Objective: To compare subjective experience of comfort associated with various commonly used supp... more Objective: To compare subjective experience of comfort associated with various commonly used supportive modes of mechanical ventilation for weaning in the intensive care unit (ICU).
Airway management in patients of faciomaxillary injury is of great concern to the anesthesiologis... more Airway management in patients of faciomaxillary injury is of great concern to the anesthesiologist. Bag and mask ventilation and orotracheal intubation may be difficult with these patients. Recently, a middle aged, obese female presented in the emergency department after sustaining a blast injury, with laceration of the upper chest and left submandibular region. Laceration of the submandibular region was communicating with the intraoral space and the airway was filled with blood. The airway was secured with nasotracheal intubation aided by a lightwand, after failure with the Macintosh laryngoscope. This case report highlights the importance of the lightwand in intubating a patient with a bleeding airway and when the bright light glow of the lightwand gives sufficient direction toward the glottis for successful tracheal intubation.
Classical supraclavicular brachial plexus block was used as the sole anaesthetic technique in 200... more Classical supraclavicular brachial plexus block was used as the sole anaesthetic technique in 200 children aged between 5 and 12 years undergoing closed reduction of arm fractures. The local anaesthetic used was lidocaine 1.5% with epinephrine. The block was graded as satisfactory if surgical manipulation could be performed without discomfort and unsatisfactory if general anaesthesia had to be given. In 182 children, the procedure was carried out under the block alone, whereas the remaining 18 patients required general anaesthesia. The mean (SD) time required for performing the block was 9.1 (3.7) min and the mean (SD) time to sensory blockade was 8.3 (2.3) min. The mean duration of analgesia was < 3.5 h. There were few complications, with no incidence of pneumothorax in any patient. The acceptability of the block by the children and the parents was 72 and 85%, respectively. The classical supraclavicular brachial plexus block was found to be acceptable, effective and with a good success rate.
Objective: To compare subjective experience of comfort associated with various commonly used supp... more Objective: To compare subjective experience of comfort associated with various commonly used supportive modes of mechanical ventilation for weaning in the intensive care unit (ICU).
Airway management in patients of faciomaxillary injury is of great concern to the anesthesiologis... more Airway management in patients of faciomaxillary injury is of great concern to the anesthesiologist. Bag and mask ventilation and orotracheal intubation may be difficult with these patients. Recently, a middle aged, obese female presented in the emergency department after sustaining a blast injury, with laceration of the upper chest and left submandibular region. Laceration of the submandibular region was communicating with the intraoral space and the airway was filled with blood. The airway was secured with nasotracheal intubation aided by a lightwand, after failure with the Macintosh laryngoscope. This case report highlights the importance of the lightwand in intubating a patient with a bleeding airway and when the bright light glow of the lightwand gives sufficient direction toward the glottis for successful tracheal intubation.
Classical supraclavicular brachial plexus block was used as the sole anaesthetic technique in 200... more Classical supraclavicular brachial plexus block was used as the sole anaesthetic technique in 200 children aged between 5 and 12 years undergoing closed reduction of arm fractures. The local anaesthetic used was lidocaine 1.5% with epinephrine. The block was graded as satisfactory if surgical manipulation could be performed without discomfort and unsatisfactory if general anaesthesia had to be given. In 182 children, the procedure was carried out under the block alone, whereas the remaining 18 patients required general anaesthesia. The mean (SD) time required for performing the block was 9.1 (3.7) min and the mean (SD) time to sensory blockade was 8.3 (2.3) min. The mean duration of analgesia was < 3.5 h. There were few complications, with no incidence of pneumothorax in any patient. The acceptability of the block by the children and the parents was 72 and 85%, respectively. The classical supraclavicular brachial plexus block was found to be acceptable, effective and with a good success rate.
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Papers by Umesh Bhadani