Publications by authors named "Siju Varghese Abraham"
Article Synopsis
- A study was conducted to compare two ultrasound-guided techniques for placing central venous catheters in the internal jugular vein (IJV) in an emergency department: the short-axis (SAX) and oblique axis (OAX) approaches.
- *The research involved 60 patients, revealing a higher rate of acute complications (56.7%) in the SAX group compared to the OAX group (16.7%), with a notable incidence of posterior venous wall puncture in the SAX technique.
- *The findings suggest that the OAX approach may be a safer alternative for IJV cannulation in emergency settings, warranting further research to establish it as a primary method for this procedure.
Succinylcholine is a short-acting depolarizing neuromuscular blocking agent. We describe a case where the above drug was employed for self-harm by a health-care worker. The patient, a 28-year-old female, was brought to the emergency department (ED) in impending respiratory arrest and altered mental status.
View Article and Find Full Text PDFBackground: Glutaraldehyde is a commonly used disinfectant in most hospitals. It is known to be an irritating agent to the airway. With the exception of one small-quantity (75 mL) ingestion, no large-volume ingestion has been previously reported.
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- * Out of 70 patients, the USG method achieved a 100% success rate with a faster and higher first-attempt success compared to the AL method, which had a 91.4% success rate.
- * The USG technique also resulted in fewer complications (5.7%) compared to the AL technique (14.3%), indicating it is a safer option for IJV catheter insertion in emergency settings.
Aim: Snakebite injuries are common in tropical India among those who are involved in outdoor activities. These injuries results in cellulitis, gangrene at the bite area, bleeding manifestations, compartment syndrome, regional lymphadenopathy, septicemia, hypotension, and disseminated intravascular coagulation (DIC) resulting in significant morbidity and mortality. The purpose of this study is to share our experience of multidisciplinary approach in the management of snakebite injuries of the extremities with various treatment modalities including hyperbaric oxygen (HBO) therapy, surgical debridement, and soft tissue reconstruction to provide an effective treatment for snake bite injuries.
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