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  1. Article: Peri-operative management of diabetes mellitus - A survey of current practices among Indian anesthesiologists.

    Priya, Vansh / Bais, Prateek S / Rastogi, Amit / Shamim, Rafat / Aggarwal, Anil / Patro, Abinash

    Journal of anaesthesiology, clinical pharmacology

    2023  Volume 39, Issue 3, Page(s) 411–421

    Abstract: Background and aims: Increased burden of diabetes in India has resulted in a spurt in the number of patients with diabetes posted for surgeries. The paucity of national guidelines can lead to marked practice variations in the peri-operative management ... ...

    Abstract Background and aims: Increased burden of diabetes in India has resulted in a spurt in the number of patients with diabetes posted for surgeries. The paucity of national guidelines can lead to marked practice variations in the peri-operative management of diabetes. This survey intends to discern current peri-operative practices among anesthesiologists working in medical colleges, tertiary care government, and private health care institutes of the country.
    Material and methods: An anonymous online survey comprising of 25 closed-ended questions was conducted using Google Forms® and disseminated through social media, emails, and messaging platforms. The questionnaire dealt primarily with the peri-operative management of diabetes in patients scheduled for elective surgery. The survey was conducted over a period of 1 month and targeted anesthesia resident trainees with more than 1-year experience, senior residents, and consultants working in India.
    Results: Statistically significant difference was observed between the three types of health facilities with respect to prior evaluation for diabetes (
    Conclusion: This survey primarily highlights the lack of prioritizing the operative list, early discontinuation of metformin, and reduced tendency to consider diabetics for day care surgeries.
    Language English
    Publishing date 2023-05-29
    Publishing country India
    Document type Journal Article
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/joacp.joacp_463_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Efficacy of IM dexmedetomidine in alleviating catheter related bladder discomfort and postoperative inflammatory response following percutaneous nephrolithotomy. A prospective randomized controlled study.

    Jonnavithula, Nirmala / Patro, Abinash / Vattikala, Rajesh Babu Venkatachalam / Aavula, Kireeti / Chaganti, Sharmila / Chinnapagu, Indira Priyadarshini

    Journal of anaesthesiology, clinical pharmacology

    2022  Volume 39, Issue 1, Page(s) 31–37

    Abstract: Background and aims: Catheter-related bladder discomfort (CRBD) causes significant distress to the patient and requires great attention to analgesia and increases morbidity in the postoperative period. This study evaluated the efficacy of intramuscular ... ...

    Abstract Background and aims: Catheter-related bladder discomfort (CRBD) causes significant distress to the patient and requires great attention to analgesia and increases morbidity in the postoperative period. This study evaluated the efficacy of intramuscular dexmedetomidine in alleviating CRBD following percutaneous nephrolithotomy (PCNL) and postoperative inflammatory response.
    Material and methods: A prospective randomized double-blind study was conducted in a tertiary care hospital from December 2019- March 2020. Sixty seven of ASA I and II patients scheduled for elective PCNL were randomized and group I received 1 μg/kg dexmedetomidine intramuscularly and group II normal saline as control 30 minutes before induction of anesthesia. Standard anesthesia protocol was followed and patients were catheterized with 16 Fr Foleys after induction of anesthesia. Rescue analgesia was paracetamol if the score was moderate. Postoperatively CRBD score and inflammatory markers; total white cell count, erythrocyte sedimentation rate and temperature were noted for 3 days.
    Results: There was a significant low CRBD score in group I. Ramsay sedation score was 2 in group I with p 0.00 and rescue analgesia required was very low with p 0.00. Statistical Package for social Sciences software version 20 was used for analysis. Student ttest, analysis of variance, and Chisquare test were applied for quantitative and qualitative analysis respectively.
    Conclusion: Single dose intramuscular dexmedetomidine is effective, simple and safe in preventing the CRBD and the inflammatory response remained uninfluenced except ESR, the reason remains largely unknown.
    Language English
    Publishing date 2022-08-16
    Publishing country India
    Document type Journal Article
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/joacp.JOACP_44_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A Prospective Cohort Study Analyzing Radiation-Induced Xerostomia and Quality of Life of Head and Neck Cancer Patients Treated With Intensity-Modulated Radiotherapy and 3D Conformal Radiotherapy Techniques at a Tertiary Cancer Center in Eastern India.

