Papers by SURESH KUMAR SINGHAL
Sri Lankan Journal of Anaesthesiology, 2012
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Indian Journal of Medical Sciences, 2010
Laryngoscopy and endotracheal intubation are known to cause increase in both arterial blood press... more Laryngoscopy and endotracheal intubation are known to cause increase in both arterial blood pressure and heart rate. Several strategies have been evolved to blunt the haemodynamic response to tracheal intubation but each method has its own advantages and disadvantages. Esmolol, a cardio selective Beta-1 blocking drug, can alleviate some of these problems. Esmolol, when administered parenterally, exhibits rapid onset and a short duration of action due to its rapid clearance by red blood cell esterases. Hence we conducted the present study to evaluate the efficacy and optimum time of single bolus esmolol administration in attenuating hypertensive- tachycardiac response to laryngoscopy and tracheal intubation. The randomized double blind prospective study was conducted in 60 patients, in the age group of 20-40 years, of both sexes, belonging to American Society of Anaesthesiologists (ASA) physical status class I or II and scheduled for elective surgery requiring endotracheal intubation and general anaesthesia. The efficacy and optimum time of single bolus esmolol administration in attenuating hypertensive - tachycardiac response to laryngoscopy and tracheal intubation was evaluated. Patients in group I (n = 20) received bolus administration of injection esmolol 1.5 mg/kg intravenously (iv) 90 seconds before intubation; in group II (n = 20) three minutes before intubation and in group III (n = 20) six minutes before intubation. There was no clinical and statistically significant variation in heart rate in group I and II at different time intervals of the study period but in group III heart rate increased significantly one minute after tracheal intubation. (P < 0.05) One minute after intubation, the increase in systolic, diastolic and mean blood pressure and rate pressure product was statistically significant in group I (P < 0.01) and group III. (P < 0.05) However, in group II increase in systolic blood pressure and rate pressure product was statistically not significant. (P > 0.05) To conclude, single intravenous bolus dose of esmolol (1.5 mg/kg) is safe and more effective in attenuating haemodynamic response to laryngoscopy and tracheal intubation when administered three minutes prior to intubation.
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Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists, Jan 2, 2015
Tracheostomy is a known surgical technique for airwaymanagement, especially in patients with head... more Tracheostomy is a known surgical technique for airwaymanagement, especially in patients with head, facial, and cervical spine injury. A 26-year-old man, who had been in a road-side accident and had head and facial injuries, reported in the accident and emergency department of our institute. He was tracheostomized with a 7.5-mm internal diameter (ID) tracheostomy tube (TT). The patient was shifted to the operation theatre for repair of avulsed facial tissue. The patient was healthy and had a very short and bulky neck. Because of this, the TT was getting repeatedly dislodged. We planned to replace the TT with an endotracheal tube (ETT) through the tracheostomy stoma. In literature, various techniques have been documented for tube exchange. The airway-exchange catheter has been used by various authors andmay be of benefit when a TTmust be changed before maturation of the tracheal cutaneous tract.1 Jahromi2 suggested the use of a guidewire “j” tip catheter instead of a central venous catheter, for the exchange of a TT. Different authors
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Tropical doctor, 2011
The face mask is a device to facilitate the delivery of gases from a breathing system to a patien... more The face mask is a device to facilitate the delivery of gases from a breathing system to a patient by creating an airtight seal around the face. Of the many types of face masks available, the anatomical face mask is most commonly used for anaesthesia. With repeated usage, the seal of the anatomical face mask becomes flattened due to the loss of air in the cushion, leading to a poor fit on the patient's face. This results in air dilution during spontaneous respiration and inadequate gas exchange during controlled ventilation. A simple solution to restore this seal has been provided.
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African journal of reproductive health, 2010
Arthrogryposis multiplex congenita (AMC) is a symptom complex of congenital joint contractures as... more Arthrogryposis multiplex congenita (AMC) is a symptom complex of congenital joint contractures associated with neurogenic and myopathic disorders. It is diagnosed at birth and often progresses to a state of significant disability. Pregnancy in a woman with AMC is at high risk due to diminished pulmonary reserve, increased risk of thromboembolism and anesthesia. Successful pregnancy in patients with AMC is very rare and only five cases have been reported in literature. Present case is being reported due to its rarity.
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Tropical Doctor, 2007
In emergency set-up when central venous catheters are not available, then external/internal jugul... more In emergency set-up when central venous catheters are not available, then external/internal jugular vein is cannulated with 16/18 G cannula for fluid management. However, with this technique, there is risk of decannulation or dislodgement of intravenous tubing. Over the ...
