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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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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 […]

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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 […]

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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. […]

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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 […]

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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 […]

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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 […]

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Perioperative Management of Diabetic Patient

– Dr.Vaishali C. Shelgaonkar Asso. Professor Anaesthesiology IGGMC, Nagpur Introduction Globally, as of 2010, an estimated 285 million people had diabetes, with type 2 making up about 90% of the cases. In 2013, according to International Diabetes Federation, an estimated 381 million people had diabetes. The increase incidence in developing countries follows the trend of […]

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NUTRITIONAL ANAEMIA

– Dr. Ramesh Mundle Professor, Dept. of Medicine, NKPSIMS Anemia is the most common of all blood disorders. Anemia results from reduced red blood cell production in the bone marrow. Nutritional anemia is defined as anaemia which occurs when there is a deficiency of one or more of the essential nutrients required for the synthesis […]

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HEMOLYTIC ANAEMIAS: A BRIEF OVERVIEW

Dr. Avinash Pophali Haematologist & Medical Oncologist & BMT Consultant, Director, Central India Institute of Haematology & Oncology (CIIHO) Hemolysis is the destruction or removal of red blood cells from the circulation before their normal life span of 120 days. While hemolysis can be a lifelong asymptomatic condition, it most often presents as anemia when […]

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COPD- AN IRREVERSIBLE REACTIVE AIRWAY DISEASE

– Dr. Radha Munje Prof and Head, Chest & TB, IGGMC, Nagpur We have heard and often talked about pink puffers and blue bloaters which are the characteristic presentation of patients of COPD . Chronic obstructive pulmonary disease (COPD) represents an important and increasing burden throughout the world. Classically, COPD has been considered a respiratory […]

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RADS – Bronchial Asthma & COPD

Dr. Girish Deshpande MBBS, MD (Medicine), Consultant Physician and Intensivist Reactive Airways Disease: Reactive Airways Disease is a general term for conditions involving wheezing and allergic reactions.(1) Reactive Airways Dysfunction Syndrome (RADS): RADS is a term proposed by Stuart M Brooks and colleagues in 1985(2) to describe an asthma like syndrome developing after a single […]