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  1. Article: A novel approach in understanding the basic modes of ventilation in a recent generation mechanical ventilator- A review of the underlying principles.

    Dhulkhed, Vithal Krishna / Dhulkhed, Pavan Vithal / Katti, Anusha Ramachandra / Kurdi, Madhuri / Bajwa, Sukhminder Jit Singh

    Indian journal of anaesthesia

    2023  Volume 67, Issue 1, Page(s) 91–101

    Abstract: ... mechanical ventilation. An equation of the type V ...

    Abstract Understanding the basic concepts and the dynamics of the equation of motion will help the anaesthesiologist and the intensive care physician in gaining an insight into the basics of modern mechanical ventilation. An equation of the type V
    Language English
    Publishing date 2023-01-21
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.ija_800_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A Prospective Randomised Clinical Trial for the Comparison of Two Techniques for the Insertion of Proseal Laryngeal Mask Airway in Adults-Index Finger Insertion Technique versus 90° Rotation Technique.

    Dhulkhed, Pavan V / Khyadi, Sunil V / Jamale, Parbati B / Dhulkhed, Vithal K

    Turkish journal of anaesthesiology and reanimation

    2017  Volume 45, Issue 2, Page(s) 98–102

    Abstract: Objective: The 90° rotation technique for inserting the Proseal laryngeal mask airway (PLMA) is reported to be better than the standard index finger insertion technique to improve the insertion success rate. The objective of this study was to evaluate ... ...

    Abstract Objective: The 90° rotation technique for inserting the Proseal laryngeal mask airway (PLMA) is reported to be better than the standard index finger insertion technique to improve the insertion success rate. The objective of this study was to evaluate and compare the ease of insertion through the 90° rotation and standard insertion techniques in terms of number of attempts, duration of insertion and occurrence of complications.
    Methods: One hundred and twenty adult patients were allocated to either a standard technique group or rotation technique group with 60 patients in each. In the rotation technique group, the entire cuff of the PLMA was placed in the patient's mouth in a midline approach without finger insertion, rotated 90° counter-clockwise around the patient's tongue, advanced and rotated back until resistance was felt.
    Results: The success rate of the rotation technique group at the first insertion attempt was greater than that of the standard index finger insertion technique (98% vs. 78%; p=0.001), and less time for insertion was required (11.88±3.62 s vs. 25.98±10.92 s; p<0.0001). The incidence of post-operative sore throat was lower (15% vs. 38.34%; p=0.0067), and blood staining on the PLMA was less (11.7% vs. 45%; p<0.0001). The increase in the mean arterial pressure was more in the standard technique group.
    Conclusion: The 90° rotation technique has a higher success rate at first insertion attempt for inserting the ProSeal LMA than the index finger insertion technique with less time for insertion and fewer side effects.
    Language English
    Publishing date 2017-04-01
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2017.70298
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Anaesthetic management of a patient with Laurence Moon Biedl syndrome undergoing ostium primum atrial septal defect closure.

    Dhulkhed, Vithal K / Shetti, Akshaya N / Dhulkhed, Pavan V

    Anesthesia, essays and researches

    2015  Volume 7, Issue 2, Page(s) 276–278

    Abstract: Laurence-Moon-Biedl Syndrome is primarily a rare, recessively inherited genetic disorder. The cardinal features are polydactyly, obesity and retinitis pigmentosa, mental retardation, genital hypoplasia and cardiac anomalies. This spectrum may extend and ... ...

    Abstract Laurence-Moon-Biedl Syndrome is primarily a rare, recessively inherited genetic disorder. The cardinal features are polydactyly, obesity and retinitis pigmentosa, mental retardation, genital hypoplasia and cardiac anomalies. This spectrum may extend and may also involve renal anomalies. Here, we report a rare case of 15-year-old boy who was overweight and suffering from Laurence Moon Biedl syndrome scheduled for closure of atrial septal defect.
    Language English
    Publishing date 2015-04-17
    Publishing country India
    Document type Case Reports
    ZDB-ID 2626233-2
    ISSN 2229-7685 ; 0259-1162
    ISSN (online) 2229-7685
    ISSN 0259-1162
    DOI 10.4103/0259-1162.118980
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Faculty promotions in medical institutions in India: Can we improve the criteria?

    Dhulkhed, Vithal Krishna / Kurdi, Madhuri S / Dhulkhed, Pavan V / Ramaswamy, Ashwini H

    Indian journal of anaesthesia

    2016  Volume 60, Issue 11, Page(s) 796–800

    Abstract: Research publications are desirable for academic promotion in medical colleges as per the current rules of the Medical Council of India (MCI). These rules reflect an endeavour to improve the academic standards. We strongly believe that every medical ... ...

    Abstract Research publications are desirable for academic promotion in medical colleges as per the current rules of the Medical Council of India (MCI). These rules reflect an endeavour to improve the academic standards. We strongly believe that every medical college teacher should conduct true research and contribute to good peer-reviewed publications. However, it is felt that the MCI rule has the potential to lead to undesirable consequences, and the quality of teaching and learning could take a back-seat. There is an urgent need to adopt more objective criteria and better guidelines as followed by well-known global institutes. In our own country, the University Grants Commission has formulated specific guidelines for this purpose in the form of Academic Performance Indicators which, it appears, are not taken into consideration by the MCI. This article discusses the adverse impact of the rule and suggests ways for the adoption of a more scientific assessment system for faculty appointment and promotion.
    Language English
    Publishing date 2016-12-12
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.193657
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Major complications following central neuraxial block - A multi-centre observational study in Maharashtra (MGMM CNB Study).

