16 results on '"Arin Choudhury"'
Search Results
2. Effect of Systemic Illness and Comorbidities in the Prognosis of Severe Acute Respiratory Illness Patients: An Observational Study
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Deepa Kerketta Khurana, Arin Choudhury, Manisha Manisha, Saurav Mitra Mustafi, Vibha Uppal, Himanshu Khurana, Harish Sachdeva, Nitesh Gupta, and Usha Ganpathy
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Coronavirus ,COVID-19 ,Respiratory failure ,SARI ,SARS-CoV-2 ,Anesthesiology ,RD78.3-87.3 ,Medical emergencies. Critical care. Intensive care. First aid ,RC86-88.9 - Abstract
Background: Globally critically ill COVID-19 (Coronavirus disease-19) patients have stretched critical care services. This study was undertaken to find factors implicated in mortality amongst COVID positive and negative patients presenting with severe acute respiratory illness (SARI) and factors having the probability of indicating COVID positivity. Methods: The demographic parameters, comorbid illness, clinical parameters and laboratory values of 327 patients were retrospectively analyzed to find the risk factors for mortality in COVID positive and negative patients and factors predicting COVID positivity amongst SARI patients. Results: 58% of SARI patients tested positive by RTPCR. Most common comorbidities were diabetes and hypertension, 35.2% and 33% respectively. Duration of swelling and low haemoglobin were significantly associated with mortality in COVID positive group (p=0.01, 0.005). Acidosis and tachycardia (p=0.003, 0.034) were associated with mortality amongst COVID negative. Creatinine, Sequential Organ Failure Assessment (SOFA) and quick SOFA (qSOFA) were higher in non-survivors of both groups (p
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- 2023
- Full Text
- View/download PDF
3. Comparison of speed of inhalational induction in children with and without congenital heart disease
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Suruchi Hasija, Sandeep Chauhan, Pawan Jain, Arin Choudhury, Neelam Aggarwal, and Ravinder Kumar Pandey
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Congenital heart disease ,Electrical velocimetry ,Inhalational anesthesia ,Speed of induction ,Anesthesiology ,RD78.3-87.3 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: Conduct of stable inhalational anesthetic induction in children with congenital heart disease (CHD) presents special challenges. It requires in-depth understanding of the effect of congenital shunt lesions on the uptake, delivery, and equilibration of anesthetic drugs. Intracardiac shunts can alter the induction time and if delivery of anesthetic agent is not carefully titrated, can lead to overdosing and undesirable myocardial depression. Aims: To study the effect of congenital shunt lesions on the speed of inhalational induction and also the impact of inhalational induction on hemodynamics in the presence of congenital shunt lesions. Setting: Tertiary care hospital. Design: A prospective, single-center clinical study. Materials and Methods: Ninety-three pediatric patients undergoing elective surgery were segregated into three equal groups, namely, Group 1: no CHD, Group 2: acyanotic CHD, and Group 3: cyanotic CHD. General anesthesia was induced with 8% sevoflurane in 6 L/min air-oxygen. The time to induction was noted at loss of eyelash reflex and decrease in bispectral index (BIS) value below 60. End-tidal sevoflurane concentration, minimum alveolar concentration, and BIS were recorded at 15 s intervals for the 1 st min followed by 30 s interval for another 1 min during induction. Hemodynamic data were recorded before and after induction. Results: Patients in Group 3 had significantly prolonged induction time (99 ± 12.3 s; P < 0.001), almost twice that of the patients in other two groups (51 ± 11.3 s in Group 1 and 53 ± 12.0 s in Group 2). Hypotension occurred after induction in Group 1. No other adverse hemodynamic perturbations were observed. Conclusion: The time to inhalational induction of anesthesia is significantly prolonged in patients with right-to-left shunt, compared to patients without CHD or those with left-to-right shunt, in whom it is similar. Sevoflurane is safe and maintains stable hemodynamics in the presence of CHD.
