Publications

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  • user warning: Table './mgmcri_deptz/cache_views_data' is marked as crashed and should be repaired query: UPDATE cache_views_data SET data = '<div id=\"biblio-header\" class=\"clear-block\"><div class=\"biblio-export\">Export 57 results:<ul class=\"biblio-export-buttons\"><li> <a href=\"/anaesthesiology/publications/export/rtf/\" title=\"Click to download the RTF formatted file\">RTF</a></li><li> <a href=\"/anaesthesiology/publications/export/tagged/\" title=\"Click to download the EndNote Tagged formatted file\">Tagged</a></li><li> <a href=\"/anaesthesiology/publications/export/xml/\" title=\"Click to download the XML formatted file\">XML</a></li><li> <a href=\"/anaesthesiology/publications/export/bibtex/\" title=\"Click to download the BibTEX formatted file\">BibTex</a></li></ul></div>Sort by: <a href=\"/anaesthesiology/publications?sort=author&amp;order=asc\" title=\"Click a second time to reverse the sort order\" class=\"active\">Author</a> <a href=\"/anaesthesiology/publications?sort=title&amp;order=asc\" title=\"Click a second time to reverse the sort order\" class=\"active\">Title</a> <a href=\"/anaesthesiology/publications?sort=type&amp;order=asc\" title=\"Click a second time to reverse the sort order\" class=\"active\">Type</a> [ <a href=\"/anaesthesiology/publications?sort=year&amp;order=asc\" title=\"Click a second time to reverse the sort order\" class=\"active active\">Year</a> <img src =\"/sites/all/modules/contrib/biblio/arrow-asc.png\" alt =\" (Desc)\" />] </div>\n<div class=\"biblio-separator-bar\">2013</div>\n\n<div class =\"biblio-category-section\">\n<div id=\"node-496\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Maclean, J, DK. T, S. P, M. R.</span>&nbsp; \n2013.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/comparative-evaluation-gum-elastic-bougie-and-introducer-tool-aids-posi\">Comparative evaluation of gum-elastic bougie and introducer tool as aids in positioning of ProSeal laryngeal mask airway in patients with simulated restricted neck mobility</a>, 2013. </span>Indian journal of anaesthesia. 57(3):248-252.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Comparative+evaluation+of+gum-elastic+bougie+and+introducer+tool+as+aids+in+positioning+of+ProSeal+laryngeal+mask+airway+in+patients+with+simulated+restricted+neck+mobility&amp;rft.title=Indian+journal+of+anaesthesia&amp;rft.isbn=0019-5049&amp;rft.date=2013&amp;rft.volume=57&amp;rft.issue=3&amp;rft.spage=248&amp;rft.epage=252&amp;rft.aulast=Maclean&amp;rft.aufirst=Jennyl\"></span><a href=\"/anaesthesiology/publications/comparative-evaluation-gum-elastic-bougie-and-introducer-tool-aids-posi\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\"><p>BACKGROUND: The ProSeal laryngeal mask airway (PLMA) is a unique laryngeal mask with a modified cuff to improve seal and a channel to facilitate gastric tube placement. This is a better device in difficult airway situations compared to classic laryngeal mask airway. This prompted us to study the ease of insertion and positioning of PLMA in patients with simulated restricted neck mobility while using gum elastic bougie (GEB) group or introducer tool (group IT) to aid insertion.METHODS: Sixty ASA I or II patients, aged between 18 years and 60 years, undergoing minor non-head and neck surgeries in the supine position were studied. A rigid neck collar was used to simulate restricted neck mobility in all patients. After anaesthetising the patients with a standard protocol, the PLMA was inserted using either of the technique using the tongue depressor to open the mouth. The ease of insertion, positioning, haemodynamic responses to insertion and other complications related to the procedure were noted.<br />\nRESULTS: Regarding demographic variables, both groups were similar. The mean time taken for insertion of PLMA in group GEB was 67.80 s as compared to 46.79 s in group IT (P&lt;0.05). Patients of group GEB had better positioning assessed by an intubating fiberscope with less end tidal carbon-di-oxide (ETCO2) values. Systolic and diastolic blood pressures were similar. The incidence of sore throat, dysphagia, and dysphonia were higher in IT group in the 12 h, but similar in 24 h.<br />\nCONCLUSION: Guided insertion technique with GEB took a longer time, but had a better positioning and lower ETCO2 values when compared to IT technique.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-497\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Hemanth Kumar, V, Sripriya R, Ravishankar M.</span>&nbsp; \n2013.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/internal-leaks-anaesthesia-machines-unaddressed-problem\">Internal leaks into anaesthesia machines: an unaddressed problem</a>, 2013. </span>British journal of anaesthesia. 111(1):126-127.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Internal+leaks+into+anaesthesia+machines%3A+an+unaddressed+problem&amp;rft.title=British+journal+of+anaesthesia&amp;rft.isbn=1471-6771&amp;rft.date=2013&amp;rft.volume=111&amp;rft.issue=1&amp;rft.spage=126&amp;rft.epage=127&amp;rft.aulast=Ravishankar&amp;rft.auinit=M\"></span><a href=\"/anaesthesiology/publications/internal-leaks-anaesthesia-machines-unaddressed-problem\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\">n/a\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-498\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">R., S, Prabhu R, VR. HK, M. R.</span>&nbsp; \n2013.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/intraoperative-anaphylaxis-ranitidine-during-cesarean-section\">Intraoperative anaphylaxis to ranitidine during cesarean section</a>, 2013. </span>Journal of natural science, biology, and medicine. 4(1):257-259.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Intraoperative+anaphylaxis+to+ranitidine+during+cesarean+section&amp;rft.title=Journal+of+natural+science%2C+biology%2C+and+medicine&amp;rft.isbn=0976-9668&amp;rft.date=2013&amp;rft.volume=4&amp;rft.issue=1&amp;rft.spage=257&amp;rft.epage=259&amp;rft.aulast=R.&amp;rft.aufirst=Sripriya\"></span><a href=\"/anaesthesiology/publications/intraoperative-anaphylaxis-ranitidine-during-cesarean-section\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\"><p>Ranitidine, a widely used drug, is known to be well tolerated. This case report illustrates a severe anaphylactic reaction after a single intravenous dose of 50 mg ranitidine during the emergency cesarean section under spinal anesthesia. Anaphylaxis was successfully managed with Inj. adrenaline, Inj. hydrocortisone, ventilatory, and inotropic support following which she had a full recovery. Awareness of this rare but fatal adverse reaction to this commonly used drug could help in early recognition of the event if faced suddenly.