    Kulkarni, Sadhana S / Tayade, Deepak N / Kane, Pratibha P / Bhingarde, Kiran R / Jain, Paramanand N / Futane, Savani S / Kelkar, Vasanti P / Parchandekar, Mukund K / Kulkarni, Jyoti V / Prabhu, Santosh K / Kaddu, Anjali S / Bhosle, Deepak S / Deshpande, Rajas K / Deshpande, Archana S / Shetkar, Shubhangi V / Nayak, Prabha P / Gunjale, Yashoda S / Dhulkhed, Pavan V / Kanase, Naseema V /
    Deshmukh, Prakash R

    Indian journal of anaesthesia

    2023  Volume 67, Issue Suppl 1, Page(s) S15–S28

    Abstract: Background and aims: Major complications of central neuraxial block (CNB) are rare and their incidence in India is not known. This information is essential for explaining risk and medico-legal concerns. The present multi-centre study in Maharashtra was ... ...

    Abstract Background and aims: Major complications of central neuraxial block (CNB) are rare and their incidence in India is not known. This information is essential for explaining risk and medico-legal concerns. The present multi-centre study in Maharashtra was conducted to provide insight into the characteristics of rare complications following this popular anaesthetic technique.
    Methods: Data were collected from 141 institutes to study the clinical profile of CNB. Incidence of complications like vertebral canal haematoma, abscess, meningitis, nerve injury, spinal cord ischaemia, fatal cardiovascular collapse, and drug errors was collected over one year. Complications were reviewed by audit committee to assess causation, severity, and outcome. 'Permanent' injury was defined as death or neurological symptoms persisting for more than six months.
    Results: Spinal anaesthesia (SA) was the most frequently used CNB in 88.76% patients. Bupivacaine and an adjuvant were used in 92.90% and 26.06% patients, respectively. Eight major complications (four neurological and four cardiac arrests) were reported in patients receiving SA. In seven of eight instances, SA was responsible or contributory for complication. The pessimistic incidence of complications (included cases where CNB was responsible; contribution was likely, unlikely and could not be commented) was 8.69/lakh and optimistic incidence (included cases where CNB was responsible or contribution was likely) was 7.61/lakh. 'Pessimistically' and 'optimistically' there were three deaths including one death due to quadriplegia following epidural haematoma after SA. Five out of eight patients recovered completely (62.5%). As only eight patients had complications of different types, it was difficult to establish statistical correlation of major complications with demographic or clinical parameters.
    Conclusion: This study was reassuring and suggested that the incidence of major complications following CNB was low in Maharashtra.
    Language English
    Publishing date 2023-02-10
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.ija_747_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Faculty promotions in medical institutions in India

    Vithal Krishna Dhulkhed / Madhuri S Kurdi / Pavan V Dhulkhed / Ashwini H Ramaswamy

    Indian Journal of Anaesthesia, Vol 60, Iss 11, Pp 796-

    Can we improve the criteria?

    2016  Volume 800

    Abstract: Research publications are desirable for academic promotion in medical colleges as per the current rules of the Medical Council of India (MCI). These rules reflect an endeavour to improve the academic standards. We strongly believe that every medical ... ...

    Abstract Research publications are desirable for academic promotion in medical colleges as per the current rules of the Medical Council of India (MCI). These rules reflect an endeavour to improve the academic standards. We strongly believe that every medical college teacher should conduct true research and contribute to good peer-reviewed publications. However, it is felt that the MCI rule has the potential to lead to undesirable consequences, and the quality of teaching and learning could take a back-seat. There is an urgent need to adopt more objective criteria and better guidelines as followed by well-known global institutes. In our own country, the University Grants Commission has formulated specific guidelines for this purpose in the form of Academic Performance Indicators which, it appears, are not taken into consideration by the MCI. This article discusses the adverse impact of the rule and suggests ways for the adoption of a more scientific assessment system for faculty appointment and promotion.
    Keywords Academic ; education ; faculty ; publications ; research ; teaching ; universities ; Anesthesiology ; RD78.3-87.3 ; Surgery ; RD1-811 ; Medicine ; R
    Subject code 001
    Language English
    Publishing date 2016-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: Vapourisers: physical principles and classification.

    Dhulkhed, Vithal / Shetti, Akshaya / Naik, Shraddha / Dhulkhed, Pavan

    Indian journal of anaesthesia

    2013  Volume 57, Issue 5, Page(s) 455–463

    Abstract: Vapourisers have evolved from rudimentary inhalers to the microprocessor controlled, temperature compensated and flow sensing devices, which are universal today. The improvements in the design was influenced by the development of potent inhalational ... ...

    Abstract Vapourisers have evolved from rudimentary inhalers to the microprocessor controlled, temperature compensated and flow sensing devices, which are universal today. The improvements in the design was influenced by the development of potent inhalational anaesthetics, unique properties of some agents, a deeper understanding of their mechanism of action, inherent flaws in the older vapourisers, mechanical problems due to thymol deposition, factors influencing their output such as temperature and pressure variations. It is important to review the principles governing the design of the vapouriser to gain insight into their working. It is fascinating to know how some of the older vapourisers, popularly used in the past, functioned. The descendant of Oxford Miniature Vapourizer, the Triservice vapouriser is still a part of the military anaesthesia draw over equipment meant for field use whereas the Copper Kettle the first precision device is the fore-runner of the Tec 6 and Aladdin cassette vapouriser. Anaesthesia trainees if exposed to draw over techniques get a deeper understanding of equipment and improved skills for disaster situations. In the recent advanced versions of the vapouriser a central processing unit in the anaesthetic machine controls the operation by continuously monitoring and adjusting fresh gas flow through the vapouriser to maintain desired concentration of the vapour.
    Language English
    Publishing date 2013-11-18
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.120141
    Database MEDical Literature Analysis and Retrieval System OnLINE

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