Deepak Malviya
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View article: To Evaluate Central Venous-to-arterial CO2 Difference/arterial-Central Venous O2 Difference Ratio with Lactate Clearance in Patients with Septic Shock: An Observational Prospective Study
To Evaluate Central Venous-to-arterial CO2 Difference/arterial-Central Venous O2 Difference Ratio with Lactate Clearance in Patients with Septic Shock: An Observational Prospective Study Open
STATE OF KNOWLEDGE: Central venous-to-arterial PCO(2) (Pcv-aCO(2)) is an proposed tool to identify persistent hypoperfusion when a ScvO(2) > 70%. Decreased tissue blood flow (ischemic hypoxia) represents the major determinant in increased …
View article: Co-Relation Between the Type of Fluid and ICU Mortality in Patients with Positive Fluid Balance in Sepsis: An Observational Study
Co-Relation Between the Type of Fluid and ICU Mortality in Patients with Positive Fluid Balance in Sepsis: An Observational Study Open
INTRODUCTION: Fluid balance is an integral part of sepsis management. The choice of resuscitation fluid in patients with sepsis remains controversial. The study compared the impact of various resuscitation fluids on mortality in patients o…
View article: Study of Citrate and Bivalirudin for Anticoagulation during Continuous Renal Replacement Therapy (CRRT) in Critically Ill Patients with Acute Kidney Injury (AKI)
Study of Citrate and Bivalirudin for Anticoagulation during Continuous Renal Replacement Therapy (CRRT) in Critically Ill Patients with Acute Kidney Injury (AKI) Open
PRIMARY OBJECTIVE: To study the filter life span using Citrate and Bivalirudin as anticoagulation agent in CRRT. SECONDARY OBJECTIVE: To study the length of stay in ICU. To study the bleeding and other complication of CRRT. To study transf…
View article: Identification features of Vincetoxicum indicum: Microscopy and DNA sequencing-based validation
Identification features of Vincetoxicum indicum: Microscopy and DNA sequencing-based validation Open
Background: The present research work has been undertaken to identify key identification characters of Vincetoxicum indicum, a medicinal twiner with potency to expel mucus from the lungs. Leaf constants were calculated during micromorpholo…
View article: A Prospective Evaluation of Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fracture Patients
A Prospective Evaluation of Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fracture Patients Open
Background Osteoporotic vertebral compression fracture (OVCF) is a common problem in old age, which causes incapacitating pain and leads to significant disability, morbidity, and mortality. Percutaneous vertebroplasty (PVP), a minimally in…
View article: Role of Hyperbaric Oxygen Therapy in Severe Posterior Reversible Encephalopathy Syndrome
Role of Hyperbaric Oxygen Therapy in Severe Posterior Reversible Encephalopathy Syndrome Open
A BSTRACT Once considered to be reversible on the elimination of potential triggers, it is now known that severe form of posterior reversible encephalopathy syndrome (PRES) is associated with long-term morbidity and mortality. A 28-year-ol…
View article: Study of foetomaternal outcomes in COVID-19 afflicted parturients who underwent operative delivery - A retrospective analysis
Study of foetomaternal outcomes in COVID-19 afflicted parturients who underwent operative delivery - A retrospective analysis Open
Background and Aims: Parturients with coronavirus disease (COVID)-19 are increasingly presenting for operative delivery. The aim of this study was to outline the foetomaternal outcome in COVID-19-afflicted pregnant women who underwent lowe…
View article: Prospective Study Evaluating the Association between Time since Scorpion Bite and Spinal Anaesthesia Outcomes
Prospective Study Evaluating the Association between Time since Scorpion Bite and Spinal Anaesthesia Outcomes Open
Introduction: The drug mainly used in Spinal Anaesthesia (SA) is Local Anaesthetic (LA) agents. It acts via sodium channel by reversibly inhibiting the nerve transmission. Scorpion venom causes mutation in receptors of sodium channel that …
View article: Study of changes in cardiac output, stroke volume, and cardiac index with two doses of mannitol infusion during supratentorial craniotomy
Study of changes in cardiac output, stroke volume, and cardiac index with two doses of mannitol infusion during supratentorial craniotomy Open
Background Mannitol is used extensively in supratentorial surgeries to reduce intracranial pressure. The optimum dose of mannitol is still a matter of debate. We have done this prospective, comparative and randomized study to compare the c…
View article: Correlation of central venous-to-arterial carbon dioxide difference to arterial-central venous oxygen difference ratio to lactate clearance and prognosis in patients with septic shock
Correlation of central venous-to-arterial carbon dioxide difference to arterial-central venous oxygen difference ratio to lactate clearance and prognosis in patients with septic shock Open
Background: To assess the relationship between the ratio of difference of venoarterial CO 2 tension (P (v-a) CO 2 ) and difference of arterio-venous oxygen content (C (a-cv) O 2 ), i.e., ΔPCO 2 /ΔCaO 2 with lactate clearance (LC) at 8 and …
View article: Striving towards excellence in research on biomarkers
Striving towards excellence in research on biomarkers Open
Risks are common in all walks of life, especially in the finance market, wherein the risk relates to the odds of losing the money, whereas in the perioperative and health sector, risk entails compromising the safety of the patient, and the…
View article: Perioperative anesthetic concerns in postcovid mucormycosis patients posted for surgical intervention
Perioperative anesthetic concerns in postcovid mucormycosis patients posted for surgical intervention Open