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-499\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">R., S, S. PD, K. J, S. V.</span>&nbsp; \n2013.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/effect-yoga-therapy-selected-psychological-variables-among-male-patient\">Effect of yoga therapy on selected psychological variables among male patients with insomnia</a>. </span>Journal of clinical and diagnostic research . 013:7(1):55-57.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Effect+of+yoga+therapy+on+selected+psychological+variables+among+male+patients+with+insomnia&amp;rft.title=Journal+of+clinical+and+diagnostic+research+&amp;rft.date=2013&amp;rft.volume=013%3A7&amp;rft.issue=1&amp;rft.spage=55&amp;rft.epage=57&amp;rft.aulast=R.&amp;rft.aufirst=Sobana\"></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-500\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">R., S, VR. HK, M. R.</span>&nbsp; \n2013.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/internal-leaks-anaesthesia-machines-unaddressed-problem-0\">Internal leaks into anaesthesia machines: an unaddressed problem.</a>. </span>British journal of anaesthesia . 111(1):126-127.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Internal+leaks+into+anaesthesia+machines%3A+an+unaddressed+problem.&amp;rft.title=British+journal+of+anaesthesia+&amp;rft.date=2013&amp;rft.volume=111&amp;rft.issue=1&amp;rft.spage=126&amp;rft.epage=127&amp;rft.aulast=R.&amp;rft.aufirst=Sripriya\"></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-487\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">S.Parthasarathy.</span>&nbsp; \n2013.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/keep-epidural-hub-sterile\">Keep the epidural hub sterile.</a>. </span>Srilankan Journal Of Anaesthesiology. 21(1):49.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Keep+the+epidural+hub+sterile.&amp;rft.title=Srilankan+Journal+Of+Anaesthesiology&amp;rft.date=2013&amp;rft.volume=21&amp;rft.issue=1&amp;rft.spage=49&amp;rft.aulast=S.Parthasarathy\"></span><div class=\"links links-inline\"></div>\n</div></div>\n</div><!-- end category-section -->\n<div class=\"biblio-separator-bar\">2012</div>\n\n<div class =\"biblio-category-section\">\n<div id=\"node-492\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Ravishankar, M, Jahagirdar SM, Umeshkumar A, Parthasarathy S.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/anesthetic-management-newborn-cervical-meningomyelocele\">Anesthetic management of a newborn with a cervical meningomyelocele</a>, 2012. </span>Middle East journal of anesthesiology. 21(5):735-737.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Anesthetic+management+of+a+newborn+with+a+cervical+meningomyelocele&amp;rft.title=Middle+East+journal+of+anesthesiology&amp;rft.isbn=0544-0440&amp;rft.date=2012&amp;rft.volume=21&amp;rft.issue=5&amp;rft.spage=735&amp;rft.epage=737&amp;rft.aulast=Parthasarathy&amp;rft.auinit=S\"></span><a href=\"/anaesthesiology/publications/anesthetic-management-newborn-cervical-meningomyelocele\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\"><p>Anesthesia of a newborn poses different types of challenges to the anesthesiologist. Cervical meningomyelocele adds to the difficulty with positioning and airway problems. We report a case of successful management of such a case.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-491\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Ravishankar, M, Ganesh AB, Parthasarathy S, Sripriya R, Kumar UA.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/congenital-complete-heart-block-and-spinal-anaesthesia-caesarean-sectio\">Congenital complete heart block and spinal anaesthesia for caesarean section</a>, 2012. </span>Indian journal of anaesthesia. 56(1):72-74.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Congenital+complete+heart+block+and+spinal+anaesthesia+for+caesarean+section&amp;rft.title=Indian+journal+of+anaesthesia&amp;rft.isbn=0976-2817&amp;rft.date=2012&amp;rft.volume=56&amp;rft.issue=1&amp;rft.spage=72&amp;rft.epage=74&amp;rft.aulast=Kumar&amp;rft.aufirst=Umesh\"></span><a href=\"/anaesthesiology/publications/congenital-complete-heart-block-and-spinal-anaesthesia-caesarean-sectio\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\"><p>Congenital complete heart block could be absolutely asymptomatic. Increased awareness of suspecting an atrioventricular heart block in patients with slow heart rate and electrocardiograph examination will ensure recognition of this problem. The possibility of sudden cardiac death in these patients should not be forgotten. The goal in the peri-operative anaesthetic management is to preserve the heart rate and maintain haemodynamic stability. Herein, we present a case of congenital complete heart block posted for elective caesarean section for an obstetric indication. We would like to highlight the advantage of bupivacaine-fentanyl combination in maintaining haemodynamic stability and peri-operative heart rate control with temporary pacemaker.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-493\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Ravishankar, M, Parthasarathy S, Hemanth Kumar V, Saraogi A.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/improvised-device-negative-pressure-leak-test-0\">Improvised device for negative-pressure leak test</a>, 2012. </span>Indian journal of anaesthesia. 56(2):201-202.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Improvised+device+for+negative-pressure+leak+test&amp;rft.title=Indian+journal+of+anaesthesia&amp;rft.isbn=0976-2817&amp;rft.date=2012&amp;rft.volume=56&amp;rft.issue=2&amp;rft.spage=201&amp;rft.epage=202&amp;rft.aulast=Saraogi&amp;rft.aufirst=Ashish\"></span><a href=\"/anaesthesiology/publications/improvised-device-negative-pressure-leak-test-0\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\">n/a\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-494\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Yamakage, M, Watanabe A, Yamauchi M, Yoshikawa Y, Sawada A.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/breakdown-fat-tissue-and-muscle-protein-under-remifentanil-anesthesia\">[Breakdown of fat tissue and muscle protein under remifentanil anesthesia]</a>, 2012. </span>Masui. The Japanese Journal of Anesthesiology. 61(4):358-363.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=%5BBreakdown+of+fat+tissue+and+muscle+protein+under+remifentanil+anesthesia%5D&amp;rft.title=Masui.+The+Japanese+Journal+of+Anesthesiology&amp;rft.isbn=0021-4892&amp;rft.date=2012&amp;rft.volume=61&amp;rft.issue=4&amp;rft.spage=358&amp;rft.epage=363&amp;rft.aulast=Sawada&amp;rft.aufirst=Atsushi\"></span><a href=\"/anaesthesiology/publications/breakdown-fat-tissue-and-muscle-protein-under-remifentanil-anesthesia\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.ncbi.nlm.nih.gov/pubmed/22590935\">Website</a></span><div class=\"biblio-abstract-display slider\"><p>BACKGROUNDWe investigated the efficacy of glucose infusion for the inhibition of breakdown of fat tissue and muscle protein under remifentanil anesthesia.