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  1. Article ; Online: Cease the storm- A case report of successful stellate ganglion block in terminating refractory electrical storm.

    Nair, Archana / Bhoi, Sanjeev / Choudhary, Yatharth

    The American journal of emergency medicine

    2024  

    Abstract: An electrical storm also known as a ventricular tachycardia storm (VT storm) tends to recur and form a vicious cycle, eventually leading to a refractory electrical storm, refractory to electrical and pharmacological cardioversion. The treatment of ... ...

    Abstract An electrical storm also known as a ventricular tachycardia storm (VT storm) tends to recur and form a vicious cycle, eventually leading to a refractory electrical storm, refractory to electrical and pharmacological cardioversion. The treatment of refractory VT storm is challenging. Here we discuss the case of a middle-aged gentleman who presented to our emergency department 6 months apart with a refractory VT storm. When all the anti-arrhythmic agents and multiple cardioversion attempts failed in terminating the storm, we attempted ultrasound-guided stellate ganglion block. On both occasions, it successfully terminated the storm. Hence emergency physicians need to be aware of the right technique and timing of stellate ganglion block and ultrasound-guided needle tracking, as it can be a final rescue technique in treating refractory electrical storm in the emergency department.
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Case Reports
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2024.03.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: What's New in Emergencies, Trauma, and Shock: Helicopter Emergency Medical Service in Trauma - Triage Versus Speed.

    Chauhan, Vivek / Bhoi, Sanjeev

    Journal of emergencies, trauma, and shock

    2022  Volume 15, Issue 1, Page(s) 1–2

    Language English
    Publishing date 2022-04-04
    Publishing country India
    Document type Editorial
    ZDB-ID 2461111-6
    ISSN 0974-519X ; 0974-2700
    ISSN (online) 0974-519X
    ISSN 0974-2700
    DOI 10.4103/jets.jets_29_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Transthoracic echocardiography showing pulmonary arteries and arch of aorta.

    Chouhan, Rahul / Bhoi, Sanjeev / Raveendran, Abhiraj

    Emergency medicine journal : EMJ

    2023  Volume 40, Issue 11, Page(s) 784–801

    MeSH term(s) Humans ; Pulmonary Artery/diagnostic imaging ; Aorta/diagnostic imaging ; Echocardiography ; Aorta, Thoracic/diagnostic imaging
    Language English
    Publishing date 2023-10-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2022-213023
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  4. Article: Guillain-Barre syndrome as the initial presentation of systemic lupus erythematosus: Case report with a systematic and literature review.

    Bhoi, Sanjeev Kumar / Jha, Menka / Jaiswal, Binaya

    Medical journal, Armed Forces India

    2023  Volume 79, Issue Suppl 1, Page(s) S360–S364

    Abstract: Systemic lupus erythematosus (SLE) can affect multiple systems in which central nervous system (CNS) involvement is common, but peripheral nervous system involvement is also increasingly being recognized. Guillian-Barre syndrome (GBS) as the first ... ...

    Abstract Systemic lupus erythematosus (SLE) can affect multiple systems in which central nervous system (CNS) involvement is common, but peripheral nervous system involvement is also increasingly being recognized. Guillian-Barre syndrome (GBS) as the first manifestation of SLE has been reported, but rare and not well understood. A 39-year female presented with GBS-like illness but on evaluation found to have features of SLE. Cerebrospinal fluid (CSF) showed characteristic albuminocytological dissociation and nerve conduction study (NCS) was suggestive of demyelinating polyradiculoneuropathy. On evaluation, she was found to have polyarthralgia, autoimmune hemolytic anemia, class I Lupus nephritis, mild splenomegaly, and pleural effusion. Serum antinuclear antibody was 4+ positive (coarse speckled) and extractable nuclear antigen profile revealed anti-dsDNA and anti-Sm antibody positivity, with low complement level. She fulfilled the diagnostic criterion of SLE and was managed with both plasmapheresis and pulse steroids followed by cyclophosphamide monthly pulse and oral hydroxychloroquine maintenance and showed significant improvement. The literature review showed only 26 cases reported till now. GBS without any obvious trigger should be extensively evaluated, as the underlying etiology will affect the treatment protocol as well as the prognosis. Our report highlights the significance of early recognition of SLE as a trigger of GBS, which changes conventional GBS treatment.
    Language English
    Publishing date 2023-04-12
    Publishing country India
    Document type Case Reports
    ZDB-ID 196342-9
    ISSN 0377-1237
    ISSN 0377-1237
    DOI 10.1016/j.mjafi.2023.02.007
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  5. Article: Role of initial cardiac activity assessed by point-of-care ultrasonography in predicting cardiac arrest outcomes: A prospective cohort study.

