal baclofen pump (ITBP) placement or replacement procedures. The purpose of our study was review the incidence and management CSF following ITBP procedures CP. a retrospective 245 patients representing 310 surgical cases insertion (n=141) reinsertion (n=169) conducted at 125-bed children's...
A case of somatosensory evoked potential (SSEP) induced electrocardiographic artefact simulating supraventricular tachycardia (SVT) is described in a three year old girl with Goldenhar syndrome, during anterior thoracoscopic discectomy posterior spinal fusion for scoliosis. Adenosine was administered this misinterpreted EKG coincidental cessation SVT like trace.