1
|
Ramachandran A, Bhatia P, Mohammed S, Kamal M, Chhabra S, Paliwal B. Gastric Insufflation with High Flow Nasal Oxygen Therapy in Adult Patients Admitted to Intensive Care Unit: An Observational Study. Indian J Crit Care Med 2024; 28:393-398. [PMID: 38585327 PMCID: PMC10998513 DOI: 10.5005/jp-journals-10071-24691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 03/11/2024] [Indexed: 04/09/2024] Open
Abstract
Background With the provision of a small positive end-expiratory pressure (PEEP) effect, high-flow nasal oxygen (HFNO) therapy carries a risk of stomach distension. The present study was conducted to find out the air leak in the gastric antrum leading to gastric distension in adult patients with acute respiratory failure receiving HFNO therapy. Materials and methods Adult patients with early hypoxemic respiratory failure requiring HFNO therapy were enrolled in this trial. Before initiation of HFNO therapy, baseline gastric volume (GV) and the average number of peristaltic contractions over one minute were measured using ultrasound. Once the patient was stabilized on HFNO therapy, a 2nd, 3rd, and 4th ultrasound scans were acquired at 10, 20, and 30 minutes respectively. Vitals and blood gas values were recorded at the baseline and after 30 min of initiation of HFNO therapy. Patient comfort, duration of HFNO therapy, and outcome were also recorded. Results The GV at 10, 20, and 30 minutes were significantly larger (p < 0.001) compared to baseline. This increase in GV was associated with a significantly increased number of peristaltic contractions and had a significant positive correlation with the HFNO flow (r = 0.541; p < 0.001). The HFNO therapy was well tolerated by most of the patients and led to a significant improvement in the vitals and blood gas parameters at 30 minutes after initiation of HFNO therapy. Conclusion In adult patients with hypoxemic respiratory failure, the use of HFNO therapy produces gas leaks into the stomach leading to increased gastric volume. The gastric distension increases the peristaltic contraction and higher flows result in more distension. How to cite this article Ramachandran A, Bhatia P, Mohammed S, Kamal M, Chhabra S, Paliwal B. Gastric Insufflation with High Flow Nasal Oxygen Therapy in Adult Patients Admitted to Intensive Care Unit: An Observational Study. Indian J Crit Care Med 2024;28(4):393-398.
Collapse
Affiliation(s)
- Anjana Ramachandran
- Department of Anaesthesiology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India
| | - Pradeep Bhatia
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Sadik Mohammed
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Swati Chhabra
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Bharat Paliwal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
2
|
Abd El-Hack ME, Kamal M, Alazragi RS, Alreemi RM, Qadhi A, Ghafouri K, Azhar W, Shakoori AM, Alsaffar N, Naffadi HM, Taha AE, Abdelnour SA. Impacts of chitosan and its nanoformulations on the metabolic syndromes: a review. BRAZ J BIOL 2024; 83:e276530. [PMID: 38422267 DOI: 10.1590/1519-6984.276530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 11/15/2023] [Indexed: 03/02/2024] Open
Abstract
A significant public health issue worldwide is metabolic syndrome, a cluster of metabolic illnesses that comprises insulin resistance, obesity, dyslipidemia, hyperglycemia, and hypertension. The creation of natural treatments and preventions for metabolic syndrome is crucial. Chitosan, along with its nanoformulations, is an oligomer of chitin, the second-most prevalent polymer in nature, which is created via deacetylation. Due to its plentiful biological actions in recent years, chitosan and its nanoformulations have drawn much interest. Recently, the chitosan nanoparticle-based delivery of CRISPR-Cas9 has been applied in treating metabolic syndromes. The benefits of chitosan and its nanoformulations on insulin resistance, obesity, diabetes mellitus, dyslipidemia, hyperglycemia, and hypertension will be outlined in the present review, highlighting potential mechanisms for the avoidance and medication of the metabolic syndromes by chitosan and its nanoformulations.
Collapse
Affiliation(s)
- M E Abd El-Hack
- Zagazig University, Faculty of Agriculture, Department of Poultry, Zagazig, Egypt
| | - M Kamal
- Agricultural Research Center, Animal Production Research Institute, Dokki, Giza, Egypt
| | - R S Alazragi
- University of Jeddah, College of Science, Department of Biochemistry, Jeddah, Saudi Arabia
| | - R M Alreemi
- University of Jeddah, College of Science, Department of Biochemistry, Jeddah, Saudi Arabia
| | - A Qadhi
- Umm Al-Qura University, Faculty of Applied Medical Sciences, Clinical Nutrition Department, Makkah, Saudi Arabia
| | - K Ghafouri
- Umm Al-Qura University, Faculty of Applied Medical Sciences, Clinical Nutrition Department, Makkah, Saudi Arabia
| | - W Azhar
- Umm Al-Qura University, Faculty of Applied Medical Sciences, Clinical Nutrition Department, Makkah, Saudi Arabia
| | - A M Shakoori
- Umm Al-Qura University, Faculty of Applied Medical Sciences, Laboratory Medicine Department, Makkah, Kingdom of Saudi Arabia
| | - N Alsaffar
- Mohammed Al-Mana College for Medical Sciences, Biochemistry and Molecular Biology Department, Dammam, Saudi Arabia
| | - H M Naffadi
- Umm Al-Qura University, College of Medicine, Department of Medical Genetics, Makkah, Kingdom of Saudi Arabia
| | - A E Taha
- Alexandria University, Faculty of Veterinary Medicine, Department of Animal Husbandry and Animal Wealth Development, Edfina, Egypt
| | - S A Abdelnour
- Zagazig University, Faculty of Agriculture, Department of Animal Production, Zagazig, Egypt
| |
Collapse
|
3
|
Shukla A, Gonnade N, Kamal M. Management of Lymphoedema and Lymphorrhoea with Wrap around Compression in Breast Secondary to Carcinoma Breast: A Case Report. Indian J Palliat Care 2024; 30:85-88. [PMID: 38633681 PMCID: PMC11021050 DOI: 10.25259/ijpc_165_2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/25/2023] [Indexed: 04/19/2024] Open
Abstract
Lymphoedema secondary to breast cancer is one of the most unfortunate outcomes, and lymphoedema secondary to breast cancer in the ipsilateral upper extremity and its management, has been described in the literature. We are reporting a case of lymphoedema and lymphorrhoea in the breast itself, managed by compression bandaging with limited resources and the use of active pharmacological agents in the palliative care unit of a tertiary care hospital. Lymphoedema and lymphorrhoea in the breast are not very common to see in clinics, but management of this case even though no protocol available, was done by modification of bandaging techniques available for limb lymphoedema management.
Collapse
Affiliation(s)
- Aradhana Shukla
- Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Nitesh Gonnade
- Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
4
|
Goyal N, Bharadiya S, Dang D, Kamal M, Kumar R. Anesthetic management for aortopexy in an infant with tracheomalacia. J Anaesthesiol Clin Pharmacol 2024; 40:175-177. [PMID: 38666181 PMCID: PMC11042087 DOI: 10.4103/joacp.joacp_110_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 05/15/2022] [Accepted: 05/28/2022] [Indexed: 04/28/2024] Open
Affiliation(s)
- Neha Goyal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Sweta Bharadiya
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Deepanshu Dang
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Rakesh Kumar
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
5
|
Kamal M, Sengupta S. Diaphragmatic ultrasound: A new frontier in weaning from mechanical ventilation. Indian J Anaesth 2023; 67:S205-S207. [PMID: 38187967 PMCID: PMC10768915 DOI: 10.4103/ija.ija_1065_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 11/01/2023] [Accepted: 11/01/2023] [Indexed: 01/09/2024] Open
Affiliation(s)
- Manoj Kamal
- Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Saikat Sengupta
- Department of Anesthesiology Perioperative Medicine and Pain, Apollo Multispecialty Hospitals, Kolkata, West Bengal, India
| |
Collapse
|
6
|
Anne PB, Kamal M, Singh P, Bodanapu V. Comprehensive approach to patient blood management in India. J Anaesthesiol Clin Pharmacol 2023; 39:682-683. [PMID: 38269156 PMCID: PMC10805189 DOI: 10.4103/joacp.joacp_73_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 02/26/2022] [Indexed: 01/26/2024] Open
Affiliation(s)
- Puneeth Babu Anne
- Department of Transfusion Medicine and Blood Bank, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pallavi Singh
- Department of Transfusion Medicine and Blood Bank, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Vinay Bodanapu
- Department of Transfusion Medicine and Blood Bank, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
7
|
Kumar R, Mohammed S, Paliwal B, Kamal M, Chhabra S, Bhatia P, Syal R. The midpoint transverse process to pleura (MTP) block for postoperative analgesia in patients undergoing modified radical mastectomy: A case series. J Anaesthesiol Clin Pharmacol 2023; 39:648-650. [PMID: 38269175 PMCID: PMC10805222 DOI: 10.4103/joacp.joacp_147_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 06/21/2022] [Accepted: 06/22/2022] [Indexed: 01/26/2024] Open
Abstract
Among the various regional anesthesia techniques used for postoperative analgesia in the modified radical mastectomy (MRM), thoracic paravertebral block (TPVB) is presently considered the technique of choice. Nevertheless, TPVB may lead to complications like inadvertent vascular puncture, hypotension, epidural or intrathecal spread, pleural puncture, or pneumothorax. Recently, a newer technique "midpoint transverse process to pleura" (MTP) block has been described in which the tip of the needle is placed at the midpoint between the transverse process and pleura. In this case series, we included ten patients of American Society of Anesthesiologist status I/II scheduled for MRM. Ultrasound-guided MTP block was performed and the catheter was inserted on the side of the surgery at the level of T4 level. The block was successful in the all patients as their median visual analogue score at rest and movement was 2 and 3, respectively, in first 24 h postoperatively. Only three patients required rescue analgesia in the first 24 h. No procedural-related complications were noticed in any patient. We concluded that MTP block provided effective perioperative analgesia with minimal rescue analgesia requirement and satisfactory safety profile.
