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  1. Article: Ultrasound guided pulsed radiofrequency ablation of the femoral branch of genito-femoral nerve for entrapment following abdominal-inguinal surgery.

    Pangasa, Neha / Mohan, Virender K

    Indian journal of anaesthesia

    2022  Volume 66, Issue 3, Page(s) 233–235

    Language English
    Publishing date 2022-03-24
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.ija_762_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Impact of simulation practices on experienced anesthesiologists.

    Baishya, Madhurjya / Garg, Rakesh / Pangasa, Neha / Khanna, Puneet

    Journal of anaesthesiology, clinical pharmacology

    2023  Volume 39, Issue 4, Page(s) 672–674

    Language English
    Publishing date 2023-12-20
    Publishing country India
    Document type Journal Article
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/joacp.joacp_106_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Gut Brain axis: The gut microbiome in peri-operative medicine.

    Khan, Tazeen / Khanna, Puneet / Pangasa, Neha

    Indian journal of anaesthesia

    2023  Volume 67, Issue 2, Page(s) 235–236

    Language English
    Publishing date 2023-02-16
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.ija_557_22
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  4. Article: Risk Factors, Clinical Characteristics, and Outcome of Air Leak Syndrome in COVID-19: A Systematic Review.

    Singh, Abhishek / Singh, Yudhyavir / Pangasa, Neha / Khanna, Puneet / Trikha, Anjan

    Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

    2022  Volume 25, Issue 12, Page(s) 1434–1445

    Abstract: Introduction: Air leak consisting of pneumothorax, pneumomediastinum, and subcutaneous emphysema has been described as one of the complications of coronavirus disease-2019 (COVID-19) infection affecting disease course and outcome. We aimed to conduct a ... ...

    Abstract Introduction: Air leak consisting of pneumothorax, pneumomediastinum, and subcutaneous emphysema has been described as one of the complications of coronavirus disease-2019 (COVID-19) infection affecting disease course and outcome. We aimed to conduct a systematic review of published literature to highlight the risk factors, types, and outcomes in COVID-19.
    Method: A systematic search of PubMed, Embase, Scopus, and Google Scholar was performed from November 1, 2019, to February 28, 2021. Seventy-one studies fulfilled the inclusion criteria and 136 adult patients were included in the final analysis.
    Results: Majority of patients were male (75.2%) with the mean age of 58 years. Hypertension was the most common comorbidity followed by diabetes mellitus. Moreover, 12.5% of patients had a history of smoking while 11.7% had preexisting lung disease. Isolated pneumothorax (48.5%) was the most common and 17.65% had developed spontaneous pneumothorax. Mean onset time was 11.6 days and 67% of patients required an intercostal drainage tube for management. Mortality was 40%, and elderly, female gender, obese and hypertensive were at higher risk.
    Conclusion: COVID-19-related air leaks are associated with higher mortality and longer hospital stay and can occur even without positive pressure ventilation. History of smoking and preexisting lung disease has not been shown to increase the incidence of air leak. A well-designed study is required for a better understanding of COVID-19-related air leak.
    How to cite this article: Singh A, Singh Y, Pangasa N, Khanna P, Trikha A. Risk Factors, Clinical Characteristics, and Outcome of Air Leak Syndrome in COVID-19: A Systematic Review. Indian J Crit Care Med 2021;25(12):1434-1445.
    Language English
    Publishing date 2022-01-14
    Publishing country India
    Document type Journal Article
    ZDB-ID 2121263-6
    ISSN 1998-359X ; 0972-5229
    ISSN (online) 1998-359X
    ISSN 0972-5229
    DOI 10.5005/jp-journals-10071-24053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Ten Practice Changes in COVID-19 Intensive Care Unit of a Tertiary Care Teaching Hospital in India during the Peak of Pandemic: Adapt and Improve.

    Soni, Lipika / Pangasa, Neha / Baidya, Dalim K / Subramaniam, Rajeshwari

    Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

    2022  Volume 26, Issue 6, Page(s) 710–711

    Abstract: During the peak of the coronavirus disease-2019 (COVID-19) pandemic, 10 practice-changing decisions were adopted which led to an improved standard of clinical care in the face of overwhelming burden to the healthcare setup. Formation of a control unit ... ...

    Abstract During the peak of the coronavirus disease-2019 (COVID-19) pandemic, 10 practice-changing decisions were adopted which led to an improved standard of clinical care in the face of overwhelming burden to the healthcare setup. Formation of a control unit with the piggyback team, briefing before donning, replacement of personal protective equipment (PPE) with impermeable surgical gowns, a dedicated prone team and the prone bundle of care, weaning-extubation and tracheostomy protocol, online audiovisual family-patient meet, daily rounds by hospital infection control committee member, each one clean one policy, focused onsite training of healthcare support staff and discharge policy with post-discharge follow-up were the 10 important changes adopted.
    How to cite this article: Soni L, Pangasa N, Baidya DK, Subramaniam R. Ten Practice Changes in COVID-19 Intensive Care Unit of a Tertiary Care Teaching Hospital in India during the Peak of Pandemic: Adapt and Improve. Indian J Crit Care Med 2022;26(6):710-711.
    Language English
    Publishing date 2022-04-12
    Publishing country India
    Document type Journal Article
    ZDB-ID 2121263-6
    ISSN 1998-359X ; 0972-5229
    ISSN (online) 1998-359X
    ISSN 0972-5229
    DOI 10.5005/jp-journals-10071-24227
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Multiple subarachnoid and bilateral stellate ganglion blocks in a child with newly diagnosed mixed connective tissue disease.

