Publications by authors named "Malini Joshi"

Bhosale SJ, Joshi M, Dhakne P, Kulkarni AP. Emphysematous Gastritis: An Ominous Condition Masquerading as Enterocolitis in Immunocompromised Host. Indian J Crit Care Med 2024;28(8):808-809.

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Bhosale SJ, Joshi M, Dhakane P, Rane AD, Kulkarni AP. Transient STEMI: Not to be Considered a Lesser Evil. Indian J Crit Care Med 2024;28(7):711-712.

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Background: Fluid boluses are used in hemodynamically unstable patients with presumed hypovolemia, to improve tissue perfusion, in the perioperative period. Now less invasive methods, such as pulse pressure variation (PPV) and stroke volume variation (SVV) are increasingly being used. We investigated correlation between carotid and brachial artery velocity time integral (VTI) and compared both with PPV and SVV.

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Background: Pulse wave transit time is a novel method of estimating continuous cardiac output (esCCO). Since there are not many studies evaluating esCCO, we compared it with arterial pressure based cardiac output (APCO) method (FloTrac).

Methods: In this prospective single-center observational study, we included 50 adult patients planned to undergo supramajor oncosurgeries, where major blood loss and extensive fluid shifts were expected.

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Background: The number of pediatric oncology patients admitted to the intensive care unit (ICU) has increased, and their hospital outcomes are improving. Since scarce data are available about this patient population, we conducted this retrospective study to evaluate the epidemiology and predictors of hospital outcomes.

Materials And Methods: We included all children with cancers who were admitted to our ICU over 1 year.

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Background: Acute kidney injury (AKI) is common in patients undergoing major surgeries, and leads to the need for renal replacement therapy and increased morbidity, intensive care unit (ICU) and hospital length of stay (LOS), cost, and mortality. We evaluated the incidence and predictors of postoperative AKI in patients undergoing hepatic resections and their short-term outcomes.

Materials And Methods: This prospective observational study was conducted over a 3-year period in 180 patients undergoing elective hepatic resections for a variety of indications.

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Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) for primary peritoneal malignancies or peritoneal spread of malignant neoplasm is being done at many centres worldwide. Perioperative management is challenging with varied haemodynamic and temperature instabilities, and the literature is scarce in many aspects of its perioperative management. There is a need to have coalition of the existing evidence and experts' consensus opinion for better perioperative management.

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Background: Anteroposterior (AP) diameter of internal jugular vein (IJV) and its relative position with carotid artery (CA) varies in the triangle formed by two heads of sternocleidomastoid muscle, which is the site of insertion of needle for IJV cannulation. This study assessed the maximum AP diameter of the IJV in supine and Trendelenburg positions and during Valsalva maneuver (supine position) at the apex, middle, and base of the triangle and to study the relationship of the IJV with the CA.

Materials And Methods: Twenty-five healthy volunteers were included and ultrasonography of IJV was performed in supine and Trendelenburg positions and during Valsalva maneuver (supine position) at the apex, middle, and base of the triangle bilaterally.

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Background And Aims: The ProSeal™ laryngeal mask airway (PLMA) has advantages of providing better cuff seal and the presence of a gastric drain tube. The manufacturer recommends actual body weight (ABW) for size selection. Pharyngeal area reduces with increase in body mass index (BMI); hence, in overweight patients, PLMA selected on ABW may not fit well.

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