<br />\nMETHODS<br />\nTwenty adult patients (ASA I or II) were enrolled in this study and randomized into two groups: a control group receiving acetated Ringer\'s solution without glucose (n = 10) and a glucose group receiving acetated Ringer\'s solution containing 1% glucose (n = 10). Anesthesia was induced by propofol and fentanyl and maintained by sevoflurane and remifentanil. Plasma concentrations of glucose and cortisol were measured. Acetoacetic acid and 3-hydroxybutyrate acid were measured as parameters for breakdown of fat tissue. Urine 3-methylhistidine/plasma creatinine was measured as a parameter for breakdown of muscle protein during surgery. Data were analyzed by the unpaired t-test, Friedman\'s chi2-test, Wilcoxon\'s t-test and Mann-Whitney U test. P &lt; 0.05 was considered significant.<br />\nRESULTS<br />\nPlasma concentrations of cortisol and glucose were not increased in either group during the study. Plasma concentrations of acetoacetic acid and 3-hydroxybutyrate acid and urine 3-methylhistidine/plasma creatinine significantly increased in the control group but did not increase in the glucose group.<br />\nCONCLUSIONS<br />\nInfusion of glucose suppresses breakdown of fat tissue and muscle protein under remifentanil anesthesia.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-507\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">S., P.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/anaesthetic-management-bilateral-nasal-polypectomy-patient-kartagener-s\">Anaesthetic management Of Bilateral Nasal Polypectomy In A Patient With Kartagener Syndrome</a>. </span>Srilankan journal of Anaesthesiology. 20(1):56-57.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Anaesthetic+management+Of+Bilateral+Nasal+Polypectomy+In+A+Patient+With+Kartagener+Syndrome&amp;rft.title=Srilankan+journal+of+Anaesthesiology&amp;rft.date=2012&amp;rft.volume=20&amp;rft.issue=1&amp;rft.spage=56&amp;rft.epage=57&amp;rft.aulast=S.&amp;rft.aufirst=Parthasarathy\"></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-502\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">kumar Bag, S, S. P, N. K.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/assessment-airway-mouth-concept-0\">Assessment of airway the MOUTH concept.</a>. </span>Journal of Anaesthesiology clinical Pharmacology . 28(4):539.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Assessment+of+airway+the+MOUTH+concept.&amp;rft.title=Journal+of+Anaesthesiology+clinical+Pharmacology+&amp;rft.date=2012&amp;rft.volume=28&amp;rft.issue=4&amp;rft.spage=539&amp;rft.aulast=Bag&amp;rft.aufirst=Sourav\"></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-504\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">S., P, M. R.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/electroacupuncture-complex-regional-pain-syndrome\">Electroacupuncture in complex regional pain syndrome .</a>. </span>Interesting cases in Orthopedics. <span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.atitle=Electroacupuncture+in+complex+regional+pain+syndrome+.&amp;rft.title=Interesting+cases+in+Orthopedics&amp;rft.btitle=Interesting+cases+in+Orthopedics&amp;rft.date=2012&amp;rft.aulast=S.&amp;rft.aufirst=Parthasarathy\"></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-501\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">C., RP, S. MJ, S. P.</span>&nbsp; \n2012.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/transient-hypertension-after-interscalene-block-presentation-rare-compl\">Transient hypertension after an interscalene block-the presentation of a rare complication with an anatomical explanation</a>. </span>Journal of clinical diagnosis and research. 6(10):1768-1769.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Transient+hypertension+after+an+interscalene+block-the+presentation+of+a+rare+complication+with+an+anatomical+explanation&amp;rft.title=Journal+of+clinical+diagnosis+and+research&amp;rft.date=2012&amp;rft.volume=6&amp;rft.issue=10&amp;rft.spage=1768&amp;rft.epage=1769&amp;rft.aulast=C.&amp;rft.aufirst=Rajesh+Prabu\"></span><div class=\"links links-inline\"></div>\n</div></div>\n</div><!-- end category-section -->\n<div class=\"biblio-separator-bar\">2011</div>\n\n<div class =\"biblio-category-section\">\n<div id=\"node-187\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Ravishankar, M.</span>&nbsp; \n2011.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/uptake-and-distribution-inhaled-anaesthetics\">Uptake and distribution of inhaled anaesthetics</a>, 26 December. </span>ISACON 2011, 59th Annual National Conference of Indian Society of Anaesthesiologists . , Grant Hyat, Mumbai<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&amp;rft.title=Uptake+and+distribution+of+inhaled+anaesthetics&amp;rft.date=2011&amp;rft.aulast=Ravishankar&amp;rft.auinit=M&amp;rft.place=Grant+Hyat%2C+Mumbai\"></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-70\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Jahagirdar, SM, Karthikeyan P, Ravishankar M.</span>&nbsp; \n2011.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/acute-airway-obstruction-unusual-presentation-vallecular-cyst\">Acute airway obstruction, an unusual presentation of vallecular cyst</a>, 2011/09//. </span>Indian Journal of Anaesthesia. 55:524-527.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Acute+airway+obstruction%2C+an+unusual+presentation+of+vallecular+cyst&amp;rft.title=Indian+Journal+of+Anaesthesia&amp;rft.isbn=0976-2817&amp;rft.date=2011&amp;rft.volume=55&amp;rft.spage=524&amp;rft.epage=527&amp;rft.aulast=Jahagirdar&amp;rft.aufirst=Sameer\"></span><a href=\"/anaesthesiology/publications/acute-airway-obstruction-unusual-presentation-vallecular-cyst\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.ncbi.nlm.nih.gov/pubmed/22174474\">Website</a></span><div class=\"biblio-abstract-display slider\"><p>A 18-year-old female presented to us with acute respiratory obstruction, unconsciousness, severe respiratory acidosis, and impending cardiac arrest. The emergency measures to secure the airway included intubation with a 3.5-mm endotracheal tube and railroading of a 6.5-mm endotracheal tube over a suction catheter. Video laryngoscopy done after successful resuscitation showed an inflamed swollen epiglottis with a swelling in the left vallecular region, which proved to be a vallecular cyst. Marsupialisation surgery was performed on the 8(th) post admission day and the patient discharged on 10(th) day without any neurological deficit.