    Thandar, Soumitra / Sahu, Ankit Kumar / Sinha, Tej Prakash / Bhoi, Sanjeev

    Turkish journal of emergency medicine

    2023  Volume 23, Issue 1, Page(s) 24–29

    Abstract: Objectives: This study was conducted to investigate the association between visible cardiac activity in point-of-care ultrasound (POCUS) and outcomes of cardiac arrest such as the return of spontaneous circulation (ROSC), survival to inpatient admission ...

    Abstract Objectives: This study was conducted to investigate the association between visible cardiac activity in point-of-care ultrasound (POCUS) and outcomes of cardiac arrest such as the return of spontaneous circulation (ROSC), survival to inpatient admission (SIA), and survival to hospital discharge (STHD).
    Methods: This was a single-center, prospective cohort study conducted in the emergency department (ED). Adult (age >18 years) patients in cardiac arrest were included in the study. Exclusion criteria of the study were - traumatic arrest, out-of-hospital cardiac arrest resuscitated before ED admission, and patients presenting with initial shockable rhythm. Patients whose ultrasound images could not be obtained and whose resuscitation stopped following POCUS were also excluded from the study. POCUS examination was done after 2 min of initiation of cardiopulmonary resuscitation (CPR) and visible cardiac activity was defined as any visible movement of the myocardium, excluding movement of blood within cardiac chambers, or isolated valve movement. The duration of POCUS examinations was limited to 10 s. The association of initial cardiac activity in POCUS with the outcomes of cardiac arrest was investigated.
    Results: Out of 140 patients screened, 84 patients were included in the study. Rates of ROSC, SIA, and STHD were found in 23 (27.4%), 9 (10.7%), and 2 (2.4%) patients, respectively. Only 15 out of 84 (17.9%) patients had cardiac activity on the initial POCUS examination. Cardiac activity was seen in 52.2% of patients with ROSC, which was significantly higher (
    Conclusion: Integration of POCUS in cardiac arrest resuscitation was shown to be helpful in terms of prognostic significance of the presence of initial cardiac activity in terms of ROSC.
    Language English
    Publishing date 2023-01-02
    Publishing country India
    Document type Journal Article
    ISSN 2452-2473
    ISSN 2452-2473
    DOI 10.4103/2452-2473.366482
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  6. Article: Super refractory status epilepticus as a possible manifestation of COVID-19 disease.

    Kumar, Mukesh / Bhoi, Sanjeev Kumar / Jha, Menka / Naik, Suprava

    Journal of neurosciences in rural practice

    2023  Volume 14, Issue 3, Page(s) 522–524

    Abstract: Coronavirus disease 2019 (COVID-19) is one of the worst pandemics in history, caused by severe acute respiratory syndrome coronavirus-2, a novel zoonotic coronavirus. COVID-19 disease can present from asymptomatic or mild infection to rapidly progressive, ...

    Abstract Coronavirus disease 2019 (COVID-19) is one of the worst pandemics in history, caused by severe acute respiratory syndrome coronavirus-2, a novel zoonotic coronavirus. COVID-19 disease can present from asymptomatic or mild infection to rapidly progressive, acute respiratory distress syndrome, and death. Neurological presentation is not so uncommon now. Super refractory status epilepticus (SRSE) can be a possible manifestation of COVID-19 disease. Here, we report a patient affected by COVID-19 who presented with SRSE.
    Language English
    Publishing date 2023-05-20
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2601242-X
    ISSN 0976-3155 ; 0976-3147
    ISSN (online) 0976-3155
    ISSN 0976-3147
    DOI 10.25259/JNRP_60_2022
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  7. Article ; Online: Craniospinal MRI Findings in Neuromelioidosis.

