Arunabha Karmakar
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View article: A perforated Zenker's diverticulum and a difficult airway: A case report
A perforated Zenker's diverticulum and a difficult airway: A case report Open
Zenker's diverticulum (ZD) is a rare condition characterized by herniation of hypopharyngeal mucosa, creating a pouch that accumulates food debris and secretions. Patients typically present with dysphagia and increased aspiration risk, pos…
View article: Craniotomy in Semi-sitting Position: A 4-year Single Institution Experience
Craniotomy in Semi-sitting Position: A 4-year Single Institution Experience Open
Of the 10 craniotomies performed in the sitting position from 2019-2023, 90% were managed without major long-term sequelae. Although the sitting position for craniotomies is not without challenges, a dedicated and experienced team can mana…
View article: A patient experiencing a decrease in heart rate during administration of intravenous ephedrine: A case report
A patient experiencing a decrease in heart rate during administration of intravenous ephedrine: A case report Open
Ephedrine is a sympathomimetic agent with α1, β1, and β2 adrenergic-receptor effects inducing hypertension and tachycardia. It has direct post-synaptic adrenergic receptor agonism and indirect action by competitively inhibiting nor-adrenal…
View article: WITHDRAWN: Craniotomy in Semi-Sitting Position: A 4-year Single Institution Experience
WITHDRAWN: Craniotomy in Semi-Sitting Position: A 4-year Single Institution Experience Open
The full text of this preprint has been withdrawn by the authors in order to comply with an institutional policy on preprints. Therefore, the authors do not wish this work to be cited as a reference.
View article: Incidence and outcome of rhabdomyolysis after type A aortic dissection surgery: A retrospective analysis
Incidence and outcome of rhabdomyolysis after type A aortic dissection surgery: A retrospective analysis Open
BACKGROUND Rhabdomyolysis (RML) as an etiological factor causing acute kidney injury (AKI) is sparsely reported in the literature. AIM To study the incidence of RML after surgical repair of an ascending aortic dissection (AAD) and to corre…
View article: Perioperative Hyperhidrosis: Case Reports of Two Patients and Literature Review
Perioperative Hyperhidrosis: Case Reports of Two Patients and Literature Review Open
Perioperative hyperhidrosis (POH) can present as excessive sweating within hours after anesthetic induction and may persist up to 24 hours postoperatively following general anesthesia. While commonly a benign finding, excessive or persiste…
View article: Management of Congenital Methemoglobinemia in the Perioperative Setting: A Case Report and Review of Current Literature
Management of Congenital Methemoglobinemia in the Perioperative Setting: A Case Report and Review of Current Literature Open
In summary, though rare, congenital methemoglobinemia poses fatal risks during surgery. Its management involves preoperative recognition and optimization, oxygenation status, multidisciplinary care, avoiding precipitating or oxidizing agen…
View article: Right trace wrong place: a normal capnography trace despite the tip of the tracheal tube existing outside the airway
Right trace wrong place: a normal capnography trace despite the tip of the tracheal tube existing outside the airway Open
Summary Head and neck trauma can result in difficult airway management. A 25‐year‐old male required emergency tracheal intubation on arrival to the emergency department following a motorbike accident. Despite the presence of a normal capno…
View article: Successful Use of Ultrasound Guided Quadratus Lumborum Block Without General Anesthesia for Open Appendectomy in a Patient with Heart Failure with Reduced Ejection Fraction- A Case Report and Literature Review
Successful Use of Ultrasound Guided Quadratus Lumborum Block Without General Anesthesia for Open Appendectomy in a Patient with Heart Failure with Reduced Ejection Fraction- A Case Report and Literature Review Open
Quadratus Lumborum Block for open appendectomy can be a beneficial alternative anesthesia technique in high-risk patients that significantly lowers perioperative cardiovascular risk, maintains hemodynamics, enhances satisfaction, and short…
View article: WITHDRAWN: Craniotomy in Semi-Sitting Position: A 4-year Single Institution Experience
WITHDRAWN: Craniotomy in Semi-Sitting Position: A 4-year Single Institution Experience Open
Objectives The aim of our study was to determine patient outcomes after surgery performed in the semi-sitting position in our institution in the previous 4 years. Primarily we aimed to quantify our experience in terms of surgical and anest…
View article: Closed-Loop Pharmacologic Control of Blood Pressure: A Review of Existing Systems
Closed-Loop Pharmacologic Control of Blood Pressure: A Review of Existing Systems Open
Blood pressure management is a critical aspect of patient care, particularly in surgical and critical care settings. Closed-loop systems, which utilize real-time data and feedback to adjust treatment interventions, have gained attention fo…
View article: Incidence and outcome of rhabdomyolysis after type A Aortic Dissection surgery -a retrospective analysis
Incidence and outcome of rhabdomyolysis after type A Aortic Dissection surgery -a retrospective analysis Open
Objectives: To study the incidence of rhabdomyolysis (RML) after ascending aortic dissection surgery and to correlate with the outcome especially in terms of renal function. The secondary objective was to pinpoint the perioperative risk fa…
View article: Airway Management in Full Stomach Conditions
Airway Management in Full Stomach Conditions Open
Pulmonary aspiration in the perioperative period is one of the well-known complications under anesthesia and procedural sedation. A full stomach condition either due to non-adherence to fasting guidelines or due to various other factors th…
View article: Pain Management for Pregnant Women in the Opioid Crisis Era
Pain Management for Pregnant Women in the Opioid Crisis Era Open
Acute and chronic pain management during pregnancy, after delivery and even during lactation are challenging even for experienced physicians. This chapter intends to cover pregnancy-induced physiological changes in relation to pain conditi…
View article: Perioperative Management and Functional Outcome Post Cranioplasty: A Retrospective Observational, Single Institutional Study
Perioperative Management and Functional Outcome Post Cranioplasty: A Retrospective Observational, Single Institutional Study Open
Introduction: Awake craniotomy in pediatric group is challenging.Its success depends on maintaining a good rapport with the child, careful titration of anesthetic agents, and managing intraoperative challenges.Methodology/Description: An a…
View article: Ketoacidosis in the diabetic neurosurgical patient: The steroid conundrum
Ketoacidosis in the diabetic neurosurgical patient: The steroid conundrum Open
Introduction: Perioperative administration of steroids is common in patients with brain tumours. However in Diabetic patients steroids are known to rarely induce diabetic ketoacidosis. Case Summary: A 59 year old lady with Type-2 Diabetes …
View article: Airway management in cervical spine disease - Observations from a tertiary care hospital
Airway management in cervical spine disease - Observations from a tertiary care hospital Open
Introduction: Airway management in patients with pre- existing cervical spine disease carries potential for further injury and requires careful consideration. Different studies have highlighted the anatomic considerations of different airw…
View article: Precipitous airway obstruction in acute retropharyngeal hematoma: Implications for cervical fracture victims
Precipitous airway obstruction in acute retropharyngeal hematoma: Implications for cervical fracture victims Open
We report a case of an adult male with an acute retropharyngeal hematoma secondary to a closed and stable C5-C6 vertebral fracture that caused severe upper airway obstruction resulting in a 'cannot-intubate-cannot-ventilate' scenario.Aware…