Karen Ruby Lionel

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Super-refractory status epilepticus (SRSE) is defined as status epilepticus (SE) that continues or recurs 24 h or more after the onset of anesthetic therapy, including those cases where SE recurs on the reduction or withdrawal of anesthesia. Although SRSE is a rare clinical problem, it is associated with high mortality and morbidity rates. This article(More)
CONTEXT The vein of Galen aneurysmal malformation (VGAM) is a rare arteriovenous malformation where a dilated median prosencephalic vein provides a low-resistance conduit for intracerebral blood flow resulting in high-output cardiac failure, severe pulmonary hypertension, with or without central nervous system symptoms secondary to hydrocephalus, in the(More)
provide satisfactory intra and postoperative anesthesia and analgesia (3). However, to the best of our knowledge, this technique has not been investigated in children. The puncture site and the motor response that are needed are similar to those used for a similar procedure in adults. Motor response was obtained in this 13 kg child at a depth of 2 cm.(More)
BACKGROUND AND AIM Although large studies have demonstrated the association between hyperglycemia and adverse intensive care unit (ICU) outcomes, it is yet unclear which subset of patients benefit from tight sugar control in ICU. Recent evidence suggests that stress induced hyperglycemia (SIH) and co-incidentally detected diabetes mellitus are different(More)
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