Abstract Background and Aims: Enhanced recovery after surgery recommends preoperative consumption of carbohydrate within 2 hours before elective to reduce perioperative discomfort improve patient outcome. Material Methods: This prospective interventional study included 105 adult patients, undergoing open gynecological under neuraxial anesthesia. Groups I, II, III were administered commercially available drink, oral rehydration solution (ORS), mineral water, respectively, at night 3 surgery....

Abstract Background and Objectives: The quality of life may be negatively impacted by postoperative cognitive dysfunction (POCD) following off-pump coronary artery bypass grafting (OPCAB). It is still unclear how useful the jugular venous lactate oxygen parameters are in predicting POCD OPCAB. Methods: This prospective observational study was conducted over a period 15 months included 54 individuals. sought to determine sensitivity specificity for early prediction patients undergoing...

The COVID-19 disease caused by novel coronavirus was first reported in Wuhan, China, December 2019 with 5% patients having severe lung injury. Though this primarily presents as a lower respiratory tract infection, multiple digestive manifestations have been which are often overlooked. present case report describes the unusual progression of from pneumonia to procoagulant state leading superior mesenteric artery thrombosis and subsequent gut ischemia necessitating emergency laparotomy....

Background: Literature on the efficacy and safety of erector spinae plane block (ESPB) in pediatric patients is limited. Hence, we aimed to compare ESPB versus caudal epidural (CEB) children undergoing abdominal surgery. Methods: In this patient assessor-blind study, fifty-two ASA I-II patients, between 1 9 years age, were randomized into groups 26 each. group received unilateral or bilateral ultrasound (USG)-guided with 0.5 ml/kg 0.25% bupivacaine per side. CEB USG-guided bupivacaine. The...

Purpose There is limited data from the Indian subcontinent regarding surgical outcomes of coronavirus disease (COVID-19) patients. In this observational study, we aimed to evaluate postoperative after emergency surgery in COVID-19 patients compared concurrent age and gender-matched controls. We also sought analyze possible predictors mortality Methods This matched cohort study was conducted a tertiary care teaching hospital central India, between 1st July 2021 30th June 2022....

Succinylcholine is used for rapid-sequence induction of anesthesia. Fasciculations and myalgia are adverse effects. The pretreatment modalities prevent or minimize its effects.The present study designed to evaluate the efficacy gabapentin on incidence fasciculation succinylcholine-induced myalgia.The was conducted at a tertiary care teaching hospital in randomized, double-blinded, placebo-controlled manner.Patients both genders undergoing laparoscopic cholecystectomy were randomly assigned...

Wolff–Parkinson–White syndrome (WPW) is an uncommon cardiac disorder having aberrant pathway between atria and ventricles. We are reporting a known case of WPW for hysterectomy under combined spinal epidural anaesthesia. Management the present important pearl to revisit management syndrome. The perioperative should be tailored according nature surgery clinical presentation patient.

There is very limited data on the usefulness of pulmonary rehabilitation in patients with coronavirus pneumonia who have survived intensive care unit care. The primary aim was to explore feasibility conducting a program disease-19 surviving secondary study impact hospital-based 6-week exercise capacity, quality life, and psychological parameters these patients. This conducted at Center for Pulmonary Rehabilitation, Department Medicine institute.A total 27 were enrolled. Among them, 14...

Coagulopathy after living donor hepatectomy (LDH) may endanger safety during removal of thoracic epidural catheter (TEC). The present study was conducted to evaluate the extent and duration immediate postoperative coagulopathy LDH.A retrospective analysis perioperative record LDH over three years IRB approval. Variables such as age, gender, BMI, ASA classification, liver volume on CT scan, preoperative INR, platelet count (PC) ALT each for five days noted. In addition, surgery, remnant...

Succinylcholine a depolarizing muscle relaxant with rapid onset, predictable course and short duration of action is associated myalgia. The aim this study to evaluate the efficacy pregabalin, gabapentin diclofenac on incidence severity succinylcholine-induced Tertiary Care Teaching Hospital. A total 120 patients undergoing laparoscopic cholecystectomy were randomly assigned into three groups: Pregabalin group received 150 mg 600 100 sodium orally 2 h prior surgery. Anesthesia was induced...

Background and aims Optimal postoperative care analgesia are the key factors in management of cases lumbosacral spine surgery. The erector spinae plane (ESP) block is a recently evolving entity has dynamic role pain management. However, its lumber spinal surgeries still not clear, literature remains anecdotal. Therefore, we planned to study efficacy ultrasound-guided preoperative ESP at T12 level using levobupivacaine for perioperative surgeries. Methods A total 60 patients scheduled...