Background: COVID 19 pandemic caused by severe acute respiratory syndrome coronavirus -2 has proven to be the deadliest pandemic till date. Multiple covid waves have hit people hard on each part of the continent throughout the world. The s…
View article: Modified Bain's Circuit as an Alternate to Non-invasive Ventilation in COVID 19
Modified Bain's Circuit as an Alternate to Non-invasive Ventilation in COVID 19 Open
Introduction COVID-19 is a pandemic that severely affects the lungs. Symptomatically affected individuals often become severely hypoxic, requiring non-invasive ventilation. The scarcity of resources in resource-compromised countries like I…
View article: Comparison of LMA Supreme, i-gel, and Baska Mask for Airway Management during Laparoscopic Cholecystectomy
Comparison of LMA Supreme, i-gel, and Baska Mask for Airway Management during Laparoscopic Cholecystectomy Open
Background: The supraglottic airway device (SAD) has proved to be an appropriate alternative to endotracheal intubation in laparoscopic surgeries owing to various advantages, namely, decreased airway manipulation and stable hemodynamics. A…
View article: Comparison of neutrophil CD64 and monocytic HLA-DR with existing biomarkers for the diagnosis and prognosis of sepsis
Comparison of neutrophil CD64 and monocytic HLA-DR with existing biomarkers for the diagnosis and prognosis of sepsis Open
Introduction We measured the expression of serum procalcitonin (PCT), quantitative C-reactive protein (QCRP), neutrophil CD64 (nCD64) and monocytic HLA-DR (mHLA-DR) sequentially in patients admitted to the intensive care unit (ICU) and cor…
View article: Awake Proning for Nonintubated Adult Hypoxic Patients with COVID-19: A Systematic Review of the Published Evidence
Awake Proning for Nonintubated Adult Hypoxic Patients with COVID-19: A Systematic Review of the Published Evidence Open
Objective: Awake proning is an intervention that is being advocated for COVID-19 patients and has been suggested to improve the oxygenation, thereby decreasing oxygen requirements. We performed this systematic review with the aim of apprai…
View article: A comparative study of dexmedetomidine and propofol infusion during monitored anesthesia care (MAC) in endoscopic retrograde cholangiopancreatography (ERCP): a randomized controlled trial
A comparative study of dexmedetomidine and propofol infusion during monitored anesthesia care (MAC) in endoscopic retrograde cholangiopancreatography (ERCP): a randomized controlled trial Open
Background Endoscopic retrograde cholangio-pancreatography (ERCP) is an invasive procedure and hence is distressing for awake patients, requiring adequate level of sedation and analgesia. Recent advancements have encouraged use of monitore…
View article: Comparative Study of Postoperative Pain Relief Using Preincisional Versus Postincisional Infiltration With 0.25% Bupivacaine in Abdominal Hysterectomy Under General Anesthesia
Comparative Study of Postoperative Pain Relief Using Preincisional Versus Postincisional Infiltration With 0.25% Bupivacaine in Abdominal Hysterectomy Under General Anesthesia Open
Background and Aims: Hysterectomy, probably the most common non-pregnancy related surgery performed in gynaecology, is associated with moderate to severe post-operative pain. Wound infiltration with local anaesthetic agent reduces the tran…
View article: Functional Outcome of Percutaneous Spine Endoscopic Intervention in Lumbar Disc Herniation- A Retrospective Analysis
Functional Outcome of Percutaneous Spine Endoscopic Intervention in Lumbar Disc Herniation- A Retrospective Analysis Open
Introduction: Low back pain is one of the most common musculoskeletal problems among developed and developing nations. The prolapsed intervertebral disc (PIVD) is the most common pathology associated with treatable low back pain. The manag…
View article: Radiofrequency Treatment of Idiopathic Trigeminal Neuralgia (Conventional vs. Pulsed)
Radiofrequency Treatment of Idiopathic Trigeminal Neuralgia (Conventional vs. Pulsed) Open
Background: Idiopathic trigeminal neuralgia (TGN) is a chronic pain disorder causing unilateral, severe brief stabbing recurrent pain in the distribution of one or more branches of the trigeminal nerve. Conventional radiofrequency (CRF) an…
View article: Effect of Gelfoam Soaked Epidural Dexmedetomidine or Bupivacaine for Postoperative Analgesia in Lumbar Laminectomy
Effect of Gelfoam Soaked Epidural Dexmedetomidine or Bupivacaine for Postoperative Analgesia in Lumbar Laminectomy Open
Background and Aims: Postoperative pain is spine surgery can last for an average of two to three days. Epidural catheter management are difficult in spine surgery for postoperative pain. Still, there have been not much studies on epidural …
View article: Comparison of Oral versus Intramuscular Clonidine for Prolongation of Bupivacaine Spinal Anesthesia in Patients Undergoing Total Abdominal Hysterectomy
Comparison of Oral versus Intramuscular Clonidine for Prolongation of Bupivacaine Spinal Anesthesia in Patients Undergoing Total Abdominal Hysterectomy Open
Background: Clonidine is a commonly used agent for premedication through oral, intravenous, and intramuscular route. Very few studies mentioned intramuscular clonidine as premedication. Aims and Objectives: The aim of the present study is …
View article: Efficacy of Intravenous Fluid Plasmalyte and 6% Hetastarch in Preventing Spinal Anaesthesia Induced Hypotension in Patients undergoing Lower Abdominal Surgeries: A Randomised Clinical Study
Efficacy of Intravenous Fluid Plasmalyte and 6% Hetastarch in Preventing Spinal Anaesthesia Induced Hypotension in Patients undergoing Lower Abdominal Surgeries: A Randomised Clinical Study Open
Introduction: Both crystalloids and colloid preloading is recommended for spinal anaesthesia. Preloading of intravenous fluids increases circulating volume and cardiac output; thus preventing spinal anaesthesia-induced hypotension. Crystal…