Publications in the Year: 2011

Conference Paper

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

Journal Article

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.