Habib Md Reazaul Karim
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View article: A Case of a Vanished Nose and an Innovative Airway Management Strategy in Post-oncologic Nasal Defect Using Nasopharyngeal Airway
A Case of a Vanished Nose and an Innovative Airway Management Strategy in Post-oncologic Nasal Defect Using Nasopharyngeal Airway Open
Basal cell carcinoma of the nose, when destructive, presents unique reconstructive and airway challenges due to its locally aggressive nature. We report a case of a 68-year-old male who presented with an extensive nasal defect from untreat…
View article: Intraoperative polyuria with lactic acidosis in a patient undergoing cervical spine surgery- A case report
Intraoperative polyuria with lactic acidosis in a patient undergoing cervical spine surgery- A case report Open
View article: Maternal Cardiac Arrest in Severe Preeclampsia at 34 Weeks: Successful Resuscitation, Perimortem Cesarean Section, and Dual Survival
Maternal Cardiac Arrest in Severe Preeclampsia at 34 Weeks: Successful Resuscitation, Perimortem Cesarean Section, and Dual Survival Open
View article: Navigating Anesthesia for Thoracoscopic Biopsy in a Six-Year-Old Child With Eosinophilic Granulomatosis With Polyangiitis, Stroke Sequelae, and Pulmonary Collapse
Navigating Anesthesia for Thoracoscopic Biopsy in a Six-Year-Old Child With Eosinophilic Granulomatosis With Polyangiitis, Stroke Sequelae, and Pulmonary Collapse Open
Eosinophilic granulomatosis with polyangiitis (EGPA), formerly known as Churg-Strauss syndrome, is a rare systemic vasculitis that affects small- to medium-sized vessels, characterized by asthma, hypereosinophilia, and multiorgan involveme…
View article: From One-Size-Fits-All to Precision Care: Biomarker-Guided Lung Recruitment in Acute Respiratory Distress Syndrome
From One-Size-Fits-All to Precision Care: Biomarker-Guided Lung Recruitment in Acute Respiratory Distress Syndrome Open
View article: A Rare Clinical Conundrum: Cervical Ectopic Pregnancy in the Presence of a Large Cervical Fibroid
A Rare Clinical Conundrum: Cervical Ectopic Pregnancy in the Presence of a Large Cervical Fibroid Open
Cervical ectopic pregnancy is a rare and potentially life-threatening condition, often presenting with irregular vaginal bleeding and a palpable cervical mass. The coexistence of cervical fibroids further complicates the diagnosis and mana…
View article: Functional and Aesthetic Outcome after Syndactyly Release in Children under 5 Years of Age Presenting to Shaikh Zayed Medical Complex Rahim Yar Khan
Functional and Aesthetic Outcome after Syndactyly Release in Children under 5 Years of Age Presenting to Shaikh Zayed Medical Complex Rahim Yar Khan Open
Syndactyly is the most common congenital anomaly of the hand, presenting as webbing or fusion of adjacent fingers. In Pakistan, there is limited local data on the postoperative functional and cosmetic outcomes of syndactyly release procedu…
View article: A dilemma of syringopleural shunting in an accidentally found asymptomatic lung fibrosis
A dilemma of syringopleural shunting in an accidentally found asymptomatic lung fibrosis Open
View article: External Guidewire Direction as an Adjunctive Clue for Accurate Central Venous Catheter Placement: A Case Report
External Guidewire Direction as an Adjunctive Clue for Accurate Central Venous Catheter Placement: A Case Report Open
Central venous catheterization (CVC) under ultrasound guidance is a widely adopted and current standard practice that enhances safety and accuracy, particularly in high-risk patients. As the procedure provides a visual aid, we usually expe…
View article: Vitamin B12 and D3 Levels in Leprosy Patients With or Without Deformity: A Cross-Sectional, Analytic Study
Vitamin B12 and D3 Levels in Leprosy Patients With or Without Deformity: A Cross-Sectional, Analytic Study Open
The present study showed an insignificant relationship between Vitamin B12 and Vitamin D3 levels in patients with and without deformities. Similar results were observed in neuritis. However, a relationship was found between socioeconomic s…
View article: Heat and Moisture Exchanger Malfunction Causing Dynamic Hyperinflation and Ventilatory Insufficiency Under General Anesthesia: A Case Report
Heat and Moisture Exchanger Malfunction Causing Dynamic Hyperinflation and Ventilatory Insufficiency Under General Anesthesia: A Case Report Open
View article: Development of an Innovative Incentive Spirometer with Inbuilt Peep Providing Mechanism for Improving Lung Function in Tracheostomised Patients
Development of an Innovative Incentive Spirometer with Inbuilt Peep Providing Mechanism for Improving Lung Function in Tracheostomised Patients Open
INTRODUCTION: Tracheostomy is performed in patients expected to be on prolonged mechanical ventilation. In 2023, around 250000 tracheostomies and 161100 tracheostomies were performed in western countries and India respectively. While breat…
View article: 5′-Nucleotidase for Predicting Snakebite Outcomes: A Biomarker Breakthrough?
