Publications by authors named "Vaishali Waindeskar"

Article Synopsis
  • Sleep disturbances are common among cancer patients, particularly those undergoing palliative chemotherapy and radiotherapy for head and neck cancer (HNC), with a significant portion of patients scoring poorly on sleep assessments.
  • A study using Fitbit devices showed that patients averaged around 3.6 hours of sleep per night, predominantly in non-rapid eye movement (NREM) sleep, and exhibited moderate levels of anxiety, depression, and distress.
  • The findings indicate that HNC patients in palliative care experience chronic sleep deprivation and disrupted sleep patterns, with a weak correlation between sleep quality and psychosocial factors like anxiety and depression.
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  • Head and neck extension during surgeries is important for visibility but can cause the tracheal tube to move, leading to potential complications, especially in patients with difficult airways.
  • In a study involving 60 patients with limited mouth opening, researchers used a flexible bronchoscope to measure how much the nasotracheal tube moved at the vocal cords when the neck was extended.
  • Results showed that while the tube moved slightly (3 mm) during neck extension, the primary reason for the increase in distance from the tube tip to the carina was elongation of the trachea (85%), not the tube's outward migration (15%).
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Objectives: This prospective observational study aimed to assess the clinical outcomes of perioperative airway and ventilatory management in patients undergoing surgery for oral cavity cancer. The study described the frequencies and types of procedures for securing the airway and the duration and types of postoperative ventilatory support. We compared the findings with those of the TRACHY study.

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Purpose There is limited data from the Indian subcontinent regarding the surgical outcomes of coronavirus disease (COVID-19) patients. In this observational study, we aimed to evaluate the postoperative outcomes after emergency surgery in COVID-19 patients compared to concurrent age and gender-matched controls. We also sought to analyze the possible predictors of postoperative mortality in COVID-19 patients.

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Background Extreme neck positioning to facilitate craniotomy can result in impaired venous drainage from the brain and a subsequent rise in increased intracranial pressure (ICP). The effects of varied neck positioning intraoperatively on ultrasonographic optic nerve sheath diameter (USG-ONSD) are still unexplored. This study aims to quantify the angle of neck rotation and flexion that can cause a significant increase in USG-ONSD in patients undergoing elective craniotomy.

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Background In the neurosurgical population, opioids may cause respiratory depression, leading to hypercapnia, increased cerebral blood flow (CBF), and ultimately increased intracranial pressure (ICP), which can mask early signs of intracranial complications and delayed emergence. This study was designed to compare perioperative hemodynamic stability, analgesia, and recovery parameters in opioid-based (fentanyl) general anesthesia versus opioid-sparing (dexmedetomidine) general anesthesia in patients undergoing glioma surgeries. Methodology This prospective observational comparative study compared 52 patients in two groups.

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Background: Literature on the efficacy and safety of erector spinae plane block (ESPB) in pediatric patients is limited. Hence, we aimed to compare ESPB versus caudal epidural block (CEB) in children undergoing abdominal surgery.

Methods: In this patient and assessor-blind study, fifty-two ASA I-II patients, between 1 to 9 years of age, were randomized into groups of 26 each.

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Objective: Though airway ultrasonography (USG) is used to assess difficult laryngoscopy (DL), there is still ambiguity about approach followed and parameters assessed. There is need of a simple, stepwise sonographic assessment with clearly defined parameters for DL prediction. The primary objective of this study was to find diagnostic accuracy of sonographic parameters measured by a stepwise Airway-USG in DL prediction (DLP).

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Background And Aims: Ultrasonography has emerged as a new airway assessment tool. However, its role in predicting difficult airways needs to be explored. This study aimed to evaluate the accuracy of pre-operative ultrasound assessment of the neck in predicting difficult airways in patients undergoing elective surgery under general anaesthesia.

