Publications by authors named "Shashank Paliwal"
Article Synopsis
- Amyotrophic lateral sclerosis (ALS) is a progressive neurological disorder impacting both upper and lower motor neurons, leading to complications such as respiratory issues.
- A case is reported involving a middle-aged male with ALS undergoing surgery for chronic subdural hematoma evacuation, utilizing scalp block and monitored anesthesia care.
- Anesthesia management in ALS patients should minimize interference with their condition while ensuring optimal surgical conditions.
Managing a leaky epidural catheter: Thinking out of the box.
J Anaesthesiol Clin Pharmacol
August 2023
Enhanced Recovery After Surgery (ERAS) protocols have revolutionized the approach to perioperative care in various surgical specialties. They reduce complications, improve patient outcomes, and shorten hospital lengths of stay. Implementation of ERAS protocols for neurosurgical procedures has been relatively underexplored and underutilized due to the unique challenges and complexities of neurosurgery.
View Article and Find Full Text PDFTransverse myelitis is a rare inflammatory condition typically presenting with symptoms like muscle weakness, sensory issues, and problems affecting bowel and bladder function. In this study, we describe the successful anesthesia management of an adult patient with transverse myelitis exhibiting spastic paralysis and compromised cardiopulmonary reserves, whose preferred resting position was lateral decubitus. Targeted anesthesia was administered via a supraclavicular approach to the brachial plexus block for wrist deformity fixation surgery, mitigating the pulmonary complications associated with general anesthesia, achieving earlier recovery, and avoiding the use of opioids.
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