Abstract Objectives To evaluate the occurrence, risk factors, and outcomes of post PCNL (Percutaneous Nephrolithotomy) Acute Kidney Injury (AKI), with a secondary goal developing nomogram for post-PCNL AKI prediction. Methods A prospective observational study was conducted enrolling 333 patients who underwent between February 2022 2023. Patient demographics, comorbidities, perioperative lab parameters, stone characteristics, intraoperative details, postoperative were assessed. Logistic...

Abstract Case A 67-year-old male with hematuria and diagnosed to have a left iliac fossa malrotated ectopic kidney enhancing renal pelvic mass; which on histopathological examination was noted be high grade UTUC- pT3N1. Conclusion This is the first documented UTUC case of an in literature. The treatment this disease can challenging due part its aberrant vascular morphology location.

Abstract The “obesity paradox” suggests that, despite a higher baseline risk for adverse health outcomes, obese patients can experience lower complication and mortality rate in conditions such as pulmonary embolisms (PE). This study aims to examine the association between obesity inpatient outcomes of PE patients, utilizing data from National Inpatient Sample (NIS) database. We conducted retrospective analysis adult (aged ≥ 18) using NIS database 2016 2020. Patients were categorized either...

Abstract Background and Aims: Medical oxygen (O 2 ) is a lifesaving therapy in the intensive care unit (ICU). However, overzealous use poorly defined O targets ICU patients can increase risk of hyperoxemia. We aimed to assess administration titration requiring invasive mechanical ventilation (IMV) support. Material Methods: In this prospective observational study, all adult IMV for more than 24 hours were included over 1 year (December 2020–November 2021). Patients who refused give consent...

Abstract The design of polyelectrolyte multilayers (PEMs) that can be prefabricated on an elastomeric stamp and mechanically transferred onto biomedically‐relevant soft materials, including medical‐grade silicone elastomers ( E ’∼450–1500 kPa; ’‐elastic modulus) the dermis cadaver skin ’∼200–600 kPa), is reported. Whereas initial attempts to PEMs formed from poly(allylamine hydrochloride) poly(acrylic acid) resulted in minimal transfer we report integration micrometer‐sized beads into...

Objective: We planned this study to compare three approaches arterial cannulation, i.e., catheter over the needle, guidewire, and ultrasound-guided in terms of overall success rate, first pass time for cannulation incidence complications. Methods: After obtaining informed written consent from patient, they were randomized into groups, based on chits box technique, undergo radial artery as follows: group N (using needle technique), W guidewire U (radial cannulations under ultrasound...

Silver is a widely used antimicrobial agent, yet, when impregnated in macroscopic dressings, it stains wounds, can lead to tissue toxicity, and inhibit healing. Recently, polymeric nanofilms containing silver nanoparticles were reported exhibit activity at loadings release rates of that are 100× lower than conventional dressings. Here, fabrication composite microfilm constructs provide facile way transfer the silver‐loaded onto wounds vivo reported. The construct fabricated from...

Predicting difficult intubation (DI) is a key challenge, as no single clinical predictor sufficiently valid to predict the outcome. We evaluated effectiveness of four upper airway ultrasonographic parameters in predicting DI. The validity models using combinations ultrasonography-based was also investigated.This prospective, observational, double-blinded cohort trial enrolled 1,043 surgical patients classified American Society Anesthesiologists physical status I-III without anticipated...

Background: The alveolar-arterial oxygen (A-a) gradient measures the difference between concentration in alveoli and arterial system, which has considerable clinical utility. Materials methods: It was a retrospective, observational cohort study involving analysis of patients diagnosed with acute COVID pneumonia required noninvasive mechanical ventilation (NIV) over period 3 months. primary objective to investigate utility A-a (pre-NIV) as predictor 28-day mortality pneumonia. secondary...