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Article Synopsis
  • Anthropometric measurements like height and gender are often inaccurate for predicting the size of double lumen tubes (DLT) used in thoracic surgeries.
  • A study comparing traditional methods with tracheal ultrasonography (TUS) found that TUS significantly improved the accuracy of DLT size prediction and placement.
  • Results showed that TUS had a lower mismatch rate (32.4%) compared to traditional methods (56%), and achieved a higher accuracy in placement (79% vs. 41%), along with better surgeon satisfaction.
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Introduction Dorsalis pedis or posterior tibial artery is selected as an alternative to radial artery cannulation when there is no access or unsuccessful cannulation of a radial artery. This study aimed to compare the two major arteries of the foot (dorsalis pedis and posterior tibial) in terms of their ultrasound (USG)-guided cannulation characteristics in patients posted for elective neurosurgical procedures. Methods All consenting patients, 18-65 years of age, scheduled for elective neurosurgical procedures under general anesthesia requiring arterial cannulations were enrolled.

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Article Synopsis
  • This study explored the use of sonographic assessment of optic nerve sheath diameter (ONSD) as a non-invasive method for monitoring intracranial pressure (ICP) in patients undergoing elective craniotomy for intracranial tumors.
  • It aimed to measure changes in ONSD compared to pre-operative values over the first 3 postoperative days and to analyze its correlation with the Glasgow Coma Scale (GCS) and post-operative CT findings.
  • Results showed significant fluctuations in ONSD during the postoperative period, with an initial increase followed by a decrease, indicating a potential link between ONSD and patient recovery as measured by GCS.
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Tracheostomy is a commonly performed procedure to secure airway in patients who need prolonged airway support (Marchese et al. in Respir Med 104(5):749-753, 2010). It is relatively safe procedure but associated with few early and late complications (Fernandez-Bussy et al.

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Background: Tracheostomy is integral in long-term intensive care of coronavirus disease-2019 (COVID-19) patients. There is a paucity of studies on weaning outcomes and mortality after tracheostomy in COVID-19 in Indian scenario.

Materials And Methods: We conducted a retrospective, single-center, observational study of severe COVID-19 patients who underwent elective tracheostomy ( = 65) during critical care in a tertiary care institute in Central India from May 1, 2020, to April 30, 2021.

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  • A study on severe COVID-19 patients in India found that 32.4% presented with digestive symptoms, leading to worse health outcomes compared to those without these symptoms.
  • Patients with digestive issues experienced higher needs for medical interventions, like noninvasive ventilation and vasopressors, and had an increased mortality rate of 65.8%.
  • Factors contributing to higher mortality in patients with digestive symptoms included preexisting abdominal conditions, CNS comorbidities, multiple digestive symptoms, and a need for vasopressors, which significantly raised the risk of death.
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Several aids have been designed for helping anesthetist in managing the difficult airway. Oral carcinomas often distort the airway anatomy and present as difficult airway usually with restricted mouth opening. In these scenarios, elective nasotracheal intubation with fiberoptic is done to secure the airway as well as to provide the full surgical field to the surgeon.

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Background And Aims: Caudal epidural block (CEB) is commonly performed using surface landmark-based technique in the paediatric patients, with a good success rate. Failure to perform CEB is usually attributable to anatomic variations. The aim of this study was to perform measurements of the anatomical landmarks that are generally used to perform CEB and find a relation between these measurements and successful needle placement.

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Background: This retrospective study compares the results of 2 different techniques of transforaminal epidural steroid injection (TFESI)-subpedicular (SP-TFESI) and lateral recess epidural steroid injection (LRSI) in relieving chronic lumbar radicular pain.

Methods: Records of 97 patients who had undergone injection for unilateral lumbar radicular pain and had a paracentral disc were analyzed. Numerical rating scale (NRS) and Oswestry Disability Index (ODI) scores were measured at baseline and at 2, 4, 12, and 24 weeks thereafter.

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Article Synopsis
  • Palatoglossal bands are a rare congenital condition with limited documented cases globally, potentially leading to respiratory issues or feeding difficulties.
  • Surgical intervention is often required, and anesthesiologists face challenges due to difficulties with conventional laryngoscopy and possible co-occurring anomalies.
  • The text outlines the management of an infant diagnosed at 18 months who experienced feeding challenges due to this condition.
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