Hemant Bhagat
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View article: The importance of Indigenous Tribal Heritage – Commemorating Birsa Munda’s Legacy
The importance of Indigenous Tribal Heritage – Commemorating Birsa Munda’s Legacy Open
India in the making shall remain in halfway if bridges are built but the empowerment of tribal vigour remains subservient in the agenda of making ‘Atmanirbhar Bharat’. The tribes are the exquisite pier of Indian civilization. Scrutiny of t…
View article: Caught in the Air: Symptomatic Cerebral Arterial Air Embolism during Endovascular Flow Diversion
Caught in the Air: Symptomatic Cerebral Arterial Air Embolism during Endovascular Flow Diversion Open
Symptomatic cerebral arterial air embolism (CAAE) is a rare complication of endovascular procedures. Early diagnosis and management are critical to alleviate neurological deficits and to prevent mortality. Neurointerventionists should take…
View article: Analysis of Lipid Values In Patients of Acute Ischemic Stroke And Initiate Aggressive Lipid Management
Analysis of Lipid Values In Patients of Acute Ischemic Stroke And Initiate Aggressive Lipid Management Open
INTRODUCTION: Dyslipidemia is the most important causal risk factor for atherosclerotic cardiovascular diseases (ASCVD). Atherosclerosis affects multiple vascular beds, accounting for nearly majority of Coronary heart disease and some prop…
View article: Comparison of Intraoperative Propofol-Dexmedetomidine and Ketofol-Dexmedetomidine Infusions on Recovery from Anesthesia in Patients Undergoing Endoscopic Transsphenoidal Pituitary Surgeries: A Randomized Controlled Trial
Comparison of Intraoperative Propofol-Dexmedetomidine and Ketofol-Dexmedetomidine Infusions on Recovery from Anesthesia in Patients Undergoing Endoscopic Transsphenoidal Pituitary Surgeries: A Randomized Controlled Trial Open
The use of ketofol resulted in a longer recovery time compared to the use of propofol alone. However, ketofol was associated with a better quality of extubation, maintenance of hemodynamic stability, and enhanced postoperative analgesia. F…
View article: Hirayama Disease and Perioperative Anesthesia Considerations: A Case Report
Hirayama Disease and Perioperative Anesthesia Considerations: A Case Report Open
A bstract Anesthesiologists may encounter rarely reported cases of Benign cervical flexion myelopathy (Hirayama disease) in elective and emergency scenarios. Understanding the basic pathophysiology, its systemic involvements, cautions to p…
View article: Implementation of a Clinical Pharmacology-Centric Antimicrobial Stewardship Initiative within COVID-19 Intensive Care Units at a Leading Tertiary Care Referral Center in India
Implementation of a Clinical Pharmacology-Centric Antimicrobial Stewardship Initiative within COVID-19 Intensive Care Units at a Leading Tertiary Care Referral Center in India Open
Background: The importance of antimicrobial stewardship during the COVID-19 pandemic remains underreported. Methods: We prospectively audited antimicrobial use in COVID-19 ICUs of a tertiary care center from April 2021 to June 2021 during …
View article: Comparison of Response First Technique with Reversal First Technique for Quality of Extubation in Patients Undergoing Transsphenoidal Pituitary Surgery: A Randomized Clinical Trial
Comparison of Response First Technique with Reversal First Technique for Quality of Extubation in Patients Undergoing Transsphenoidal Pituitary Surgery: A Randomized Clinical Trial Open
Background and Objective: Early and smooth extubation following anesthesia is an important concern in patients undergoing transsphenoidal pituitary surgery to permit early neurological evaluation and prevent complications. The aim was to c…
View article: Comparison of propofol and desflurane for postoperative neurocognitive function in patients with aneurysmal subarachnoid hemorrhage: A prospective randomized trial
Comparison of propofol and desflurane for postoperative neurocognitive function in patients with aneurysmal subarachnoid hemorrhage: A prospective randomized trial Open
Background: Following aneurysmal subarachnoid hemorrhage, 40–50% of survivors experience cognitive dysfunction, which affects their quality of life. Anesthetic agents play a pivotal role in aneurysm surgeries. However, substantial evidence…
View article: Goal-Directed Fluid Therapy Using Normal Saline versus Ringer's Lactate in Pediatric Neurosurgical Patients: A Randomized Controlled Trial
Goal-Directed Fluid Therapy Using Normal Saline versus Ringer's Lactate in Pediatric Neurosurgical Patients: A Randomized Controlled Trial Open
