Dr. Hemanth Kumar V R

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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 = 'a:4:{s:4:\"head\";s:0:\"\";s:3:\"css\";a:0:{}s:2:\"js\";a:0:{}s:6:\"output\";s:11313:\"<div class=\"view view-publication-types view-id-publication_types view-display-id-page_1 view-dom-id-1\">\n \n \n \n <div class=\"views-row views-row-1 views-row-odd views-row-first\">\n <div id=\"node-159\" class=\"node node-type-biblio node-teaser\">\n <div class=\"node-inner\">\n <div class=\"os-links\">\n </div>\n <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> </div> <!-- /node-inner -->\n</div> <!-- /node --> </div>\n <div class=\"views-row views-row-2 views-row-even\">\n <div id=\"node-160\" class=\"node node-type-biblio node-teaser\">\n <div class=\"node-inner\">\n <div class=\"os-links\">\n </div>\n <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> </div> <!-- /node-inner -->\n</div> <!-- /node --> </div>\n <div class=\"views-row views-row-3 views-row-odd\">\n <div id=\"node-155\" class=\"node node-type-biblio node-teaser\">\n <div class=\"node-inner\">\n <div class=\"os-links\">\n </div>\n <span class=\"biblio-authors\">Mishra, SK, Lata S, Kumar VH, Mishra G, Ezhilarasu P.</span>&nbsp; \n2009.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/difficult-intubation-temporomandibular-joint-ankylosis-limited-mouth-op\">Difficult intubation; Temporomandibular joint ankylosis with limited mouth opening and hypertrophied adenoid in 6 year old child-case report and review</a>. </span>The Internet Journal of Anaesthesiology. 22(1)<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Difficult+intubation%3B+Temporomandibular+joint+ankylosis+with+limited+mouth+opening+and+hypertrophied+adenoid+in+6+year+old+child-case+report+and+review&amp;rft.title=The+Internet+Journal+of+Anaesthesiology&amp;rft.date=2009&amp;rft.volume=22&amp;rft.issue=1&amp;rft.aulast=Mishra&amp;rft.auinit=S+K\"></span><a href=\"/anaesthesiology/publications/difficult-intubation-temporomandibular-joint-ankylosis-limited-mouth-op\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.ispub.com/journal/the-internet-journal-of-anesthesiology/volume-22-number-1/difficult-intubation-temporomandibular-joint-ankylosis-with-limited-mouth-opening-and-hypertrophied-adenoid-in-a-six-year-old-child-case-report-and-review.html\">Website</a></span><div class=\"biblio-abstract-display slider\"><p>Various methods have been described for nasal intubation in children with temporomandibular joint ankylosis with limited mouth opening. As younger children are uncooperative, they required intubation under anesthesia. When associated with hypertrophied adenoid, there is high risk of bleeding in to the unprotected airway resulting in laryngospasm and/or bronchospsm. We describe here how successful intubation was performed in a child with Magill-tipped Red rubber (Rush) cuffed tracheal tube using an adult 4.1 fibreoptic bronchoscope under intravenous anesthesia.</p>\n\n</div><div class=\"links links-inline\"></div> </div> <!-- /node-inner -->\n</div> <!-- /node --> </div>\n <div class=\"views-row views-row-4 views-row-even\">\n <div id=\"node-156\" class=\"node node-type-biblio node-teaser\">\n <div class=\"node-inner\">\n <div class=\"os-links\">\n </div>\n <span class=\"biblio-authors\">Hemanth Kumar, V, Mishra SK, Rupavani K, Ezhilarasu P, Prabahar R.</span>&nbsp; \n2009.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/ultralow-concentration-epidural-bupivacaine-wih-fentanyl-along-intrathe\">Ultralow concentration of epidural bupivacaine wih fentanyl along with intrathecal fentanyl for labor analgesia</a>. </span>Journal of anaesthesiology and clinical pharmacology. 25(3):293-6.<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Ultralow+concentration+of+epidural+bupivacaine+wih+fentanyl+along+with+intrathecal+fentanyl+for+labor+analgesia&amp;rft.title=Journal+of+anaesthesiology+and+clinical+pharmacology&amp;rft.date=2009&amp;rft.volume=25&amp;rft.issue=3&amp;rft.aulast=Hemanth+Kumar&amp;rft.aufirst=Vr\"></span><span class=\"teaser-extra\"><a href=\"http://www.joacp.org/downloadpdf.asp?issn=0970-9185;year=2009;volume=25;issue=3;spage=293;epage=296;aulast=Hemanth;type=2\">Website</a></span><div class=\"links links-inline\"></div> </div> <!-- /node-inner -->\n</div> <!-- /node --> </div>\n <div class=\"views-row views-row-5 views-row-odd\">\n <div id=\"node-157\" class=\"node node-type-biblio node-teaser\">\n <div class=\"node-inner\">\n <div class=\"os-links\">\n </div>\n <span class=\"biblio-authors\">Mishra, G, Hemanth V, Mishra SK, Ezhilarasu P.</span>&nbsp; \n2009.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/anaesthetic-management-repair-exomphalus-and-extrophy-bladder-neonate-d\">Anaesthetic management of repair of exomphalus and extrophy of bladder for a neonate with double outlet right ventricle with atrial septal defect</a>. </span>The Internet Journal of Anaesthesiology. 22(1)<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+repair+of+exomphalus+and+extrophy+of+bladder+for+a+neonate+with+double+outlet+right+ventricle+with+atrial+septal+defect&amp;rft.title=The+Internet+Journal+of+Anaesthesiology&amp;rft.date=2009&amp;rft.volume=22&amp;rft.issue=1&amp;rft.aulast=Mishra&amp;rft.auinit=G\"></span><a href=\"/anaesthesiology/publications/anaesthetic-management-repair-exomphalus-and-extrophy-bladder-neonate-d\" class=\"biblio-abstract-link toggle\"> Abstract</a><span class=\"teaser-extra\"><a href=\"http://www.ispub.com/journal/the-internet-journal-of-anesthesiology/volume-22-number-1/anesthetic-management-of-repair-of-exomphalus-and-extrophy-of-the-bladder-for-a-neonate-with-double-outlet-right-ventricle-with-atrial-septal-defect.html\">Website</a></span><div class=\"biblio-abstract-display slider\"><p>A neonate with complex cardiac disease posted for emergency non cardiac surgery is a challenging task for anesthesiologists. There have complex pathophysiology, which can leads to unstable haemodynamics, arrhythmia and cardiac arrest during anesthesia. Here we report a case of a neonate with double outlet right ventricle with large atrial septal defect posted in emergency as suspected gangrenous bowel due to exomphalus which was also associated with exstrophy of bladder.</p>\n\n</div><div class=\"links links-inline\"></div> </div> <!-- /node-inner -->\n</div> <!-- /node --> </div>\n <div class=\"views-row views-row-6 views-row-even views-row-last\">\n <div id=\"node-158\" class=\"node node-type-biblio node-teaser\">\n <div class=\"node-inner\">\n <div class=\"os-links\">\n </div>\n <span class=\"biblio-authors\">Mishra, G, Lata S, Hemanth V, Mishra SK.</span>&nbsp; \n2009.&nbsp;&nbsp;<span class=\"biblio-title\"><a href=\"/anaesthesiology/publications/bilateral-pneumothorax-pneumomediastinum-under-anaesthesia-neonate\">Bilateral pneumothorax with pneumomediastinum under anaesthesia in a neonate</a>. </span>The Internet Journal of Anaesthesiology. 22(1)<span class=\"Z3988\" title=\"ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.atitle=Bilateral+pneumothorax+with+pneumomediastinum+under+anaesthesia+in+a+neonate&amp;rft.title=The+Internet+Journal+of+Anaesthesiology&amp;rft.date=2009&amp;rft.volume=22&amp;rft.issue=1&amp;rft.aulast=Mishra&amp;rft.auinit=G\"></span><span class=\"teaser-extra\"><a href=\"http://www.ispub.com/journal/the-internet-journal-of-anesthesiology/volume-22-number-1/bilateral-pneumothorax-with-pneumomediastinum-under-anaesthesia-in-a-neonate.html\">Website</a></span><div class=\"links links-inline\"></div> </div> <!-- /node-inner -->\n</div> <!-- /node --> </div>\n \n \n \n \n \n \n</div> \";}', created = 1556260102, expire = 1556346502, headers = '', serialized = 1 WHERE cid = 'anaesthesiology:publication_types:page_1:output:8200586466a3d2a67b1874f305073892' in /home/mgmcri/public_html/depts/includes/cache.inc on line 108.
Showing results in 'Publications'. Show all posts
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.

