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  1. Article: The Preoperative Fasting Conundrum: An Audit of Practice in a Tertiary Care Children's Hospital.

    Rawlani, Sujata Shivlal / Dave, Nandini Malay / Karnik, Priyanka Pradeep

    Turkish journal of anaesthesiology and reanimation

    2022  Volume 50, Issue 3, Page(s) 207–211

    Abstract: Objective: This article aimed to study preoperative fasting times in children undergoing elective surgery and to analyze the effect of active interventions conducted to promote compliance with current fasting guidelines.: Methods: An initial audit ... ...

    Abstract Objective: This article aimed to study preoperative fasting times in children undergoing elective surgery and to analyze the effect of active interventions conducted to promote compliance with current fasting guidelines.
    Methods: An initial audit was performed in which 85 children up to 15 years of age posted for elective surgeries were surveyed. A question- naire was circulated among nurses, resident medical officers, and surgeons to assess their knowledge regarding recent fasting guidelines and its importance. The mean preoperative fasting times were found to be much longer than the recommended guidelines. Interventions were carried out to spread awareness about recent preoperative fasting guidelines. A re-audit was done 4 months after the initial audit.
    Results: The initial audit revealed a mean preoperative fasting time for solids and water to be 9.43 hours and 6.64 hours, respectively. About 43.6% of hospital staff believed "fasting from midnight" regimen is the best method to prevent pulmonary aspiration. Incorrect orders by doctors (47%) and ward nurses (38%) were found to be important causes of non-adherence. After the intervention, mean preoperative fasting times for solids and water decreased to 7.7 hours and 2.6 hours, respectively.
    Conclusion: Adopting simple measures such as education and multidisciplinary teamwork can optimize fasting duration and children's experi- ences preoperatively.
    Language English
    Publishing date 2022-08-05
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2022.21132
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Vitamin D resistant rickets: What an anesthesiologist should know.

    Karnik, Priyanka Pradeep / Dave, Nandini Malay / Garasia, Madhu

    Journal of anaesthesiology, clinical pharmacology

    2017  Volume 33, Issue 4, Page(s) 550–551

    Language English
    Publishing date 2017-02-15
    Publishing country India
    Document type Journal Article
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/joacp.JOACP_124_16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Large gastric wood bezoar: Anesthesia implications.

    Karnik, Priyanka Pradeep / Dave, Nandini Malay / Garasia, Madhu

    Journal of anaesthesiology, clinical pharmacology

    2016  Volume 32, Issue 3, Page(s) 400–401

    Language English
    Publishing date 2016-09-13
    Publishing country India
    Document type Journal Article
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/0970-9185.168173
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Radiological images through an anaesthesiologists' looking glass: Airway management in cervical lipomatosis in an infant.

    Kulkarni, Ketan Sakharam / Karnik, Priyanka Pradeep / Dave, Nandini M / Agrawal, Barkha

    Indian journal of anaesthesia

    2017  Volume 61, Issue 10, Page(s) 846–847

    Language English
    Publishing date 2017-09-22
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.IJA_678_16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Comparison of analgesic efficacy and safety of continuous epidural infusion versus local infiltration and systemic opioids in video-assisted thoracoscopic surgery decortication in pediatric empyema patients.

    Karnik, Priyanka Pradeep / Dave, Nandini Malay / Garasia, Madhu

    Saudi journal of anaesthesia

    2018  Volume 12, Issue 2, Page(s) 240–244

    Abstract: Introduction: The stripping of the densely innervated and inflamed parietal pleura in empyema during video-assisted thoracoscopic surgery (VATS) decortication can lead to significant pain and major postoperative respiratory compromise. Hence, we ... ...

    Abstract Introduction: The stripping of the densely innervated and inflamed parietal pleura in empyema during video-assisted thoracoscopic surgery (VATS) decortication can lead to significant pain and major postoperative respiratory compromise. Hence, we compared the analgesic efficacy of continuous epidural infusion versus local infiltration and systemic opioids in children undergoing VATS decortications.
    Methodology: Following ethics approval and informed consent, forty patients from 1 to 12 years of age were randomized into two groups, Group E (epidural) and Group L (local infiltration) after induction of anesthesia. In Group E, a thoracic epidural catheter was inserted between T4 and T8. A bolus dose of 0.5 ml/kg of 0.25% injection bupivacaine was given epidurally before incision. Postoperatively, the patients received epidural infusion with bupivacaine and fentanyl up to 48 h using an elastomeric balloon pump. In Group L, patients received local infiltration of bupivacaine (2 mg/kg) and lignocaine (5 mg/kg) at the port sites before incision and at the end of surgery. They also received injection tramadol 1 mg/kg intravenously TDS with thrice daily postoperatively. The pain scores (Face, Legs, Activity, Cry, Consolability/ Wong-Baker FACES scale) were assessed every 4 h on the 1
    Results: The pain scores were lower in the epidural group than in the local infiltration group at 0, 4, and 20 h postoperatively (
    Conclusion: Epidural analgesia can be considered as an effective modality of reducing pain in patients undergoing VATS decortication for empyema in pediatric patients.
    Language English
    Publishing date 2018-03-01
    Publishing country India
    Document type Journal Article
    ZDB-ID 2562174-9
    ISSN 0975-3125 ; 1658-354X
    ISSN (online) 0975-3125
    ISSN 1658-354X
    DOI 10.4103/sja.SJA_659_17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Unanticipated Difficult Airway in a Neonate: Are we Prepared for this CHAOS?

