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eSense Indian Society of Anaesthesia
Dr. Charuta Dr. Saurabh

Indian Society of Anaesthesiologists

Nagpur City Branch

Hello Friends,

We feel extremely happy to launch the first issue of e-Sense, our e-newsletter. It is our endeavor to spread awareness about the science of modern anaesthesia amongst our colleagues from different medical specialities. The scope of anaesthesia has grown by leaps and bounds from "inside the OT & behind the curtain" to "all areas of hospital".

Through e-Sense, we will reach out, interact and evolve an enjoyable relation with our colleagues from the wide arena of general practice, specialities and super specialities. We are sure that with your support and blessings, we shall reach our goal.

With warm regards,
Charuta and Saurabh.

  Present Executive Team  
  • President: Dr. (Mrs) Charuta Gadkari
  • Vice – President: Dr. Narendra Tamhane
  • Hony. Secretary: Dr. Saurabh Barde
  • Treasurer: Dr. Vikram Alsi
  • Joint Secretary: Dr. Sachin Makade
  • Executive Member: Dr. Gunjan Badwaik
  • Executive Member: Dr. Umesh Ramtani
  • Executive Member: Dr. Shrikant Bobde
  • Executive Member: Dr. Abhiruchi Patki
  • Executive Member: Dr. Gauri Arora
  • Executive Member: Dr. Rashmi Shingade
  • Immediate Past President: Dr. C S Cham
  • Immediate Past Secretary: Dr. (Mrs) Sheetal Dalal (Bakde)
  • Special Executive Member: Dr Mrs Rashmi Deshpande
SSV Pharma

Fever of Unknown Origin – An Evidence Based Approach

- Dr. S. R. Tankhiwale
Professor of Medicine and Director, Center for Health Professionals Education & Research
JNMC, Sawangi (Meghe), Wardha

Fever of unknown origin identifies the syndrome of that does not resolve spontaneously in which cause remains elusive after an extensive diagnostic workup. The term of Fever of Unknown origin was coined by Petersdorf & Beeson (1961)1 and defined as temperature of more than 38 0 C on most of the occasions for more than 3 weeks and with a diagnosis that remains uncertain after one weeks extensive investigations. The authors choose three weeks period to exclude the self limiting illnesses like viral fevers and to allow sufficient time for initial investigations for the cause of fever. With modern mechanisms for investigation of cases quickly, this period for investigations can be curtailed. The fever of unknown origin is often frustrating to physician as well to patients because the diagnostic workup often involves numerous invasive and non invasive investigations that sometime fail to explain the cause of fever. In FUO there is no structured gold standard test for diagnosis of the disease and often varies from case to case.

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Investigations in case of fever

- Dr.Pravin Gadkari
MD (Pathology)
Consultant Pathologist

Fever is the most common presenting symptom of a varied group of diseases.
Hence it is important to develop a rational, minimally invasive, economical approach for investigations of fever resulting in most appropriate management of the patients.

Broadly the approach will differ depending on the age, history, localizing signs and duration of fever.
This is review article compiling approach to both pediatric and adult patients.

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Fever and Anaesthesia

- Dr. Anjali Bhure
Prof and HOD
Dept.of Anaesthesiology

Alteration in body temperature is common during anaesthesia. In human beings, body temperature is maintained within a very narrow range by way of afferent sensing, central processing and efferent thermoregulatory responses(fig 1)1. All these components of the thermoregulatory system are impaired by anaesthesia.

The role of anaesthesiologist is to maintain physiologic homeostasis during the perioperative period, during which anaesthesia and surgery create an abnormal physiologic state and hence the need to monitor body temperature along with other vital signs and efforts should be made to maintain normothermia.

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