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  1. Article ; Online: Williams-Beuren syndrome with pseudoaneurysm of aortic arch and infective vegetations for modified broms procedure: anesthetic concerns & Echocardiographic illustrations.

    Das, Devishree / Makhija, Neeti

    Annals of cardiac anaesthesia

    2023  Volume 26, Issue 1, Page(s) 94–96

    Abstract: Williams-Beuren syndrome is a rare genetic malformation with predilection for supravalvular aortic stenosis. Apart from cardiovascular malformation, hypocalcemia, developmental delay, and elfin facies, challenging airway make perioperative management ... ...

    Abstract Williams-Beuren syndrome is a rare genetic malformation with predilection for supravalvular aortic stenosis. Apart from cardiovascular malformation, hypocalcemia, developmental delay, and elfin facies, challenging airway make perioperative management more eventful. Association of infective endocarditis within the aortic arch and pseudoaneurysm formation is infrequent. We, hereby report a case of pseudoaneurysm formation and infective vegetation within the aortic arch in a patient with Williams syndrome and the role of transthoracic echocardiography in its perioperative management.
    MeSH term(s) Humans ; Williams Syndrome/complications ; Williams Syndrome/diagnostic imaging ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/surgery ; Aneurysm, False/diagnostic imaging ; Aneurysm, False/surgery ; Echocardiography ; Anesthetics
    Chemical Substances Anesthetics
    Language English
    Publishing date 2023-02-01
    Publishing country India
    Document type Case Reports
    ZDB-ID 2106866-5
    ISSN 0974-5181 ; 0971-9784
    ISSN (online) 0974-5181
    ISSN 0971-9784
    DOI 10.4103/aca.aca_122_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Delayed Diagnosis of Pulmonary Artery Thrombosis in a Patient Undergoing Mitral Valve Replacement.

    Das, Devishree / Makhija, Neeti / Hasija, Suruchi / Prakash, Mohit

    Annals of cardiac anaesthesia

    2024  Volume 27, Issue 1, Page(s) 68–69

    Abstract: Abstract: The occurrence of pulmonary artery thrombus in association with rheumatic mitral stenosis is a rare complication. Pulmonary artery thrombus formation may worsen pulmonary artery pressures, and this may precipitate acute right heart failure. ... ...

    Abstract Abstract: The occurrence of pulmonary artery thrombus in association with rheumatic mitral stenosis is a rare complication. Pulmonary artery thrombus formation may worsen pulmonary artery pressures, and this may precipitate acute right heart failure. The possible mechanisms behind pulmonary artery thrombus formation during mitral valve replacement surgery could be acute coagulopathy following surgery, the presence of chronic pulmonary thromboembolism, or chronic atrial fibrillation. We report an unusual case of pulmonary artery thrombus in a patient with rheumatic MS which was diagnosed with transoesophageal echocardiography after MVR.
    MeSH term(s) Humans ; Heart Valve Prosthesis Implantation/adverse effects ; Pulmonary Artery/diagnostic imaging ; Echocardiography, Transesophageal/methods ; Thrombosis/diagnostic imaging ; Thrombosis/etiology ; Mitral Valve/surgery ; Mitral Valve/diagnostic imaging ; Delayed Diagnosis ; Mitral Valve Stenosis/surgery ; Female ; Rheumatic Heart Disease/complications ; Rheumatic Heart Disease/surgery ; Pulmonary Embolism/etiology ; Pulmonary Embolism/diagnostic imaging ; Middle Aged
    Language English
    Publishing date 2024-01-12
    Publishing country India
    Document type Case Reports ; Journal Article
    ZDB-ID 2106866-5
    ISSN 0974-5181 ; 0971-9784
    ISSN (online) 0974-5181
    ISSN 0971-9784
    DOI 10.4103/aca.aca_45_23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Letter to Editor: Predictive value of neutrophil to lymphocyte ratio on acute kidney injury after on-pump coronary artery bypass: a retrospective, single-center study.