    Punj, Jyotsna / Pangasa, Neha / Nanda, Samridhi / Bagri, Narendra K

    Indian journal of anaesthesia

    2022  Volume 66, Issue 6, Page(s) 476–478

    Language English
    Publishing date 2022-06-21
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.ija_842_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Multiple injection costotransverse block for chronic pain in a patient with granulomatous mastitis.

    Nanda, Samridhi / Bhoi, Debesh / Pangasa, Neha / Jain, Dhruv

    Indian journal of anaesthesia

    2021  Volume 65, Issue 10, Page(s) 772–774

    Language English
    Publishing date 2021-10-29
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.ija_535_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Total anomalous pulmonary venous connection-Anaesthetic management for incidental surgery in a rare presentation.

    Pangasa, Neha / Aravindan, Ajisha / Subramaniam, Rajeshwari / Sirivella, Prasanna K

    Journal of anaesthesiology, clinical pharmacology

    2022  Volume 38, Issue 4, Page(s) 672–673

    Language English
    Publishing date 2022-11-14
    Publishing country India
    Document type Journal Article
    ZDB-ID 1401760-x
    ISSN 0970-9185
    ISSN 0970-9185
    DOI 10.4103/joacp.JOACP_687_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A Randomized Controlled Trial of Intrathecal versus Caudal Morphine-Bupivacaine on Postoperative Analgesia and Cortisol Levels in Pediatric Patients.

    Pangasa, Neha / Subramaniam, Rajeshwari / Singh, Gunjan / Kalaivani, Mani / Kaur, Manpreet / Jyotsna, Viveka P / Goswami, Devalina

    Anesthesia and analgesia

    2024  

    Abstract: Background: Morphine is commonly used in pediatric caudal blocks. We compared the analgesic efficacy and effect on cortisol levels of intrathecal morphine and bupivacaine with caudal morphine and bupivacaine in children undergoing lower abdominal ... ...

    Abstract Background: Morphine is commonly used in pediatric caudal blocks. We compared the analgesic efficacy and effect on cortisol levels of intrathecal morphine and bupivacaine with caudal morphine and bupivacaine in children undergoing lower abdominal surgeries.
    Methods: Forty children undergoing lower abdominal surgeries were randomized to receive 4 μg/kg of intrathecal morphine and 0.5% hyperbaric bupivacaine (n = 20), or caudal morphine 40 μg/kg and 0.25% bupivacaine (n = 20). Postoperative analgesia was provided with intravenous (IV) paracetamol (PCM). The primary outcome was time to reach Face, Legs, Activity, Cry, and Consolability (FLACC) score ≥4 postoperatively. Secondary outcomes were perioperative serum cortisol levels, analgesic requirement, and parent satisfaction.
    Results: Since seventy 5% of patients receiving intrathecal morphine and bupivacaine did not reach a FLACC score ≥4 within 24 hours, the primary outcome was presented as the Kaplan-Meier curve. The probability of FLACC score <4 was significantly higher with intrathecal morphine and bupivacaine than with caudal morphine and bupivacaine (P < .001). The unadjusted and adjusted (for gender) hazard ratio (95% confidence interval [CI]) of occurrence of pain (FLACC score ≥4) was 0.07 (0.03-0.15, P < .001) and 0.06 (0.03-0.14, P < .001), respectively. The difference in means (95% CI) of cortisol levels between caudal morphine (with bupivacaine) and intrathecal morphine (with bupivacaine) groups were after intubation -0.667 (-4.99 to 3.65, P = .76), at 2 hours intraoperatively 7.88 (3.55-12.2, P < .001), 6 hours postoperatively 16.8 (12.5-21.1, P < .001), and 24 hours postoperatively 15.4 (11.1-19.7, P < .001) μg/dL. Intraoperatively, rescue fentanyl was required by 60% of patients on caudal morphine and bupivacaine against 20% of patients receiving intrathecal morphine and bupivacaine (absolute risk-reduction [95% CI] of 40% [12%-68%]; P = .010). Postoperative rescue fentanyl was required in 45% of patients on caudal morphine and bupivacaine and 5% of patients on intrathecal morphine and bupivacaine. All (100%) patients on caudal morphine and bupivacaine required postoperative PCM against 6 (30%) patients on intrathecal morphine and bupivacaine (absolute risk-reduction [95% CI] of 70% [50%-90%]; P < .001).The median (interquartile range [IQR]) parent satisfaction score for patients on caudal morphine (with bupivacaine) and intrathecal morphine (with bupivacaine) was 0(0-0) and 2(2-2) at 12 hours postoperatively (P < .001) and 0(0-1) and 2(1.5-2) at 24 hours postoperatively (P < .001). One patient in each group developed nausea and vomiting, and 1 patient in the intrathecal group developed pruritus. There was no incidence of respiratory depression.
    Conclusions: Intrathecal morphine and bupivacaine results in longer duration of analgesia, lower analgesic consumption, prevents surgical-stress-related elevation of serum cortisol, and improves parent satisfaction compared to caudal morphine with bupivacaine in children undergoing lower abdominal surgeries.
    Language English
    Publishing date 2024-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000006962
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Anaesthetic management of a child with pulmonary agenesis for laparoscopic inguinal hernia repair.

    Pangasa, Neha / Prasad, Ganga / Singh, Gunjan / Nair, Parvathy Ramachandran

    Indian journal of anaesthesia

    2019  Volume 63, Issue 7, Page(s) 604–605

    Language English
    Publishing date 2019-06-04
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.IJA_167_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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