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- 2016
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4. Incidence, microbiological profile of nosocomial infections, and their antibiotic resistance patterns in a high volume Cardiac Surgical Intensive Care Unit
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Manoj Kumar Sahu, Bharat Siddharth, Arin Choudhury, Sreenivas Vishnubhatla, Sarvesh Pal Singh, Ramesh Menon, Poonam Malhotra Kapoor, Sachin Talwar, Shiv Choudhary, and Balram Airan
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Cardiac Surgical Intensive Care Unit ,Microbiological profile and antibiotic resistance patterns ,Nosocomial infection ,Anesthesiology ,RD78.3-87.3 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: Nosocomial infections (NIs) in the postoperative period not only increase morbidity and mortality, but also impose a significant economic burden on the health care infrastructure. This retrospective study was undertaken to (a) evaluate the incidence, characteristics, risk factors and outcomes of NIs and (b) identify common microorganisms responsible for infection and their antibiotic resistance profile in our Cardiac Surgical Intensive Care Unit (CSICU). Patients and Methods: After ethics committee approval, the CSICU records of all patients who underwent cardiovascular surgery between January 2013 and December 2014 were reviewed retrospectively. The incidence of NI, distribution of NI sites, types of microorganisms and their antibiotic resistance, length of CSICU stay, and patient-outcome were determined. Results: Three hundred and nineteen of 6864 patients (4.6%) developed NI after cardiac surgery. Lower respiratory tract infections (LRTIs) accounted for most of the infections (44.2%) followed by surgical-site infection (SSI, 11.6%), bloodstream infection (BSI, 7.5%), urinary tract infection (UTI, 6.9%) and infections from combined sources (29.8%). Acinetobacter, Klebsiella, Escherichia coli, and Staphylococcus were the most frequent pathogens isolated in patients with LRTI, BSI, UTI, and SSI, respectively. The Gram-negative bacteria isolated from different sources were found to be highly resistant to commonly used antibiotics. Conclusion: The incidence of NI and sepsis-related mortality, in our CSICU, was 4.6% and 1.9%, respectively. Lower respiratory tract was the most common site of infection and Gram-negative bacilli, the most common pathogens after cardiac surgery. Antibiotic resistance was maximum with Acinetobacter spp.
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- 2016
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- View/download PDF
5. Infective endocarditis of main pulmonary artery in tetralogy of Fallot: 'Transesophageal echocardiography adds lease of life'
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Arin Choudhury, Jitin Narula, Pawan Kumar Jain, and Poonam Malhotra Kapoor
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Echocardiography ,Infective endocarditis ,Main pulmonary artery ,Tetralogy of Fallot ,Anesthesiology ,RD78.3-87.3 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Infective endocarditis is a rare occurrence in the main pulmonary artery trunk and even rarer in tetralogy of Fallot.
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- 2016
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6. The comparative evaluation of intravenous with intramuscular clonidine for suppression of hemodynamic changes in laparoscopic cholecystectomy
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Meena Singh, Arin Choudhury, Manpreet Kaur, Dootika Liddle, Mary Verghese, and Ira Balakrishnan
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Clonidine ,hemodynamic response ,laproscopic cholecystectomy ,pneumoperitoneum ,stress response ,Anesthesiology ,RD78.3-87.3 - Abstract
Background: Clonidine diminishes stress response by reducing circulating catecholamines and hence increases perioperative circulatory stability in patients undergoing laparoscopic surgeries. The aim of this study was to compare intravenous (IV) clonidine (2 μg/kg) with intramuscular (IM) clonidine (2 μg/kg) for attenuation of stress response in laproscopic surgeries. Methods: Eighty adult patients classified as ASA physical status I or II, aged between 20 and 60 years undergoing elective cholecystectomy under general anesthesia were enrolled for a prospective, randomized, and double-blind controlled trial. They received either IV clonidine (2 μg/kg) 15 min prior to the scheduled surgery (Group I) or IM clonidine (2 μg/kg) 60-90 min prior to the scheduled surgery (Group II). Hemodynamic variables (Heart rate, systolic (SBP), diastolic (DBP), mean arterial pressure (MAP)), SpO 2 and EtCO 2 were recorded at specific times - baseline, prior to induction, 1 min after intubation, before CO 2 , insufflation, after CO 2 insufflation at 1,5,10,20,30,45,60 min, after release of CO 2 , at 1 and 10 minutes after extubation. Secondary outcomes included evaluation of adverse effect profile of the two groups. Results: No significant difference was observed in the HR throughout the intraoperative period in between the two groups (P>0.05). There was statistically significant difference in SBP between the two groups starting from 1 minute after induction till 1 min after extubation (P