    Das, Devishree / Magoon, Rohan

    General thoracic and cardiovascular surgery

    2022  Volume 70, Issue 9, Page(s) 832–833

    MeSH term(s) Acute Kidney Injury/diagnosis ; Acute Kidney Injury/etiology ; Coronary Artery Bypass ; Humans ; Lymphocytes ; Neutrophils ; Postoperative Complications ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2022-04-18
    Publishing country Japan
    Document type Letter ; Comment
    ZDB-ID 2376888-5
    ISSN 1863-6713 ; 1863-6705
    ISSN (online) 1863-6713
    ISSN 1863-6705
    DOI 10.1007/s11748-022-01824-4
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1173: Show issues Location:
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  4. Article ; Online: Comment on "Effect of total intravenous versus inhalation anesthesia on long-term oncological outcomes in patients undergoing curative resection for early-stage non-small cell lung cancer: a retrospective cohort study".

    Magoon, Rohan / Das, Devishree / Jose, Jes

    Korean journal of anesthesiology

    2023  Volume 76, Issue 4, Page(s) 390–391

    MeSH term(s) Humans ; Carcinoma, Non-Small-Cell Lung/surgery ; Carcinoma, Non-Small-Cell Lung/etiology ; Lung Neoplasms/surgery ; Lung Neoplasms/etiology ; Retrospective Studies ; Pneumonectomy/adverse effects ; Anesthesia, Inhalation
    Language English
    Publishing date 2023-02-09
    Publishing country Korea (South)
    Document type Letter ; Comment
    ZDB-ID 2557340-8
    ISSN 2005-7563 ; 2005-7563
    ISSN (online) 2005-7563
    ISSN 2005-7563
    DOI 10.4097/kja.23017
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  5. Article ; Online: Outcomes Following On-Pump Versus Of-Pump CABG: Apprising the "Bypassed".

    Magoon, Rohan / Shri, Iti / Das, Devishree

    Brazilian journal of cardiovascular surgery

    2023  Volume 38, Issue 2, Page(s) 318–319

    MeSH term(s) Humans ; Coronary Artery Bypass ; Coronary Artery Bypass, Off-Pump ; Treatment Outcome
    Language English
    Publishing date 2023-04-23
    Publishing country Brazil
    Document type Letter ; Comment
    ZDB-ID 2031026-2
    ISSN 1678-9741 ; 1678-9741
    ISSN (online) 1678-9741
    ISSN 1678-9741
    DOI 10.21470/1678-9741-2022-0088
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Unforeseen rupture of pseudoaneurysm of common carotid artery: An arduous anesthetic challenge.

    Das, Devishree / Chauhan, Sandeeep / Das, Sambhunath / Praveen, P

    Annals of cardiac anaesthesia

    2022  Volume 25, Issue 1, Page(s) 119–122

    Abstract: Pseudoaneurysm of the common carotid artery (CCA) is exceptionally unstable and unpredictable; it mandates quick medical attention in order to circumvent neurologic sequelae or hemorrhage. Unanticipated rupture is extremely lethal and a potential ... ...

    Abstract Pseudoaneurysm of the common carotid artery (CCA) is exceptionally unstable and unpredictable; it mandates quick medical attention in order to circumvent neurologic sequelae or hemorrhage. Unanticipated rupture is extremely lethal and a potential provocation for the anesthesia caregiver. It is an arduous challenge for an anesthetist to establish emergency airway when a huge bleeding pseudoaneurysm is compressing and deviating the trachea, securing invasive lines in collapsing vessels, volume and vasopressor resuscitation in deteriorating hemodynamics in order to maintain cerebral perfusion without compromising other vital organs, arranging huge amount of blood and blood products in a short span of time, and transferring an exsanguinating patient for the rapid institution of cardiopulmonary bypass. Not only preoperatively it also necessitates appropriate neuromonitoring and neuroprotection during and after surgery. The association of unforeseen rupture of common carotid artery pseudoaneurysm secondary to the tubercular spine and lifesaving management by the rapid institution of cardiopulmonary bypass (CPB) is a rare occasion. To the best of the authors' knowledge, there is not any similar case in the peer-reviewed literature. Therefore, the authors enumerate the clinical experience of an unexpected rupture of CCA pseudoaneurysm requiring lifesaving CPB and emphasize the "Timely Teamed Effort Approach" that can sustain a life in such an inevitable situation.
    MeSH term(s) Anesthetics ; Aneurysm, False/diagnostic imaging ; Aneurysm, False/etiology ; Aneurysm, False/surgery ; Cardiopulmonary Bypass ; Carotid Arteries ; Carotid Artery, Common/surgery ; Humans
    Chemical Substances Anesthetics
    Language English
    Publishing date 2022-02-09
    Publishing country India
    Document type Case Reports
    ZDB-ID 2106866-5
    ISSN 0974-5181 ; 0971-9784
    ISSN (online) 0974-5181
    ISSN 0971-9784
    DOI 10.4103/aca.aca_257_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Comparison of Left Ventricular Global Longitudinal Strain with Ejection Fraction as a Predictor for Peri-operative IABP Insertion in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting: A Pilot Study.