Collapse
Affiliation(s)
- Rakesh Kumar
- Departments of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Sadik Mohammed
- Departments of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Bharat Paliwal
- Departments of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Departments of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Swati Chhabra
- Departments of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pradeep Bhatia
- Departments of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Rashmi Syal
- Department of Anesthesiology and Critical Care, Dr S.N. Medical College, Jodhpur, Rajasthan, India
| |
Collapse
|
8
|
Kamal M, Chawriya SK, Kumar M, Kaloria N, Sharma A, Bhatia P, Singariya G, Paliwal B. Effect of sevoflurane, propofol and propofol with dexmedetomidine as maintenance agent on intracranial pressure in the Trendelenburg position during laparoscopic surgeries. J Anaesthesiol Clin Pharmacol 2023; 39:474-481. [PMID: 38025555 PMCID: PMC10661639 DOI: 10.4103/joacp.joacp_511_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 04/16/2022] [Accepted: 04/21/2022] [Indexed: 12/01/2023] Open
Abstract
Background and Aim Pneumoperitoneum (PP) and the Trendelenburg position (TP) in laparoscopic surgeries are associated with rise in intracranial pressure (ICP). The optic nerve sheath diameter (ONSD) is a surrogate marker of ICP. The study aimed to evaluate the effect of sevoflurane, propofol and propofol with dexmedetomidine as maintenance agent on ICP in TP during laparoscopic surgeries. Material and Methods A total of 120 American Society of Anesthesiologists (ASA) physical status I/II patients, aged 18-65 years were randomly allocated into three groups: sevoflurane as group S, propofol as group P, and propofol with dexmedetomidine as group PD. The intra-abdominal pressure (IAP) was kept in the range of 12-14 mmHg and TP varied between 15°- 45° angle. The primary objective was comparison of ICP and secondary objectives were IOP, intraoperative hemodynamic and postoperative recovery characteristics among groups. The ONSD and IOP were measured in both eyes 10 min after endotracheal intubation (T0), 5 min after CO2 insufflation (T1), 5 min after TP (T2) and 5 min after deflation of gas (T3). The data were analyzed by using the Statistical Package for Social Sciences version 23. Results ONSD and IOP at T1 and T2 were significantly higher than T0 in all groups, but no significant difference was found among the intergroup groups. Significantly lower heart rate and mean blood pressure were observed in PD group at T1 and T2 compared to group S and group P. Conclusion The rise in ICP was comparable among sevoflurane, propofol, and propofol-dexmedetomidine combination as a maintenance agent during laparoscopic surgeries in TP.
Collapse
Affiliation(s)
- Manoj Kamal
- Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Sanjeev Kumar Chawriya
- Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Mritunjay Kumar
- Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Narendra Kaloria
- Anaesthesiology and Critical Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Ankur Sharma
- Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pradeep Bhatia
- Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Geeta Singariya
- Department Anaesthesiology and Critical Care, Dr. S N Medical College, Jodhpur, Rajasthan, India
| | - Bharat Paliwal
- Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
9
|
Hari Prasad R, Paliwal B, Kamal M, Bhatia PK. Comparison of the effects of caffeine, aminophylline, and saline on the recovery from total intravenous anesthesia in laparoscopic surgeries: A randomized controlled trial. J Anaesthesiol Clin Pharmacol 2023; 39:404-410. [PMID: 38025567 PMCID: PMC10661620 DOI: 10.4103/joacp.joacp_528_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 01/28/2022] [Accepted: 01/31/2022] [Indexed: 12/01/2023] Open
Abstract
Background and Aims The return of consciousness (ROC) after general anesthesia (GA) is by stopping the administration of anesthetic agents. At present, no drug is given to reverse the loss of consciousness produced by general anesthetic agents. This study is conducted to find whether caffeine and aminophylline hasten the ROC. Material and Methods This study was conducted on 75 American Society of Anesthesiologists (ASA) I and II female patients undergoing laparoscopic hysterectomy, aged between 18 and 60 years. The patients were divided into three equal groups (Group C: caffeine citrate, Group A: aminophylline, and Group S: saline) of 25 each by a computer-generated random number table. GA was induced with propofol, fentanyl, and maintained with propofol infusion. On completion of the surgery, the neuromuscular blocking agent was reversed and then the infusion of propofol was stopped. The study drug was administered intravenously when the BIS 60 was achieved. Time to achieve BIS 90, return of first gag reflex, eye-opening on verbal command, and extubation after study drug administration were noted. Hemodynamic parameters and SpO2 were also monitored. Results The time for BIS 60 to 90 was 10 (4.25) min in the caffeine group, 13 (4.25) min in the aminophylline group, and 26 (9.0) min in the saline group. The time to return of gag reflex and time to extubation were shorter in the caffeine and aminophylline group compared to the saline group. The time to eye-opening on verbal command was shorter in the aminophylline group compared to the saline group. Hemodynamic parameters after infusion of the study drug were comparable in all three groups. Conclusion Caffeine hastens the recovery from total intravenous anesthesia with propofol and fentanyl in laparoscopic hysterectomy as effectively as aminophylline.
Collapse
Affiliation(s)
- R. Hari Prasad
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Bharat Paliwal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pradeep Kumar Bhatia
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
10
|
Dang D, Mohammed S, Chhabra S, Roy S, Kamal M. Electrical Hazard in the Operating Room: A Jolt From the Transesophageal Echocardiography Probe. J Cardiothorac Vasc Anesth 2023; 37:1061. [PMID: 36863989 DOI: 10.1053/j.jvca.2023.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 01/23/2023] [Accepted: 01/25/2023] [Indexed: 02/04/2023]
Affiliation(s)
- Deepanshu Dang
- Department of Anaesthesiology & Critical Care,All India Institute of Medical Sciences, Jodhpur, India.
| | - Sadik Mohammed
- Department of Anaesthesiology & Critical Care,All India Institute of Medical Sciences, Jodhpur, India
| | - Swati Chhabra
- Department of Anaesthesiology & Critical Care,All India Institute of Medical Sciences, Jodhpur, India
| | - Shipra Roy
- Department of Anaesthesiology & Critical Care,All India Institute of Medical Sciences, Jodhpur, India
| | - Manoj Kamal
- Department of Anaesthesiology & Critical Care,All India Institute of Medical Sciences, Jodhpur, India
| |
Collapse
|
11
|
Vajanthri SY, Mohammed S, Kumar M, Chhabra S, Bhatia P, Kamal M, Paliwal B. Evaluation of ultrasound airway assessment parameters in pregnant patients and their comparison with that of non-pregnant women: a prospective cohort study. Int J Obstet Anesth 2023; 53:103623. [PMID: 36682134 DOI: 10.1016/j.ijoa.2022.103623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 10/09/2022] [Accepted: 12/22/2022] [Indexed: 12/29/2022]
Abstract
BACKGROUND Clinical airway assessment parameters differ significantly between pregnant and non-pregnant patients, however literature comparing their ultrasound (US) airway parameters is limited. We planned a prospective cohort study to compare US-assessed airway parameters between pregnant and non-pregnant women. METHODS We enrolled 82 pregnant females scheduled for elective cesarean section under neuraxial anesthesia and 80 age-matched non-pregnant females scheduled for elective surgery. Pre-operative clinical airway assessment was performed in both groups. The US airway assessment was done pre-operatively in non-pregnant and postoperatively in pregnant patients. Our primary objective was to compare US-assessed parameters, and secondary objectives included a comparison of clinical airway assessment parameters and investigating a relationship between a difficult airway (defined as a modified Mallampati grade (MMG) ≥ 3) and other airway assessment parameters. RESULTS Among several US airway parameters, pregnant patients had significantly higher hyomental distance, anterior neck soft tissue thickness at the hyoid and vocal cord level, and oral cavity height, while the tongue thickness and mandibular condylar movements were significantly lower than in non-pregnant patients. Similarly, for the clinical airway assessment, pregnant patients had significantly higher MMG and upper lip bite test scores, mentohyoid distance, and neck circumference. Pregnancy, the ratio of pre-epiglottic space and epiglottis-to-vocal cords distance (Pre-E/E-VC), and hyoid bone visibility were independent predictors of a difficult airway. CONCLUSION The US airway assessment parameters differ significantly between pregnant and non-pregnant patients. Pregnancy, hyoid bone visibility, and Pre-E/E-VC ratio were independent predictors of the difficult airway in female patients.
Collapse
Affiliation(s)
- S Y Vajanthri
- Department of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India
| | - S Mohammed
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, India.
| | - M Kumar
- Department of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India
| | - S Chhabra
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, India
| | - P Bhatia
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, India
| | - M Kamal
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, India
| | - B Paliwal
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, India
| |
Collapse
|
12
|
Kamal M, Negm WA, Abdelkader AM, Alshehri AA, El-Saber Batiha G, Osama H. Most common over-the-counter medications and effects on patients. Eur Rev Med Pharmacol Sci 2023; 27:1654-1666. [PMID: 36876700 DOI: 10.26355/eurrev_202302_31409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
OBJECTIVE The self-medicating practice of using over-the-counter (OTC) medications are more common than prescription drug use worldwide. OTC drugs are primarily used to treat conditions that do not require direct medical attention or supervision, and OTC drugs must be demonstrated to be reasonably safe and well-tolerated. The pharmacy profession describes their role in dispensing over-the-counter (OTC) products as "selecting the best medication according to reported symptoms". This study aimed to evaluate the use of most common over-the-counter (OTC) medications and their effect on patients. PATIENTS AND METHODS A cross-sectional survey-based study was conducted on 442 participants who used OTC drugs from June to November 2021. RESULTS The most common OTC drugs used by patients involved in the study were paracetamol (13.35%), followed by ibuprofen (2.04%). Gender of patients was significantly related to (duration, frequency, suggestion, and misuse) of OTC use and patient counseling by the pharmacist (p<0.05). CONCLUSIONS OTC medications can easily be obtained at pharmacies for the purpose of self-treatment. The most common OTC drugs used by the studied patients were paracetamol, followed by ibuprofen. It is suggested that an awareness program among community people be conducted at the community level regarding over-the-counter (OTC) drugs.
