A5084989798- Airway Management and Intubation Techniques
- Anesthesia and Pain Management
- Tracheal and airway disorders
- Anesthesia and Sedative Agents
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Nausea and vomiting management
- Central Venous Catheters and Hemodialysis
- Hemodynamic Monitoring and Therapy
- Anesthesia and Neurotoxicity Research
- Pediatric Pain Management Techniques
- Ultrasound in Clinical Applications
- Foreign Body Medical Cases
- Obstructive Sleep Apnea Research
- Cardiac Arrest and Resuscitation
- Renal and Vascular Pathologies
- Patient Safety and Medication Errors
- Intensive Care Unit Cognitive Disorders
- Music Therapy and Health
- Vasculitis and related conditions
- Dysphagia Assessment and Management
- Cardiac tumors and thrombi
- Healthcare Decision-Making and Restraints
- Family and Patient Care in Intensive Care Units
- Infection Control and Ventilation
Post Graduate Institute of Medical Education and Research
2016-2025
Creative Commons
2020-2024
Sawai ManSingh Medical College and Hospital
2023
Symbiosis International University
2023
Intensive Care Foundation
2016
Johns Hopkins University
2013
High doses of opioids are frequently used to treat postoperative pain after spine surgery. This leads opioid-related side effects like nausea, vomiting, respiratory depression, etc. The current study is an attempt find a safe analgesic adjuvant, which will afford opioid sparing property.Sixty-six patients undergoing surgery were randomized into 1 the 3 groups-group K (ketamine bolus 0.25 mg/kg followed by infusion mg/kg/h with midazolam 10 μg/kg and μg/kg/h mixed in same pump), group D...
Objectives/Hypothesis The aim of this study was to compare the effect dexmedetomidine and propofol on airway dynamics, cardiorespiratory system, emergence following drug‐induced sleep endoscopy (DISE). Study Design Prospective, randomized, single‐blinded study. Methods Sixty patients age 18 65 years in American Society Anesthesiologists physical status groups 1 2 scheduled undergo DISE were randomly allocated either Group P (N = 30; receiving infusion at 50–150 μg/kg/min) or D bolus μg/kg...
Abstract There is a lack of consensus and uniformity about the test dose in epidurals for labor analgesia. We, therefore, conducted questionnaire-based survey to assess current practice India regarding test-dose among practicing obstetric anesthetists. A Google form based questionnaire was circulated 300 members Association Obstetric Anesthesiologists (AOA) which 128 (42.7%) responded. According our survey, analgesia routinely practiced by only 40 (32%) responders. Sixty-eight (53.1%)...
Induction of anesthesia can be distressing both for children and their parents. Nonpharmacological behavioral interventions reduce the anxiety without significant adverse effects as seen with sedative medications. We hypothesized that use incentive-based game therapy in conjunction parental involvement would a simple cost-effective intervention reducing preoperative children.
Background: Videolaryngoscopes are increasingly being used in potentially difficult airway. McCoy laryngoscope provides definitive advantage over conventional laryngoscopes cervical spine patients. The aim of this study was to compare the performance CMAC® videolaryngoscope with Laryngoscope patients a collar. Material and Methods: Sample size at least 22 each group calculated using Intubation Difficulty Scale (IDS) score as primary outcome. 60 American Society Anesthesiologists I II...
Summary Background Endotracheal intubation in lateral position infants is a challenge. This difficulty may be surmounted to some extent by using videolaryngoscopes but the routine use of these devices as tool secure airway remains unevaluated. Therefore, we conducted prospective, randomized controlled trial compare conditions achieved with CMAC videolaryngoscope and Miller Laryngoscope infants. We hypothesized that would provide better laryngoscopic view reduce time compared blade. Methods...
Summary Background Studies that have compared and quantified the oropharynageal leak pressure ( OPLP ) adequacy of ventilation with supraglottic airway devices in different head neck positions been done adult populations. The effects head–neck position changes on functioning I‐gel ™ pediatric population still remain unevaluated. Aim This study aimed to quantify influence namely neutral, maximum flexion, extension , scoring, fiberoptic grading using anesthetized, paralyzed children. Methods...