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- 2013
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7. Physiological Effects of N95 FFP and PPE in Healthcare Workers in COVID Intensive Care Unit: A Prospective Cohort Study
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Saurav Mitra Mustafi, Ajay Kumar, Deepa Kerketta Khurana, Arin Choudhury, Meena Singh, Saumya Sharma, and Usha Ganapathy
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medicine.medical_specialty ,Oxygen saturation ,Physiological ,Heart rate ,Stress ,Critical Care and Intensive Care Medicine ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Personal protective equipment ,Perfusion index ,Healthcare workers ,Medicine ,Intensive care unit ,Exertion ,Adverse effect ,Prospective cohort study ,Oxygen saturation (medicine) ,Rating of perceived exertion ,business.industry ,COVID-19 ,030208 emergency & critical care medicine ,030228 respiratory system ,Emergency medicine ,Original Article ,business ,N95 respirators ,Cohort study - Abstract
Background Healthcare workers (HCWs) are at increased risk of exposure to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). Personal protective equipment (PPE) is mandated for HCWs. However, the physiological effects on the HCWs while working in the protective gear remains unexplored. This study aimed to assess the physiological effects of the prolonged use of PPE on HCWs. Materials and methods Seventy-five HCWs, aged 18–50 years were enrolled in this prospective, observational, cohort study. The physiological variables [heart rate, oxygen saturation, and perfusion index (PI)] were recorded at the start of duty, 4 hours after wearing N95 filtering facepiece respirator (FFR), pre-donning, and post-doffing. The rating of perceived exertion (RPE) score and modified Borg scale for dyspnea was evaluated. The physiological variables were represented as the mean ± standard deviation. Wilcoxon signed-rank test was used to show any difference in RPE and modified Borg scale for dyspnea. A p value of
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- 2020
8. Outcome of COVID–19 associated severe ARDS: A case series
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Saurav Mitra Mustafi, Arin Choudhury, Ajay Kumar, Shruti Jain, and Vanada Talwar
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medicine.medical_specialty ,ARDS ,business.industry ,medicine.medical_treatment ,Secondary infection ,Disease ,Chest physiotherapy ,Critical Care and Intensive Care Medicine ,medicine.disease ,Sepsis ,Therapeutic approach ,Anesthesiology and Pain Medicine ,Oxygen therapy ,Intensive care ,medicine ,Intensive care medicine ,business - Abstract
ICU course may be prolonged in patients suffering from Coronavirus associated acute respiratory distress syndrome (CARDS) due to severity of initial disease and presence of opportunistic infections. A structured approach to management may help reduce morbidity and mortality. Case presentation: We present a series of five cases of CARDS with a prolonged ICU course, despite the resolution of viremia. A multipronged therapeutic approach was adopted in the form of self proning, thrombo–prophylaxis, chest physiotherapy, adequate nutrition, psychotherapy and early mobilization. We could transfer two patients on domiciliary oxygen therapy and one on room air. Despite aggressive measures to control infection, one patient developed fungal sepsis, and another developed pseudomonal pneumonia. Both the patients rapidly deteriorated and succumbed to secondary infection, despite having shown initial recovery from CARDS. Conclusion: Prevention of infections is the key to recovery after resolution of viremia. This warrants COVID step down facility and structured rehabilitation program. Key words: COVID–19; ARDS; Sepsis Citation: Talwar V, Mustafi SM, Choudhury A, Jain S, Kumar A. Outcome of COVID–19 associated severe ARDS: A case series. Anaesth. pain intensive care 2021;25(2):199-202. DOI: 10.35975/apic.v25i2.1472 Received: 18 January 2021, Reviewed: 13 February 2021, Accepted: 25 February 2021
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- 2021
9. Evaluation of Low Dose Fentanyl-Midazolam Premedication on Sevoflurane Induction for Ease of LMA Insertion in Adults
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Dootika Liddle, Arin Choudhury, and Meena Singh
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business.industry ,Anesthesia ,Low dose ,medicine ,Midazolam ,Premedication ,business ,Sevoflurane ,medicine.drug ,Fentanyl - Published