Heart failure (HF) following liver transplant (LT) surgery is a distinct clinical entity with high mortality. It known to occur in absence of obvious risk factors. No preoperative workup including electrocardiogram, echocardiography at rest and on stress, reasonably prognosticates the risk. In patients chronic disease, cirrhotic cardiomyopathy, alcoholic stress induced cardiomyopathy have each been implicated as cause for HF after LT. However distinguishing one etiology from another not only...

Liver resection is an effective modality of treatment in patients with primary liver tumour, metastases from colorectal cancers and selected benign hepatic diseases. Its aim to resect the grossly visible tumour clear margins ensure that remnant mass has sufficient function which adequate for survival. With advent better preoperative imaging, surgical techniques perioperative management, there improvement outcome decreased mortality. This decline postoperative mortality after encouraged...

Abstract The COVID-19 disease caused by novel Coronavirus was first reported in Wuhan, China December 2019 with 5% patients having severe lung injury. Though this primarily presents as a lower respiratory tract infection, multiple digestive manifestations have been which are often overlooked. present case report describes the unusual progression of from pneumonia to procoagulant state leading superior mesenteric artery thrombosis and subsequent gut ischemia necessitating emergency...

The present study was designed to explore the utility of ultrasound-guided diaphragmatic thickness in preoperative period healthy controls scheduled for live-related donor hepatectomy and patients suffering from chronic liver disease transplantation (LT) its use as a predictor postoperative weaning failure.This prospective observational conducted tertiary health care center 65 adult (18-70 years) participants (30 donors 35 transplant recipients) were enrolled this study. Right both...

Madam, We report the occurrence of supraventricular tachycardia (SVT) and atrial fibrillation (AF) during anhepatic phase living donor liver transplant (LDLT) describe its management. After written informed consent, a 40 year old male with alcoholic disease underwent LDLT. He had no comorbidities. Preoperative echocardiography was normal. Intraoperatively, Flotrac™ monitor used radial artery cannulation for measurement blood pressure, systemic vascular resistance (SVR), cardiac output. His...

Objective: Though airway ultrasonography (USG) is used to assess difficult laryngoscopy (DL), there still ambiguity about approach followed and parameters assessed.There need of a simple, stepwise sonographic assessment with clearly defined for DL prediction.The primary objective this study was find diagnostic accuracy measured by Airway-USG in prediction (DLP). Methods:This prospective, observational cohort done 217 elective surgical adult patients administered general anaesthesia tracheal...

Tracheostomy is integral in long-term intensive care of coronavirus disease-2019 (COVID-19) patients. There a paucity studies on weaning outcomes and mortality after tracheostomy COVID-19 Indian scenario.We conducted retrospective, single-center, observational study severe patients who underwent elective (n = 65) during critical tertiary institute Central India from May 1, 2020, to April 30, 2021. Data were collected Medical records, ICU charts, follow-up visits by patient. A primary...

Retrieval of the partial liver graft is a complicated and time-consuming procedure reported to be associated with brachial plexus injury. We present case series injury in live related donor hepatectomy 95 donors analyzed retrospectively. Seven suffered from injuries varying severity duration. Out these, one had residual paresis. The reasons could application retractors, which may have led traction compression above nerve roots.

Major adverse cardiac events (MACE) are frequent in coronavirus disease-2019 (COVID-19). Remdesivir is used worldwide for treatment COVID-19. In this retrospective observational study, our primary objective was to assess the impact of remdesivir administration on incidence MACE and associated 28 day survival critically ill patients admitted moderate severe COVID-19 pneumonia.We analyzed data 437 intensive care unit (ICU) divided them into two groups: R group (received at ICU admission) NR...

: Risk assessment with prognostic scoring, though important, is scarcely studied in emergency surgical patients COVID-19 infection.We conducted a retrospective cohort study on adult infection our institute from 1 May 2020 to 31 October 2021 find the 30-day postoperative mortality and predictive accuracy of scores. We assessed demographic data, risk scores (American Society Anesthesiologists-Physical Classification (ASA-PS), Sequential Organ Failure Assessment (SOFA), Quick SOFA (qSOFA),...

Intracranial pressure (ICP) monitoring in patients with intracranial tumors undergoing craniotomy is usually done perioperative period intensive care unit. Invasive measurement of ICP, though considered as the gold standard, has its own limitations such availability expertise, equipment, and associated complications. Period raised ICP post-operative may impact patient outcomes. Post-craniotomy computed tomography (CT) assessment routinely need to be repeated if indicated during stay. Utility...

Coronavirus disease-2019 (COVID-19) commonly presents with respiratory symptoms. However, symptoms involving the digestive system may be present, significance of which is not well studied in Indian scenario.This prospective observational cohort study included consecutive patients severe COVID-19 admitted to intensive care unit our tertiary hospital from September 9, 2020, March 14, 2021. We evaluated frequency preadmission and compared demographic, clinical, laboratory parameters, organ...