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Essays, memories and perspectives from ISA Nagpur City Branch members — on anaesthesia, sustainability and the world we practice in.

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Waterhole Census

जंगलातील अविस्मरणीय रात्र – डॉ. आशुतोष चावजी Anaesthesiologist, Nagpur महाराष्ट्रातील सर्व राखीव जंगलामध्ये दरवर्षी मे महिन्यात बुध्द पौर्णिमेच्या दिवशी वाघ व अन्य प्राण्यांची गणना [Waterhole Census] केली जाते. या गणनेसाठी वनविभागा तर्फे नागरीकांना संधी दिली जाते. यात जंगलातील पाणवठयांच्या जवळ असलेल्या झाडावर मचाणे बांधली जातात व त्या मचाणावर 24 तास बसून पाणवठयावर कोण-कोणती जनावरे किती […]

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Pulmonary Function Test

– Dr. Soma Cham Associate Professor, Dept of Anesthesia, GMC, Gondia Pulmonary Function Test Pulmonary function tests is a general term used to indicate a series of maneuvers or investigations that are performed to help measure lung functions. It evaluates one or more aspects of the respiratory system. Pulmonary parenchymal function/ Gas exchange (size & […]

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Agenesis of Left Diaphragm manifesting as diaphragmatic hernia during Pregnancy

– Dr. V. R. Ankalwar, Dr. R. Nayar, Dr. N. G. Tirpude Associate Professor, Department of Anaesthesiology, GMC, Nagpur Agenesis of Left Diaphragm manifesting as diaphragmatic hernia during Pregnancy Introduction:- Diaphragmatic agenesis unilateral or bilateral is the most severe and rare form of diaphragmatic defects. Its presentation during adulthood is extremely rare and if the […]

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A Case Report of 11yr Old Child

– Dr. Sheetal Dalal Associate Professor, Dept of Anesthesia, IGGMC, Nagpur Persistent Ventricular Bigeminy during Anaesthesia in Paediatric Patient – A Case Report of 11yr Old Child Dr. Sheetal Dalal (Associate Professor), Dr. Vikas Chaudhari (Assistant Professor) Department of Anaesthesiology IGGMC, Nagpur Abstract 11year old male child with fracture of both bone forearm left side […]

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ISRO Achievement

●●●●●●●●●●●●●●●●●●● “कमाल केली आज इस्रोने” ●●●●●●●●●●●●●●●●●●● चाल:-“आओ बच्चों तुम्हें दिखाएं,झांकी हिन्दुस्थान की” ♤♡♢♧♤♡♢♧♤♡♢♧ 🇮🇳 उपग्रहांना आज सोडले शंभर आणिक चारांसी । कमाल केली आज “इस्रो”ने झेंडा रोवूनि अवकाशी ।।🇮🇳 🚩🚩वन्दे विज्ञानम्।वन्दे भारतम्।।🚩🚩 🇮🇳 अम्हींही होतो एके काळी, ‘विश्वगुरु’ या जगताचे ‘भारत’ म्हणजे ‘ज्ञानी रत’ जे,पुत्र सदोदित भरताचे अविरत होती वाहत गंगा,ज्ञानाची विज्ञानाची परंपरा ही भरद्वाजमुनि,कपिल,कणाद […]

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Laparoscopy in High Risk Cardiac Patient – Anaesthesia Concerns

– Dr. Charuta Gadkari Associate Professor, Department of Anaesthesiology, NKPSIMS & RC, Nagpur Laparoscopy in High Risk Cardiac Patient- Anaesthesia Concerns Introduction- Laparoscopic surgery has become very popular as its advantages include minimally invasive nature , less postoperative pain, early return to activities, less postoperative ileus, less wound infections and better cosmesis(1). In recent years, […]

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COMPLEX REGIONAL PAIN SYNDROME

– Dr. Sunita Lawange CONSULTANT PAIN PHYSICIAN COMPLEX REGIONAL PAIN SYNDROME DEFINITION: A variety of painful conditions which occur after the injury with regional distribution having a distal predominance of abnormal findings, which exceed in intensity and duration of expected clinical course of the inciting event. Complex regional pain syndrome (CRPS) comprises of variety of […]

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CANCER PAIN MANAGEMENT

– Dr. Anjali Kolhe M.D. ,F.U.I.C.C.(PAIN) CANCER PAIN MANAGEMENT Cancer is considered as dreaded Disease for the fear of ‘pain and death’ associated with it. Approximately 9 million new cases are diagnosed every year world-wide. In developing countries the majority cancer patients present with advanced disease and for such patients the only realistic treatment options […]

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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 […]

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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 […]

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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 […]

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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 […]