5′-Nucleotidase for Predicting Snakebite Outcomes: A Biomarker Breakthrough? Open
View article: Can point-of-care ultrasound predict the difficulty in intubation? – A prospective observational study
Can point-of-care ultrasound predict the difficulty in intubation? – A prospective observational study Open
Background and Aims: Airway ultrasonography (USG) parameters have been used to predict difficult tracheal intubation. However, the available literature on this topic is still controversial. This study aims to assess the role of preoperativ…
View article: Randomized, Single-Blind Comparison of Two Different Flow Rates of Sevoflurane Anesthesia on Acute Kidney Injury
Randomized, Single-Blind Comparison of Two Different Flow Rates of Sevoflurane Anesthesia on Acute Kidney Injury Open
View article: Pragmatic view of the segmental thoracic spinal as an alternative to general anaesthesia for breast surgeries
Pragmatic view of the segmental thoracic spinal as an alternative to general anaesthesia for breast surgeries Open
View article: Myriads of updated systematic reviews and meta-analyses - Should trial sequential and power-analysis be mandatory?
Myriads of updated systematic reviews and meta-analyses - Should trial sequential and power-analysis be mandatory? Open
View article: The Overaction of the Inferior Oblique Muscle and Associated Vertical Strabismus: Prevalence, Etiology and Diagnosis
The Overaction of the Inferior Oblique Muscle and Associated Vertical Strabismus: Prevalence, Etiology and Diagnosis Open
Introduction: Vertical strabismus, commonly caused by the overaction of the inferior oblique (IO) muscle, is a frequent oculomotor disorder. It affects one-third of all patients with strabismus, with 70% of these cases coexisting with esot…
View article: Anesthetic Consideration for Modified Electroconvulsive Therapy in an Adolescent With Uncorrected Atrial Septal Defect: A Case Report
Anesthetic Consideration for Modified Electroconvulsive Therapy in an Adolescent With Uncorrected Atrial Septal Defect: A Case Report Open
Catatonia is a serious neuropsychiatric syndrome of motor and behavioral dysfunction where electroconvulsive therapy (ECT) is a well-proven treatment modality. ECT is also preferred as it is a low-risk procedure compared to chronic medicat…
View article: Post-publication appraisal of randomisation reporting in IJA - Are we hitting the bull's eye?