Collapse
Affiliation(s)
- M Kamal
- Department of Clinical Pharmacy, Faculty of Pharmacy, Fayoum University, Fayoum, Egypt.
| | | | | | | | | | | |
Collapse
|
13
|
Selvin CC, Singariya G, Bihani P, Kamal M, Paliwal N, Ujwal S. Comparison of oropharyngeal leak pressure of I-gelTM and BlockbusterTM laryngeal mask airway in anaesthetized pediatric patients. Anesth Pain Med (Seoul) 2023; 18:51-56. [PMID: 36746902 PMCID: PMC9902638 DOI: 10.17085/apm.22209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 09/09/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Supraglottic airways (SGA) are increasingly used in pediatric anesthesia.Among SGA, I-gelTM is a commonly used device in pediatric patients. The BlockbusterTM laryngeal mask airway (LMA) is latest addition in pediatric airway armamentarium. This studywas conducted to compare the clinical performance of I-gelTM and BlockbusterTM LMA in pediatric patients. METHODS A total of 140 children aged 1-5 years, who were undergoing elective surgery,were randomized into two groups either I-gelTM (Group I) or BlockbusterTM LMA (Group B). Airway was secured with appropriate-sized LMA according to group allocation under generalanesthesia. The primary objective of study was oropharyngeal leak pressures (OPLP), andsecondary objectives were number of attempts of device insertion, success rate, ease ofLMA insertion, hemodynamic parameters, and postoperative pharyngolaryngeal morbidities. RESULTS The mean OPLP was significantly higher for I-gelTM compared to BlockbusterTM LMA(27.97 ± 1.65 vs. 26.04 ± 2.12; P < 0.001). The devices were successfully inserted on thefirst attempt in 97.14% and 90% of the Group I and Group B respectively. The insertion time,ease of insertion, hemodynamic parameters and postoperative complications were comparable between groups. CONCLUSIONS The I-gelTM was more efficacious device in term of OPLP than BlockbusterTMLMA for positive pressure ventilation in pediatric patients undergoing short surgical procedures under general anesthesia.
Collapse
Affiliation(s)
- Caren Candace Selvin
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences Jodhpur, India
| | - Geeta Singariya
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences Jodhpur, India
| | - Pooja Bihani
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences Jodhpur, India
| | - Manoj Kamal
- Department of Anesthesiology and Critical Care, Dr S N Medical College Jodhpur, Jodhpur, India,Corresponding Author Manoj Kamal, M.D. Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences Jodhpur, 123, Vaishali Avenue, Jhanwar Road, Jodhpur 342008, Rajasthan, India Tel: 91-291-2705705, Fax: 91-291-2434376
| | - Naveen Paliwal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences Jodhpur, India
| | - Shobha Ujwal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences Jodhpur, India
| |
Collapse
|
14
|
Kamal M, Singariya G, Paliwal B. Pain after thoracotomy: Conquered or to be conquered? Indian J Anaesth 2023; 67:S12-S14. [PMID: 37065951 PMCID: PMC10104086 DOI: 10.4103/ija.ija_90_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 02/01/2023] [Accepted: 02/01/2023] [Indexed: 02/11/2023] Open
|
15
|
Singariya G, Sharma J, Kumari K, Kamal M, Khatri C, Selvin C. Comparison of the effects of intravenous lignocaine and ketamine on postoperative pain after lower abdominal surgeries under general anaesthesia. Indian J Anaesth 2023; 67:S41-S47. [PMID: 37065953 PMCID: PMC10104105 DOI: 10.4103/ija.ija_691_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 11/19/2022] [Accepted: 01/28/2023] [Indexed: 02/11/2023] Open
Abstract
Background and Aims As a component of multimodal analgesia, the administration of systemic lignocaine and ketamine is a well-known technique. This study was designed to compare the effect of intravenous lignocaine and ketamine on postoperative pain in the patients undergoing lower abdominal surgeries under general anaesthesia. Methods Total 126 patients, aged between18 to 60 years, American Society of Anesthesiologists (ASA) physical status I and II, were randomly allocated into lignocaine (Group L), ketamine (Group K), or control (Group C). We assessed the mean fentanyl consumption 24 hours postoperatively, visual analogue score (VAS), time to first rescue analgesia, haemodynamic parameters, postoperative complications patient satisfaction score, and duration of hospital stay among three groups. Results The mean fentanyl consumption in first 24 hours postoperatively was higher in group C (194.65 ± 48.48 μg) compared to group L (139.69 ± 46.96 μg) and group K (161.37 ± 46.31 μg) (P < 0.05). The VAS pain scores were lower in group L and group K compared to group C (P < 0.05). The time to first rescue analgesia was prolonged in group L and group K as compared to group C (P < 0.05). The patients were more satisfied in group L and group K as compared to group C (P < 0.05). Conclusion The mean fentanyl consumption in 24 hours postoperatively and pain intensity were less with intraoperative lignocaine and ketamine infusion with improved patient satisfaction in patients undergoing lower abdominal surgery under general anaesthesia.
Collapse
|
16
|
Kamal M. Message by Editor-in-Chief, Western Supplement of Indian Journal of Anaesthesia. Indian J Anaesth 2023; 67:S11. [PMID: 37065943 PMCID: PMC10104088 DOI: 10.4103/ija.ija_85_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 01/31/2023] [Indexed: 02/11/2023] Open
|
17
|
Proudhon C, Michel M, Heidary M, Mechri A, Hego C, Rampanou A, Le Tourneau C, Kamal M, Ivan B, Stern MH, Lantz O, Cabel L, Pierga JY, Bidard F, Azencott CA. 5MO Hypomethylation of circulating retrotransposons: Towards a non-invasive pan-cancer diagnosis. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
|
18
|
Acherjya GK, Ali M, Roy GC, Rahman MS, Nuruzzaman M, Biswas R, Islam MN, Hoque MT, Tarafder K, Chakrabortty A, Kamal M, Kudrat-E-Khuda CM, Saha T, Debnath S, Zesmin F, Hossain MI, Deb SR, Bhuiyan GR, Paul GK, Azad AK. Psychological Assessment of Health-Care Workers Working during COVID-19 Pandemic Condition in Bangladesh. Mymensingh Med J 2022; 31:466-476. [PMID: 35383768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The study was aimed to assess the psychological aspects and relevant factors of the health-care workers (HCWs) working in COVID 19 pandemic condition in Bangladesh. This online cross-sectional survey was conducted from different tertiary, secondary and primary hospitals in Bangladesh. Eligible 638 HCWs who were directly involved in the caring of confirmed or suspected COVID-19 patients were recruited in this study. The mental health was assessed by the Patient Health Questionnare-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) and Athens Insomnia Scale (AIS). High frequency of depression 536(84.0%), anxiety 386(60.5%) and insomnia 302(47.3%) was found among the HCWs, which were significantly higher in physicians (p<0.001) than nurses. Moderate to severe depression was significantly higher in female, whereas minimal to mild depression was significant in male HCWs (p=0.014). Symptoms of depression (p<0.001), anxiety (p<0.001) and insomnia (p=0.004) were significantly higher among the HCWs of primary and secondary compared to the tertiary level. The HCWs developed psychological trauma due to family health (45.3%) and contagious disease property (66.6%). After adjusting confounders, multivariable logistic regression analysis showed that physicians and HCWs of secondary hospital had significant symptoms of severe depression (OR=2.95, 95% CI=0.50-17.24; p<0.001), anxiety (OR=2.64, 95% CI=0.80-8.72; p<0.001) and insomnia (OR=2.67, 95% CI=1.23-5.84; p=0.018); whereas female HCWs had more risk of developing symptoms of severe insomnia (OR= 1.84; 95% CI=1.23-2.75; p=0.003). High rate of depression, anxiety and insomnia was found among HCWs working in the COVID-19 pandemic condition in this survey.
Collapse
Affiliation(s)
- G K Acherjya
- Dr Goutam Kumar Acherjya, Assistant Professor of Medicine, Jashore Medical College, Jashore, Bangladesh; E-mail:
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
19
|
Ayad A, Abd-Allah M, Kamal M. Non-genetic factors affecting phenotypic parameters of milk production and reproductive performance in lactating Egyptian buffaloes. Archives of Agriculture Sciences Journal 2022; 0:10-24. [DOI: 10.21608/aasj.2022.230030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
|
20
|
Singariya G, Malhotra N, Kamal M, Jaju R, Aggarwal S, Bihani P. Comparison of nebulized dexmedetomidine and ketamine for premedication in pediatric patients undergoing hernia repair surgery: a randomized comparative trial. Anesth Pain Med (Seoul) 2022; 17:173-181. [PMID: 35378572 PMCID: PMC9091671 DOI: 10.17085/apm.21081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 01/03/2022] [Indexed: 11/17/2022] Open
Abstract
Background Allaying anxiety and providing calm children in the operating room is a challenging task for anesthesiologists. This study was designed to compare the use of nebulized dexmedetomidine and ketamine for premedication in pediatric patients under general anesthesia. Methods Seventy patients, aged 2 to 8 years of both sexes, with American Society of Anesthesiologists physical status I/II scheduled for hernia repair surgery under general anesthesia, were randomized to two equal groups using a computer-generated random number table. Patients in group D received dexmedetomidine (2 µg/kg), and patients in group K received ketamine (2 mg/kg) by a jet nebulizer before the induction of anesthesia. The study's primary objective was comparing the level of sedation, which was achieved at 30 min after a study drug administration using the Ramsay sedation scale, between the two groups. The secondary objectives were the two-group comparison of parental separation anxiety scale, acceptance of the mask, hemodynamic variables, recovery time, incidence of emergence agitation, and adverse events. Results The median Ramsay sedation scale at 30 min was 3 (1–4) in group D and 3 (1–3) in group K (P = 0.002). Patients in group D had a more acceptable parental separation anxiety scale (P = 0.001) and a satisfactory mask acceptance scale (P = 0.042). Conclusions Nebulized dexmedetomidine (2 µg/kg) provided better sedation along with smooth parental separation and satisfactory mask acceptance during induction of anesthesia with a similar emergence agitation profile and adverse reactions compared to nebulized ketamine in pediatric patients.