Subclavian vein (SCV) cannulation can be performed using either supraclavicular (SC) or infraclavicular (IC) long-axis approach under ultrasound guidance (USG). However, their relative efficacy remains debatable. The aim of this study was to compare these two approaches in terms safety, ease, success rate, and record the incidence complications.We studied 90 adult patients distributed into groups 45 each. Data regarding time taken for first venous puncture, required inserting catheter, total...

There was an era when bark of mandrake plant, boiled in wine used to administer anesthesia. Ether, after reigning the kingdom anaesthesiology for more than a century, came be superseded by newer and agents. Anaesthesiology has witnessed tremendous developments since infancy. The introduction advanced airway adjuncts, labour analgesia, patient controlled fibreoptics, Bispectral Index monitors, workstations, simulators robotic surgeries are only name further few. Anaesthesia surgery received...

To estimate a correlation between change in lung ultrasound aeration score (LUSS) and mortality patients with ventilator-associated pneumonia. We conducted prospective observational study which ultrasound, the partial pressure of arterial oxygen to fraction inspired ratio (PaO2/FiO2 ratio), static compliance were performed for five consecutive days since diagnosis pneumonia (day 1-5) 20-bed multidisciplinary intensive care unit at tertiary academic institute Northern India. A hundred...

In ICUs, bedside percutaneous tracheostomy (pct) is commonly performed, but it associated with certain drawbacks as paratracheal placement, posterior tracheal wall injury and tracheoesophageal fistula. To address these fibreoptic bronchoscope (FOB) guided PCT was introduced. We aimed to compare both methods. PATIENTS #ENTITYSTARTX00026;We compared 60 age & sex matched patients into two groups of 30 each. group 1 performed by the conventional Ciaglia's method. 2, a used in addition aid an...

Identifying an ideal intraoperative ventilation strategy remains area of research. We evaluated the effect ultrasound-guided-pressure-controlled (UG-PCV) on blood-gas and ventilatory parameters, during both two-lung (TLV) one-lung (OLV) for thoracic surgery unilateral pulmonary disease, compared with volume-targeted PCV (VT-PCV).In a prospective, parallel-group double-blinded design, 40 consecutive patients were randomised into two groups. Group A: Received VT-PCV at tidal volume (TV) 9...

Sir, Presence of dense beard in patients is often not welcomed by anaesthesiologists. Some people wear for religious reasons, while others consider it an insignia respect, and as a result they do consent to shave even on life threatening medical grounds. Besides posing difficulty during ventilation intubation, facial hair also limit reliable tube fixation.[1] The adhesive tape, used commonly, cannot stick such patients. Other methods tying around neck with gauze bandage or plastic tubing may...

Obstructive sleep apnea(OSA) is a syndrome characterized by obstruction in the upper airway during sleep. OSA patients undergoing procedures under GA are at increased risk for hypoxemia, pneumonia, difficult intubation, atelactasis, myocardial infarction making it challenge anesthesiologist. Retrograde intrarenal surgery(RIRS) normally performed to prevent respiratory embaracement. There very few studies focusing on Regional anesthesia RIRS procedure. A Sixty-three-year-old male known case...

Background: Portal vein thrombosis in decompensated liver disease the absence of a hepatic lesion on imaging is clinical situation causing dilemma further management. Few case reports used EUS or ultrasound to get tissue from thrombus for diagnosis.

Abstract Retrograde intubation (RI) is an approach to secure the airway in case of a difficult intubation. Conventionally, this technique involves placing guide wire through cricothyroid membrane into tracheal lumen, and then advancing endotracheal tube over towards glottis. Despite being relatively safe technique, it has not gained widespread acceptance, as other methods such awake fibreoptic intubation, videolaryngoscopy supraglottic airways have taken precedence it. However, certain...

Microscopy-based tuberculosis (TB) diagnosis i.e., Ziehl-Neelsen (ZN) stained smear screening still remains the primary diagnostic method in resource poor and high TB burden countries, however itrequires considerable experience is bound to human errors. In remote areas, wherever expert microscopist not available, timely at initial level possible. Artificial intelligence (AI)-based microscopy may be a solution this problem. A prospective observational multi-centric clinical trial evaluate...