Publications by authors named "Arpan Kohli"
Article Synopsis
- Neurosurgical anesthetic management involves careful planning, focusing on positioning during intubation, neuromonitoring, and selecting appropriate anesthetic agents to enhance patient outcomes.
- A detailed case study of a 64-year-old woman with a cervical spine schwannoma showcases the implementation of video laryngoscopy to minimize neck movement and the use of propofol, remifentanil, and sevoflurane for continuous neuromonitoring.
- The surgery was successful, with stable neurological function during the procedure, and the patient had no complications post-operation, being successfully extubated afterward.
Parietal bone hemangiomas represent a minority of diagnosed brain tumors. These lesions require careful management under anesthesia due to their vascularity and cranial location. We discuss a 31-year-old female with chronic headaches who underwent surgery for the removal of a large parietal bone hemangioma, necessitating considerations for stable hemodynamics, intracranial pressure (ICP), and bleeding risks.
View Article and Find Full Text PDFBackground A neuromuscular blockade (NMB) is used in general anesthesia to facilitate endotracheal intubation and muscle relaxation during procedural and surgical interventions. Rapid and complete reversal of the NMB allows for patient recovery to the preoperative baseline with ventilation and motor function, along with the complete return of gastroesophageal motility, thereby expediting recovery and preventing microaspiration in the postoperative period. Sugammadex is a modified gamma cyclodextrin that complexes with steroidal neuromuscular blocking agents (specifically, rocuronium and vecuronium), leading to a molecular gradient and removal of the agents from the neuromuscular junction.
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