- Cardiac Valve Diseases and Treatments
- Congenital Heart Disease Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Pulmonary Hypertension Research and Treatments
- Cardiac Structural Anomalies and Repair
- Anesthesia and Sedative Agents
- Tracheal and airway disorders
- Venous Thromboembolism Diagnosis and Management
- Vascular anomalies and interventions
- Cardiac Imaging and Diagnostics
- Cardiac Arrhythmias and Treatments
- Cardiovascular Function and Risk Factors
- Central Venous Catheters and Hemodialysis
- Cardiac Arrest and Resuscitation
- Cardiac and Coronary Surgery Techniques
- Cardiac pacing and defibrillation studies
- Head and Neck Surgical Oncology
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Atrial Fibrillation Management and Outcomes
- Cardiac Ischemia and Reperfusion
- Anesthesia and Neurotoxicity Research
- Electrolyte and hormonal disorders
- Blood transfusion and management
- Ultrasound in Clinical Applications
Sanjay Gandhi Post Graduate Institute of Medical Sciences
2016-2025
University of Toledo Medical Center
2021
University of Toledo
2019-2020
Government Medical College
2010
Albert Einstein College of Medicine
2009
Education Trust
2007
Society of General Internal Medicine
2005
University of Lucknow
1999
Peri-operative monitoring of coagulation is important to diagnose potential cause hemorrhage, manage coagulopathy and guide treatment with blood products in patients undergoing cardiac surgery cardiopulmonary bypass. This study was done evaluate usefulness Thromboelastography (TEG) routine tests (RCT) assessing hemostatic changes predicting postoperative bleeding bypass.Fifty adult bypass were enrolled this prospective study. Preoperative post-operative samples collected for TEG. Regression...
The aim of the present study was to observe adverse drug reactions (ADRs) with respect polypharmacy at tertiary care centre Bastar, Jagdalpur (Government Medical College, Jagdalpur). A prospective, observational evaluation ADRs conducted over a period 6 months in Department Medicine Government Jagdalpur. During period, total about 4850 patients visited OPD and inpatient ward medicine department, 154 events were reported. Out reports that identified, higher percentage females (51.29%)...
Enhancing the pulmonary annulus renders valve incompetent in cases of tetralogy Fallot. A pressure-loaded right ventricle may change to a volume-loaded ventricle, which dilate and eventually dysfunction. This study evaluated new technique fashioning monocusp from untreated autologous pericardium suspended on transannular patch. It was assessed 40 children undergoing complete repair Fallot between January 2005 December 2007. 24 patients had patch alone (group A) 16 received with pericardial...
Although the level of inferior vena cava (IVC) thrombus governs type surgical approach, there is no consistency in reporting levels IVC literature. This prospective study illustrates a simple three-level classification based on need for clamping hepatoduodenal ligament and venovenous or cardiopulmonary bypass.Between January 2010 June 2014, 30 patients renal mass with vein and/or were treated after classifying into three basis ligament. After excluding thrombi, I was described as located...
Correctly holding the endotracheal tube (ETT) is essential for successful tracheal intubation. The study's primary objective was to compare between-the-fingers grip with conventional pen-holding regarding number of attempts required orotracheal intubation and usage external aids.
Abstract Background Tracheal malignancies are usual victim of delay in diagnosis by virtue their symptoms resembling asthma. Sometimes delayed may lead to almost total airway obstruction. For difficult airways, not leaving any possibility manipulation into neck region or endoscopic intervention, femorofemoral cardiopulmonary bypass can be a promising approach. Case Presentation We presenting case tracheal adenoid cystic carcinoma (cylindroma) occupying about 90% the lumen. It was...
Tetralogy of Fallot often requires reconstruction the right ventricular outflow tract with a transannular patch (TAP), but this renders pulmonary valve incompetent and eventually leads to dysfunction. We retrospectively evaluated efficacy reconstructed annulus in 70 patients who underwent, from December 2006 through 2010, complete correction tetralogy Fallot. divided into 2 groups accordance whether they required (n=50) or did not require (n=20) TAP. used autologous untreated pericardium...