Collapse
Affiliation(s)
- Geeta Singariya
- Department of Anesthesiology & Critical Care, Dr S N Medical College, Jodhpur, India
- Corresponding Author Geeta Singariya, M.D. Department of Anesthesiology & Critical Care, Dr S N Medical College, Jodhpur 123, Vaishali Avenue, Jhanwar Road, Jodhpur 342008, Rajasthan, India E-mail: Tel: 91-0291-2705705, Fax: 91-0291-2434376
| | - Namita Malhotra
- Department of Anesthesiology & Critical Care, Dr S N Medical College, Jodhpur, India
| | - Manoj Kamal
- Department of Anesthesiology & Critical Care, All India Institute of Medical Sciences, Jodhpur, India
| | - Rishabh Jaju
- Department of Anesthesiology & Critical Care, Andaman Nicobar Island Institute of Medical Sciences, Port Blair, India
| | - Shruti Aggarwal
- Department of Anesthesiology & Critical Care, Dr S N Medical College, Jodhpur, India
| | - Pooja Bihani
- Department of Anesthesiology & Critical Care, Dr S N Medical College, Jodhpur, India
| |
Collapse
|
21
|
Kamal M, Kumar M, Bihani P, Mital T, Singariya G, Bhatia P. Real-time ultrasound-guided epidural catheter placement in infants: a case series. Braz J Anesthesiol 2022:S0104-0014(22)00034-3. [PMID: 35314272 DOI: 10.1016/j.bjane.2022.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 03/07/2022] [Accepted: 03/08/2022] [Indexed: 06/14/2023]
Abstract
Although epidural catheter insertion under ultrasound (US) guidance in the pediatric age group has been reported in the literature, it is yet to be adopted widely in clinical practice. The incomplete fusion of bones in pediatric patients provides an acoustic window for the US. The epidural space in children is at shallow depth, hence a high-frequency probe, which provides better resolution can be used. We present a case series in which real-time US-guided epidural catheter placement was performed in 10 infants in lower thoracic and upper lumbar interspaces. We reiterate that the use of real-time US during epidural catheter placement in patients increases the success rate of epidural catheter placement while decreasing procedural complications.
Collapse
Affiliation(s)
- Manoj Kamal
- All India Institute of Medical Sciences, Anaesthesiology & Critical Care, Jodhpur, India.
| | - Mritunjay Kumar
- All India Institute of Medical Sciences, Anaesthesiology, Critical Care and Pain Medicine, New Delhi, India
| | - Pooja Bihani
- Dr S N Medical College, Anaesthesiology & Critical Care, Jodhpur, India
| | - Tanya Mital
- All India Institute of Medical Sciences, Anaesthesiology & Critical Care, Jodhpur, India
| | - Geeta Singariya
- Dr S N Medical College, Anaesthesiology & Critical Care, Jodhpur, India
| | - Pradeep Bhatia
- All India Institute of Medical Sciences, Anaesthesiology & Critical Care, Jodhpur, India
| |
Collapse
|
22
|
Mital T, Kamal M, Kumar M, Kumar R, Bhatia P, Singariya G. Comparison of landmark and real-time ultrasound-guided epidural catheter placement in the pediatric population: a prospective randomized comparative trial. Anesth Pain Med (Seoul) 2022; 16:368-376. [PMID: 35139618 PMCID: PMC8828618 DOI: 10.17085/apm.21035] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 07/09/2021] [Indexed: 11/24/2022] Open
Abstract
Background Epidural block placement in pediatric patients is technically challenging for anesthesiologists. The use of ultrasound (US) for the placement of an epidural catheter has shown promise. We compared landmark-guided and US-guided lumbar or lower thoracic epidural needle placement in pediatric patients. Methods This prospective, randomized, comparative trial involved children aged 1–6 years who underwent abdominal and thoracic surgeries. Forty-five children were randomly divided into two groups using a computer-generated random number table, and group allocation was performed by the sealed opaque method into either landmark-guided (group LT) or real-time ultrasound-guided (group UT) epidural placement. The primary outcome was a comparison of the procedure time (excluding US probe preparation). Secondary outcomes were the number of attempts (re-insertion of the needle), bone contacts, needle redirection, skin-to-epidural distance using the US in both groups, success rate, and complications. Results The median (interquartile range) time to reach epidural space was 105.5 (297.0) seconds in group LT and 143.0 (150) seconds in group UT (P = 0.407). While the first attempt success rate was higher in the UT group (87.0% in UT vs. 40.9% in LT; P = 0.004), the number of bone contacts, needle redirections, and procedure-related complications were significantly lower. Conclusions The use of US significantly reduced needle redirection, number of attempts, bone contact, and complications. There was no statistically significant difference in the time to access the epidural space between the US and landmark technique groups.
Collapse
Affiliation(s)
- Tanya Mital
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, India
| | - Manoj Kamal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, India
| | - Mritunjay Kumar
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
| | - Rakesh Kumar
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, India
| | - Pradeep Bhatia
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, India
| | - Geeta Singariya
- Department of Anesthesiology and Critical Care, Dr S N Medical College, Jodhpur, India
| |
Collapse
|
23
|
Kumar R, Kamal M, Bhatia P, Sahoo P. Bilateral video-assisted thoracoscopic surgery in tracheotomised patients: E-Z blocker, a promising alternative. Indian J Anaesth 2022; 66:384-385. [PMID: 35782670 PMCID: PMC9241186 DOI: 10.4103/ija.ija_918_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 02/21/2022] [Accepted: 04/15/2022] [Indexed: 11/20/2022] Open
|
24
|
Kamal M, Bhargava S, Katyal S. Role of conferences and continuing medical education (CME) in post-graduate anaesthesia education. Indian J Anaesth 2022; 66:82-84. [PMID: 35309020 PMCID: PMC8929310 DOI: 10.4103/ija.ija_1102_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/09/2022] [Accepted: 01/09/2022] [Indexed: 12/04/2022] Open
Affiliation(s)
- Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India,Address for correspondence: Dr. Manoj Kamal, Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. E-mail:
| | - Suresh Bhargava
- Department of Anaesthesiology and Critical Care, Shailby Multispeciality Hospital, Jaipur, Rajasthan, India
| | - Sunil Katyal
- Department of Anaesthesiology and Critical Care, Aykai Hospital, Ludhiana, Punjab, India
| |
Collapse
|
25
|
Chaudhary K, Kumari K, Chhabra S, Bhatia P, Kamal M, Kishan R, Verma M, Kumar A. Psychosocial impact and coping strategies of frontline healthcare workers in Western Rajasthan during COVID-19 pandemic. J Anaesthesiol Clin Pharmacol 2022; 38:S58-S65. [PMID: 36060156 PMCID: PMC9438841 DOI: 10.4103/joacp.joacp_291_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 07/12/2021] [Accepted: 07/14/2021] [Indexed: 11/04/2022] Open
|
26
|
Syal R, Soni K, Kumar R, Kamal M. A novel indication of an advanced block: Mid-point transverse process to pleura block for rib cartilage harvesting in pinna reconstruction surgery-A case report. Indian J Anaesth 2022; 66:607-608. [PMID: 36274801 PMCID: PMC9580585 DOI: 10.4103/ija.ija_150_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 07/24/2022] [Accepted: 08/03/2022] [Indexed: 11/04/2022] Open
|
27
|
Kamal M, Hariprasad R, Bhatia P, Misra S, Sharma P, Garg M, Kothari N, Gupta M, Singariya G. Use of rotational thromboelastometry to predict the outcome of COVID-19 patients: A retrospective observational study. J Anaesthesiol Clin Pharmacol 2022; 38:S89-S95. [PMID: 36060159 PMCID: PMC9438828 DOI: 10.4103/joacp.joacp_469_21] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Revised: 12/01/2021] [Accepted: 12/09/2021] [Indexed: 12/15/2022] Open
Abstract
Background and Aims: Material and Methods: Results: Conclusion:
Collapse
|
28
|
Paliwal B, Goyal N, Kamal M, Kumar R. Migration of chemoport catheter to the right ventricle: A catastrophic rare complication. Saudi J Anaesth 2022; 16:124-125. [PMID: 35261603 PMCID: PMC8846245 DOI: 10.4103/sja.sja_460_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 06/25/2021] [Accepted: 06/25/2021] [Indexed: 11/04/2022] Open
|
29
|
Mohammed S, Syal R, Bhatia P, Chhabra S, Chouhan RS, Kamal M. Prediction of post-induction hypotension in young adults using ultrasound-derived inferior vena cava parameters: An observational study. Indian J Anaesth 2021; 65:731-737. [PMID: 34898699 PMCID: PMC8607854 DOI: 10.4103/ija.ija_1514_20] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 01/26/2021] [Accepted: 08/28/2021] [Indexed: 11/04/2022] Open
Abstract
Background and Aims Inferior vena cava (IVC) diameter and its respiratory variability have been shown to predict post-induction hypotension with high specificity in a mixed population of patients. We assessed whether these parameters could be as reliable in healthy adult patients as in a mixed patient population. Methods In the present prospective observational study, 110 patients of either sex, aged between 18 and 50 years, belonging to American Society of Anesthesiologists class I and II, fasted as per the institutional protocol and scheduled for elective surgery under general anaesthesia were enroled. Prior to induction, ultrasound examination of IVC was done and variation in IVC diameter with respiration was assessed. Maximum and minimum IVC diameters [(dIVCmax) and (dIVCmin), respectively] over a single respiratory cycle were measured and collapsibility index (CI) was calculated. Vitals were recorded just before induction and at every minute after induction for 10 min. Episodes of hypotension (mean arterial pressure [MAP] <65 mmHg or fall in MAP >30% from baseline) during the observation period were recorded. The receiver operating characteristic (ROC) curve was constructed for determining optimum cut-off with sensitivity and specificity of IVC diameters and CI for development of hypotension. Results IVC was not visualised in 22 patients. Out of the remaining 88 patients, 17 (19.3%) patients developed hypotension after induction. The dIVCmax, dIVCmin and CI were comparable between patients who developed and who did not develop hypotension. The area under curve of ROC for CI, dIVCmax and dIVCmin was 0.51, 0.55 and 0.52, respectively, with optimum cut-off value of 0.46, 1.42 and 0.73, respectively. Conclusion Ultrasound-derived IVC parameters demonstrate poor diagnostic accuracy for prediction of hypotension after induction in healthy adult patients.
