Arjunan Ganesh

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OBJECTIVE To compare ultrasound (US)-guided radial artery cannulation with the traditional palpation technique. DESIGN : Prospective randomized study. SETTING Operating room in a tertiary care pediatric center. PATIENTS One hundred fifty-two children under 18 yrs of age requiring radial artery cannulation. INTERVENTIONS Patients were randomized to(More)
BACKGROUND This is an audit of the continuous peripheral nerve blockade (CPNB) program that was implemented at our institution to provide postoperative analgesia after orthopedic procedures in children. METHODS We reviewed the departmental regional anesthesia registry and the medical records of consecutive children who received CPNB for postoperative(More)
To the Editor: H ara et al 1 have provided more evidence of unintentional intraneural injections while performing peripheral nerve blocks on the sciatic nerve. We have a few queries and comments, which we hope the authors can address. The authors have mentioned that it was not easy in some cases to obtain quality images of the sciatic nerve. It is(More)
Pruritus occurs frequently following opioid use, particularly after neuraxial administration. Although not life threatening, pruritus is discomforting and may decrease patient satisfaction. Even though the mechanism of opioid-induced pruritus is not yet fully understood, there is increasing evidence of the important role played by micro opioid receptors.(More)
medical practice. Ultrasonography can confirm endotracheal intubation, assess vocal cord function, detect endobronchial intubation and diagnose pneumothorax. We present a novel use of real time ultrasound to guide tracheal intubation in a series of 25 children. This new technique is called Ultrasound Guided Tracheal Intubation (UGTI). It is kinesthetically(More)
The Bispectral Index (BIS) is an empirically calibrated number derived from adult electroencephalograph data that correlates with the depth of sedation in adults. We tested the hypothesis that the BIS score is a valid measure of the depth of pediatric sedation in a study designed to avoid limitations of a previously published report. BIS values from 96(More)
Anesthetic goals for procedures involving resections close to the motor cortex include immobility, analgesia, and a level of consciousness that allows for the ability to follow motor commands. Remifentanil as a single agent is an attractive choice, particularly when ventilation is controlled. The successful use of large-dose remifentanil infusion during an(More)
Adverse reactions to volatile anesthetics and depolarizing muscle relaxants can occur in patients with Duchenne muscular dystrophy (DMD) resulting in acute rhabdomyolysis and hyperkalemia. We report a case of hyperkalemic cardiac arrest after cardiac surgery using cardiopulmonary bypass in a child with unsuspected DMD. Early diagnosis and management of(More)