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Aneurysmal subarachnoid hemorrhage is associated with high mortality. Understanding of the underlying pathophysiology is important as early intervention can improve outcome. Increasing age, altered sensorium and poor Hunt and Hess grade are independent predictors of adverse outcome. Early operative interventions imposes an onus on anesthesiologists to(More)
BACKGROUND Various adjuvants are being used with local anesthetics for prolongation of intraoperative and postoperative analgesia. Dexmedetomidine, the highly selective 2 adrenergic agonist is a new neuraxial adjuvant gaining popularity. SETTINGS AND DESIGN The study was conducted in prospective, double blind manner. It included 120 American Society of(More)
It is important for the anesthesiologist to understand the etiology of free radical damage and how free-radical scavengers attenuate this, so that this knowledge can be applied to diverse neuro-pathological conditions. This review will concentrate on the role of reactive species of oxygen in the pathophysiology of organ dysfunction, specifically sub(More)
BACKGROUND AND AIMS Perioperative shivering, in geriatric patients undergoing urological surgery under central neuraxial blockade is a common complication. Prophylactic measures to reduce shivering are quintessential to decrease the morbidity and mortality. Believing that oral formulation will bring down the cost of treatment, we decided to compare the(More)
The authors present a case of asystole occurring during dural closure following craniotomy with the patient in the supine position. This 22-year-old woman had a left parietal lobe tumor resected with bipolar cautery. Standard intraoperative monitoring with a left radial arterial line and a right internal jugular central venous catheter was used during the(More)
BACKGROUND AND OBJECTIVES Spinal anesthesia as a cause of epidural abscess is extremely rare. Infection at the site of needle placement is the usual cause of abscess formation. METHODS Immunocompromised patients, and in this case a diabetic patient may be at higher risk for this complication. RESULTS Anesthesiologist need to be aware of factors that may(More)
CONTEXT Under regional anesthesia, geriatric patients are prone to shivering induced perioperative complications that Anesthesiologists should prevent rather than treat. AIM We investigated the prophylactic efficacy of oral tramadol 50 mg to prevent the perioperative shivering after transurethral resection of prostate (TURP) surgery under subarachnoid(More)
Insertion of Ryles tube is a simple routine procedure. During its insertion, minor complications like trauma to nose, nasopharynx and oral cavity do happen from time to time. But as the Ryles tube is usually inserted blindly, potentially life threatening complications like inadvertent entry into trachea, cranial cavity and intravascular penetration have(More)
Several aspects of carbohydrate metabolism following 24 hr and 48 hr treatment with 10 and 20 mg/l of trichlorfon, were studied in hepatopancreas, mantle, intestine and foot of the snail. Lymnaea acuminata. Following treatment with the pesticide, the rate of oxygen consumption and concentration of glycogen were reduced, while the levels of lactic acid and(More)
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