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-105\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Parthasarathy, S, Ravishankar M.</span>&nbsp; \n2011.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/continuous-spinal-anesthesia-epidural-catheters-experience-periphery\">Continuous spinal anesthesia with epidural catheters: An experience in the periphery</a>. </span>Anesthesia: Essays and Researches. 5:187., Number 2<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Continuous+spinal+anesthesia+with+epidural+catheters%3A+An+experience+in+the+periphery&amp;rft.title=Anesthesia%3A+Essays+and+Researches&amp;rft.issn=0259-1162&amp;rft.date=2011&amp;rft.volume=5&amp;rft.spage=187&amp;rft.aulast=Parthasarathy&amp;rft.auinit=S&amp;rft_id=info%3Adoi%2F10.4103%2F0259-1162.94770\"></span><a href=\"/anaesthesiology/publications/continuous-spinal-anesthesia-epidural-catheters-experience-periphery\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.aeronline.org/text.asp?2011/5/2/187/94770\">Website</a></span><div class=\"biblio-abstract-display slider\"><p>Background and Aim: Continuous spinal anesthesia (CSA) offers considerable advantages over \"singleshot\" spinal or epidural anesthesia since it allows administration of well-controlled anesthesia using small doses of local anesthetics and a definite end point with less failure rate. There are described technical difficulties with introduction of spinal micro catheters and hence this study was undertaken by using epidural catheters.<br />\nMaterials and Methods: Sixty patients of ASA grade II to III were selected and they were administered continuous spinal anesthesia with Portex 18-G epidural catheters.<br />\nResults: The introduction was done in first attempt and was easy in all cases. The intraoperative period was uneventful in all cases. Early postoperative analgesia was achieved in all cases. Only two patients (3%) had postdural puncture headache controlled with simple analgesics. In a 3 month postoperative followup, the incidence of neurological complication is nil.<br />\nConclusion: We conclude CSA with epidural catheters is a simple and safe alternative for prolonged procedures with negligible failure rate especially in high-risk patients and in patients with possible difficulties in administration of general anesthesia.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-508\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">S., P.</span>&nbsp; \n2011.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/effect-addition-intrathecal-midazolam-15-mg-bupivacaine-patients-underg\">The Effect Of Addition Of Intrathecal Midazolam 1.5 mg To Bupivacaine In Patients Undergoing Abdominal Hysterctomy</a>. </span>Srilankan journal of Anaesthesiology. 19(2):81-85.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=The+Effect+Of+Addition+Of+Intrathecal+Midazolam+1.5+mg+To+Bupivacaine+In+Patients+Undergoing+Abdominal+Hysterctomy&amp;rft.title=Srilankan+journal+of+Anaesthesiology&amp;rft.date=2011&amp;rft.volume=19&amp;rft.issue=2&amp;rft.spage=81&amp;rft.epage=85&amp;rft.aulast=S.&amp;rft.aufirst=Parthasarathy\"></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-509\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">MVP., C, NM. J, JM. E, M. R.</span>&nbsp; \n2011.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/invasive-pulmonary-aspergillosis-caused-aspergillus-versicolor-patient-\">Invasive pulmonary aspergillosis caused by Aspergillus Versicolor in a patient on mechanical ventilation</a>. </span>AMJ. 4(11):632-634.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Invasive+pulmonary+aspergillosis+caused+by+Aspergillus+Versicolor+in+a+patient+on+mechanical+ventilation&amp;rft.title=AMJ&amp;rft.date=2011&amp;rft.volume=4&amp;rft.issue=11&amp;rft.spage=632&amp;rft.epage=634&amp;rft.aulast=MVP.&amp;rft.aufirst=Charles\"></span><div class=\"links links-inline\"></div>\n</div></div>\n</div><!-- end category-section -->\n<div class=\"biblio-separator-bar\">2010</div>\n\n<div class =\"biblio-category-section\">\n<div id=\"node-71\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Pusapati, RN, Sivashanmugam T, Ravishankar M.</span>&nbsp; \n2010.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/respiratory-changes-during-spinal-anaesthesia-gynaecological-laparoscop\">Respiratory changes during spinal anaesthesia for gynaecological laparoscopic surgery</a>, October 1, 2010. </span>Journal of Anaesthesiology Clinical Pharmacology. 26:475-479.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Respiratory+changes+during+spinal+anaesthesia+for+gynaecological+laparoscopic+surgery&amp;rft.title=Journal+of+Anaesthesiology+Clinical+Pharmacology&amp;rft.date=2010&amp;rft.volume=26&amp;rft.spage=475&amp;rft.epage=479&amp;rft.aulast=Pusapati&amp;rft.aufirst=Raju\"></span><a href=\"/anaesthesiology/publications/respiratory-changes-during-spinal-anaesthesia-gynaecological-laparoscop\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.joacp.org/text.asp?2010/26/4/475/74588\">Website</a></span><div class=\"biblio-abstract-display slider\"><p><b>Background:</b> It is currently presumed that spinal anaesthesia can compromise respiratory muscle function during carbon dioxide (CO2) pneumoperitoneum. This observational study was designed to delineate the respiratory effects of CO2 pneumoperitoneum under spinal anaesthesia.<b>Patients &amp; Methods:</b> Forty one patients undergoing elective gynecological laparoscopy were administered spinal anaesthesia with 15 mg heavy bupivacaine and 50 mcg of fentanyl. Heart rare, blood pressure, tidal volume, respiratory rate and end tidal CO2 were serially recorded before, during and after the pneumoperitoneum. Arterial blood gas analysis was done before and 20 min after initiation of pneumoperitoneum.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-72\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Parthasarathy, S, Ravishankar M, Aravindan U.</span>&nbsp; \n2010.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/total-radical-gastrectomy-under-continuous-thoracic-epidural-anaesthesi\">Total radical gastrectomy under continuous thoracic epidural anaesthesia</a>, 2010/07//. </span>Indian Journal of Anaesthesia. 54:358-359.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Total+radical+gastrectomy+under+continuous+thoracic+epidural+anaesthesia&amp;rft.title=Indian+Journal+of+Anaesthesia&amp;rft.isbn=0976-2817&amp;rft.date=2010&amp;rft.volume=54&amp;rft.spage=358&amp;rft.epage=359&amp;rft.aulast=Parthasarathy&amp;rft.auinit=S\"></span><a href=\"/anaesthesiology/publications/total-radical-gastrectomy-under-continuous-thoracic-epidural-anaesthesi\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.ncbi.nlm.nih.gov/pubmed/20882190\">Website</a></span><div class=\"biblio-abstract-display slider\"><p>n/a</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-73\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Parthasarathy, S, Ravishankar M.