- 2018
10. Comparison of speed of inhalational induction in children with and without congenital heart disease
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Neelam Aggarwal, Arin Choudhury, Sandeep Chauhan, Suruchi Hasija, Ravinder Kumar Pandey, and P.K. Jain
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Heart Defects, Congenital ,Male ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Minimum alveolar concentration ,Time Factors ,Heart disease ,medicine.drug_class ,Speed of induction ,Hemodynamics ,030204 cardiovascular system & hematology ,Sevoflurane ,lcsh:RD78.3-87.3 ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,Congenital heart disease ,business.industry ,Heart ,General Medicine ,Electrical velocimetry ,Inhalational anesthesia ,medicine.disease ,Inhalational anaesthetic ,Anesthesiology and Pain Medicine ,030228 respiratory system ,lcsh:Anesthesiology ,lcsh:RC666-701 ,Anesthesia ,Bispectral index ,Child, Preschool ,Anesthetic ,Anesthetics, Inhalation ,Original Article ,Female ,Cardiology and Cardiovascular Medicine ,business ,Anesthesia, Inhalation ,medicine.drug - Abstract
Background: Conduct of stable inhalational anesthetic induction in children with congenital heart disease (CHD) presents special challenges. It requires in-depth understanding of the effect of congenital shunt lesions on the uptake, delivery, and equilibration of anesthetic drugs. Intracardiac shunts can alter the induction time and if delivery of anesthetic agent is not carefully titrated, can lead to overdosing and undesirable myocardial depression. Aims: To study the effect of congenital shunt lesions on the speed of inhalational induction and also the impact of inhalational induction on hemodynamics in the presence of congenital shunt lesions. Setting: Tertiary care hospital. Design: A prospective, single-center clinical study. Materials and Methods: Ninety-three pediatric patients undergoing elective surgery were segregated into three equal groups, namely, Group 1: no CHD, Group 2: acyanotic CHD, and Group 3: cyanotic CHD. General anesthesia was induced with 8% sevoflurane in 6 L/min air-oxygen. The time to induction was noted at loss of eyelash reflex and decrease in bispectral index (BIS) value below 60. End-tidal sevoflurane concentration, minimum alveolar concentration, and BIS were recorded at 15 s intervals for the 1 st min followed by 30 s interval for another 1 min during induction. Hemodynamic data were recorded before and after induction. Results: Patients in Group 3 had significantly prolonged induction time (99 ± 12.3 s; P < 0.001), almost twice that of the patients in other two groups (51 ± 11.3 s in Group 1 and 53 ± 12.0 s in Group 2). Hypotension occurred after induction in Group 1. No other adverse hemodynamic perturbations were observed. Conclusion: The time to inhalational induction of anesthesia is significantly prolonged in patients with right-to-left shunt, compared to patients without CHD or those with left-to-right shunt, in whom it is similar. Sevoflurane is safe and maintains stable hemodynamics in the presence of CHD.
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- 2016
11. Incidence, microbiological profile of nosocomial infections, and their antibiotic resistance patterns in a high volume Cardiac Surgical Intensive Care Unit
- Author
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Shiv Kumar Choudhary, Sachin Talwar, Balram Airan, Sarvesh Pal Singh, Sreenivas Vishnubhatla, Bharat Siddharth, Manoj Kumar Sahu, Poonam Malhotra Kapoor, Arin Choudhury, and Ramesh Menon
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0301 basic medicine ,Male ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Klebsiella ,Pediatrics ,Antibiotics ,Drug resistance ,030204 cardiovascular system & hematology ,0302 clinical medicine ,Nosocomial infection ,Child ,Cross Infection ,Respiratory tract infections ,biology ,Incidence (epidemiology) ,Incidence ,General Medicine ,Middle Aged ,Anti-Bacterial Agents ,Intensive Care Units ,Microbiological profile and antibiotic resistance patterns ,Child, Preschool ,Cardiac Surgical Intensive Care Unit ,Original Article ,Female ,Cardiology and Cardiovascular Medicine ,Adult ,medicine.medical_specialty ,Adolescent ,Critical Care ,medicine.drug_class ,030106 microbiology ,Microbial Sensitivity Tests ,lcsh:RD78.3-87.3 ,03 medical and health sciences ,Young Adult ,Antibiotic resistance ,Drug Resistance, Bacterial ,Gram-Negative Bacteria ,medicine ,Humans ,Surgical Wound Infection ,Aged ,Retrospective Studies ,Bacteria ,business.industry ,Infant, Newborn ,Infant ,Retrospective cohort study ,Acinetobacter ,Length of Stay ,biology.organism_classification ,Anesthesiology and Pain Medicine ,lcsh:Anesthesiology ,lcsh:RC666-701 ,business ,Gram-Negative Bacterial Infections - Abstract
