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Total 66 results found since Jan 2013.

Age- and Sex-Associated Impacts of Body Mass Index on Stroke Type Risk: A 27-Year Prospective Cohort Study in a Low-Income Population in China
Conclusions Being overweight increased the risk of both ischemic and hemorrhagic strokes; obesity was only associated with an increased risk of IS. Additionally, the positive association between BMI and stroke risk was only observed in participants aged <65 years and the associations differed between men and women. Being overweight increased the risk of both ischemic and hemorrhagic strokes in men and being underweight increased their risk of hemorrhagic stroke. In women, being overweight increased the hemorrhagic stroke risk, whereas obesity increased their IS risks. The high prevalence of hypertension and elevat...
Source: Frontiers in Neurology - April 30, 2019 Category: Neurology Source Type: research

Perioperative stroke & #8211; Prediction, Prevention, and Protection
Amarja S NagreIndian Journal of Anaesthesia 2018 62(10):738-742 Stroke culminates into 6.2 million deaths annually and is thereby a leading cause of disability and death worldwide. In patients undergoing noncardiac, nonneurological surgery, perioperative stroke can eventuate into a catastropic aftermath with almost eight-fold rise in mortality. In cardiac, neurological, and carotid surgery, stroke rate accounts to be high (2.2%–5.2%) and is a significant instigator of morbidity and mortality as well. These facts kindle interest to review the predictive parameters, preventive measures, an...
Source: Indian Journal of Anaesthesia - October 9, 2018 Category: Anesthesiology Authors: Amarja S Nagre Source Type: research

Endovascular treatment of acute ischaemic stroke under conscious sedation: Predictors of poor outcomes
Conclusion: The outcome of patients who underwent endovascular treatment of AIS under CS depends on the mTICI score, NIHSS score and history of previous TIA.
Source: Indian Journal of Anaesthesia - December 10, 2018 Category: Anesthesiology Authors: Umeshkumar Athiraman Arbi Ben Abdallah Akash Kansagra Rene Tempelhoff Source Type: research

Mechanical thrombectomy: Answering unanswered
Rajsrinivas Parthasarathy, Vipul GuptaAnnals of Indian Academy of Neurology 2020 23(1):13-19 The stroke physician community witnessed a major “breakthrough” in acute stroke therapeutics when the results of the first of the many positive trials, “MR CLEAN,” were published showing a significant absolute benefit in favor of mechanical thrombectomy in patients with large vessel occlusion (LVO). Thereafter, the investigators of ESCAPE, SWIFT PRIME, REVASCAT, THRACE, and PISTE concluded the same. Based on the initial studies, the American Stroke Association amended the 2013 gu...
Source: Annals of Indian Academy of Neurology - January 20, 2020 Category: Neurology Authors: Rajsrinivas Parthasarathy Vipul Gupta Source Type: research

Haemodynamic changes during prone positioning in anaesthetised chronic cervical myelopathy patients
Conclusion: Cervical myelopathy patients experienced hypotension with preserved cardiac output in prone position due to a reduction in total peripheral resistance. Hypotension correlated with the number of levels of spinal cord compression.
Source: Indian Journal of Anaesthesia - March 6, 2019 Category: Anesthesiology Authors: Nitin Manohar Venkatapura J Ramesh Muthuchellappan Radhakrishnan Dhritiman Chakraborti Source Type: research

Simplified Percutaneous Closure of Patent Foramen Ovale and Atrial Septal Defect With Use of Plain Fluoroscopy: Single Operator Experience in 110 Consecutive Patients
Conclusion Percutaneous placement of an Amplatzer occluder was safe and effective with use of local anesthesia and fluoroscopy alone. There were no recurrent strokes over >4years. Migraine relief was reported by >80% of patients.
Source: Indian Heart Journal - August 8, 2017 Category: Cardiology Source Type: research

Systemic hypertension and non-cardiac surgery
Satyajeet MisraIndian Journal of Anaesthesia 2017 61(9):697-704Primary systemic hypertension affects 10%–25% of individuals presenting for surgery and anaesthesia and constitutes an important cause of cancellation of elective surgeries. Much of the fear stems from the fact that hypertension may lead to adverse perioperative outcomes. Although long-standing hypertension increases the risk of stroke, renal dysfunction or major adverse cardiovascular events, the same is usually not seen in the perioperative period if blood pressure is <180/110 mmHg and this has been the overriding...
Source: Indian Journal of Anaesthesia - September 13, 2017 Category: Anesthesiology Authors: Satyajeet Misra Source Type: research