Background Ringer's lactate (RL) and 0.9% sodium chloride (NS) are used intraoperatively in pediatric surgical patients. The fluid of choice in pediatric neurosurgical patients is still under research. Hence, we compared NS and RL intraope…
View article: Effect of Peri-operative Blood Transfusion on Neurological Outcome Following Aneurysmal Subarachnoid Hemorrhage: A Prospective Observational Study
Effect of Peri-operative Blood Transfusion on Neurological Outcome Following Aneurysmal Subarachnoid Hemorrhage: A Prospective Observational Study Open
Background: Anemia is a common complication of aneurysmal subarachnoid hemorrhage and is associated with unfavorable outcomes. Whether the physiological benefits of transfusion for anemia surpass the risk of blood transfusion remains to be…
View article: Propofol versus Desflurane in Moyamoya Disease Patients—A Pilot Study
Propofol versus Desflurane in Moyamoya Disease Patients—A Pilot Study Open
Objectives The choice of inhalational or intravenous anesthetic agents is debatable in neurosurgical patients. Desflurane, a cerebral vasodilator, may be advantageous in ischemic cerebral pathologies. Hence, we planned to compare desfluran…
View article: Assessment of impaired cerebral autoregulation and its correlation with neurological outcome in aneurysmal subarachnoid hemorrhage: A prospective and observational study
Assessment of impaired cerebral autoregulation and its correlation with neurological outcome in aneurysmal subarachnoid hemorrhage: A prospective and observational study Open
Background: Cerebral autoregulation (CA) is crucial for the maintenance of cerebral homeostasis. It can be assessed by measuring transient hyperemic response ratio (THRR) using transcranial Doppler (TCD). We aimed at assessing the incidenc…
View article: Haptoglobin Treatment for Aneurysmal Subarachnoid Hemorrhage: Review and Expert Consensus on Clinical Translation
Haptoglobin Treatment for Aneurysmal Subarachnoid Hemorrhage: Review and Expert Consensus on Clinical Translation Open
Aneurysmal subarachnoid hemorrhage (aSAH) is a devastating form of stroke frequently affecting young to middle-aged adults, with an unmet need to improve outcome. This special report focusses on the development of intrathecal haptoglobin s…
View article: Use of Hypertonic Saline in Neuroanesthesia and Neurocritical Care Practice: A Narrative Review
Use of Hypertonic Saline in Neuroanesthesia and Neurocritical Care Practice: A Narrative Review Open
Hypertonic saline (HTS) is a group of fluids containing sodium and chloride in a higher concentration as compared to physiological saline. The authors have conducted this review to evaluate the use of HTS in neuroanesthesia and neurocritic…
View article: Effect of Comorbidities on the Outcome of Patients with Aneurysmal Subarachnoid Hemorrhage: A Prospective Observational Study
Effect of Comorbidities on the Outcome of Patients with Aneurysmal Subarachnoid Hemorrhage: A Prospective Observational Study Open
Background The pathophysiological changes following aneurysmal subarachnoid hemorrhage (aSAH) lead to a varied degree of neurological deficit and cognitive decline. The presence of comorbidities can contribute to the progression and course…
View article: Awake Cranioplasty in a Patient with Rheumatic Heart Disease: A Novel Approach
Awake Cranioplasty in a Patient with Rheumatic Heart Disease: A Novel Approach Open
Cranioplasty is a surgical procedure that restores the normal anatomy following craniectomy. Restoring the skull bone ensures protection and normalizes the physiology as well as the cerebrospinal fluid dynamics. This surgical procedure usu…
View article: Utilization pattern of AMA in orthopedic department in a tertiary care hospital
Utilization pattern of AMA in orthopedic department in a tertiary care hospital Open
Bacteria are being unicellular and prokaryotes came to this earth before us and others. They are able to survive anywhere in this earth including soil, water both saline and normal, in all living creatures, hills, sands, ice of north and s…
View article: Utilization pattern of AMA in orthopedic department in a tertiary care hospital
Utilization pattern of AMA in orthopedic department in a tertiary care hospital Open
Bacteria are being unicellular and prokaryotes came to this earth before us and others. They are able to survive anywhere in this earth including soil, water both saline and normal, in all living creatures, hills, sands, ice of north and s…
View article: Initial Experience of Endobronchial Silicon Stents from a Tertiary Care Centre in North India
Initial Experience of Endobronchial Silicon Stents from a Tertiary Care Centre in North India Open
Rigid bronchoscopy with silicon stent placement is an effective and suitable method of relieving the distressing symptoms due to benign or malignant airway obstruction.
