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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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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 turn giving better cosmetic result, faster recovery and lesser number of days in hospital with […]

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OCCUPATIONAL STRESS, BURNOUT AND PERSONALITY IN ANESTHESIOLOGISTS

Dr. Gauri Arora Consultant Anaesthesiologist, Nagpur As usual I was going through the WhatsApp messages in the morning and my eyes caught something which gave me a jolt. Obituary message of an anesthesiologist colleague, who I had known in my post-graduation days. I remember her as a high strung girl. I wondered, how can someone […]

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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 anaesthetic technique in which the rebreathing fraction at least amounts to 50%, where at least […]

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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 surgeries in such patients. An apt primary management can go a long way to decrease […]

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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 perioperative period as a number of drugs are administered during the procedure. Pathophysiology Anaphylaxis can […]

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Electroconvulsive Therapy (ECT) – An Overview and Recent Updates for Anesthesiologists

Dr. Vrishali Ankalwar, Associate Professor, Dept. of Anesthesiology, GMCH, Nagpur Background: Of all treatments in contemporary psychiatry, perhaps none is more commonly misunderstood than electroconvulsive therapy (ECT). Its depiction in movies such as One Flew Over the Cuckoo’s Nest has contributed to its controversial reputation in the general public. Electroconvulsive therapy (ECT) has mention in long back 80 years […]

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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 of intubation, in 0.05% of surgical patients and in 0.13-0.35% of obstetric patients01, failed intubation […]

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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 management of POVL in non ocular surgery. Primary causes of perioperative visual loss includes central […]

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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 prenatal diagnosis, imaging technology, and surgical equipment. Prerequisite guidelines for performing fetal surgery include: The […]

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Spinal Anaesthesia in children: Comparative study of isobaric levobupivacaine 0.5% with or without clonidine

Abstract Background & Objectives: Spinal anaesthesia reduces the incidence of morbidity that follows general anaesthesia in children with good efficacy and safety record. Racemic bupivacaine is the widely used local anaesthetic for paediatric spinal anaesthesia. Local anaesthetic levobupivacaine has an equivalent potency to that of racemic bupivacaine but with a greater safety margin. Limited duration […]

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LIFE SAVING METHODS : An Indian perspective

Dear Friends; Resuscitation using life saving methods is a mainstay in emergency situations. We, the health care providers should be well verse and thoroughly updated with resuscitation guidelines and techniques. The developed nations like American, Australian and European countries have set different guidelines of resuscitation which include well defined protocols and organisationally designed algorithms. These […]

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Anaesthesiologist – The known Leaders in Intensive Care

The practice of anesthesiology includes provision of care to patients who are critically ill; while critical care medicine has its foundations in perioperative care provided by anesthesiologists, today’s critical care medicine encompasses care beyond traditional intraoperative and routine postoperative care. Critical care medicine includes a wide variety of clinical services provided by the anesthesiologist who […]