Post-publication appraisal of randomisation reporting in IJA - Are we hitting the bull's eye? Open
View article: Orotracheal Intubation Challenges in an Anticipated Difficult Mask Ventilation, Preoxygenation, Tricky Laryngoscopy, and Supraglottic Airway Device Insertion: A Case Report
Orotracheal Intubation Challenges in an Anticipated Difficult Mask Ventilation, Preoxygenation, Tricky Laryngoscopy, and Supraglottic Airway Device Insertion: A Case Report Open
With the advancement of technology, equipment, and airway management knowledge, anticipated difficult airway (DA) management has come a long way towards excellence. Usually, anticipated difficulties are related to bag-mask ventilation (BMV…
View article: Comparison of Hemodynamic and Recovery Profile Between Segmental Thoracic Spinal and General Anesthesia in Upper Abdominal and Breast Surgeries: A Systematic Review and Meta-Analysis
Comparison of Hemodynamic and Recovery Profile Between Segmental Thoracic Spinal and General Anesthesia in Upper Abdominal and Breast Surgeries: A Systematic Review and Meta-Analysis Open
Segmental thoracic spinal anesthesia (STSA) has been described primarily as case reports for performing upper abdominal and thoracic surgeries in significant respiratory comorbid patients. A few comparative studies have recently evaluated …
View article: How we do Multiorgan Integrated Critical Care Ultrasonology (MICCUS): An Approach for Patient Evaluation
How we do Multiorgan Integrated Critical Care Ultrasonology (MICCUS): An Approach for Patient Evaluation Open
The point-of-care ultrasonography (POCUS) has become integral for physicians working in critical care set-ups. It has been used for acute and crisis management, ongoing care of the patient, real-time guidance for performing procedures, dia…
View article: The Relation of Preoperative HbA1c Level With Intraoperative and Postoperative Complications in Type-2 Diabetic Patients: An Observational Study
The Relation of Preoperative HbA1c Level With Intraoperative and Postoperative Complications in Type-2 Diabetic Patients: An Observational Study Open
View article: A Comparison of Analgesic and Recovery Profiles of Ketamine, Lignocaine, and Dexmedetomidine (KeLiDex) Versus Fentanyl-Based Anesthesia in Laparoscopic Nephrectomies: A Randomized, Single-Blind, Pilot Study
A Comparison of Analgesic and Recovery Profiles of Ketamine, Lignocaine, and Dexmedetomidine (KeLiDex) Versus Fentanyl-Based Anesthesia in Laparoscopic Nephrectomies: A Randomized, Single-Blind, Pilot Study Open
View article: Enhanced perioperative communication elevates patients’ understanding, perception, and satisfaction for anesthesia services: Insights from a survey study
Enhanced perioperative communication elevates patients’ understanding, perception, and satisfaction for anesthesia services: Insights from a survey study Open
Background and Aims: Anesthesiologists’ services extend to many critical areas of any healthcare setup. However, there needs to be more understanding among the public regarding their crucial role. Preanesthesia evaluation (PAE) visits can …
View article: Fentanyl infusion in a multi-organ failure patient on adaptive support ventilation: a conundrum
Fentanyl infusion in a multi-organ failure patient on adaptive support ventilation: a conundrum Open
The authors present a case of an 85-year-old male patient with multiple co-morbidities. He underwent laparotomy for carcinoma rectum, recovered from anesthesia, and was shifted to the ward. On sixth day his condition deteriorated, so was s…
View article: Deep Machine Learning Might Aid in Combating Intensive Care Unit-Acquired Weakness
Deep Machine Learning Might Aid in Combating Intensive Care Unit-Acquired Weakness Open
Secondary muscle weakness in critically ill patients like intensive care unit (ICU)-associated weakness is frequently noted in patients with prolonged mechanical ventilation and ICU stay. It can be a result of critical illness, myopathy, o…
View article: Is research reporting intraoperative hypotension apt enough?
Is research reporting intraoperative hypotension apt enough? Open
Intraoperative hypotension (IOH) needs urgent attention as it significantly affects organ perfusion and patient outcomes.[1] Depending on its severity and duration, it might result in major organ dysfunction, ischaemia, and failure, even l…
View article: The Efficacy and Safety of Spinal Anesthesia With Hyperbaric Ropivacaine 0.75% and Bupivacaine 0.5% in Patients Undergoing Infra-Umbilical Surgeries: A Randomized, Double-Blind Study
The Efficacy and Safety of Spinal Anesthesia With Hyperbaric Ropivacaine 0.75% and Bupivacaine 0.5% in Patients Undergoing Infra-Umbilical Surgeries: A Randomized, Double-Blind Study Open
In patients undergoing infra-umbilical surgery, hyperbaric ropivacaine at an equipotent dose (0.75%) proved to be a comparable and safer alternative to hyperbaric bupivacaine (0.5%). Furthermore, it had better motor-recovery profiles.