</span>&nbsp; \n2010.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/tight-bag\">Tight bag</a>, 2010/05//. </span>Indian Journal of Anaesthesia. 54:193-198.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Tight+bag&amp;rft.title=Indian+Journal+of+Anaesthesia&amp;rft.isbn=0976-2817&amp;rft.date=2010&amp;rft.volume=54&amp;rft.spage=193&amp;rft.epage=198&amp;rft.aulast=Parthasarathy&amp;rft.auinit=S\"></span><a href=\"/anaesthesiology/publications/tight-bag\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.ncbi.nlm.nih.gov/pubmed/20885863\">Website</a></span><div class=\"biblio-abstract-display slider\"><p>Tight bag is a clinical situation where excessive pressure needs to be applied to a reservoir bag of a breathing system to an intubated patient, which may or may not produce satisfactory ventilation. The various clinical scenarios and the appropriate steps for its prevention are described.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-74\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Ravishankar, M.</span>&nbsp; \n2010.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/obstetric-analgesia-and-anaethesia\">Obstetric Analgesia and Anaethesia</a>, 2010///. </span>Essential Obstetrics, Textbook for Undergraduates. :198-207., Chennai: Universities Press<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.atitle=Obstetric+Analgesia+and+Anaethesia&amp;rft.title=Essential+Obstetrics%2C+Textbook+for+Undergraduates&amp;rft.btitle=Essential+Obstetrics%2C+Textbook+for+Undergraduates&amp;rft.date=2010&amp;rft.spage=198&amp;rft.epage=207&amp;rft.aulast=Ravishankar&amp;rft.auinit=M&amp;rft.pub=Universities+Press&amp;rft.place=Chennai\"></span><a href=\"/anaesthesiology/publications/obstetric-analgesia-and-anaethesia\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\"><p>n/a</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-159\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Mishra, SK, Ezhilarasu P, Hemant VR.</span>&nbsp; \n2010.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/caudal-anaesthesia-under-sedation-ketamine-and-propofol-simple-solution\">Caudal anaesthesia under sedation -ketamine and propofol is simple solution</a>, 06/08. </span>British Journal of Anaesthesia. 104(6)<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Caudal+anaesthesia+under+sedation+-ketamine+and+propofol+is+simple+solution&amp;rft.title=British+Journal+of+Anaesthesia&amp;rft.date=2010&amp;rft.volume=104&amp;rft.issue=6&amp;rft.aulast=Mishra&amp;rft.aufirst=Sandeep\"></span><span class=\"teaser-extra\"><a href=\"http://bja.oxfordjournals.org/content/104/6/751.full/reply#brjana_el_6153\">Website</a></span><div class=\"links links-inline\"></div>\n</div></div>\n<div id=\"node-160\" class=\"biblio-entry node node-teaser\"><div class=\"node-inner\"><span class=\"biblio-authors\">Anusha, B, hemanth kumar V.R.</span>&nbsp; \n2010.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/retention-cpr-skills-interns-2-months-after-training\">Retention of CPR skills in Interns at Two months after training</a>. </span>Australasian medical journal . 3(8):519.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Retention+of+CPR+skills+in+Interns+at+Two+months+after+training&amp;rft.title=Australasian+medical+journal+&amp;rft.date=2010&amp;rft.volume=3&amp;rft.issue=8&amp;rft.spage=519&amp;rft.aulast=Anusha&amp;rft.aufirst=Balasubramanian\"></span><a href=\"/anaesthesiology/publications/retention-cpr-skills-interns-2-months-after-training\" class=\"biblio-abstract-link toggle\"> Abstract</a><div class=\"biblio-abstract-display slider\"><p>Introduction<br />\nThe objective of this study is to evaluate retention of CPR skills<br />\namong interns at 2 months after training and the need for<br />\nreeducation for better performance of skills.<br />\nMaterials and Methods<br />\nThe study involved 30 interns who underwent CPR training<br />\nusing mannequin. None of the interns had prior proper CPR<br />\ntraining. During initial education classes, all 30 interns were<br />\neducated according to 2005 AHA guidelines for CPR until they<br />\nachieved 100% performance. Two months later, all interns<br />\nwere tested for CPR skills. The parameters that were subjected<br />\nto assessment were: safe approach, call for help from<br />\nsurroundings, opening of the airway, breathing check, pulse<br />\ncheck, adequacy of inspired volume in mouth to mouth<br />\nventilation, adequacy of chest compressions 100/min<br />\nacceptable with proper hand positioning and compression<br />\nventilation ratio (30:2), sequence and potentially injurious<br />\nperformances.<br />\nResults<br />\nThere was statistically significant deterioration in the<br />\nparameters like safe approach, response check, open the<br />\nairway, check breathing, adequate ventilation volume,<br />\nadequate chest compression and sequence at 2 months. Safe<br />\napproach, call for help, check breathing, CV ratio and sequence<br />\nwere better performed by female interns. Other parameters<br />\nwere better performed by male interns. Overall difference in<br />\nperformance between males and females is not more.<br />\nConclusions<br />\nIn light of our findings, we conclude that as CPR skills have<br />\ndeteriorated by 2 months itself, a short and inexpensive<br />\nretraining of skills is essential at two months after initial<br />\neducation.</p>\n\n</div><div class=\"links links-inline\"></div>\n</div></div></div><!-- end category-section --><div class=\"item-list\"><ul class=\"pager\"><li class=\"pager-current first\">1</li>\n<li class=\"pager-item\"><a href=\"/anaesthesiology/publications?page=1\" title=\"Go to page 2\" class=\"active\">2</a></li>\n<li class=\"pager-item\"><a href=\"/anaesthesiology/publications?page=2\" title=\"Go to page 3\" class=\"active\">3</a></li>\n<li class=\"pager-next\"><a href=\"/anaesthesiology/publications?page=1\" title=\"Go to next page\" class=\"active\">next ›</a></li>\n<li class=\"pager-last last\"><a href=\"/anaesthesiology/publications?page=2\" title=\"Go to last page\" class=\"active\">last »</a></li>\n</ul></div>', created = 1511169563, expire = 0, headers = '', serialized = 0 WHERE cid = 'scholar_publication:results:anaesthesiology::0:40cd750bba9870f18aada2478b24840a:en-gb' in /home/mgmcri/public_html/depts/includes/cache.inc on line 108.
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2013
Maclean, J, DK. T, S. P, M. R.  2013.  Comparative evaluation of gum-elastic bougie and introducer tool as aids in positioning of ProSeal laryngeal mask airway in patients with simulated restricted neck mobility, 2013. Indian journal of anaesthesia. 57(3):248-252. Abstract