    Kumar, Sanjeev / Malik, Vishwas / Chauhan, Sandeep / Das, Devishree / Hote, Milind P / Devagourou, V

    Annals of cardiac anaesthesia

    2023  Volume 26, Issue 3, Page(s) 295–302

    Abstract: Background: Prophylactic use of intra-aortic balloon pump (IABP) mainly depends on left ventricular (LV) systolic function. Global longitudinal strain (GLS) is a robust prognostic parameter for LV strain. It has proved to be more sensitive than LV ... ...

    Abstract Background: Prophylactic use of intra-aortic balloon pump (IABP) mainly depends on left ventricular (LV) systolic function. Global longitudinal strain (GLS) is a robust prognostic parameter for LV strain. It has proved to be more sensitive than LV ejection fraction (EF) as a measure of LV systolic function and is a strong predictor of outcome.
    Aim: To determine whether GLS can be used as a reliable marker and its cut-off value for IABP insertion in patients undergoing elective off-pump coronary artery bypass grafting (OPCABG).
    Settings and design: A prospective observational clinical study which included 100 adult patients scheduled for elective OPCABG.
    Materials and methods: Two-dimensional (2D) speckle tracking echocardiography (STE)-estimated GLS was computed and compared with LV EF measured by three dimensional (3D) echocardiography for the insertion of IABP. The intensive care unit (ICU) parameters were correlated with echocardiographic parameters to predict early post-operative outcome.
    Results: IABP insertion correlates better with GLS (post-revascularization > pre-revascularization) than with 3D LV EF. Receiver operating characteristic (ROC) curve analysis revealed the highest area under the curve (AUC, 0.972) with a cut-off value of > -9.8% for GLS compared to 3D LV EF (AUC, 0.938) with a cut-off value of ≤ 44%. ICU parameters show better correlation with E/e'> GLS > WMSI than 3D LV EF.
    Conclusion: GLS is a better predictor of IABP insertion compared to 3D LV EF in patients undergoing OPCABG.
    MeSH term(s) Adult ; Humans ; Coronary Artery Bypass, Off-Pump ; Global Longitudinal Strain ; Pilot Projects ; Stroke Volume ; Ventricular Dysfunction, Left/diagnostic imaging ; Ventricular Function, Left ; Prospective Studies
    Language English
    Publishing date 2023-07-20
    Publishing country India
    Document type Observational Study ; Journal Article
    ZDB-ID 2106866-5
    ISSN 0974-5181 ; 0971-9784
    ISSN (online) 0974-5181
    ISSN 0971-9784
    DOI 10.4103/aca.aca_144_22
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  8. Article ; Online: Efficacy of Incisional Ropivacaine Infiltration by Presternal Multi-Orifice Catheter for Post-sternotomy Pain Relief in Pediatric Patients Undergoing Cardiac Surgery: A Prospective, Randomized, Controlled Study.

    Das, Devishree / Chauhan, Sandeep / Gayatri, Sushama / Chaudhury, Minati / Makhija, Neeti / Bisoi, Akshay K

    Journal of cardiothoracic and vascular anesthesia

    2023  Volume 37, Issue 11, Page(s) 2282–2288

    Abstract: Objective: To evaluate the efficacy of incisional ropivacaine infiltration by presternal multi-orifice catheter to manage poststernotomy pain in pediatric cardiac surgery.: Design: A prospective, randomized, and double-blind comparative study.: ... ...