Introduction: Some medical emergencies need compromised airway management as the first measure. Most of these cases are seen by an ENT surgeon, whose proper evaluation and timely intervention can prove decisive. Knowledge alternatives for life-saving, although may require active involvement other specialities. Case reports: Two patients, a 27-year-old man 31-year-old woman, presented in respiratory distress with cyanosis. Each had pedunculated mass lower trachea above carina, about 90 per...
Atrial fibrillation in postoperative period is common. Although the event of atrial associated with reduced cardiac output and its consequences cerebrovascular events, effect on outcome not clearly documented. This study done to evaluate operation.This a retrospective case-control study. A total 263 patients received coronary artery bypass grafting during this period. The data for demographics, comorbidities, preoperative medications, operative details, echocardiographic parameters left...
<br><b>Objectives:</b> Statins confer protection from ischemia/reperfusion through various pathways including pleiotropic mechanisms. Following chronic administration, activation of intrinsic cellular mechanisms causes attenuation these effects. <b>Methods:</b> Since coronary artery bypass surgery (CABG) represents a reversible ischemia-reperfusion sequence, we assessed if statin reload is effective in patients undergoing off-pump CABG (<i>n</i> = 100) limiting myocardial injury. Patients...
Right ventricular (RV) dysfunction is one of the causes morbidity and mortality in valvular heart disease. The phenomenon apoptosis, though rare cardiac muscle may contribute to loss its function. Role apoptosis RV patients with rheumatic disease investigated this study.Patients mitral valve stenosis formed two groups based on systolic pressure (RVSP) as RVSP <40 mmHg (group I, n=9) ≥40 II, n=30). Patients having atrial septal defect (ASD) served control III, n=15). Myocardial performance...
Various drugs, including anesthetic agents, can cause parosmia in the perioperative period. There are reported cases of patients with alterations smell and taste due to local anesthetics, nerve damage, or as a side effect general anesthesia. We present case 58-year-old male who developed dysgeusia postoperative period after radical nephrectomy inferior vena cava thrombectomy. The anesthetics used were fentanyl propofol for anesthesia ropivacaine epidural analgesia. Clinical examination did...
Serratus Anterior fascial plane (SAP) block is a high-volume interfascial that has been used in adult patients cardiac surgery with good postoperative pain relief. We report case of 9 year old female child who underwent ostium secundum atrial septum defect closure and was given bilateral SAP block. The patient extubated within 4 hours free the period without use any opioids.
Hypokalemia is defined as serum potassium level less than 3.5 mEq/L. When the of 3 mEq/L, intravenous supplementation warranted. A 23 yr old adult female with complaints dyspnoea (NYHA II) since 6 yrs, III) and paroxysmal nocturnal on off 2 months, diagnosed severe mitral stenosis, was posted for valve replacement. After release ACC, ECG revealed sine wave pattern, Transesophageal echocardiographic examination global hypokinesia ABG showed 2.3 in cardiac patients can occur due to effect poor...
<br><b>Introduction:</b> Tetralogy of Fallot requiring transannular repair the right ventricular outflow tract (RVOT) are exposed to free pulmonary insufficiency and hence inevitable dysfunction. This study analyzes function structure untreated autologous pericardium monocusp used create a competent valve. <b>Materials Methods:</b> is retrospective analysis 52 cases operated between December 2006 2012. Untreated was for creating valve following patch. They followed functional structural...
Pulmonary regurgitation is imminent after transannular patch (TAP). We analyze the long-term performance of untreated autologous pericardium (UAP) as valve substitute at pulmonary position in patients requiring TAP.This cross-sectional study include operated between 2007 and 2012 (n = 92). A sample 19 was selected for this which had a follow-up more than 3 years. This includes with no TAP 4) substitute, monocusp 11) or tricuspid neopulmonary annulus. Patients underwent echocardiography...