Collapse
Affiliation(s)
- Sadik Mohammed
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India
| | - Rashmi Syal
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India
| | - Pradeep Bhatia
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India
| | - Swati Chhabra
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India
| | - Ravindra S Chouhan
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India
| |
Collapse
|
30
|
Reddy J, Narahari S, Vasudev V, Kamal M. Transcatheter occlusion of coronary artery fistulas in pediatric patients: Experience of a tertiary care pediatric cardiac centre in South India. Indian Heart J 2021. [DOI: 10.1016/j.ihj.2021.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
31
|
Otrofanowei E, Akinkugbe AO, Otike-Odibi BI, Ayanlowo OO, Akase IE, Karami M, Kamal M, Akanbi B. Covid 19: A Prospective Observational Study on the Cutaneous Manifestations of Patients in Lagos, Nigeria. West Afr J Med 2021; Vol. 38:944-951. [PMID: 34855332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
BACKGROUND Cutaneous manifestations of COVID-19 have been documented from Europe, USA, and China but none from Africa to date. Skin findings among Africans differ from Caucasians and it is important to report these in Nigerians with COVID-19. METHODS A prospective observational review involving patients seen at the Emergency triage, and Isolation wards of the Lagos University Teaching Hospital. Demographic and clinical data were captured; skin and appendages were examined by a dermatologist between 0800hrs and 1600hours to minimise visual errors of artificial light masking cutaneous lesions. RESULTS Of 235 participants, 17 (7.23%) had recent onset skin rash, with 7 (41.2%) experienced itching and 11 confirmed with COVID-19. There was a male: female ratio of 97:43 (2.3:1) among COVID-19 patients. Cutaneous findings were seen in 12 (5.1%) participants, with the face and trunk mostly affected and acne plus papular eruptions predominating. There was no significant relationship between COVID-19 and recent onset skin rash (χ2, p = 0.87). Only 2 of the 17 participants had a previously existing dermatoses ((χ2, p = 0.84). There was no significant relation between use of medications and onset of rashes (χ2, p = 0.72) or between those with co-morbidities and onset of rashes (χ2, p = 0.51). CONCLUSION Cutaneous manifestations were found among Nigerian patients with SARS-CoV-2 infection. Most presented with pruritus and papular eruptions and no morphologic pattern was demonstrated. Physicians and dermatologists need to be aware and look out for skin changes in SARS-CoV-2 infection as they may be early pointers to COVID-19. Keywords: Cutaneous findings, manifestations, Skin, COVID-19, Nigeria.
Collapse
Affiliation(s)
- E Otrofanowei
- Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos/ Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State, Nigeria
| | - A O Akinkugbe
- Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos/ Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State, Nigeria
| | - B I Otike-Odibi
- Department of Medicine, Faculty of Clinical Sciences, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
| | - O O Ayanlowo
- Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos/ Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State, Nigeria
| | - I E Akase
- Department of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos/ Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State, Nigeria
| | - M Karami
- Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State, Nigeria
| | - M Kamal
- Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State, Nigeria
| | - B Akanbi
- Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State, Nigeria
| |
Collapse
|
32
|
Rafiq N, Ahmad SZ, Yasmeen G, Baset A, Iqbal MA, Khan A, Naz S, Ahmad S, Khan T, Kamal M, Ali A. Identification of terrestrial gastropods families found in district Swat, Pakistan. BRAZ J BIOL 2021; 83:e248420. [PMID: 34495163 DOI: 10.1590/1519-6984.248420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 03/16/2021] [Indexed: 11/22/2022] Open
Abstract
Very little is known about the malacofauna in district Swat of Khyber Pakhtunkhwa province, situated in the Northern part of Pakistan. The Swat valley possesses a variety of suitable environmental conditions, providing different types of habitats for both flora and fauna. Taken into consideration these points, the present study was conducted to explore the terrestrial snails diversity in agricultural and non-agricultural fields in the lower Swat valley. A total of 417 shells were collected from three sites: Kokarai, Kanju Township, and Deolai. Based on conchological features, three families: Bradybaenidae, Hygromiidae, and Zonitidae were identified using different terrestrial snail keys. In Kokarai and Deolai, shells of members of all the above-mentioned families were found from agricultural fields. In Kanju Township, shells of members of the family Bradybaenidae and Zonitidae were found. From these findings, it was concluded that district Swat possesses a significant malacofauna which was unexplored before and aided more to the existing literature on malacofauna. It also supports the idea that the agroecosystem is rich in species diversity. Further in-depth and extensive study is recommended to be carried out for a detailed taxonomy of the described terrestrial gastropod families.
Collapse
Affiliation(s)
- N Rafiq
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| | - S Z Ahmad
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| | - G Yasmeen
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - A Baset
- Bacha Khan University, Department of Zoology, Charsadda, Pakistan
| | - M A Iqbal
- Gomal University, Department of Zoology, Tank Campus, Dera Ismail Khan, Pakistan
| | - A Khan
- Bacha Khan University, Department of Zoology, Charsadda, Pakistan
| | - S Naz
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| | - S Ahmad
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| | - T Khan
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| | - M Kamal
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| | - A Ali
- Abdul Wali Khan University, Department of Zoology, Mardan, Pakistan
| |
Collapse
|
33
|
Kombathula S, Pareek P, Srinivasan S, Kannikanti D, Solanki A, Vyas R, Kamal M, Vishnoi J, Bhardwaj P, Misra S. 1454P A prospective trial evaluating the impact of tele-palliative care in cancer patients: Exploring opportunities in adversities. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
34
|
Dupain C, Gutman T, Girard E, du Rusquec P, Sablin MP, Tresca P, Neuzillet C, Vincent-Salomon A, Antonio S, Franck C, Galut M, Allory Y, Cyrta J, Guillou I, Wong J, Le Tourneau C, Bièche I, Servant N, Kamal M, Masliah-Planchon J. 75P Tumor mutational burden in clinical routine practice: Identifying the right threshold? Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
35
|
Swathi KB, Kamal M, Kumar M, Kumar R, Chhabra S, Bhatia P. Comparison of analgesic efficacy of the conventional approach and mid-transverse process to pleura approach of the paravertebral block in video-assisted thoracoscopy surgeries: A randomised controlled trial. Indian J Anaesth 2021; 65:512-518. [PMID: 34321681 PMCID: PMC8312384 DOI: 10.4103/ija.ija_64_21] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 03/21/2021] [Accepted: 05/06/2021] [Indexed: 11/04/2022] Open
Abstract
Background and Aims The paravertebral block (PVB) is an effective alternative to thoracic epidural analgesia for post-operative analgesia in thoracic surgeries. Despite the use of ultrasound in PVB, the search for a safer approach continues. This study was conducted to compare the analgesic efficacy of conventional and mid-transverse process to the pleura (MTP) approach of the PVB. Methods Forty patients aged between 18-60 years, posted for video-assisted thoracoscopic surgery, were enroled for this study. Patients were randomised into two groups using a random number table, and group allocation was done by the sealed opaque envelope method. One group received PVB by conventional approach (group CP). In contrast, patients in the other group (group MP) received PVB by the mid-transverse process to pleura (MTP) approach before induction of general anaesthesia under ultrasound guidance. The study's primary aim was to compare analgesic consumption in the first 24 hours. Secondary aims were comparing the Visual Analogue Scale (VAS) score, block performance time, dermatomal spread, haemodynamic parameters such as heart rate (HR), oxygen saturation (SpO2), and non-invasive blood pressure (NIBP), patient satisfaction scores, and complications observed. Data were analysed using Statistical Package for the Social Sciences version 23. Results Demographic parameters, block performance time, and dermatomal distribution were comparable in both groups. We did not find any statistical difference in the analgesic consumption in the first 24 hours (P = 0.38), VAS at rest or on movement, complication rates, and patient satisfaction scores between the groups. Conclusion The MTP approach of the PVB is as effective as the conventional thoracic paravertebral approach for post-operative analgesia in video-assisted thoracoscopic surgeries.