BACKGROUND: The ProSeal laryngeal mask airway (PLMA) is a unique laryngeal mask with a modified cuff to improve seal and a channel to facilitate gastric tube placement. This is a better device in difficult airway situations compared to classic laryngeal mask airway. This prompted us to study the ease of insertion and positioning of PLMA in patients with simulated restricted neck mobility while using gum elastic bougie (GEB) group or introducer tool (group IT) to aid insertion.METHODS: Sixty ASA I or II patients, aged between 18 years and 60 years, undergoing minor non-head and neck surgeries in the supine position were studied. A rigid neck collar was used to simulate restricted neck mobility in all patients. After anaesthetising the patients with a standard protocol, the PLMA was inserted using either of the technique using the tongue depressor to open the mouth. The ease of insertion, positioning, haemodynamic responses to insertion and other complications related to the procedure were noted.
RESULTS: Regarding demographic variables, both groups were similar. The mean time taken for insertion of PLMA in group GEB was 67.80 s as compared to 46.79 s in group IT (P<0.05). Patients of group GEB had better positioning assessed by an intubating fiberscope with less end tidal carbon-di-oxide (ETCO2) values. Systolic and diastolic blood pressures were similar. The incidence of sore throat, dysphagia, and dysphonia were higher in IT group in the 12 h, but similar in 24 h.
CONCLUSION: Guided insertion technique with GEB took a longer time, but had a better positioning and lower ETCO2 values when compared to IT technique.

