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Singh, Vijendra Pal
- Interosseous Cannulation, a Life Saving Vascular Access in Resuscitation of an Infant in Cardiac Arrest
Abstract Views :277 |
PDF Views:104
Authors
Vijendra Pal Singh
1,
Manish Jain
1,
Abhishake Kumar
1,
Jainab Parveen
1,
Sameer Ashraf
1,
Vijay Dabas
1
Affiliations
1 Department of Anaesthesiology & Critical Care, Subharti Medical College, Meerut, IN
1 Department of Anaesthesiology & Critical Care, Subharti Medical College, Meerut, IN
Source
Central Journal of ISA, Vol 1, No 1 (2017), Pagination: 31-33Abstract
We present a case of 2 months old critically ill child who developed cardiac arrest while securing central venous access under ultra-sonographic technique. Successful resuscitation by administering fluid and drugs through prompt establishment of intra osseous access saved the life of an infant.Keywords
Cardiac Arrest, Intra Osseous Route, Pediatric Emergency, Resuscitation.References
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- Foex BA. Discovery of the intraosseous route for fluid administration. J Accid Emerg Med 2000; 17:136–7.
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- Aliman A. Intraosseous anesthesia in hemodynamic studies in children with cardiopathy. Revista Brasileira de Anestesiologia 2011; 61(1):41– 9.
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- Banerjee S, Singhi SC, Singh S, Singh M. The intraosseous route is a suitable alternative to intravenous route for fluid resuscitation in severely dehydrated children. Indian Pediatrics 1994; 31:1511–20.
- Michael A, Dubick et al. A review of intraosseous vascular access. Current status and Military Application. Military Medicine 2000; 165:552.
- Paediatric drug dose chart, kingston general hospital & hotel dieu hospital departments of anesthesiology and paediatrics, 3rd edition. 2013 Dec. Available from: anesthesiology.queensu.ca/assets/Pediatrics/7_ Peds_Card_-_FINAL_2013.pdf
- Choice of Anaesthesia in Patient with Severe Pulmonary Hypertension Scheduled for Orthopaedic Surgery – A Case Report
Abstract Views :426 |
PDF Views:103
Authors
Affiliations
1 Department of Anaesthesiology and Critical Care, Subharti Medical College, Meerut − 250005, Uttar Pradesh, IN
1 Department of Anaesthesiology and Critical Care, Subharti Medical College, Meerut − 250005, Uttar Pradesh, IN
Source
Central Journal of ISA, Vol 2, No 2 (2018), Pagination: 75-77Abstract
Anaesthesia in surgical patient with severe pulmonary hypertension is very challenging. It needs to weigh pros and cons of choice of anaesthetic technique. A little pendulum shift on either side can prove catastrophic. A 45 years male with severe pulmonary hypertension scheduled for internal fixation of fracture of neck of femur was managed successfully under graded epidural anaesthesia. We discuss pros and cons of anaesthetic technique and importance of invasive monitoring and meticulous intraoperative fluid and paus management to achieve desirable outcome.Keywords
Anaesthetic, Epidural Anaesthesia, Pulmonary Hypertension.References
- Gille J, Seyfarth HJ, Gerlach S, Malcharek M, Czeslick E, Sablotzki A. Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension. Hindawi Publishing Corporation. Anesthesiology Research and Practice. 2012; 356982:6.
- Curr Opin Anaesthesiol. 2010; 23:411-16. WoltersKluwer Health | Lippincott Williams & Wilkins 0952-7907
- Ramakrishna G, Sprung J, Ravi BS, Chandrasekaran K, Mc Goon MD. Pulmonary Hypertension and Postoperative Outcomes. JACC. 2005; 45(10):1691-9.
- Kaddoum R, Mubarak K, Chidiac EJ. Pulmonary hypertension and anesthesia. M.E.J. Anesth. 2006; 18(6):1095-112.
- Kalarickal PL, Bent ST, Yarborough MJ, Mathew KA, Fox C. Perioperative Management of Pulmonary Hypertension, Pulmonary Hypertension - From Bench Research to Clinical Challenges, Dr. Roxana Sulica (Ed.), ISBN: 978-953-307-835-9.2011.
- Ortega R, Connor CW. Intraoperative management of patients with pulmonary hypertension. Adv. Pulm. Hyper. 2013; 12(1).
- Ramakrishna G, Sprung J, Ravi BS, Chandrasekaran K, McGoon MD. Pulmonary hypertension and postoperative outcomes. JACC. 2005; 45(10):1691-99.