Publications in the Year: 2012

Book Chapter

S., P, M. R.  2012.  Electroacupuncture in complex regional pain syndrome .. Interesting cases in Orthopedics.

Journal Article

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.
S., P.  2012.  Anaesthetic management Of Bilateral Nasal Polypectomy In A Patient With Kartagener Syndrome. Srilankan journal of Anaesthesiology. 20(1):56-57.
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.

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
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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.

kumar Bag, S, S. P, N. K.  2012.  Assessment of airway the MOUTH concept.. Journal of Anaesthesiology clinical Pharmacology . 28(4):539.