Hemanth Kumar, V, Sripriya R, Ravishankar M.  2013.  Internal leaks into anaesthesia machines: an unaddressed problem, 2013. British journal of anaesthesia. 111(1):126-127. Abstract
n/a
R., S, Prabhu R, VR. HK, M. R.  2013.  Intraoperative anaphylaxis to ranitidine during cesarean section, 2013. Journal of natural science, biology, and medicine. 4(1):257-259. Abstract

Ranitidine, a widely used drug, is known to be well tolerated. This case report illustrates a severe anaphylactic reaction after a single intravenous dose of 50 mg ranitidine during the emergency cesarean section under spinal anesthesia. Anaphylaxis was successfully managed with Inj. adrenaline, Inj. hydrocortisone, ventilatory, and inotropic support following which she had a full recovery. Awareness of this rare but fatal adverse reaction to this commonly used drug could help in early recognition of the event if faced suddenly.

R., S, S. PD, K. J, S. V.  2013.  Effect of yoga therapy on selected psychological variables among male patients with insomnia. Journal of clinical and diagnostic research . 013:7(1):55-57.
R., S, VR. HK, M. R.  2013.  Internal leaks into anaesthesia machines: an unaddressed problem.. British journal of anaesthesia . 111(1):126-127.
S.Parthasarathy.  2013.  Keep the epidural hub sterile.. Srilankan Journal Of Anaesthesiology. 21(1):49.
2012
Ravishankar, M, Jahagirdar SM, Umeshkumar A, Parthasarathy S.  2012.  Anesthetic management of a newborn with a cervical meningomyelocele, 2012. Middle East journal of anesthesiology. 21(5):735-737. Abstract

Anesthesia of a newborn poses different types of challenges to the anesthesiologist. Cervical meningomyelocele adds to the difficulty with positioning and airway problems. We report a case of successful management of such a case.

Ravishankar, M, Ganesh AB, Parthasarathy S, Sripriya R, Kumar UA.  2012.  Congenital complete heart block and spinal anaesthesia for caesarean section, 2012. Indian journal of anaesthesia. 56(1):72-74. Abstract

Congenital complete heart block could be absolutely asymptomatic. Increased awareness of suspecting an atrioventricular heart block in patients with slow heart rate and electrocardiograph examination will ensure recognition of this problem. The possibility of sudden cardiac death in these patients should not be forgotten. The goal in the peri-operative anaesthetic management is to preserve the heart rate and maintain haemodynamic stability. Herein, we present a case of congenital complete heart block posted for elective caesarean section for an obstetric indication. We would like to highlight the advantage of bupivacaine-fentanyl combination in maintaining haemodynamic stability and peri-operative heart rate control with temporary pacemaker.

Ravishankar, M, Parthasarathy S, Hemanth Kumar V, Saraogi A.  2012.  Improvised device for negative-pressure leak test, 2012. Indian journal of anaesthesia. 56(2):201-202. Abstract
n/a
Yamakage, M, Watanabe A, Yamauchi M, Yoshikawa Y, Sawada A.  2012.  [Breakdown of fat tissue and muscle protein under remifentanil anesthesia], 2012. Masui. The Japanese Journal of Anesthesiology. 61(4):358-363. AbstractWebsite

BACKGROUNDWe investigated the efficacy of glucose infusion for the inhibition of breakdown of fat tissue and muscle protein under remifentanil anesthesia.
METHODS
Twenty adult patients (ASA I or II) were enrolled in this study and randomized into two groups: a control group receiving acetated Ringer's solution without glucose (n = 10) and a glucose group receiving acetated Ringer's solution containing 1% glucose (n = 10). Anesthesia was induced by propofol and fentanyl and maintained by sevoflurane and remifentanil. Plasma concentrations of glucose and cortisol were measured. Acetoacetic acid and 3-hydroxybutyrate acid were measured as parameters for breakdown of fat tissue. Urine 3-methylhistidine/plasma creatinine was measured as a parameter for breakdown of muscle protein during surgery. Data were analyzed by the unpaired t-test, Friedman's chi2-test, Wilcoxon's t-test and Mann-Whitney U test. P < 0.05 was considered significant.
RESULTS
Plasma concentrations of cortisol and glucose were not increased in either group during the study. Plasma concentrations of acetoacetic acid and 3-hydroxybutyrate acid and urine 3-methylhistidine/plasma creatinine significantly increased in the control group but did not increase in the glucose group.
CONCLUSIONS
Infusion of glucose suppresses breakdown of fat tissue and muscle protein under remifentanil anesthesia.

