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MANAGEMENT OF POSTOPERATIVE RIGHT VENTRICULAR DYSFUNCTION IN A PATIENT OPERATED FOR AORTIC VALVE REPLACEMENT SURGERY FOR SEVERE CALCIFIC AORTIC STENOSIS IN THE CONGENITAL BICUSPID AORTIC VALVE

DR RITESH BORKAR Consultant Cardiac Anesthesiologist,Viveka Hospitals, Nagpur Introduction: Bicuspid aortic valve is a congenital heart disease. Usually the patients are asymptomatic unless they develop aortic regurgitation or stenosis leading to symptoms. Therapeutic intervention is decided according to the Severity…

IMPLICATIONS OF 2 D ECHO IN PRE ANAESTHETIC EVALUATION

DR SAURABH BARDE Practicing Consultant Anaestheologist, Nagpur Two dimensional echocardiography (2 D Echo) is a widely available sophisticated and specialised non-invasive ultrasound imaging technique of the heart. Echocardiography (echo) enables direct visualization of the various chambers of the heart, valves,…

Current status of regional anaesthesia techniques in cardiac surgery

DR VINAY KULKARNI Consultant – Cardiac Anaesthesiology & Critical CareVACCA, Nagpur Optimal analgesia is an integral part of enhanced recovery after surgery (ERAS) programs worldwide which are designed to improve perioperative patient experiences  and outcomes. Regional anaesthesia/analgesia provides a valid…

Anaesthesia Management of Extremely Low Birth Weight Babies (ELBW)

Extremely low birth weight babies pose special challenge to anaesthesiologist as it is a very special subset of patients with unique pathophysiology and presentation. Thorough knowledge and understanding of their pathophysiology is very important for successful outcome. The three categories…

Caudal Epidural In Paediatric Population: Critical Analysis

Introduction Caudal epidural blockade in children is one of the most widely administered techniques of regional anaesthesia. Caudal blocks are an efficient way to offer perioperative analgesia for painful sub-umbilical interventions with benefits of early ambulation, periprocedural haemodynamic stability and…

CHALLENGES IN PEDIATRIC AIRWAY MANAGEMENT : A REVIEW ARTICLE

Introduction:  In Pediatric airway management the anaesthesiologist has to confront multiple problems, right from pre-anaesthetic evaluation to the conduct of anaesthesia and post-operative care. Apart from anatomical and physiological peculiarity of children, social , psychological,  logistics and availability of specific…

PERIOPERATIVE FLUID MANAGEMENT IN PAEDIATRICS : CHANGING CONCEPTS

ABSTRACT – Children undergoing surgery require fluid & blood administration to maintain normal homeostasis. Paediatric population is heterogenous so one formula may not suffice. The physiological differences between the adult & paediatric population needs to be understood. Fluid management should…

I.S.A.N.C.B – My baby

I just can’t believe that my baby to completing 50 years of its being! Or would be celebrating Golden jubilee this year. It came to existence with 10 members (That was a prerequisite for formation of city branch) in 1973,…

Tribute to the forefathers of Anesthesia

The advances in Anesthesiology is the single most important development, in the last century in medical field, which has become a boon to the patients undergoing procedures. This has helped in eliminating mankind’s greatest fears, i.e. pain of surgery. The…

Journey of evolution of gadgetry in anaesthesiology

Anaesthesia, as known to the fraternity is an important part of surgery, as it enables patients to undergo procedures that lead to healthier and longer lives, safely without experiencing distress and pain. Anaesthesia was a mystery before the 19th century.…

Anaesthesiology: Rising Horizons

Introduction Today we live in an environment where the safety and quality of anaesthesiology care has improved at least 10-fold over the past 20 years. Unfortunately, anaesthesiology still does contribute to major and avoidable complications and deaths and is still not completely…

WHAT IS DIETING

CURRENT UNDERSTANDING ABOUT THE DIET IN GENERAL POPULATION Whenever a word “DIET” or “DIETING” comes in our mind ,our perception of it is all about losing weight which we have gained all over these years . Usually a person perceives…

MENTAL HEALTH : REMEDIES THROUGH SPORTS

“Mental health is a state of well being in which an individual realizes his or her abilities , can cope with normal stresses of life , can work productively , and is able to make a contribution to the community…

LET’S PLAY TO HEAL

Adolescence is a major milestone in the physical and emotional development of our lives. It is regarded as the most turbulent stage in emotional development. The upsurge of sex hormones changes the body and the mind of adolescent remarkably and…

NECK PAIN : PAIN PHYSICIAN’S PERSPECTIVE

One of the early milestone in development of a new born is head control and this signals the development of neck muscles. In today’s era, neck pain is one of the most common complaints in clinical practice. work ergonomics and…

Basics of Ultrasonography in Regional Anesthesia

Ultrasound technology has been developed very rapidly in last few decades. The use of this technology in anesthesiology and emergency medicine has increased by leaps and bounds in last decade. Even anesthesiology post graduate course in our country has incorporated…

This is how I was saved!