Fragmented Ambulance Services in Sri Lanka Evolve into A Modern System
Fragmented ambulance services evolve into a modern system Situated in the Indian Ocean, separated from India by the Palk Strait, Sri Lanka is the 25th largest island in the world (See Figure 1). Its complex geographical features-peaks, plateaus, valleys, rivers and tropical forests-are subject to a variety of natural hazards, including floods, landslides, cyclones and tsunamis.1 With ancient cultural roots going back to the 6th century B.C., Sri Lanka's modern colonial history began with Portuguese, Dutch and British settlements in the 16th century. By 1815, Britain was the sole colonial power. In 1948, Sri Lanka became an...
Source: JEMS Operations - November 2, 2017 Category: Emergency Medicine Authors: Nuwan Chamara Ekanayaka, EMT-I Tags: International Operations Source Type: news

Simplified percutaneous closure of patent foramen ovale and atrial septal defect with use of plain fluoroscopy: Single operator experience in 110 consecutive patients.
CONCLUSION: Percutaneous placement of an Amplatzer occluder was safe and effective with use of local anesthesia and fluoroscopy alone. There were no recurrent strokes over >4 years. Migraine relief was reported by >80% of patients. PMID: 29455783 [PubMed - in process]
Source: Indian Heart J - January 1, 2018 Category: Cardiology Authors: Manolis AS, Koulouris S, Rouska E, Pyrros J Tags: Indian Heart J Source Type: research

Cardiac output monitoring: A comparative prospective observational study of the conventional cardiac output monitor Vigileo & #8482; and the new smartphone-based application Capstesia & #8482;
Conclusion: CapstesiaTM is a reliable and feasible alternative to VigileoTM for intraoperative CO monitoring in oncosurgical patients.
Source: Indian Journal of Anaesthesia - August 13, 2018 Category: Anesthesiology Authors: Shagun Bhatia Shah Ajay Kumar Bhargava Uma Hariharan Gayatri Vishvakarma Chamound Rai Jain Anamica Kansal Source Type: research

Intraoperative hypotension and its prediction
Jaap J Vos, Thomas W L ScheerenIndian Journal of Anaesthesia 2019 63(11):877-885 Intraoperative hypotension (IOH) very commonly accompanies general anaesthesia in patients undergoing major surgical procedures. The development of IOH is unwanted, since it is associated with adverse outcomes such as acute kidney injury and myocardial injury, stroke and mortality. Although the definition of IOH is variable, harm starts to occur below a mean arterial pressure (MAP) threshold of 65 mmHg. The odds of adverse outcome increase for increasing duration and/or magnitude of IOH below this threshold, and even short periods of IOH seem...
Source: Indian Journal of Anaesthesia - November 7, 2019 Category: Anesthesiology Authors: Jaap J Vos Thomas W L Scheeren Source Type: research

Levosimendan for patients with heart failure undergoing major oncological surgery: A randomised blinded pilot study
Conclusion: In patients with low EF <35% and CHF, administration of levosimendan for 24 hours before major abdominal oncologic surgeries may reduce the risk of hypotension and decompensated heart failure and may improve cardiac function.
Source: Indian Journal of Anaesthesia - December 10, 2019 Category: Anesthesiology Authors: Ehab H Shaker Khaled Hussein Ehab M Reyad Source Type: research

Intraoperative factors contributory to myocardial injury in high-risk patients undergoing abdominal surgery in a South Indian population
Conclusions: Female patients with CAD undergoing abdominal surgery, needing vasopressors and transfusion of plasma are at high risk for MINS with higher hospital mortality and merit vigilant monitoring postoperatively.
Source: Indian Journal of Anaesthesia - August 31, 2020 Category: Anesthesiology Authors: G Gopan Lakshmi Kumar Anjana Rajan Babu Abish Sudhakar Rubin George Vidya P Menon Source Type: research

To compare intraoperative goal directed fluid therapy by trans-oesophageal Doppler vis- & #224;-vis FloTrac & #8482; in patients undergoing living related renal transplantation-a prospective randomised controlled study
Conclusions: Both TED and FloTrac devices can be used effectively to guide GDFT in RT, However, lesser total fluid was required in the FloTrac group, which may lead to a lesser number of fluid-related postoperative complications.
Source: Indian Journal of Anaesthesia - September 21, 2020 Category: Anesthesiology Authors: Ushkiran Kaur Sandeep Sahu Divya Srivastava Tapas Kumar Singh Prabhakar Mishra Aneesh Srivastava Source Type: research

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