Publications by authors named "Shirish Silwal"
Article Synopsis
- The shock index (SI), calculated by heart rate divided by systolic blood pressure, is linked to adverse maternal outcomes, particularly in obstetric cases where SI ≥ 0.9 is noted.
- In this study, researchers analyzed the relationship between baseline SI and hypotension after spinal anesthesia in parturients undergoing non-elective cesarean sections, using logistic regression for data analysis.
- The findings revealed that a higher baseline SI was significantly associated with both post-spinal and post-delivery hypotension, indicating that SI could be a useful metric for predicting these complications in surgery.
Introduction: The most common surgical emergency in general surgery is perforation peritonitis. It is a serious condition with a mortality rate of up to 20%, and it is the third most common cause of surgical abdomen after appendicitis and intestinal obstruction. The aim of this study to discuss clinical profile and management of perforation peritonitis in a hospital in central Nepal.
View Article and Find Full Text PDFBackground: Splenectomy is a palliative management technique in children with β-thalassemia. Portal thrombosis is the most dreaded complication after splenectomy that requires fast diagnosis, effective therapy, and good follow-up to prevent protal hypertension. Thus, there is the importance of constant evaluation of portal venous system through Color Doppler Ultrasound.
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