Shivinder Singh

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Management of a case of ankylosing spondylitis can be very challenging when the airway and the central neuraxial blockade, both are difficult. Ultrasound-assisted central neuraxial blockade may lead to predictable success in the field of regional anaesthesia. We present a young patient with severe ankylosing spondylitis where conventional techniques failed(More)
Security in the computer is largely supported by the passwords for authentication process. The most common approach for authentication is alphanumeric passwords and alphanumeric passwords which has significant drawbacks. To overcome these drawbacks graphical passwords have been designed. That aim of generating these passwords to make passwords more(More)
BACKGROUND AND AIMS This study was carried out to evaluate the difference in efficacy, safety, and complications of performing brachial plexus nerve blocks by using a nerve locator when compared to ultrasound (US) guidance. MATERIAL AND METHODS A total of 102 patients undergoing upper limb surgery under supraclavicular brachial plexus blocks were randomly(More)
BACKGROUND The structured labor analgesia programme in our tertiary care hospital has been in place for the past few years. We undertook this study to analyze the programme and to draw conclusions to further improve the outcomes. METHODS A prospective analysis of the data pertaining to 200 patients participating in an ongoing labor analgesia programme in(More)
BACKGROUND This study was done to compare the accuracy of the Lactate Pro LT 1710 (Arkray Inc., Kyoto, Japan) with the Combiline Plus (Eschweiler GmbH & Co. KG Holzkoppelweg, Kiel, Germany), and also, to analyze the prognostic significance of serum lactates and Simplified Acute Physiology Score 3 (SAPS 3) in patients of severe sepsis. METHODS 106 patients(More)
A combination of dexmedetomidine and ketamine for upper gastrointestinal endoscopies (UGIE) was studied in 46 children aged 2–12 years over a 6-month period. Dexmedetomidine 1 μg/kg and ketamine 2 mg/kg were given as a bolus over 5 min. Heart rate (HR), mean arterial pressure (MAP), oxygen saturation (SpO2), and sedation scores were noted before induction(More)
Received: 08.09.2010; Accepted: 11.02.2011 doi: 10.1016/S0377-1237(11)60096-8 with injection vitamin K 10 mg i.v. daily and fresh frozen plasma (FFP) transfusions. After two days she started bleeding per vaginum with a blood loss of approximately 800 mL over one hour. She became hypotensive, had tachycardia and an emergency caesarean section was planned.(More)
BACKGROUND The service setting has some unique strengths and weaknesses that must be kept in mind when organizing Hospital acquired infections (HAI) prevention interventions. METHODS Following an initial study to gather data regarding HAI in the Surgical intensive care unit (ICU) we put into place various infection control interventions. The present study(More)
We compared the effects of clonidine added to bupivacaine with bupivacaine alone on supraclavicular brachial plexus block and observed the side-effects of both the groups. In this prospective, randomized, double-blinded, controlled trial, two groups of 25 patients each were investigated using (i) 40 ml of bupivacaine 0.25% plus 0.150 mg of clonidine and(More)