    Naik, Suprava / Bhoi, Sanjeev Kumar / Jha, Menka / Kumar, Mukesh

    Neurology India

    2023  Volume 71, Issue 1, Page(s) 113–118

    Abstract: Background: Melioidosis is a bacterial infection caused by Burkholderia pseudomallei that is endemic in Southeast Asia, northern Australia, and Africa. Neurological involvement is rare and reported in 3-5% of total cases.: Objective: The purpose of ... ...

    Abstract Background: Melioidosis is a bacterial infection caused by Burkholderia pseudomallei that is endemic in Southeast Asia, northern Australia, and Africa. Neurological involvement is rare and reported in 3-5% of total cases.
    Objective: The purpose of this study was to report a series of cases of melioidosis with neurological involvement and a brief review of the literature.
    Materials and methods: We collected the data from six melioidosis patients having neurological involvement. Clinical, biochemical, and imaging findings were analyzed.
    Result: All patients in our study were adults (age range 27 to 73 years). The presenting symptoms were fever of varying duration (range 15 days to 2 months). Altered sensorium was noted in five patients. Four cases had brain abscess, one had meningitis, and one had a spinal epidural abscess. All cases of brain abscesses were T2 hyperintense with an irregular wall showing central diffusion restriction and irregular peripheral enhancement. The trigeminal nucleus was involved in one patient, but there was no enhancement of the trigeminal nerve. Extension along the white matter tract was noted in two patients. Magnetic resonance (MR) spectroscopy done in two patients showed increased lipid/lactate and choline peak in both of them.
    Conclusion: Melioidosis can present as multiple micro-abscesses in the brain. Involvement of the trigeminal nucleus and extension along the corticospinal tract may raise the possibility of infection by B. pseudomallei. Meningitis and dural sinus thrombosis, although rare, can be presenting features.
    MeSH term(s) Adult ; Humans ; Middle Aged ; Aged ; Melioidosis/diagnostic imaging ; Magnetic Resonance Imaging ; Brain Abscess/diagnostic imaging ; Brain/diagnostic imaging ; Lactic Acid
    Chemical Substances Lactic Acid (33X04XA5AT)
    Language English
    Publishing date 2023-03-02
    Publishing country India
    Document type Review ; Journal Article
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.370442
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  8. Article ; Online: Deep Medullary Vein Thrombosis in a Neonate with Asymptomatic Polycythemia.

    Naik, Suprava / Nayak, Manoj K / Sahoo, Tanushree / Bhoi, Sanjeev K

    Neurology India

    2023  Volume 71, Issue 3, Page(s) 613–614

    MeSH term(s) Infant, Newborn ; Humans ; Polycythemia/complications ; Thrombosis
    Language English
    Publishing date 2023-06-16
    Publishing country India
    Document type Journal Article
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.378709
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  9. Article: Correlation between Vertebral Marrow Fat Fraction in MRI Using DIXON Technique and BMD in DXA in Patients of Suspected Osteoporosis.

    Naik, Suprava / Jain, Mantu / Bhoi, Sanjeev Kumar / Tripathy, Sujit

    The Indian journal of radiology & imaging

    2023  Volume 34, Issue 2, Page(s) 239–245

    Abstract: ... ...

    Abstract Aim
    Language English
    Publishing date 2023-12-04
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 605869-3
    ISSN 0971-3026 ; 0970-2016
    ISSN 0971-3026 ; 0970-2016
    DOI 10.1055/s-0043-1776883
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  10. Article ; Online: Rhombencephalosynapsis: a rare congenital malformation.

    Naik, Suprava / Bhoi, Sanjeev Kumar / Kumar, Mukesh

    Acta neurologica Belgica

    2022  Volume 123, Issue 5, Page(s) 2021–2022

    MeSH term(s) Infant, Newborn ; Humans ; Cerebellum/diagnostic imaging ; Cerebellum/abnormalities ; Hydrocephalus ; Cerebellar Diseases ; Infant, Newborn, Diseases ; Rhombencephalon/diagnostic imaging ; Rhombencephalon/abnormalities ; Magnetic Resonance Imaging
    Language English
    Publishing date 2022-09-06
    Publishing country Italy
    Document type Letter
    ZDB-ID 127315-2
    ISSN 2240-2993 ; 0300-9009
    ISSN (online) 2240-2993
    ISSN 0300-9009
    DOI 10.1007/s13760-022-02080-2
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