    Sahoo, Bijayalaxmi / Padhi, Sanjukta / Patra, Abinash C / Mahapatra, Bikash R / Mishra, Tanushree / Mishra, Saumya Ranjan / Patro, Kanhu Charan

    Cureus

    2023  Volume 15, Issue 3, Page(s) e36442

    Abstract: Introduction Cancer of the head and neck is one of the most common cancers in India. Radiotherapy (RT) plays a vital role in the management of head and neck cancer both as a curative and adjuvant modality. Xerostomia is the most common acute and late ... ...

    Abstract Introduction Cancer of the head and neck is one of the most common cancers in India. Radiotherapy (RT) plays a vital role in the management of head and neck cancer both as a curative and adjuvant modality. Xerostomia is the most common acute and late toxicity. Therefore, this study aimed to analyze radiation-induced xerostomia and the quality of life of patients treated with intensity-modulated radiotherapy (IMRT) and three-dimensional (3D) conformal radiotherapy (3DCRT). Objectives We aim to evaluate radiation-induced acute xerostomia both subjectively and objectively at three-month and one-year post-radiotherapy follow-up period in patients who received radiotherapy in conformal technique (IMRT) to the head and neck region and compare it with those who received the 3DCRT technique. We also aim to assess the recovery of salivary flow in the third month post-radiotherapy by measuring the parotid scintigraphy excretion fraction. Materials and methods Forty patients with head and neck squamous cell carcinoma (SCC) were randomly assigned to the IMRT and 3DCRT arms. Xerostomia during radiation and at three-month and one-year post-radiotherapy follow-up was assessed subjectively using the xerostomia-related quality of life (XeQOL) questionnaire and objectively by measuring the salivary flow rate and parotid scintigraphy. Results The result is analyzed using an independent t-test, Mann-Whitney U test, and Fisher's exact test. The analysis showed that patients treated with radiation by IMRT showed better XeQOL scores (43.40±2.326 in IMRT and 52.10±2.573 in 3DCRT, p<0.001) and Eating Assessment Tool-10 (EAT-10) score (27.65±2.796 in IMRT and 33.80±1.936 in 3DCRT, p<0.001) compared to those treated with 3DCRT. Analysis of the excretion fraction (EF%) of parotid scintigraphy depicted improvement in EF% for both right and left parotids in the IMRT arm with statistical significance (for right parotid, 25.22±12.98 in IMRT and 19.60±10.17 in 3DCRT, p=0.136, and for left parotid, 28.03±12.51 in IMRT and 15.35±11.49 in 3DCRT, p=0.0019). The mean rate of flow (ROF) of saliva showed a declining trend during the end of radiotherapy treatment compared to baseline, but the mean ROF of saliva was better in IMRT compared to 3DCRT, and the difference was statistically significant. The ROF of saliva starts improving during the one-year post-radiotherapy follow-up period. Pearson's chi-square test was used to analyze the correlation between mean parotid dose with EF% of parotid scintigraphy, and it showed a negative correlation, which is statistically significant for both 3DCRT and IMRT arms. Conclusion Xerostomia can be reduced by precision radiotherapies such as the parotid-sparing IMRT technique in head and neck cancer patients, hence improving the quality of life.
    Language English
    Publishing date 2023-03-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.36442
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  4. Article: Hyperparathyroid Crisis: It's not All About Calcium!

    Patro, Abinash / Riaz, Rameez / Priya, Vansh / Bharti, Aruna

    Anesthesia, essays and researches

    2017  Volume 11, Issue 3, Page(s) 804–806

    Language English
    Publishing date 2017-08-10
    Publishing country India
    Document type Journal Article
    ZDB-ID 2626233-2
    ISSN 2229-7685 ; 0259-1162
    ISSN (online) 2229-7685
    ISSN 0259-1162
    DOI 10.4103/0259-1162.186614
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Survey of the Practice of Thoracic Anesthesia in India.

    Parab, Swapnil Y / Patro, Abinash / Ranganathan, Priya / Shetmahajan, Madhavi

    Journal of cardiothoracic and vascular anesthesia

    2020  Volume 35, Issue 5, Page(s) 1416–1423

    Abstract: Objective: The aim of the survey was to understand the contemporary thoracic anesthesia practice in India.: Design: A prospective questionnaire-based survey.: Settings: The survey was conducted at the Annual Conference of the Indian Association of ...

