A5072454879- Airway Management and Intubation Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Intracranial Aneurysms: Treatment and Complications
- Cerebrospinal fluid and hydrocephalus
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Sedative Agents
- Anesthesia and Pain Management
- Cardiac Arrest and Resuscitation
- Anesthesia and Neurotoxicity Research
- Hemodynamic Monitoring and Therapy
- Neurosurgical Procedures and Complications
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Nosocomial Infections in ICU
- Respiratory Support and Mechanisms
- Spinal Dysraphism and Malformations
- Organ Donation and Transplantation
- Ophthalmology and Eye Disorders
- Disaster Response and Management
- Restraint-Related Deaths
- Intravenous Infusion Technology and Safety
- Intraoperative Neuromonitoring and Anesthetic Effects
- Trigeminal Neuralgia and Treatments
- Congenital Heart Disease Studies
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
Shri Mata Vaishno Devi University
2021-2024
Post Graduate Institute of Medical Education and Research
2017-2023
Government Medical College
2020-2023
Creative Commons
2022
Topiwala National Medical College & BYL Nair Charitable Hospital
2021
Intensive Care Foundation
2021
Lifeline Hospital
2021
Christie's
2020
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...
Traumatic brain injury (TBI) induces major insult to the normal cerebral physiology. The anesthetic agents may infrequently produce deleterious effects and further aggravate damage injured brain. This study was conducted evaluate of propofol sevoflurane on oxygenation, relaxation, systemic hemodynamic parameters levels interleukin-6 (IL-6) in patients with severe TBI undergoing decompressive craniectomy.A prospective randomized comparative 42 surgery for TBI. Patients were into two groups,...
The maintenance of hemodynamic stability is pivotal importance in aneurysm surgeries. While administering anesthesia these patients, the fluctuations blood pressure may directly affect transmural pressure, thereby precipitating rupture and various other associated complications. We aimed to compare effects ketofol with propofol alone when used as an induction anesthetic agent during surgical clipping intracranial aneurysms.Forty adult, good-grade aneurysmal subarachnoid hemorrhage patients...
Re-expansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis, or pleural effusion. The amount fluid drained and the degree suction influence development RPE. We present case RPE in critically ill patient scrub typhus with rheumatic heart disease, draining only 800 mL fluid, thereby proving complex cardiac interactions play an important role How to cite this article: Khanoria R, Chauhan Sarna Bloria S. Pulmonary...
Manipulation during endotracheal intubation in patients with craniovertebral junction (CVJ) anomalies may cause neurological deterioration due to underlying instability. Fiberoptic-bronchoscopy (FOB) is better than video laryngoscope (VL) for minimizing cervical spine movement intubation. However, evidence suggesting superiority of FOB CVJ instability lacking. We prospectively compared dynamic movements the upper using VL anomalies.A prospective, randomized, and clinical trial was conducted...
Prediction of outcome in intensive care unit (ICU) patients is imperative importance. Our aim was to assess and compare the performance Acute Physiology Chronic Health Evaluation (APACHE) II APACHE IV scores predicting mortality adult suffering from septic shock admitted our ICU.This a prospective observational study conducted 14-bedded medical ICU tertiary center January 2019 March 2020; 128 were included calculated. We also calculated predicted actual rates standardized ratios. The...
Peri-operative pain management in the neonate with a sacrococcygeal teratoma poses significant challenges to anaesthetist. Involvement of area by tumour often prevents use conventional regional anaesthetic techniques such as caudal or epidural analgesia, subsequent reliance on intravenous opioids and paracetamol. Since are associated respiratory depression, constipation urinary retention, there is high incidence opiophobia consequent inappropriate dosage prescription, particularly paediatric...
INTRODUCTION The magnitude of publication new research has been considered as an indication scientific productivity a country.[1] Although the volume publications in field anaesthesia from developing countries traditionally meagre, picture is slowly beginning to change. An example this change 2004 study by Baretto[2] which found that articles Latin American authors had tripled between 1988 and 2001. contribution Indian various international journals described very minimal.[3] It about time...
Abstract The patient profile undergoing neurosurgery varies from neonates to elderly, and patients elective surgery emergency surgeries. goals of postoperative management include prevention secondary brain injury taking care the major organ systems till time recovers primary insult. Postsurgery, may be shifted a neurosurgical intensive unit or managed in ward. As general rule, all should nursed 30-degree head up. We will discussing basic principles patients.
Abstract Background Providing efficient mechanical ventilation using artificial manual breathing unit is a tiring and laborious task for healthcare providers. The current pilot study was planned to assess the efficacy of an automated (respiration control [RC] device) in patients requiring tertiary care hospital North India. RC device bag valve mask ventilator developed collaboration with Gyrodrive Machineries (P) Ltd. India Postgraduate Institute Medical Education Research, Chandigarh....
Medical adhesive-related skin injuries (MARSI) is a newly coined term, defined as 'an occurrence in which erythema and/or other manifestations of cutaneous abnormality (including, but not limited to, vesicle, bulla, erosion or tear) persists 30 min more after removal the adhesive'.[1] MARSI has been classified mechanical (caused by shear force while removing tape), dermatitis (allergic non-allergic) and others (maceration folliculitis). A PubMed search with keywords 'marsi anaesthesia'...
Dear Editor, Endotracheal tube (ETT) hyperinflation can cause ischemia of tracheal mucosa, postoperative sore throat and many other complications.[12] The recommended ETT cuff pressure is between 30 40 cm water.[3] Most the times, measured intermittently using manometers. Many authors have suggested continuous measurement pressure.[4] However, manometers devices for are not available at all places. Subjective measures like palpation pilot balloon been proven to be ineffective. We describe a...
Abstract Pacemaker devices have revolutionized the lives of patients with cardiac arrhythmias and become increasingly common. Anesthetic management pacemakers provides special challenges. We describe our experience a patient having implanted permanent pacemaker posted for clipping ruptured intracranial aneurysm.
VP Shunt is one of the most commonly performed neurological surgeries.The patients undergoing this procedure may vary in age from neonates to elderly; they be fully conscious or neurologically impaired. Knowledge specific considerations these will help anesthesiologist manage a better way.
Abstract We describe our experience of management a young hypertensive male taken up for coiling an unruptured intracranial aneurysm whom we diagnosed to be case coarctation aorta during preanesthetic check-up. This diagnosis changed the treatment patient completely. report this emphasize need do thorough preoperative check-up in every case. also touch upon important anesthetic considerations observed while managing such cases.