CME
Membership
eSense
eSense

eSenseArchive

The latest essays and perspectives from ISA Nagpur City Branch members — on anaesthesia, sustainability and the world we practice in.

ACUTE POST OPERATIVE PAIN20Jan
eSense

ACUTE POST OPERATIVE PAIN

– Dr. Kiran Vyawahare Hon. Secretary (2016-17) ISA NCB ACUTE POST OPERATIVE PAIN “Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” Pain can be classified patho-physiologically as Nociceptive or Neuropathic. Acute postoperative pain is caused by noxious stimulation due […]

Managing Chronic Pain20Jan
eSense

Managing Chronic Pain

– Dr. Chandrashekharan Cham MBBS DA FIPM Consultant Anaesthesiologist and Pain Physician MANAGING CHRONIC PAIN Introduction: “PAIN is a more terrible lord of Mankind than even death itself” is written in the front page of the book by Nobel Laureate Albert Schweizer in 1931. (“Bonica’s management of pain” published in 1953). Pain is a latin […]

Perioperative Management of Patients with Pulmonary Hypertension24Sep
eSense

Perioperative Management of Patients with Pulmonary Hypertension

– Dr. Achyut Khandekar Pulmonary hypertension is a major reason for elevated perioperative morbidity and mortality, even in non-cardiac surgical procedures. All specialty units involved in treatment should play a role. After selecting each of the suitable individual anaesthetic and surgical procedures, intraoperative management should focus on avoiding all circumstances that could contribute to exacerbating […]

Left Ventricular Diastolic Dysfunction and Anaesthesia24Sep
eSense

Left Ventricular Diastolic Dysfunction and Anaesthesia

– Dr. S. K. Deshpande The heart is hollow elastic muscular pump which pumps blood to the whole body to meet the metabolic demands. Briefly reviewing the circulation, first the de-oxygenated blood from the veins enters into the right atrium which is pumped by RV to the lungs for oxygenation. The oxygenated blood enters left […]

ASSESMENT OF CARDIAC RISK IN PATIENTS UNDER GOING MAJOR NON CARDIAC SURGERY24Sep
eSense

ASSESMENT OF CARDIAC RISK IN PATIENTS UNDER GOING MAJOR NON CARDIAC SURGERY

– Dr. Vivek Bhalerao INTRODUCTION — Many patients undergoing major noncardiac surgery are at risk for a perioperative cardiovascular event. The risk is related to patient- and surgery-specific characteristics. Identification of increased risk provides the patient (and surgeon) with information that helps them better understand the benefit-to-risk ratio of a procedure and may lead to interventions that […]

Perioperative Cardiac Arrhythmias24Sep
eSense

Perioperative Cardiac Arrhythmias

– Dr. Nikhil Balankhe Cardiac rhythm disturbances are one of the most misunderstood, frustrating and potentially devastating experiences for any anaesthetist inside the operation theatre. Though most of them are benign, there are quite a few arrhythmias which are nightmare for the anaesthetists. Almost 70.2 % patients subjected to general anaesthesia get these arrhythmias. Pathogenesis […]

Implications of Chronic Kidney Disease on Anaesthesia Management5Oct
eSense

Implications of Chronic Kidney Disease on Anaesthesia Management

Implications of Chronic Kidney Disease on Anaesthesia Management – Dr. Saurabh Barde Honorary Secretary (2013-2015) ISA – Nagpur City Branch Introduction: Chronic Kidney Disease (CKD) definition and nomenclature as given by Kidney Disease – Improving Global Outcome (KDIGO) includes abnormalities of kidney structure and function, present for more than three months, with implications for health. […]

Dialysis Overview and Perioperative Indications for Dialysis4Oct
eSense

Dialysis Overview and Perioperative Indications for Dialysis

Dialysis Overview and Perioperative Indications for Dialysis – Dr Ashwinikumar KhandekarConsultant Nephrologist & Kidney Transplant Physician CARE Hospital, Nagpur nephro@kidneyadvice.net | www.kidneyadvice.net Introduction Dialysis is a process where solute composition of blood is altered by exposing it to another solution (dialysate) across a semi-permeable membrane. To put it simply, dialysis is required to achieve metabolic […]

Pathophysiology of Chronic Kidney Disease4Oct
eSense

Pathophysiology of Chronic Kidney Disease

Pathophysiology of Chronic Kidney Disease – Dr Shivnarayan J. AcharyaMBBS, MD Medicine from GMC, NagpurDiplomate of National Board in Nephrology from Jaslok Hospital, Mumbai Chronic Kidney Disease ( CKD ) is defined as a kidney damage with a glomerular filtration rate of <60 ml/minute for more than 3 months. Kidney damage is defined by any […]

Newer Anti Diabetic Medications21Jun
eSense

Newer Anti Diabetic Medications

– Dr. Shailesh Pitale Consultant, Diabetology and Endocrinology Introduction Diabetes mellitus (DM) prevalence has increased rapidly in the 21st century. This is because of obesity, ageing population, lack of exercise and increased migration of susceptible patients. Type 2 diabetes mellitus is more prevalent. Main aim of management includes delaying micro and macro vascular complications along […]