Collapse
Affiliation(s)
- K B Swathi
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Mritunjay Kumar
- Department of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Rakesh Kumar
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Swati Chhabra
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pradeep Bhatia
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
36
|
Syal R, Kumar R, Chhabra S, Kamal M. Cuff inflation technique: A saviour in the double lumen tube placement. J Clin Anesth 2021; 74:110364. [PMID: 34147930 DOI: 10.1016/j.jclinane.2021.110364] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Revised: 05/20/2021] [Accepted: 05/23/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Rashmi Syal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur 342005, India.
| | - Rakesh Kumar
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur 342005, India.
| | - Swati Chhabra
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur 342005, India.
| | - Manoj Kamal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur 342005, India.
| |
Collapse
|
37
|
Moreira A, Poulet A, Masliah-Planchon J, Lecerf C, Vacher S, Larbi Chérif L, Dupain C, Marret G, Girard E, Syx L, Hoffmann C, Jeannot E, Klijanienko J, Guillou I, Mariani O, Dubray-Vautrin A, Badois N, Lesnik M, Choussy O, Calugaru V, Borcoman E, Baulande S, Legoix P, Albaud B, Servant N, Bieche I, Le Tourneau C, Kamal M. Prognostic value of tumor mutational burden in patients with oral cavity squamous cell carcinoma treated with upfront surgery. ESMO Open 2021; 6:100178. [PMID: 34118772 PMCID: PMC8207209 DOI: 10.1016/j.esmoop.2021.100178] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 04/19/2021] [Accepted: 05/17/2021] [Indexed: 12/25/2022] Open
Abstract
Background Oral cavity is the most prevalent site of head and neck squamous cell carcinomas (HNSCCs). Most often diagnosed at a locally advanced stage, treatment is multimodal with surgery as the cornerstone. The aim of this study was to explore the molecular landscape of a homogenous cohort of oral cavity squamous cell carcinomas (OCSCCs), and to assess the prognostic value of tumor mutational burden (TMB), along with classical molecular and clinical parameters. Patients and methods One hundred and fifty-one consecutive patients with OCSCC treated with upfront surgery at the Institut Curie were analyzed. Sequencing of tumor DNA from frozen specimens was carried out using an in-house targeted next-generation sequencing panel (571 genes). The impact of molecular alterations and TMB on disease-free survival (DFS) and overall survival (OS) was evaluated in univariate and multivariate analyses. Results Pathological tumor stage, extranodal spread, vascular emboli, and perineural invasion were associated with both DFS and OS. TP53 was the most mutated gene (71%). Other frequent molecular alterations included the TERT promoter (50%), CDKN2A (25%), FAT1 (17%), PIK3CA (14%), and NOTCH1 (15%) genes. Transforming growth factor-β pathway alterations (4%) were associated with poor OS (P = 0.01) and DFS (P = 0.02) in univariate and multivariate analyses. High TMB was associated with prolonged OS (P = 0.01 and P = 0.02, in the highest 10% and 20% TMB values, respectively), but not with DFS. Correlation of TMB with OS remained significant in multivariate analysis (P = 0.01 and P = 0.005 in the highest 10% and 20% TMB values, respectively). Pathological tumor stage combined with high TMB was associated with good prognosis. Conclusion Our results suggest that a high TMB is associated with a favorable prognosis in patients with OCSCC treated with upfront surgery. High TMB is associated with a favorable prognosis in patients with OCSCC treated with upfront surgery Pathological tumor stage combined with high TMB is associated with good prognosis TP53 was the most mutated gene (71%). Other frequent molecular alterations included the TERT promoter (50%) TGFβ pathway alterations were associated with poor outcomes, although it was only observed in 4% of the patients
Collapse
Affiliation(s)
- A Moreira
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - A Poulet
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - J Masliah-Planchon
- Department of Genetics, Institut Curie, PSL Research University, Paris, France
| | - C Lecerf
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - S Vacher
- Department of Genetics, Institut Curie, PSL Research University, Paris, France
| | - L Larbi Chérif
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - C Dupain
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - G Marret
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - E Girard
- INSERM U900 Research Unit, Institut Curie, Paris and Saint-Cloud, France
| | - L Syx
- INSERM U900 Research Unit, Institut Curie, Paris and Saint-Cloud, France
| | - C Hoffmann
- INSERM U932 Research Unit, Institut Curie, PSL Research University, Paris, France; Department of Oncologic Surgery, Institut Curie, PSL Research University, Paris, France
| | - E Jeannot
- Department of Genetics, Institut Curie, PSL Research University, Paris, France; Department of Pathology, Institut Curie, PSL Research University, Paris, France
| | - J Klijanienko
- Department of Pathology, Institut Curie, PSL Research University, Paris, France
| | - I Guillou
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - O Mariani
- Department of Pathology, Institut Curie, PSL Research University, Paris, France
| | - A Dubray-Vautrin
- Department of Oncologic Surgery, Institut Curie, PSL Research University, Paris, France
| | - N Badois
- Department of Oncologic Surgery, Institut Curie, PSL Research University, Paris, France
| | - M Lesnik
- Department of Oncologic Surgery, Institut Curie, PSL Research University, Paris, France
| | - O Choussy
- Department of Oncologic Surgery, Institut Curie, PSL Research University, Paris, France
| | - V Calugaru
- Department of Oncologic Radiotherapy, Institut Curie, PSL Research University, Paris, France
| | - E Borcoman
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France
| | - S Baulande
- Institut Curie Genomics of Excellence (ICGex) Platform, PSL Research University, Paris, France
| | - P Legoix
- Institut Curie Genomics of Excellence (ICGex) Platform, PSL Research University, Paris, France
| | - B Albaud
- Institut Curie Genomics of Excellence (ICGex) Platform, PSL Research University, Paris, France
| | - N Servant
- INSERM U900 Research Unit, Institut Curie, Paris and Saint-Cloud, France
| | - I Bieche
- Department of Genetics, Institut Curie, PSL Research University, Paris, France; INSERM U1016, Paris Descartes University, Faculty of Pharmaceutical and Biological Sciences, Paris, France
| | - C Le Tourneau
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France; INSERM U900 Research Unit, Institut Curie, Paris and Saint-Cloud, France; Paris-Saclay University, Paris, France
| | - M Kamal
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris and Saint-Cloud, France.
| |
Collapse
|
38
|
de Guillebon E, Jimenez M, Mazzarella L, Betsou F, Stadler P, Peták I, Jeannot E, Chanas L, Servant N, Marret G, Duso BA, Legrand F, Kornerup KN, Bernhart SH, Balogh G, Dóczi R, Filotás P, Curigliano G, Bièche I, Guérin J, Dirner A, Neuzillet C, Girard N, Borcoman E, Larbi Chérif L, Tresca P, Roufai DB, Dupain C, Scholl S, André F, Fernandez X, Filleron T, Kamal M, Le Tourneau C. Combining immunotherapy with an epidrug in squamous cell carcinomas of different locations: rationale and design of the PEVO basket trial. ESMO Open 2021; 6:100106. [PMID: 33865192 PMCID: PMC8066350 DOI: 10.1016/j.esmoop.2021.100106] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 02/12/2021] [Accepted: 03/06/2021] [Indexed: 12/25/2022] Open
Abstract
Squamous cell carcinomas (SCCs) are among the most frequent solid tumors in humans. SCCs, related or not to the human papillomavirus, share common molecular features. Immunotherapies, and specifically immune checkpoint inhibitors, have been shown to improve overall survival in multiple cancer types, including SCCs. However, only a minority of patients experience a durable response with immunotherapy. Epigenetic modulation plays a major role in escaping tumor immunosurveillance and confers resistance to immune checkpoint inhibitors. Preclinical evidence suggests that modulating the epigenome might improve the efficacy of immunotherapy. We herein review the preclinical and the clinical rationale for combining immunotherapy with an epidrug, and detail the design of PEVOsq, a basket clinical trial combining pembrolizumab with vorinostat, a histone deacetylase inhibitor, in patients with SCCs of different locations. Sequential blood and tumor sampling will be collected in order to identify predictive and pharmacodynamics biomarkers of efficacy of the combination. We also present how clinical and biological data will be managed with the aim to enable the development of a prospective integrative platform to allow secure and controlled access to the project data as well as further exploitations.
Collapse
Affiliation(s)
- E de Guillebon
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France; Inserm U932 Research Unit - Immunite et cancer, Paris, France
| | | | - L Mazzarella
- Department of Experimental Oncology, European Institute of Oncology - IRCCS, Milan, Italy; Division of Innovative Therapies, European Institute of Oncology - IRCCS, Milan, Italy
| | - F Betsou
- Integrated Biobank of Luxembourg, Dudelange, Luxembourg
| | - P Stadler
- Bioinformatics Group, Department of Computer, University of Leipzig, Leipzig, Germany
| | - I Peták
- Oncompass Medicine Ltd, Budapest, Hungary; Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary; Department of Pharmaceutical Sciences, University of Illinois at Chicago, Chicago, USA
| | - E Jeannot
- Department of Genetics, Institut Curie, Paris, France; Department of Pathology, Institut Curie, Paris, France
| | - L Chanas
- Data Direction, Institut Curie, Paris, France
| | - N Servant
- Inserm U900 Research Unit, Saint Cloud, France
| | - G Marret
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France
| | - B A Duso
- Department of Experimental Oncology, European Institute of Oncology - IRCCS, Milan, Italy
| | | | - K N Kornerup
- Integrated Biobank of Luxembourg, Dudelange, Luxembourg
| | - S H Bernhart
- Bioinformatics Group, Department of Computer, University of Leipzig, Leipzig, Germany
| | - G Balogh
- Bioinformatics Group, Department of Computer, University of Leipzig, Leipzig, Germany
| | - R Dóczi
- Oncompass Medicine Ltd, Budapest, Hungary
| | - P Filotás
- Oncompass Medicine Ltd, Budapest, Hungary
| | - G Curigliano
- Division of Innovative Therapies, European Institute of Oncology - IRCCS, Milan, Italy; Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary; University of Milano, Milan, Italy
| | - I Bièche
- Department of Genetics, Institut Curie, Paris, France
| | - J Guérin
- Data Direction, Institut Curie, Paris, France
| | - A Dirner
- Oncompass Medicine Ltd, Budapest, Hungary
| | - C Neuzillet
- Department of Medical Oncology, Institut Curie, Paris, France; Paris-Saclay University, Paris, France
| | - N Girard
- Department of Medical Oncology, Institut Curie, Paris, France; Paris-Saclay University, Paris, France
| | - E Borcoman
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France
| | - L Larbi Chérif
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France
| | - P Tresca
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France
| | - D B Roufai
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France
| | - C Dupain
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France
| | - S Scholl
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France
| | - F André
- Department of Medical Oncology, Gustave Roussy, Villejuif; INSERM, Gustave Roussy Cancer Campus, UMR981, Villejuif; University of Paris-Sud, Orsay, France
| | - X Fernandez
- Data Direction, Institut Curie, Paris, France
| | - T Filleron
- Biostatistics Unit, Institut Claudius Regaud, Institut Universitaire du Cancer de Toulouse-Oncopole, Toulouse, France
| | - M Kamal
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France.