    Abstract Objective: The aim of the survey was to understand the contemporary thoracic anesthesia practice in India.
    Design: A prospective questionnaire-based survey.
    Settings: The survey was conducted at the Annual Conference of the Indian Association of Cardiovascular and Thoracic Anesthesiologists 2018 (IACTACON-2018). After the conference, the questionnaire was distributed again to the conference participants electronically to increase the response rate.
    Participants: Anesthesiologists from India attending IACTACON-2018.
    Interventions: Hard copies of a validated questionnaire (n = 430) were distributed among Indian anesthesiologists attending IACTACON 2018. The questionnaire included 17 questions pertaining to preanesthesia checkup, lung isolation devices, intraoperative management, postoperative analgesia, and infrastructure available at their institutions. Following the conference, the survey was continued online by sending the link of the online survey to all registered participants (n = 421) from India, taking care to avoid duplication of responses. Collected data were analyzed using frequency distributions and chi-square tests.
    Measurements and main results: Total responses were 166 (110 hardcopies and 56 online responses) of 430, with the response rate being 38.6%. A double-lumen tube (DLT) was the most commonly preferred for lung isolation (160/166: 96.4%). Nearly 55% of anesthesiologists preferred auscultation for confirmation of DLT, as 38% of anesthesiologists reported unavailability of the pediatric bronchoscope. Nearly 80% of anesthesiologists were compliant with the principles of protective one-lung ventilation. Preference for inhalation anesthetic agents during one-lung ventilation, use of restrictive intravenous fluids, and regional blocks for postoperative analgesia commonly were followed by the Indian anesthesiologists.
    Conclusion: Despite the challenges offered by limited resources, the practice of thoracic anesthesia in India is at par with the standards followed across the world.
    MeSH term(s) Anesthesiologists ; Anesthesiology ; Child ; Humans ; India/epidemiology ; Prospective Studies ; Surveys and Questionnaires
    Language English
    Publishing date 2020-08-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2020.08.035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Elastomeric balloon pump: Use of triway to fill!

    Patro, Abinash / Priya, Vansh / Riaz, Rameez / Dhiraaj, Sanjay

    Indian journal of anaesthesia

    2016  Volume 60, Issue 3, Page(s) 218–219

    Language English
    Publishing date 2016-04-06
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.177882
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  7. Article: Use of surgical tapes for eye protection: An eye opener.

    Shamim, Rafat / Riaz, Rameez / Patro, Abinash / Priya, Vansh

    Anesthesia, essays and researches

    2016  Volume 10, Issue 3, Page(s) 687–689

    Language English
    Publishing date 2016-08-01
    Publishing country India
    Document type Journal Article
    ZDB-ID 2626233-2
    ISSN 2229-7685 ; 0259-1162
    ISSN (online) 2229-7685
    ISSN 0259-1162
    DOI 10.4103/0259-1162.191112
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  8. Article: Ultrasonographic optic nerve sheath diameter measurement in overweight parturient with intracranial tumour: Guiding choice of anaesthesia.

    Riaz, Rameez / Khuba, Sandeep / Shamim, Rafat / Patro, Abinash

    Indian journal of anaesthesia

    2016  Volume 60, Issue 10, Page(s) 775–777

    Language English
    Publishing date 2016-08-20
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.191701
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  9. Article: Laparoscopic port as an integral component of endoscopy mask: A novel innovation!

    Patro, Abinash / Priya, Vansh / Riaz, Rameez / Kannaujia, Ashish

    Indian journal of anaesthesia

    2016  Volume 60, Issue 6, Page(s) 439–441

    Language English
    Publishing date 2016-06-21
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.183401
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  10. Article: Use of malfunctioning fibre-optic bronchoscope as a rescue bougie!

    Patro, Abinash / Priya, Vansh / Shamim, Rafat / Singh, Prabhat Kumar

    Indian journal of anaesthesia

    2017  Volume 61, Issue 3, Page(s) 277–278

    Language English
    Publishing date 2017-04-12
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.IJA_559_16
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