#hilarious moments #fantacies vs reality #this is how I was saved! If I remember correctly, it was 2010, when I started my freelance anaesthesia practice in periphery of Nagpur. That time, I was very much passionate about about only two…

Age❓It’s just a number!

I woke up from slumber😴And apprehended life isn’t just a number!I woke up to a harsh realityThat time is not a cheap entityI looked into the mirror, 🪞And stared at my image in horror😱Oh is it me?Where did the glow…

Anesthetic considerations for Operative Hysteroscopy

Hysteroscopy involves visualization of uterine cavity for diagnostic or therapeutic purposes. Diagnostic procedures are required :- To find the cause of abnormal uterine bleeding and obtain a biopsy To investigate cause of primary or secondary infertility In recurrent miscarriages Therapeutic…

What is your Ikigai?

It was a lazy Sunday morning and I was sipping my cup of happiness and staring at the blue canopy that was covering my terrace. I was lost in the morning freshness watching the bird’s fly! It seemed that the…

dr. rashmi-shingade

Lessons learnt from COVID

Covid19 pandemic has challenged us to unforeseen levels and greatly disrupted our routine daily life. But crisis created by the pandemic has also yielded some valuable lessons. Here are some to consider…. 1] Family matters the most…. Before the pandemic…

dr.umesh-ramtani

THE EVOLUTION OF ANAESTHESIA : BIRTH TO REBIRTH

ITS JUST ABOUT “GOING TO SLEEP”,  AM I RIGHT? A general FAQ by random acquaintance, projecting dearth of adequate information and markedly lower level of understanding, sent a cringe on my face, being an avid admirer of the branch, “ANAESTHESIOLOGY”,…

Dr Deepak Madankar

Induction and Emergence / Extubation in Neurosurgical patients: Tricks and Tips

Dr Deepak MadankarMD (Anaesthesiology), FCCS, ENLSChief Consultant –Dept. of Anaesthesia and pain medicine, MEDITRINA Institute of Medical Sciences, Ramdaspeth, Nagpur, INDIA. Anesthesia for neurosurgical procedures requires balanced anesthesia with smooth induction and emergence. The fundamental necessities in neuroanesthesia include maintenance…

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ACLS & BLS IN CANCER PATIENTS

Dr. Sarita Joglekar Dying can be a peaceful event or a great agony when it is inappropriately sustained by life support” Roger Bone. Cardiopulmonary resuscitation (CPR) in cancer patient with end stage disease is issue of significant clinical & ethical…

ANAESTHETIC CONSIDERATIONS IN PAEDIATRIC LAPAROSCOPIC SURGERIES

Dr. Ketaki Marodkar Associate Professor, Dept. Of Anaesthesiology, NKPSIMS, Nagpur Recently with its numerous benefits over open surgical procedures, laparoscopic surgery has gained immense popularity in paediatric surgeries.01 Some of these benefits include lesser pain due to smaller incisions, in…

LOW FLOW ANAESTHESIA

Dr. Chandrashekharan Cham Chief Consultant Anaesthesiologist & Interventional Pain Physician, Kingsway Hospital, Nagpur Any technique that uses a Fresh gas flow that is less than the alveolar ventilation can be stated to as low-flow anaesthesia. (1) It is an inhalation…

Primary Management of Spinal Cord Injury

Dr. Soma ChamAssociate Professor, AnaesthesiologyTrauma Care Centre, GMC, NagpurHon. Secretary, ISA Nagpur Introduction: Spinal cord injury is the most common devastating and disabling injury after head injury. The anaesthesiologist plays a crucial role in resuscitation, intensive care and in rehabilitative…

Perioperative Anaphylaxis

Dr. Manisha ShembekarAnaesthesiologist, NagpurPresident, ISA Nagpur. Introduction Anaphylaxis is defined as severe, potentially life threatening hypersensitivity reaction. Incidence of perioperative anaphylaxis is 1 in 10,000-20,000 procedures, overall mortality is 0.001%. the exact causative agent is difficult to ascertain in the…

Video Laryngoscopes: The Latest addition to the Airway Armamentarium

Dr. Ketaki Marodkar Assistant Professor,Department of Anaesthesiology,NKPSIMS, Nagpur Introduced in 1941 and 1943, the Miller’s straight blade and Macintosh’s curved blade laryngoscopes respectively have been widely used for direct laryngoscopy and tracheal intubation.  Although they have a good success rate…

Postoperative Visual Loss

Dr. Deepak Ruparel Assistant Professor, Department of Anaesthesiology, GMC, Nagpur Perioperative visual loss after anaesthesia is rare but devastating complication that appears particularly after spine, cardiac and orthopaedic surgery. This review will discuss about incidence, suspected risk factors, diagnoses and…

Anaesthesia for Fetal Surgeries and Therapies

Dr. Amrusha Choukasey Assistant Professor, Department of Anaesthesiology, GMC, Nagpur Only recently have medical professionals focused on the human fetus as a patient, able to undergo surgery or medical intervention. This development has been primarily driven by systematic improvements in…