View article: Preanesthetic Evaluation and Preparation for Neurosurgical Procedures: An Indian Perspective
Preanesthetic Evaluation and Preparation for Neurosurgical Procedures: An Indian Perspective Open
Background A questionnaire-based survey was conducted to determine the preanesthetic evaluation (PAE) practices among the members of the Indian Society of Neuroanesthesiology and Critical Care (ISNACC). The survey aimed to assess the curre…
View article: Impact of Stellate Ganglion Block in the Management of Cerebral Vasospasm
Impact of Stellate Ganglion Block in the Management of Cerebral Vasospasm Open
Background: Stellate ganglion block (SGB) causes blockage of sympathetic nerve activity, which may lead to intracerebral vessel dilatation and relieve cerebral vasospasm in patients of aneurysmal subarachnoid hemorrhage (aSAH). Objective: …
View article: Pulmonary Function, Mental and Physical Health in Recovered COVID-19 Patients Requiring Invasive Versus Non-invasive Oxygen Therapy: A Prospective Follow-Up Study Post-ICU Discharge
Pulmonary Function, Mental and Physical Health in Recovered COVID-19 Patients Requiring Invasive Versus Non-invasive Oxygen Therapy: A Prospective Follow-Up Study Post-ICU Discharge Open
Background Survivors of COVID-19 pneumonia may have residual lung injury and poor physical and mental health even after discharge. We hypothesized that COVID-19 severe acute respiratory distress syndrome (ARDS) patients needing mechanical …
View article: Factors Affecting Time to Emergence From General Anesthesia Following Clipping of Ruptured Aneurysms
Factors Affecting Time to Emergence From General Anesthesia Following Clipping of Ruptured Aneurysms Open
Introduction: Early emergence from anesthesia is valuable, especially among neurosurgical patients for postoperative neurological evaluation and appropriate interventions. However, the factors affecting the emergence in patients undergoing…
View article: Intravenous versus inhalational anesthesia trial for outcome following intracranial aneurysm surgery: A prospective randomized controlled study
Intravenous versus inhalational anesthesia trial for outcome following intracranial aneurysm surgery: A prospective randomized controlled study Open
Background: For maintenance of anesthesia for intracranial aneurysmal neck clipping, both intravenous and inhalational anesthetics are in vogue. We aimed to evaluate the superiority of one agent over the other for long-term neurological ou…
View article: How Safe and Effective Is Shifting from Pterional to Supraorbital Keyhole Approach for Clipping Ruptured Anterior Circulation Aneurysms? A Surgeon’s Transition Phase Comparative Study
How Safe and Effective Is Shifting from Pterional to Supraorbital Keyhole Approach for Clipping Ruptured Anterior Circulation Aneurysms? A Surgeon’s Transition Phase Comparative Study Open
Background Comparative studies between standard pterional and supraorbital keyhole approaches for aneurysms had potential biases with the heterogeneity of patient selection, differences among surgeons, or varying expertise across the surge…
View article: Perioperative cardiovascular changes in patients with traumatic brain injury: A prospective observational study
Perioperative cardiovascular changes in patients with traumatic brain injury: A prospective observational study Open
Background: Traumatic brain injury (TBI) is an acutely stressful condition. Stress and conglomeration of various factors predispose to the involvement of other organ systems. The stress response from TBI has been associated with cardiovasc…