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Saudi Journal of Anaesthesia, 2014
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Indian Journal of Thoracic and Cardiovascular Surgery, 2010
Objective Atrial Fibrillation is a well known phenomenon in patients suffering from Rheumatic Mi... more Objective Atrial Fibrillation is a well known phenomenon in patients suffering from Rheumatic Mitral Valve Disease. Cox Maze procedure is an effective way to treat Atrial Fibrillation in such cases. Cryoablation has been substituted for cut and sew lines of Cox Maze operation from last several years so as to decrease the invasiveness. However, there has been no study from India
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Egyptian Journal of Anaesthesia, 2014
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Journal of Gynecologic Surgery, 2008
JOURNAL OF GYNECOLOGIC SURGERY Volume 24, Number 3, 2008 © Mary Ann Liebert, Inc. DOI: 10.1089/gy... more JOURNAL OF GYNECOLOGIC SURGERY Volume 24, Number 3, 2008 © Mary Ann Liebert, Inc. DOI: 10.1089/gyn.2008.B-02314 ... A 9-Year Review Of Ovarian Masses in Children ... Savita R. Singhal, DGO, MD,1 Kamal Nain Rattan, MS,2 Smiti Nanda, MD,1 and Suresh K. ...
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Taiwanese Journal of Obstetrics and Gynecology, 2011
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Indian Journal of Thoracic and Cardiovascular Surgery, 2010
physician explored the pleural cavity with finger but could not locate the blade. X-ray chest rev... more physician explored the pleural cavity with finger but could not locate the blade. X-ray chest revealed inflated left lung with minimal surgical emphysema and surgical blade is situ (Fig. 1). Urgent thoracoscopy under general anaesthesia with left sided Polyvinyl Chloride( PVC ) double lumen tube (Portex, UK) was performed. Left lung was collapsed by clamping the bronchial lumen of Double Lumen Tube (DLT). Video scope was inserted through the ICD port, second port was created for videoscopic camera and the surgical blade was removed with the grasper (Fig. 2). Important things to note are that to decrease the chances of injury to the surrounding structures after holding the blade with the grasper, it should be withdrawn within the sheath of video scope along with grasper and then whole assembly i.e. sheath of video scope, grasper along with blade should be removed in toto. Secondly, if Fig. 1 X-ray chest PosteroAnterior (PA) view showing surgical blade in the left pleural cavity Fig. 2 Showing surgical blade held longitudinally by grasper after removal
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Indian journal of anaesthesia
Penetrating abdomino-thoracic injuries are potentially life-threatening due to the associated hae... more Penetrating abdomino-thoracic injuries are potentially life-threatening due to the associated haemorrhagic shock and visceral injury. The management of these injuries poses specific challenges in pre-hospital care, transport, and management strategies. We report a 35-year-old male having impalement injury of the left thorax and left upper arm with a metallic rod used for construction of the house after a fall from height. One rod penetrated thorax from left shoulder and exit point was present just above the iliac crest and second rod was seen piercing left upper arm. Patient was successfully managed without any intraoperative, post-operative surgical complications, neurological damage or permanent injuries.
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Sri Lankan Journal of Anaesthesiology, 2012
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Sri Lankan Journal of Anaesthesiology, 2012
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Saudi Journal of Anaesthesia, 2014
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Journal of Medical Case Reports, 2011
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Journal of Anaesthesiology Clinical Pharmacology, 2014
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International Urogynecology Journal, 2006
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Indian Journal of Medical Sciences, 2010
Laryngoscopy and endotracheal intubation are known to cause increase in both arterial blood press... more Laryngoscopy and endotracheal intubation are known to cause increase in both arterial blood pressure and heart rate. Several strategies have been evolved to blunt the haemodynamic response to tracheal intubation but each method has its own advantages and disadvantages. Esmolol, a cardio selective Beta-1 blocking drug, can alleviate some of these problems. Esmolol, when administered parenterally, exhibits rapid onset and a short duration of action due to its rapid clearance by red blood cell esterases. Hence we conducted the present study to evaluate the efficacy and optimum time of single bolus esmolol administration in attenuating hypertensive- tachycardiac response to laryngoscopy and tracheal intubation. The randomized double blind prospective study was conducted in 60 patients, in the age group of 20-40 years, of both sexes, belonging to American Society of Anaesthesiologists (ASA) physical status class I or II and scheduled for elective surgery requiring endotracheal intubation and general anaesthesia. The efficacy and optimum time of single bolus esmolol administration in attenuating hypertensive - tachycardiac response to laryngoscopy and tracheal intubation was evaluated. Patients in group I (n = 20) received bolus administration of injection esmolol 1.5 mg/kg intravenously (iv) 90 seconds before intubation; in group II (n = 20) three minutes before intubation and in group III (n = 20) six minutes before intubation. There was no clinical and statistically significant variation in heart rate in group I and II at different time intervals of the study period but in group III heart rate increased significantly one minute after tracheal intubation. (P < 0.05) One minute after intubation, the increase in systolic, diastolic and mean blood pressure and rate pressure product was statistically significant in group I (P < 0.01) and group III. (P < 0.05) However, in group II increase in systolic blood pressure and rate pressure product was statistically not significant. (P > 0.05) To conclude, single intravenous bolus dose of esmolol (1.5 mg/kg) is safe and more effective in attenuating haemodynamic response to laryngoscopy and tracheal intubation when administered three minutes prior to intubation.
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Papers by SURESH KUMAR SINGHAL