Mishra, SK, Lata S, Kumar VH, Mishra G, Ezhilarasu P.  2009.  Difficult intubation; Temporomandibular joint ankylosis with limited mouth opening and hypertrophied adenoid in 6 year old child-case report and review. The Internet Journal of Anaesthesiology. 22(1) AbstractWebsite

Various methods have been described for nasal intubation in children with temporomandibular joint ankylosis with limited mouth opening. As younger children are uncooperative, they required intubation under anesthesia. When associated with hypertrophied adenoid, there is high risk of bleeding in to the unprotected airway resulting in laryngospasm and/or bronchospsm. We describe here how successful intubation was performed in a child with Magill-tipped Red rubber (Rush) cuffed tracheal tube using an adult 4.1 fibreoptic bronchoscope under intravenous anesthesia.

Hemanth Kumar, V, Mishra SK, Rupavani K, Ezhilarasu P, Prabahar R.  2009.  Ultralow concentration of epidural bupivacaine wih fentanyl along with intrathecal fentanyl for labor analgesia. Journal of anaesthesiology and clinical pharmacology. 25(3):293-6.Website
Mishra, G, Hemanth V, Mishra SK, Ezhilarasu P.  2009.  Anaesthetic management of repair of exomphalus and extrophy of bladder for a neonate with double outlet right ventricle with atrial septal defect. The Internet Journal of Anaesthesiology. 22(1) AbstractWebsite

A neonate with complex cardiac disease posted for emergency non cardiac surgery is a challenging task for anesthesiologists. There have complex pathophysiology, which can leads to unstable haemodynamics, arrhythmia and cardiac arrest during anesthesia. Here we report a case of a neonate with double outlet right ventricle with large atrial septal defect posted in emergency as suspected gangrenous bowel due to exomphalus which was also associated with exstrophy of bladder.

Mishra, G, Lata S, Hemanth V, Mishra SK.  2009.  Bilateral pneumothorax with pneumomediastinum under anaesthesia in a neonate. The Internet Journal of Anaesthesiology. 22(1)Website