Early recovery from anesthesia and avoidance of analgesics with respiratory depressant properties are vital for maintenance extubated airway in cervical spine surgeries. The current study investigated the role dexmedetomidine as an anesthetic sparing agent a sole postoperative analgesic these cases.Sixty adult patients undergoing surgeries were randomized into 2 groups. Group D received intravenous infusion 0.5 μg/kg/h throughout surgery after loading dose 1 μg/kg over 10 minutes....
The aim was to analyze the impact of education and training nurses on incidence ventilator-associated pneumonia (VAP) central line-associated bloodstream infection (CLABSI).A prospective observational study at a tertiary care hospital included adult patients with Intensive Care Unit stay >48 h. done in three phases: Phase 1, baseline VAP CLABSI calculated; 2, nurses; 3, data were recollected for CLABSI.The 1 28.86/1000 ventilator days that 7.89/1000 central-line days. In increased 35.06...
For maintenance of anesthesia for intracranial aneurysmal neck clipping, both intravenous and inhalational anesthetics are in vogue. We aimed to evaluate the superiority one agent over other long-term neurological outcomes these patients.This prospective assessor-blind randomized study was conducted 106 patients 18-65 years age with World Federation Neurosurgeons Grade I-II subarachnoid hemorrhage. After written informed consent, were into - group (Propofol) (Desflurane). The primary outcome...
Background and Aims: Head neck movements alter the shape of pharynx, resulting in changes oropharyngeal leaking pressures ventilation with supragottic airway devices. We compared effect different head-and-neck positions on leak I-Gel™ ProSeal™ laryngeal mask (PLMA) anaesthetised paralysed children. Methods: A total 70 children were randomly assigned to receive PLMA (n = 35) or for management. Oropharyngeal pressure maximum flexion, extension neutral position was taken as primary outcome....
Summary Background A previous study by our group demonstrated an increase in oropharyngeal leak pressures and a deterioration of ventilation maximum neck flexion with the I‐Gel ™ . To ascertain optimal degree which increases OPLP without compromising we conducted prospective self‐controlled trial different degrees anesthetized paralyzed children. Methodology The I‐gel was inserted 60 children undergoing inhalation induction muscle paralysis for routine general anesthesia. Recordings peak...
Sir, Drugs used for sedation are occasionally known to cause paradoxical reactions of agitation and abnormal behavior.[1–3] We report a case observed after intraoperative administration etomidate. A 23-year-old ASA-I male patient (72 kg) with anterior cruciate ligament tear was posted arthroscopic repair under spinal anesthesia on day care basis. Pre-anesthetic evaluation unremarkable. No sedative premedications were administered. After shifting the operating room, baseline blood pressure,...
Palonosetron 75 mcg is being used for the prevention of postoperative nausea and vomiting. However, weight-adjusted doses in laparoscopic surgery are unevaluated.To determine response to three palonosetron (0.5, 1.0, or 1.5 kg⁻¹) over 72 h period women undergoing gynaecological procedures.A randomised dose-response study.A tertiary care hospital research institute north India from July December 2014.American society Anesthesiologists physical status I II women, 18 60 years old, procedures on...
Wilms' tumor (WT) is the most common pediatric renal that often spreads to inferior vena cava and sometimes up right atrium (RA). We describe successful management of 3-year-old child diagnosed with WT having extension RA. He was operated under cardiopulmonary bypass extubated on postoperative day 2 discharged. Perioperative anesthesia concerns were shock from dynamic tricuspid valve obstruction, intraoperative massive blood loss, a higher risk pulmonary thromboembolism during manipulation.
O alívio inadequado da dor após a reconstrução do ligamento cruzado anterior afeta mobilidade, leva ao desenvolvimento de aderências, inserção enfraquecido e atrofia muscular. bloqueio canal adutor para analgesia pós‐operatória preserva força quadríceps. presente estudo foi feito comparar o período sem em pacientes artroscópica anterior, submetidos guiado por ultrassom com ropivacaína isolada + clonidina. Um prospectivo, randômico duplo‐cego conduzido 63 adultos, estado físico ASA I–II, à...