Background: Nosocomial infections (NIs) in the postoperative period not only increase morbidity and mortality, but also impose a significant economic burden on the health care infrastructure. This retrospective study was undertaken to (a) evaluate the incidence, characteristics, risk factors and outcomes of NIs and (b) identify common microorganisms responsible for infection and their antibiotic resistance profile in our Cardiac Surgical Intensive Care Unit (CSICU). Patients and Methods: After ethics committee approval, the CSICU records of all patients who underwent cardiovascular surgery between January 2013 and December 2014 were reviewed retrospectively. The incidence of NI, distribution of NI sites, types of microorganisms and their antibiotic resistance, length of CSICU stay, and patient-outcome were determined. Results: Three hundred and nineteen of 6864 patients (4.6%) developed NI after cardiac surgery. Lower respiratory tract infections (LRTIs) accounted for most of the infections (44.2%) followed by surgical-site infection (SSI, 11.6%), bloodstream infection (BSI, 7.5%), urinary tract infection (UTI, 6.9%) and infections from combined sources (29.8%). Acinetobacter, Klebsiella, Escherichia coli, and Staphylococcus were the most frequent pathogens isolated in patients with LRTI, BSI, UTI, and SSI, respectively. The Gram-negative bacteria isolated from different sources were found to be highly resistant to commonly used antibiotics. Conclusion: The incidence of NI and sepsis-related mortality, in our CSICU, was 4.6% and 1.9%, respectively. Lower respiratory tract was the most common site of infection and Gram-negative bacilli, the most common pathogens after cardiac surgery. Antibiotic resistance was maximum with Acinetobacter spp.
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- 2016
12. Arrhythmias in Children in Early Postoperative Period After Cardiac Surgery
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Atul Abraham, Sachin Talwar, Sarvesh Pal Singh, Manoj Kumar Sahu, Anupam Das, Arin Choudhury, and Bharat Siddharth
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Heart Defects, Congenital ,Male ,medicine.medical_specialty ,Adolescent ,030204 cardiovascular system & hematology ,03 medical and health sciences ,Electrocardiography ,0302 clinical medicine ,Postoperative Complications ,Heart Rate ,Risk Factors ,Tachycardia, Ectopic Junctional ,Heart rate ,medicine ,Humans ,cardiovascular diseases ,Postoperative Period ,Prospective Studies ,Cardiac Surgical Procedures ,Prospective cohort study ,Child ,Surgical repair ,medicine.diagnostic_test ,business.industry ,Incidence (epidemiology) ,Incidence ,Infant, Newborn ,Infant ,General Medicine ,Infant newborn ,Cardiac surgery ,Surgery ,030228 respiratory system ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,cardiovascular system ,Female ,Cardiology and Cardiovascular Medicine ,Complication ,business - Abstract
Background: Postoperative arrhythmias are a known complication after cardiac surgical repairs for congenital heart disease. Methods: Data were reviewed pertaining to incidence, diagnosis, potential risk factors, and management of postoperative arrhythmias in 369 consecutive patients under 18 years of age, undergoing elective open heart surgery. All children were admitted to the intensive care unit and continuous electrocardiographic monitoring was performed. Patient factors such as Aristotle Basic Complexity Score, total surgical duration, hypotension, tachycardia, serum lactate level, and inotropic score were analyzed. Univariate analysis was done to assess associations between these factors and the occurrence of postoperative arrhythmias. Results: Twenty-five (6.7%) patients developed arrhythmias. Junctional ectopic tachycardia (JET) was the most common arrhythmia occurring in 15 (60%) patients, followed by supraventricular tachycardia in 3 (12%), ventricular premature contractions in 3 (12%), hemodynamically unstable ventricular tachycardia and fibrillation in 3 (12%), and atrial fibrillation in 1 (4%) patient. Different grades of heart block were noted in 13 patients. Aristotle score (P = .014), total surgical duration (P < .01), hypotension (P = .02), heart rate (beats per minute) (P = .001), serum lactate level (P = .04), and inotropic score (P = .02) in the early postoperative period were associated with arrhythmia occurrence. Surgeries for ventricular septal defect alone or in association with other diseases including tetralogy of Fallot (TOF) and transposition of the great arteries (TGA) were found to be associated with higher risk of arrhythmias. Conclusion: This study showed a low incidence of arrhythmias, JET being the commonest, seen more in TOF repair and these could be treated efficiently. Higher Aristotle score, longer surgical time, hypotension, tachycardia, high inotropic score, and high serum lactate levels were associated with the occurrence of arrhythmias postoperatively.