    Abstract Objective: To evaluate the efficacy of incisional ropivacaine infiltration by presternal multi-orifice catheter to manage poststernotomy pain in pediatric cardiac surgery.
    Design: A prospective, randomized, and double-blind comparative study.
    Setting: At a single-institution tertiary referral cardiac center.
    Participants: The study comprised 200 children undergoing cardiac surgeries through a midline sternotomy.
    Interventions: Children were allocated randomly to 1 of 3 groups. Group A (n = 65) and group B (n = 64) received 0.375% ropivacaine infusion and intermittent bolus, respectively, by presternal multi-orifice catheter, whereas Group C (n = 64) did not receive any local anesthetic (LA) drug. Postoperatively, intravenous paracetamol was used for multimodal analgesia, and fentanyl was given as rescue analgesia, respectively.
    Measurements and main results: Pain was assessed by a Modified Objective Pain Score (MOPS) for 48 hours postextubation. Group B had significantly lower early MOPS at the first hour, but in the later period, the mean MOPS was lower in group A. The requirement of the first rescue analgesia was 3 ± 1.51, 6.1 ± 2.26, and 2.6 ± 0.87 hours for groups A (n = 60), B (n = 60), and C (n = 60), respectively. The 48-hour fentanyl consumption was significantly lower (p < 0.001) in group A (0.5 ± 0.68 µg/kg) and group B (0.7 ± 0.86 µg/kg) than the control group (3.4 ± 0.68 µg/kg). The length of intensive care unit stay was lower (p < 0.001) in groups A and B than in group C; however, the length of hospital stay was comparable (p = 0.07).
    Conclusion: LA bolus and infusion through presternal multi-orifice catheter provided effective analgesia postoperatively. However, the bolus was more efficacious in the early phase but equivalent in later periods. Therefore, bolus and LA infusion can be used for steady poststernotomy pain relief in children undergoing cardiac surgeries.
    Language English
    Publishing date 2023-07-10
    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.2023.07.007
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2203: Show issues Location:
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    Zs.MO 31: Show issues

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  9. Article: From precision of the evidence to the evidence for precision: An intriguing odyssey!

    Magoon, Rohan / Makhija, Neeti / Jangid, Surendra K / Das, Devishree

    Journal of anaesthesiology, clinical pharmacology

    2022  Volume 38, Issue 1, Page(s) 153–154

    Language English
    Publishing date 2022-04-25
    Publishing country India
    Document type Journal Article
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/joacp.JOACP_136_20
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4830: Show issues Location:
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  10. Article: Haemodynamic predisposition to acute kidney injury: Shadow and light!

    Makhija, Neeti / Magoon, Rohan / Das, Devishree / Saxena, Ashok Kumar

    Journal of anaesthesiology, clinical pharmacology

    2022  Volume 38, Issue 3, Page(s) 353–359

    Abstract: Acute kidney injury (AKI) could well be regarded as a sentinel complication given it is relatively common and associated with a substantial risk of subsequent morbidity and mortality. On the aegis of 'prevention is better than cure', there has been a ... ...

    Abstract Acute kidney injury (AKI) could well be regarded as a sentinel complication given it is relatively common and associated with a substantial risk of subsequent morbidity and mortality. On the aegis of 'prevention is better than cure', there has been a wide interest in evaluating haemodynamic predisposition to AKI so as to provide a favourable renoprotective haemodynamic milieu to the subset of patients presenting a significant risk of developing AKI. In this context, the last decade has witnessed a series of evaluation of the hypotension value and duration cut-offs associated with risk of AKI across diverse non-operative and operative settings. Nevertheless, a holistic comprehension of the haemodynamic predisposition to AKI has been a laggard with only few reports highlighting the potential of elevated central venous pressure, intra-abdominal hypertension and high mean airway pressures in considerably attenuating the effective renal perfusion, particularly in scenarios where kidneys are highly sensitive to any untoward elevation in the afterload. Despite the inherent autoregulatory mechanisms, the effective renal perfusion pressure (RPP) can be modulated by a number of haemodynamic factors in addition to mean arterial pressure (MAP) as the escalation of renal interstitial pressure, in particular hampers kidney perfusion which in itself is a dynamic interplay of a number of innate pressures. The present article aims to review the subject of haemodynamic predisposition to AKI centralising the focus on effective RPP (over and above the conventional 'tunnel-vision' for MAP) and discuss the relevant literature accumulating in this area of ever-growing clinical interest.
    Language English
    Publishing date 2022-10-13
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/joacp.JOACP_547_20
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