Publications by authors named "Priya Thappa"
Article Synopsis
- - The 2023 International Subarachnoid Hemorrhage Conference stressed the importance of updating strategies for preventing delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage and called for further research in this area.
- - A PubMed search reviewed factors related to DCI prevention, finding that while inhaled anesthetics and antiplatelets show some benefits, more prospective studies are needed on effective anesthetics and antithrombotics.
- - It was recommended to prioritize lumbar drains for cerebrospinal fluid (CSF) diversion, maintain euvolemia during vasospasm, and consider intra-arterial spasmolysis for refractory DCI, with Nimodipine recognized as the
Endoscopic transsphenoidal resection of craniopharyngioma is a commonly used technique. Cerebral vasospasm may occur in nearly 10% of cases leading to adverse neurological outcomes. Cardiopulmonary dysfunction may be seen in patients with severe vasospasm.
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- This study is a prospective randomized double-blind trial aimed at comparing the analgesic effects of a low-dose ketamine and dexmedetomidine infusion (ketodex) to fentanyl for pain management after spine surgery.
- It involved 60 patients undergoing thoracolumbar spine surgery and found that the ketodex group had a significantly longer time before needing additional pain relief and lower overall pain scores postoperatively compared to the fentanyl group.
- The findings suggest that low-dose ketodex is a potentially safer and more effective alternative to fentanyl for managing postoperative pain in these patients, leading to a shorter stay in the recovery unit.
Objective: Application of surgical skull pins causes hemodynamic fluctuations in neurosurgical procedures. To reduce this response, we describe the use of a novel nonpharmacologic method in the form of medical-grade sterile silicone studs to cushion the pressure of the skull pin in the adult population. This study aimed to evaluate the use of conventionally used fentanyl and medical-grade sterile silicone studs for the prevention of hemodynamic response to skull pin insertion.
View Article and Find Full Text PDFPurpose: Regardless of the positive attributes of propofol, it is frequently associated with pain on injection. We compared the efficacy of topical cold thermotherapy using an ice gel pack with intravenous lignocaine pre-treatment for reducing pain on propofol injection.
Methods: This single-blinded randomized controlled trial was conducted in 200 American Society of Anesthesiologists physical status I, II, and III patients scheduled for elective/emergency surgery under general anesthesia.
Pituitary apoplexy is a rare condition that occurs due to acute haemorrhage in the pituitary gland and usually presents with features of acute hypopituitarism, visual defects and ophthalmoplegia. Pregnancy is one of the risk factors for pituitary apoplexy. Medical management is the first line of management in pregnancy irrespective of the gestational age.
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