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- 2018
13. Comparison of the Hemodynamic Effects of the Induction Agents Ketamine, Etomidate and Sevoflurane Using the Model of Electrical Velocimetry Based Cardiac Output Monitoring in Pediatric Cardiac Surgical Patients
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Sanjay Kumar, Neeti Makhija, Sachin Talwar, Sandeep Chauhan, Suruchi Hasija, Usha Kiran, Sarvesh Pal Singh, and Arin Choudhury
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medicine.medical_specialty ,business.industry ,Cardiac index ,Hemodynamics ,Stroke volume ,Sevoflurane ,Surgery ,Cardiac surgery ,Contractility ,Etomidate ,Anesthesia ,medicine ,Ketamine ,business ,medicine.drug - Abstract
Objective: To compare the haemodynamic effects of the induction agents ketamine, etomidate and sevoflurane using the model of electrical velocimetry based cardiac output monitoring in paediatric cardiac surgical patients. Design: Prospective randomized study. Setting: Tertiary care hospital. Participants: 60 children < 2 years age undergoing cardiac surgery. Interventions: The patients were randomized into 3 equal groups to receive 1.5-2.5 mg/kg iv ketamine (group K), 0.2-0.3 mg/kg iv etomidate (group E) or upto 8% sevoflurane (group S) as the induction agent. Hemodynamic parameters were noted before and after induction of anaesthesia utilizing a noninvasive cardiac monitor based on the model of electrical velocimetry. Measurements and Main Results: The demographic characteristics of the patients were similar in the three groups. The HR decreased in all groups, least in group E (P ≤ 0.01) but the MAP decreased only in group S (P ≤ 0.001). In group S, the stroke volume improved from 9 ± 3.2 ml to 10 ± 3.2 ml (P ≤ 0.05) and the stroke volume variation decreased from 25% ± 6.4% to 13% ± 6.2% (P ≤ 0.001). The stroke index and systemic arterial saturation improved in all groups (P ≤ 0.01). The cardiac index and index of contractility were unchanged. The transthoracic fluid content reduced in groups E and S, but did not change in group K (P ≤ 0.05). Conclusions: Etomidate appeared to provide the most stable conditions for induction of anesthesia in children undergoing cardiac surgery, followed by ketamine and sevoflurane.
- Published
- 2014
14. Transesophageal Echocardiography in a Case of Dextro- Transposition of Great Arteries with Regressed Left Ventricle
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Neeti Makhija, Jitin Narula, Usha Kiran, Sarvesh Pal Singh, and Arin Choudhury
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Perioperative ,Corrective surgery ,Systemic circulation ,law.invention ,Surgery ,medicine.anatomical_structure ,Ventricle ,law ,Great arteries ,Internal medicine ,medicine ,Cardiology ,Cardiopulmonary bypass ,Extracorporeal membrane oxygenation ,business - Abstract
Patients with dextro-transposition of the great arteries (d-TGA) with an intact ventricular septum (IVS) beyond 21 days of age may develop left ventricular (LV) regression. Perioperative echocardiography-guided assessment of LV for signs of regression is crucial in decision-making for definitive corrective surgery, namely arterial switch operation (ASO), as a regressed LV may not be capable of sustaining the load of systemic circulation. We hereby present transesophageal echocardiography (TEE) findings in a child with d-TGA and regressed LV where decision to perform a primary ASO with integrated extracorporeal membrane oxygenation (ECMO)- cardiopulmonary bypass (CPB) circuit was made. Use of ECMO was planned as a standby technique in the event of LV failure. ECMO was eventually used as the LV was unable to sustain the load of systemic circulation after ASO. How to cite this article Makhija N, Singh SP, Narula J, Choudhury A, Kiran U. Transesophageal Echocardiography in a Case of Dextro-Transposition of Great Arteries with Regressed Left Ventricle. J Perioper Echocardiogr 2014;2(2):71-74.
- Published
- 2014
15. TEE for Patent Foramen Ovale
- Author
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Sanjay Kumar, Poonam Kapoor, Jitin Narula, and Arin Choudhury
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business.industry ,Patent foramen ovale ,medicine ,Anatomy ,medicine.disease ,business - Published
- 2014
16. TEE for Atrioventricular Septal Defect
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Poonam Kapoor, Sarvesh Singh, Arun Subramaniam, and Arin Choudhury
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medicine.medical_specialty ,business.industry ,Internal medicine ,Cardiology ,medicine ,Atrioventricular Septal Defect ,business - Published
- 2014
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