| | - C Le Tourneau
- Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France; Inserm U900 Research Unit, Saint Cloud, France; Paris-Saclay University, Paris, France.
| |
Collapse
|
39
|
Khan W, Naqvi SMHM, Ahmad N, Kamal M, Hassan H, Noor A, Khan S, Ahmad J, Ullah U, Akhtar S, Shadman M. Prevalence of rhabdochoniasis in snow trout of river Swat and river Panjkora, Khyber Pakhtunkhwa province, Pakistan. BRAZ J BIOL 2021; 82:e238874. [PMID: 34037079 DOI: 10.1590/1519-6984.238874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 09/23/2020] [Indexed: 11/21/2022] Open
Abstract
This research was aimed to explore the helminth parasitic diseases in Schizothorax plagiostomus (the snow trout) from river Swat and river Panjkora, Pakistan. Collection of 360 fish specimens have done from the lower, middle and upper reaches of both the rivers through gill nets, cast nets, dragon nets and hooks. All the samples were examined in the University of Malakand, Zoology Department for helminth parasites during the months from January 2015 to December 2016. Of the total examined fish samples 21.9% (n=79) were infected with Rhabdochona spp including 17.7% (n=32/180) in river Swat and 26.6% (n=47/180) in river Panjkora. Highest month-wise prevalence (p=0.09878,p<0.05) was reported in May (30%), then by February and October each (26.6%) while the lowest during August (13.3%). Highest prevalence (p=0.9723, p<0.05) was reported in summer season (26.6%), while lowest in the winter season (20%). Adults were highly infected (p=< 0.0001) in prevalence (63.7%) followed by sub-adults (13.2%) while no infection was found in juvenile specimens. Females fish samples had higher (p=0.0277, p>0.05) prevalence (28.8%) than males (16.6%). Fishes of the lower reaches had highest (p=0.0029, P>0.05) prevalence (31.7%) followed by middle reaches (16.5%) while the lowest prevalence was observed in samples of fish collected from upper reaches (9.87%). Present study address that Rhabdochona spp in the intestine of snow trout has a long term relationship and call as a natural infection in cyprinids and zoonotic risk to human.
Collapse
Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, Chakdara, Lower Dir, Pakistan
| | - S M H M Naqvi
- Southern Zone Agricultural Research Center - SARC, Outreach Research Activity Unit - ORAU, Karachi, Pakistan
| | - N Ahmad
- Bahria University, Aquatic Diagnostic Laboratories, Karachi, Karachi, Pakistan
| | - M Kamal
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - H Hassan
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - A Noor
- Karakoram International University, Department of Biological Sciences, Gilgit-Baltistan, Pakistan
| | - S Khan
- Quaid-e-Azam University, Department of Animal Sciences, Islamabad, Pakistan
| | - J Ahmad
- University of Malakand, Department of Zoology, Chakdara, Lower Dir, Pakistan
| | - U Ullah
- University of Malakand, Department of Zoology, Chakdara, Lower Dir, Pakistan
| | - S Akhtar
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - M Shadman
- University of Malakand, Department of Zoology, Chakdara, Lower Dir, Pakistan
| |
Collapse
|
40
|
Abd El-Reheem A, Kamal M. Improving Properties of Lightweight LECA Concrete by Partial Replacement with Gravel.(Dept.C). MEJ Mansoura Engineering Journal 2021; 14:52-65. [DOI: 10.21608/bfemu.2021.172228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
|
41
|
Khan W, Das SN, Ullah H, Panhwar WA, Ahmed S, Ahmad MS, Kamal M, Ahmad A, Mohsin MU, Hussain A, Khaliq G, Hussain I. Distribution of commensal rodents in some shops of three districts in Malakand region, Pakistan. BRAZ J BIOL 2021; 82:e238735. [PMID: 34037077 DOI: 10.1590/1519-6984.238735] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 07/27/2020] [Indexed: 11/21/2022] Open
Abstract
Using wire mesh live traps distribution pattern of the Rattus rattus and Mus musculus in different shops of three districts of Malakand region, Pakistan were recorded from September 2014 to October 2015. Over all 103 rodents (Rattus rattus 86 and Mus musculus 17) were caught during in 0.04 trap success (2448 trap nights). Regression of daily captures on cumulative captures revealed an estimate of 103 rodents from all the sampled structures with an average of 3.55 rodents per shop. R. rattus; 83.4% of captures were numerically dominant in almost all types of shops sampled, and were significantly different than Mus musculus; 16.5% of captures. Both species were found together in some shops while they were mostly trapped from the separate shops. Male rodents outnumbered the females.
Collapse
Affiliation(s)
- W Khan
- University of Malakand, Department of Zoology, Lower Dir, Khyber Pakhtunkhwa, Pakistan
| | - S N Das
- Sindh University Jamshoro, Department of Zoology, Hyderabad, Pakistan
| | - H Ullah
- University of Peshawar, Department of Zoology, Peshawar, Pakistan
| | - W A Panhwar
- Shah Abdul Latif University Khairpur, Department of Zoology, Miris, Sindh, Pakistan
| | - S Ahmed
- Hazara University Mansehra, Department of Zoology, Mansehra, Pakistan
| | - M S Ahmad
- University of Swabi, Department of Zoology, Swabi, Pakistan
| | - M Kamal
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - A Ahmad
- Friedrich Schiller Universtat Jena, Department of Microbiology, Neugasse, Jena, Germany
| | - M U Mohsin
- Islamia College University Peshawar, Department of Zoology, Peshawar, Pakistan
| | - A Hussain
- University of Haripur, Department of Forestry and Wildlife Management, Haripur, Pakistan
| | - G Khaliq
- Lasbela University of Agriculture Water and Marine Sciences, Faculty of Agriculture, Department of Horticulture, Uthal, Baluchistan, Pakistan
| | - I Hussain
- University of Haripur, Department of Plant Breeding & Genetics, Haripur, Pakistan
| |
Collapse
|
42
|
Khan W, Arshad S, Khatoon N, Khan I, Ahmad N, Kamal M, UlHassan H, Khan N, Haq AU, Ilyas M, Ullah S, Ullah I, Mahmoud AH, Mohammed OB. Food handlers: an important reservoir of protozoans and helminth parasites of public health importance. BRAZ J BIOL 2021; 82:e238891. [PMID: 34037080 DOI: 10.1590/1519-6984.238891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Accepted: 07/23/2020] [Indexed: 11/22/2022] Open
Abstract
Food handlers plays a primary role in the transmission of pathogenically important protozoans and helminth parasites. This study was aimed to evaluate the prevalence of intestinal pathogenic protozoans and helminth parasites among food handlers in and around University of Malakand, Lower Dir, Pakistan. Stool samples were collected from 642 food handlers (all of male) in a cross-sectional study from January to November, 2017. Wet Mount Techniques and concentration methods by using salt and formol-ether solutions. Three hundred and eighty four cases (59.8%) were found infected with one more parasites. Most of the individuals were found infected with helminth (47.6%) as compared to intestinal protozoans (0.93%). Seventy two cases (11.2%) of the cases presented mixed infection with both intestinal protozoan and helminth parasites. The order of prevalence for intestinal helminth was Ancylostoma duodenale (n = 258, 40.1%), followed by Taeniasa ginata (n=96, 14.9%) Ascaris lumbricoides (n = 54, 8.40%) and Trichuris trichura (n=30, 4.60%). For intestinal protozoa, Entamoeba histolytica/dispar (n = 36, 5.64%) was the only protozoan detected. Mono-parasitism was higher than poly-parasitism. Family size income and education level were the factors significantly (P<0.05) associated in the parasites prevalence. Current research showed that IPIs are primarily the foodborne pathogens still an important public health problem in Pakistan. Effective control programs on parasitic diseases transfer and their associated factors are recommended.
Collapse
Affiliation(s)
- W Khan
- University of Malakand, Laboratory of Parasitology, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - S Arshad
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - N Khatoon
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - I Khan
- Swat Medical College, Medical College, Saidu Group of Teaching Hospital, Medical Unit A, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan
| | - N Ahmad
- Bahria University, Department of Maritime sciences, Karachi-75260 Pakistan
| | - M Kamal
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - H UlHassan
- University of Karachi, Department of Zoology, Karachi, Pakistan
| | - N Khan
- University of Malakand, Laboratory of Parasitology, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - A Ul Haq
- University of Malakand, Laboratory of Parasitology, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - M Ilyas
- University of Malakand, Laboratory of Parasitology, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - S Ullah
- University of Swabi, Department of Zoology, Swabi, Pakistan
| | - I Ullah
- Karakoram International University, Department of Biological Science, Ghizer Campus, Gilgit-Baltistan, Pakistan
| | - A H Mahmoud
- King Saud University, College of Science, Department Zoology, Riyadh, Saudi Arabia
| | - O B Mohammed
- King Saud University, College of Science, Department Zoology, Riyadh, Saudi Arabia
| |
Collapse
|
43
|
Paliwal B, Kamal M, Bhatia P, Mohammed S. Mobile camera as an aid to minimize drug errors. Braz J Anesthesiol 2021; 71:192-193. [PMID: 33894866 PMCID: PMC9373380 DOI: 10.1016/j.bjane.2020.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 11/23/2020] [Accepted: 11/29/2020] [Indexed: 11/27/2022] Open
Affiliation(s)
- Bharat Paliwal
- All India Institute of Medical Sciences, Department of Anesthesiology and Critical Care, Jodhpur, India.
