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5. A TAVR AGAINST SEEMINGLY INSURMOUNTABLE ODDS

Author

Chainani, Vinod, primary, Prince, Marloe, additional, Sidhu, Sanbir, additional, Kadakia, Rikin, additional, Bob-Manuel, Tamunoinemi, additional, Martinez-Clark, Pedro, additional, Ramee, Stephen, additional, and Soto, Jose Tafur, additional

Published
2019
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6. Olopatadine ophthalmic solution and eye rubbing after general anesthesia: a pilot study

Author

Wagner, Karl, Sidhu, Sanbir, Houser, Steven, and Smith, Charles E.

Subjects
General anesthesia -- Research, Olopatadine hydrochloride -- Dosage and administration, Corneal abrasion -- Risk factors, Health
Abstract

Purpose: Patients often rub their eyes shortly after emergence from general anesthesia even though the surgery was not physically close to their eyes. Eye rubbing could theoretically result in corneal abrasion. The purpose of this prospective randomized study was to evaluate the use of olopatadine ophthalmic solution during surgery with general anesthesia. Methods: 100 adults undergoing general anesthesia for elective non-ophthalmic surgery were randomized into 2 groups: Group 1 received 2 drops of olopatadine in each eye after induction of anesthesia, followed by taping the eyes shut. Group 2 had their eyes taped shut (controls). The number of attempts the patient made to rub their eyes after emergence in the operating room (OR) and post anesthesia care unit (PACU) was recorded. A postoperative patient interview was done. Results: At emergence in the OR, more patients rubbed their eyes in the control (40%) vs the olopatadine (21%) group (p Conclusions: The study demonstrated that instillation of olopatadine ophthalmic drops decreased the incidence of eye rubbing after emergence from anesthesia compared to controls. This difference did not persist in the PACU as the incidence of eye rubbing was 42% in both groups. Keywords: Eye rubbing, Olopatadine Ophthalmic Solution, General Anesthesia, Table of Contents Abstract Introduction Methods Results Discussion References Introduction Patients undergoing non-ophthalmic surgery with general anesthesia (GA) are at risk of developing corneal abrasions. In a study of 60,965 [...]

Published
2009

7. THE PREVALENCE AND NUTRITIONAL IMPLICATIONS OF FAST FOOD CONSUMPTION AMONG HEMODIALYSIS PATIENTS

Author

Butt, Saud, Leon, Janeen B., David, Carol L., Chang, Henry, Sidhu, Sanbir, and Sehgal, Ashwini R.

Subjects
Adult, Aged, 80 and over, Male, Restaurants, Body Weight, Sodium, Dietary, Feeding Behavior, Middle Aged, Diet Surveys, Dietary Fats, Article, Cross-Sectional Studies, Renal Dialysis, Mental Recall, Prevalence, Humans, Kidney Failure, Chronic, Phosphorus, Dietary, Female, Nutritional Physiological Phenomena, Energy Intake, Aged
Abstract

Fast food consumption has increased dramatically in the general population over the last 25 years. However, little is known about the prevalence and nutritional implications of fast food consumption among patients receiving hemodialysis.By using a cross-sectional study design, we obtained data on fast food consumption and nutrient intake (from four separate 24-hour dietary recalls) and nutritional parameters (from chart abstraction) for 194 randomly selected patients from 44 hemodialysis facilities in northeast Ohio.Eighty-one subjects (42%) reported consuming at least one fast food meal or snack in 4 days. Subjects who consumed more fast food had higher kilocalorie, carbohydrate, total fat, saturated fat, and sodium intakes. For example, kilocalorie per kilogram intake per day increased from 18.9 to 26.1 with higher frequencies of fast food consumption (P = .003). Subjects who consumed more fast food also had higher serum phosphorus levels and interdialytic weight gains.Fast food is commonly consumed by patients receiving hemodialysis and is associated with a higher intake of kilocalories, carbohydrates, fats, and sodium and adverse changes in phosphorus and fluid balance. Further work is needed to understand the long-term benefits and risks of fast food consumption among patients receiving hemodialysis.

Published
2007

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