Publications by authors named "A Nileshwar"
Comparison of grooved and conventional Macintosh laryngoscope blades for throat pack insertion: A randomized control trial.
J Anaesthesiol Clin Pharmacol
March 2024
Article Synopsis
- A study was conducted to evaluate a new design of the Macintosh laryngoscope blade with a groove to support the endotracheal tube during throat pack insertion in otolaryngological surgeries.
- The trial involved 80 patients, comparing the effectiveness of the grooved blade (group G) to the conventional blade (group C) in terms of tube stability, ease of packing, and time taken.
- Results showed that the grooved blade kept the tube centered in 35 patients versus 10 in the conventional group, allowed for easier packing, and reduced the time needed for the throat pack insertion.
Background: Prone position ventilation (PPV) causes improvement in oxygenation, nevertheless, mortality in severe acute respiratory distress syndrome (ARDS) remains high. The changes in the driving pressure (DP) and its role in predicting mortality in moderate to severe ARDS patients receiving PPV is unexplored.
Methods: A prospective observational study, conducted between September 2020 and February 2023 on moderate-severe ARDS patients requiring PPV.
Introduction: There are few scores for mortality prediction in acute respiratory distress syndrome (ARDS) incorporating comprehensive ventilatory, acute physiological, organ dysfunction, oxygenation, and nutritional parameters. This study aims to determine the risk factors of ARDS mortality from the above-mentioned parameters at 48 h of invasive mechanical ventilation (IMV), which are feasible across most intensive care unit settings.
Methods: Prospective, observational, single-center study with 150 patients with ARDS defined by Berlin definition, receiving IMV with lung protective strategy.
Retinal imaging is a non-invasive technique used to scan the back of the eye, enabling the extraction of potential biomarkers like the artery and vein ratio (AVR). This ratio is known for its association with various diseases, such as hypertensive retinopathy (HR) or diabetic retinopathy, and is crucial in assessing retinal health. HR refers to the morphological changes in retinal vessels caused by persistent high blood pressure.
View Article and Find Full Text PDFBackground: Acute kidney injury (AKI) is a heterogeneous syndrome with subphenotypes. Acute kidney injury is one of the most common complications in acute respiratory distress syndrome (ARDS) patients, which influences mortality.
Material And Methods: It was a single-center observational study on 266 ARDS patients on invasive mechanical ventilation (IMV) to determine the subphenotypes of AKI associated with ARDS.