Abstract Most land plants entertain a mutualistic symbiosis known as arbuscular mycorrhiza with fungi (Glomeromycota) that provide them essential mineral nutrients, in particular phosphate (Pi), and protect from biotic abiotic stress. Arbuscular mycorrhizal (AM) increases plant productivity biodiversity is therefore relevant for both natural communities crop production. However, AM fungal populations suffer intense farming practices agricultural soils, Pi fertilization. The dilemma between...

In neurosurgery, chronic subdural hematoma (CSDH) is a very common clinical entity. Both general anesthesia (GA) and local with or without sedation are used for the surgical treatment of CSDH. Sedation dexmedetomidine has been safely various diagnostic therapeutic procedures. However, its effectiveness against GA not evaluated We tried to compare technique CSDH.In this prospective-randomized study, 76 patients undergoing surgery CSDH were divided into 2 groups using computer-generated...

Background and Aims: Electroconvulsive therapy (ECT) is an established modality of treatment for severe psychiatric illnesses. Among the various complications associated with ECT, oxygen desaturation often under reported. None previous studies has evaluated predictive factors during ECT. The objective this study was to evaluate incidence recovery from anesthesia modified ECT its risk in a large sample. Materials Methods: All patients aged above 15 years who were prescribed their illness over...

Guillain–Barré syndrome is the most common cause of acute flaccid paralysis in children, but several diseases mimic GBS. We aimed to identify and report clinical pointers battery tests required differentiate from its observed mimics pediatric population admitted our neuro-critical care unit. conducted a retrospective record analysis all patients over ten years 2008–2018, whose initial presentation was compatible with diagnosis Eighty-three were at first treated as GBS, which seven (8.4%)...

SUMMARY Background Literature suggests poorer outcomes during anaemia as well following red blood cell transfusion ( BT ) in brain injured patients. Recently, central venous oxygen saturation ScvO 2 has been proposed a physiological trigger to guide BT. In this study, we looked at changes patients admitted neurointensive care unit NICU ). Study design prospective, observational adult, acutely ill neurological of >18 years were recruited. The parameters measured before and immediately...

SUMMARY Background Although central venous oxygen saturation (ScvO 2 ) is used to decide on red blood cell (RBC) transfusion, whether its improvement associated with parallel in cerebral oxygenation not adequately studied. This study looked at changes regional tissue (rSO following RBC transfusion neuro‐intensive care unit (ICU) patients. Methods In this prospective observational pilot study, rSO was measured adult neuro‐ICU patients before the end and 6, 12, 18 24 h after transfusion....

Rayadurg, Vivek MBBS, MD, DM; Uttarwar, Akshay DA, DNB; Surve, Rohini MD Author Information

There are insufficient data about clinical outcomes in critically ill neurological patients with concomitant coronavirus disease (COVID-19). This study describes the characteristics, predictors of mortality, and COVID-19-positive managed a dedicated COVID-19 neurointensive care unit (CNICU).This single-center, retrospective cohort was conducted neurosurgical infection admitted to CNICU at National Institute Mental Health Neurosciences (NIMHANS), Bengaluru, from July November 2020. Patients'...

Abstract Intracisternal papaverine instillation is being used across many centers after cerebral aneurysm clipping to prevent and treat vasospasm. Pupillary dilatation secondary can interfere with the neurological assessment postoperatively. This report describes pupillary changes in three patients following application craniotomy clipping, one patient developing contralateral other two having bilateral dilatation. The resolved over 30 min 4 h We conclude that could be a transient phenomenon...

Abstract Factor XII deficiency is a rare disorder that can complicate the perioperative management of patient. plays an important role in activation intrinsic pathway coagulation; deficiency, therefore, results prolongation activated partial thromboplastin time (aPTT). This aPTT expected to cause increased bleeding during surgery. However, on contrary, vivo isolated factor associated with risk thromboembolism (this being higher than bleeding). We report patient who underwent cervical...

Abstract Background: Electro-convulsive therapy (ECT) is a safe and effective treatment for various psychiatric disorders. Among the complications associated with ECT, acute haemodynamic responses decrease in oxygen saturation are most common. The current study designed to evaluate relationship between response de-saturation occurring during ECT. Materials Methods: Patients undergoing modified ECT their illness over one-year period were prospectively included this observational study....

Abstract Background and Aims: Anesthetic induction plays a pivotal role in determining the operative course outcome patients with acute traumatic brain injury (TBI). The present study compared effect of anesthetic etomidate, thiopentone, propofol primarily on systemic hemodynamics regional cerebral oxygenation (rScO 2 ) secondarily serum cortisol levels TBI patients. Material Methods: In this prospective observational study, eligible were recruited divided into three groups as per agent...

Abstract Electroconvulsive therapy (ECT) is one of the most successful treatment techniques employed in psychiatric practice. ECT usually administered as a last resort to patient who fails respond medical management or on an urgent basis life-saving procedure when immediate response desired. It performed under general anesthesia and often associated with autonomic changes. All attempts should be made minimize resulting hemodynamic disturbances all patients using various pharmacological...

Abstract Infiltrative analgesia of the nasal cavity using a local anesthetic combined with potent vasopressor like adrenaline is well-accepted method for transnasal endoscopic approach in neurosurgeries under general anesthesia. The main purpose vasoconstrictors surgery to cause blanching mucosa and reducing bleeding. Although it can reduce systemic absorption potential toxicity anesthetic, there be vasoconstrictor itself. Desflurane further potentiate arrhythmogenicity lignocaine by causing...

Lesions at the cerebellopontine angle (CP angle) are associated with various brain-heart interactions, which can include those from stimulation of fifth cranial nerve along scalp incision in a retrosigmoid suboccipital surgical approach. A 27-year-old male patient recently diagnosed hypertension (on calcium channel blocker) underwent left CP lesion decompression. Transient episodes bradycardia, hypotension, and bradypnea were observed skin onward, exacerbated during tumor manipulation. Most...

There is a dearth of clearly defined thresholds to guide the application neuromonitoring modalities in temporary vessel occlusion techniques. We report case series exploring utility various techniques during procedures. conducted retrospective chart review patients, who underwent procedures over two-year period and examined neuromonitors employed including balloon test (BOT). found complete details nine were managed with use following neuromonitors: cerebral oximetry, electrical activity...