S., P.  2012.  Anaesthetic management Of Bilateral Nasal Polypectomy In A Patient With Kartagener Syndrome. Srilankan journal of Anaesthesiology. 20(1):56-57.
kumar Bag, S, S. P, N. K.  2012.  Assessment of airway the MOUTH concept.. Journal of Anaesthesiology clinical Pharmacology . 28(4):539.
S., P, M. R.  2012.  Electroacupuncture in complex regional pain syndrome .. Interesting cases in Orthopedics.
C., RP, S. MJ, S. P.  2012.  Transient hypertension after an interscalene block-the presentation of a rare complication with an anatomical explanation. Journal of clinical diagnosis and research. 6(10):1768-1769.
2011
Ravishankar, M.  2011.  Uptake and distribution of inhaled anaesthetics, 26 December. ISACON 2011, 59th Annual National Conference of Indian Society of Anaesthesiologists . , Grant Hyat, Mumbai
Jahagirdar, SM, Karthikeyan P, Ravishankar M.  2011.  Acute airway obstruction, an unusual presentation of vallecular cyst, 2011/09//. Indian Journal of Anaesthesia. 55:524-527. AbstractWebsite

A 18-year-old female presented to us with acute respiratory obstruction, unconsciousness, severe respiratory acidosis, and impending cardiac arrest. The emergency measures to secure the airway included intubation with a 3.5-mm endotracheal tube and railroading of a 6.5-mm endotracheal tube over a suction catheter. Video laryngoscopy done after successful resuscitation showed an inflamed swollen epiglottis with a swelling in the left vallecular region, which proved to be a vallecular cyst. Marsupialisation surgery was performed on the 8(th) post admission day and the patient discharged on 10(th) day without any neurological deficit.

Parthasarathy, S, Ravishankar M.  2011.  Continuous spinal anesthesia with epidural catheters: An experience in the periphery. Anesthesia: Essays and Researches. 5:187., Number 2 AbstractWebsite

Background and Aim: Continuous spinal anesthesia (CSA) offers considerable advantages over "singleshot" spinal or epidural anesthesia since it allows administration of well-controlled anesthesia using small doses of local anesthetics and a definite end point with less failure rate. There are described technical difficulties with introduction of spinal micro catheters and hence this study was undertaken by using epidural catheters.
Materials and Methods: Sixty patients of ASA grade II to III were selected and they were administered continuous spinal anesthesia with Portex 18-G epidural catheters.
Results: The introduction was done in first attempt and was easy in all cases. The intraoperative period was uneventful in all cases. Early postoperative analgesia was achieved in all cases. Only two patients (3%) had postdural puncture headache controlled with simple analgesics. In a 3 month postoperative followup, the incidence of neurological complication is nil.
Conclusion: We conclude CSA with epidural catheters is a simple and safe alternative for prolonged procedures with negligible failure rate especially in high-risk patients and in patients with possible difficulties in administration of general anesthesia.

2010
Pusapati, RN, Sivashanmugam T, Ravishankar M.  2010.  Respiratory changes during spinal anaesthesia for gynaecological laparoscopic surgery, October 1, 2010. Journal of Anaesthesiology Clinical Pharmacology. 26:475-479. AbstractWebsite

Background: It is currently presumed that spinal anaesthesia can compromise respiratory muscle function during carbon dioxide (CO2) pneumoperitoneum. This observational study was designed to delineate the respiratory effects of CO2 pneumoperitoneum under spinal anaesthesia.Patients & Methods: Forty one patients undergoing elective gynecological laparoscopy were administered spinal anaesthesia with 15 mg heavy bupivacaine and 50 mcg of fentanyl. Heart rare, blood pressure, tidal volume, respiratory rate and end tidal CO2 were serially recorded before, during and after the pneumoperitoneum. Arterial blood gas analysis was done before and 20 min after initiation of pneumoperitoneum.

Parthasarathy, S, Ravishankar M, Aravindan U.  2010.  Total radical gastrectomy under continuous thoracic epidural anaesthesia, 2010/07//. Indian Journal of Anaesthesia. 54:358-359. AbstractWebsite

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Parthasarathy, S, Ravishankar M.  2010.  Tight bag, 2010/05//. Indian Journal of Anaesthesia. 54:193-198. AbstractWebsite

Tight bag is a clinical situation where excessive pressure needs to be applied to a reservoir bag of a breathing system to an intubated patient, which may or may not produce satisfactory ventilation. The various clinical scenarios and the appropriate steps for its prevention are described.

Ravishankar, M.  2010.  Obstetric Analgesia and Anaethesia, 2010///. Essential Obstetrics, Textbook for Undergraduates. :198-207., Chennai: Universities Press Abstract

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Mishra, SK, Ezhilarasu P, Hemant VR.  2010.  Caudal anaesthesia under sedation -ketamine and propofol is simple solution, 06/08. British Journal of Anaesthesia. 104(6)Website
Anusha, B, hemanth kumar V.R.  2010.  Retention of CPR skills in Interns at Two months after training. Australasian medical journal . 3(8):519. Abstract

Introduction
The objective of this study is to evaluate retention of CPR skills
among interns at 2 months after training and the need for
reeducation for better performance of skills.
Materials and Methods
The study involved 30 interns who underwent CPR training
using mannequin. None of the interns had prior proper CPR
training. During initial education classes, all 30 interns were
educated according to 2005 AHA guidelines for CPR until they
achieved 100% performance. Two months later, all interns
were tested for CPR skills. The parameters that were subjected
to assessment were: safe approach, call for help from
surroundings, opening of the airway, breathing check, pulse
check, adequacy of inspired volume in mouth to mouth
ventilation, adequacy of chest compressions 100/min
acceptable with proper hand positioning and compression
ventilation ratio (30:2), sequence and potentially injurious
performances.
Results
There was statistically significant deterioration in the
parameters like safe approach, response check, open the
airway, check breathing, adequate ventilation volume,
adequate chest compression and sequence at 2 months. Safe
approach, call for help, check breathing, CV ratio and sequence
were better performed by female interns. Other parameters
were better performed by male interns. Overall difference in
performance between males and females is not more.
Conclusions
In light of our findings, we conclude that as CPR skills have
deteriorated by 2 months itself, a short and inexpensive
retraining of skills is essential at two months after initial
education.