Publications by authors named "A Varsha"
Article Synopsis
- The study investigates the phenomenon of ICU recidivism in post-cardiac surgery patients, noting that readmission is linked to higher morbidity, mortality, and healthcare costs.
- Among 1,711 patients analyzed, 3.1% were readmitted to the ICU, primarily due to cardiac arrhythmias, with higher readmission rates associated with valvular procedures compared to coronary artery bypass grafting.
- Key risk factors for readmission included advanced age, specific postoperative complications, and a higher EuroSCORE 2, highlighting the need for early identification and management to improve patient outcomes.
Objective: To (i) correlate preoperative retinal nerve fibre layer (RNFL) thickness with visual parameters in patients with pituitary macroadenomas. (ii) study the predictive role of preoperative RNFL in visual outcome following surgery for pituitary macroadenomas (iii) correlate change in postoperative RNFL thickness (RNFLT) with visual outcome.
Methods: Preoperative and post-operative RNFL thickness of thirty-three consecutive patients operated for pituitary macro adenoma between June 2022 and May 2023 were measured using Optical Coherence Tomography (OCT) and compared with standard visual examination findings and Magnetic Resonance Imaging (MRI) measurements.
Objectives: To compare the incidence of delirium and early (at 1 week) postoperative cognitive dysfunction (POCD) between propofol-based total intravenous anesthesia (TIVA) and volatile anesthesia with sevoflurane in adult patients undergoing elective coronary artery bypass graft surgery (CABG) with cardiopulmonary bypass (CPB).
Design: This was a prospective randomized single-blinded study.
Setting: The study was conducted at a single institution, the Sree Chitra Tirunal Institute for Medical Sciences and Technology, a tertiary care institution and university-level teaching hospital.
The transversus thoracic muscle plane (TTP) block is gaining widespread recognition in cardiac surgery, particularly in facilitating fast-tracking. Here, we report a case of inadvertent puncture of the right ventricle (RV) during the administration of ultra sound-guided (USG) TTP block in a 3-year-old child posted for atrial septal defect (ASD) closure and mitral valve repair. We also discuss the care that should be taken to avoid such complications and such cases require extra caution during TTP block.
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