| | - Manoj Kamal
- All India Institute of Medical Sciences, Department of Anesthesiology and Critical Care, Jodhpur, India
| | - Pradeep Bhatia
- All India Institute of Medical Sciences, Department of Anesthesiology and Critical Care, Jodhpur, India
| | - Sadik Mohammed
- All India Institute of Medical Sciences, Department of Anesthesiology and Critical Care, Jodhpur, India
| |
Collapse
|
44
|
Khan W, Nisa NN, Khan AR, Rahbar B, Mehmood SA, Ahmed S, Kamal M, Shah M, Rasool A, Pahanwar WA, Ullah I, Khan S. Roosting ecology and morphometric analysis of Pteropus medius (Indian flying fox) in Lower Dir, district, Pakistan. BRAZ J BIOL 2021; 81:77-82. [PMID: 32401851 DOI: 10.1590/1519-6984.221935] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 05/21/2019] [Indexed: 11/21/2022] Open
Abstract
The present study was conducted to explore morphometric variations of Pteropus medius (the Indian flying fox) and the roosting trees in Lower Dir, Pakistan. The bats were captured from Morus alba, Morus nigra, Brousonetia papyrifera, Pinus raxburghii, Hevea brasiliensis, Platanus orientalis, Populous nigra, Melia azedarach, Eucalyptus camaldulensis and Grevillea robusta through sling shot and mess net methods. A total of 12 bats were studied for the differential morphological features based on age and sex. Male bats were recorded higher in weight than females. The variations were found in body mass (821.1±34.65gm), circumference of body with wings (25.43±0.39cm), wingspan (112.58±1.90cm), Body length (20.73±0.68cm), Snout length (3.42±0.04cm), Eye length (1.45±0.033cm), Length of ear (3.56±0.05cm), Width of ear (2.46±0.04cm), Length b/w ear (5.51±0.11cm), Circumference of neck (12.23±0.24cm), Circumference of body without wings (18.68±0.31cm), Arm wing length (23.2±1.03cm), Length of thumb (5.43±0.1cm), Length of nail (1.89±0.05cm), Hand wing length (29.1±0.51cm), Maximum width of wing (21.03±0.68cm), Length b/w tip of wing to 5th digit (29.39±0.30cm), Length b/w 5th digit to foot (22.97±1.09cm), Length b/w feet (18.31±0.74cm) and Length of foot claw (4.23±0.05cm). This study was designed for analysis of external morphological variations for P. medius (the Indian flying fox) that may help in identification of these bats and their roosting sites.
Collapse
Affiliation(s)
- W Khan
- Department of Zoology, University of Malakand, Lower Dir, Pakistan
| | - N N Nisa
- Pakistan Agricultural Research Council, Southern Zone-Agricultural Research Center, Vertebrate Pest Control Institute, University Campus, Karachi, Pakistan
| | - A R Khan
- Department of Zoology, University of Malakand, Lower Dir, Pakistan
| | - B Rahbar
- Department of Zoology, Hazara University, Mansehra, Pakistan
| | - S A Mehmood
- Department of Zoology, Hazara University, Mansehra, Pakistan
| | - S Ahmed
- Department of Zoology, Hazara University, Mansehra, Pakistan
| | - M Kamal
- Department of Zoology, University of Karachi, Karachi-Pakistan
| | - M Shah
- Department of Zoology, University of Swat, Pakistan
| | - A Rasool
- Department of Zoology, University of Swat, Pakistan
| | - W A Pahanwar
- Department of Zoology, Shah Abdul Latif University Khairpur Miris Sindh, Pakistan
| | - I Ullah
- Department of Biological Sciences Karakuram, International University Gilgit, Pakistan
| | - S Khan
- Department of Zoology, University of Malakand, Lower Dir, Pakistan
| |
Collapse
|
45
|
Paliwal B, Kamal M, Roy S, Kumari K. A convenient assembly for drug dilution. Indian J Anaesth 2021; 65:162-163. [PMID: 33776095 PMCID: PMC7983826 DOI: 10.4103/ija.ija_724_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 06/29/2020] [Accepted: 07/14/2020] [Indexed: 11/04/2022] Open
Affiliation(s)
- Bharat Paliwal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Shayak Roy
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Kamlesh Kumari
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| |
Collapse
|
46
|
Singariya G, Choudhary K, Kamal M, Bihani P, Pahuja H, Saini P. Comparison of analgesic efficacy of intrathecal 1% 2-chloroprocaine with or without fentanyl in elective caesarean section: A prospective, double-blind, randomised study. Indian J Anaesth 2021; 65:102-107. [PMID: 33776083 PMCID: PMC7983823 DOI: 10.4103/ija.ija_816_20] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 08/22/2020] [Accepted: 02/01/2021] [Indexed: 11/16/2022] Open
Abstract
Background and Aims: Preservative free 1% 2-chlorprocaine is a short acting local anaesthetic agent suitable for day care surgical procedures. Potentiation of analgesic action of intrathecal local anaesthetics by the addition of opioids is well known. In this study, we investigated the effect of intrathecal fentanyl as an adjuvant to 1% 2-chloroprocaine (2-CP) in parturients undergoing elective lower segment caesarean section (LSCS). Methods: This prospective randomised comparative study was performed on 150 healthy, term parturients planned for elective low risk LSCS, divided into two equal groups. The group CS received 1% preservative-free 2-CP 3 ml (30 mg) + 0.5 ml normal saline and group CF received 1% preservative-free 2-CP 3 ml (30 mg) + 0.5 ml fentanyl (25 μg) with a total volume of 3.5 ml intrathecally in both groups. The duration of sensory blockade, duration of motor blockade, maximum height of sensory block, haemodynamic parameters, quality of block, neonatal outcome, patient satisfaction and any side effects were recorded. Results: There were no significant differences in demographic characteristics, haemodynamic parameters, onset of sensory block, onset of motor block and duration of motor block between the groups. The duration of sensory block and duration of analgesia was statistically prolonged in group CF than group CS (P value < 0.0001). There was no statistical difference in the Apgar score of newborns in both groups. The adverse effects (hypotension, bradycardia, nausea/vomiting, shivering and transient neurological symptoms) were comparable in both the groups. Conclusion: The addition of fentanyl to 1% 2-chloroprocaine intrathecally prolonged the duration of sensory block and postoperative analgesia in patients undergoing LSCS.
Collapse
Affiliation(s)
- Geeta Singariya
- Department of Anaesthesiology and Critical Care, Dr S N Medical College, Jodhpur, Rajasthan, India
| | - Kusum Choudhary
- Department of Anaesthesiology and Critical Care, Dr S N Medical College, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pooja Bihani
- Department of Anaesthesiology and Critical Care, Dr S N Medical College, Jodhpur, Rajasthan, India
| | - Himani Pahuja
- Department of Anaesthesiology and Critical Care, Dr S N Medical College, Jodhpur, Rajasthan, India
| | - Pradeep Saini
- Department of Anaesthesiology and Critical Care, Dr S N Medical College, Jodhpur, Rajasthan, India
| |
Collapse
|
47
|
Widodo S, Kamal M, Zulferiyenni, Chandra D, Kusuma D. Flower bagging effects on the α-mangostin content during mangosteen fruit growth. Food Res 2021. [DOI: 10.26656/fr.2017.5(s1).030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Mangosteen fruit (Garcinia mangostana L.) is consumed mainly for two purposes, i.e., its
aril for fresh or minimally processed products and its rind for herb and other health-related
products. In fact, due to the high portion of rind compared to its whole fruit, its rind has a
more important economic value, especially for its α-mangostin content. This study
reported the effects of flower baggings on the α-mangostin content during mangosteen
fruit growth. This field research was conducted in a farmer’s field at Gisting village,
Tanggamus District, Lampung Province, Indonesia. The study was arranged in a 2 × 3
factorial design. The first factor was bagging date [2 and 4 weeks after anthesis (WAA)],
and the second one was bagging material (unbagged or control, banana ‘Cavendish’-
paper bag, and balloon). Fruit samplings were conducted in every two weeks during the
periods of 8-16 WAA. The α-mangostin content was analyzed with HPLC [DionexUltiMate® 3000, autosampler, column compartment, Ultimate 3000 pump, UV detector,
column Enduro C-18 (250 mm × 4.6 mm, 5 µm) with C18 guard]. The results showed that
the α-mangostin content increased in a sigmoid pattern during fruit growth, and the
increase was mostly not affected by bagging, bagging materials, and application periods.
The α-mangostin content increased tremendously during 10-14 WAA, regardless of
bagging, bagging materials and application periods. Bagging had resulted in the decrease
of α-mangostin content during the latest period of fruit growth, regardless of bagging
materials and application periods
Collapse
|
48
|
A. H. Ayoub M, F. A. Abd El-Aal S, . R, Kamal M, A. A. Ahmed Y. DETERMINATION OF BIOGENIC AMINES IN EGYPTIAN SOFT CHEESE BY HIGH PERFORMANCE LIQUID CHROMATOGRAPHY. PLANT ARCHIVES 2021; 21:1993-1997. [DOI: 10.51470/plantarchives.2021.v21.s1.324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
|
49
|
Paliwal B, Bhatia PK, Kamal M, Purohit A. Personal Protective Equipment and Fire. Indian J Crit Care Med 2021; 25:473. [PMID: 34045819 PMCID: PMC8138654 DOI: 10.5005/jp-journals-10071-23779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
How to cite this article: Paliwal B, Bhatia PK, Kamal M, Purohit A. Personal Protective Equipment and Fire. Indian J Crit Care Med 2021;25(4):473
Collapse
Affiliation(s)
- Bharat Paliwal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Pradeep K Bhatia
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Anamika Purohit
- Department of Obstetrics and Gynecology, District Hospital, Poata, Jodhpur, Rajasthan, India
| |
Collapse
|
50
|
Kumar R, Syal R, Chhabra S, Kamal M. Our experience with the mid-point transverse process to pleura block in two patients undergoing modified radical mastectomy. Indian J Pain 2021. [DOI: 10.4103/ijpn.ijpn_47_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|