    Karnik, Priyanka Pradeep / Dave, Nandini Malay / Garasia, Madhu

    Turkish journal of anaesthesiology and reanimation

    2017  Volume 45, Issue 5, Page(s) 318–319

    Abstract: Unanticipated difficult airway in a neonate is a challenging situation with many difficulties because of inherent anatomical variations. To complicate the situation there is a lack of appropriate equipment, expertise and established guidelines on the ... ...

    Abstract Unanticipated difficult airway in a neonate is a challenging situation with many difficulties because of inherent anatomical variations. To complicate the situation there is a lack of appropriate equipment, expertise and established guidelines on the management of difficult airway in neonates and infants. There are few published reports regarding the use of available devices for emergency front-of-neck access. We report the case of airway management of a neonate with an unanticipated finding of subglottic stenosis. Subglottic stenosis is one of the aetiologies of congenital high airway obstruction syndrome, which may be diagnosed antenatally based on ultrasonography findings.
    Language English
    Publishing date 2017-09-15
    Publishing country Turkey
    Document type Case Reports
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2017.49404
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Large gastric wood bezoar

    Priyanka Pradeep Karnik / Nandini Malay Dave / Madhu Garasia

    Journal of Anaesthesiology Clinical Pharmacology, Vol 32, Iss 3, Pp 400-

    Anesthesia implications

    2016  Volume 401

    Keywords Medicine ; R ; Surgery ; RD1-811 ; Anesthesiology ; RD78.3-87.3 ; Pharmacy and materia medica ; RS1-441
    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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  8. Article: Comparative Study of Three Methods for Depth of Central Venous Catheter Placement in Children: An Observational Pilot Study.

    Chaskar, Vaishali / Karnik, Priyanka Pradeep / Dave, Nandini Malay / Garasia, Madhu

    Turkish journal of anaesthesiology and reanimation

    2018  Volume 46, Issue 2, Page(s) 116–120

    Abstract: Objective: Central venous cannulation of the internal jugular vein is difficult in paediatric patients because of the small size of the vein and anatomic variations. Many studies have shown the accuracy of various formulae for calculating the depth of ... ...

    Abstract Objective: Central venous cannulation of the internal jugular vein is difficult in paediatric patients because of the small size of the vein and anatomic variations. Many studies have shown the accuracy of various formulae for calculating the depth of placement. The aim of this study was to assess the most reliable method for central venous catheter (CVC) tip placement in paediatric patients.
    Methods: Sixty-nine patients in the age groups from 0 to 12 years were divided in three groups for three published techniques for catheter tip placement. In Group E, catheter tip was placed at the distance measured from entry point to sternal angle. In Groups P and H, Peres and trans-oesophageal echocardiography (TEE)-derived formulae, respectively, were used for catheter placement. Post-procedure chest radiograph was performed for all patients, and tip position was recorded. Appropriate catheter tip position was considered just above or at the level of carina. The number of attempts and complications were recorded. Chi-square test was used for statistical analysis.
    Results: Of 69 patients, 65% of patients in Group P, 52% in group H and 91% in group E had appropriate CVC tip placement. The chi-square test showed that the difference in the number of patients with appropriately positioned CVC tip among the three groups was statistically significant (p=0.0134), with intergroup analysis showing Group E to be superior. One patient had an episode of arrhythmia during guide wire insertion and was resuscitated successfully.
    Conclusion: Catheter tip placement by external distance or landmark technique is a more accurate method for catheter placement than the Peres and TEE-based formulae. It does not require measurement of patients' height and reduces the chances of repositioning of catheter.
    Language English
    Publishing date 2018-04-01
    Publishing country Turkey
    Document type Journal Article
    ISSN 2667-677X
    ISSN 2667-677X
    DOI 10.5152/TJAR.2018.32748
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Mind the gap!!

    Priyanka Pradeep Karnik / Ketan S Kulkarni / Nandini Malay Dave / Madhu Garasia

    Indian Journal of Anaesthesia, Vol 61, Iss 2, Pp 181-

    Reversal of arterial to end-tidal CO2gradient in thoracoscopic bronchogenic cyst excision

    2017  Volume 182

    Keywords Anesthesiology ; RD78.3-87.3 ; Surgery ; RD1-811 ; Medicine ; R
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article: Mind the gap!!: Reversal of arterial to end-tidal CO

    Karnik, Priyanka Pradeep / Kulkarni, Ketan S / Dave, Nandini Malay / Garasia, Madhu

    Indian journal of anaesthesia

    2013  Volume 61, Issue 2, Page(s) 181–182

    Language English
    Publishing date 2013-10-11
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.199864
    Database MEDical Literature Analysis and Retrieval System OnLINE

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