Challenges In The Anesthetic Management Of Peripartum Cardiomyopathy Undergoing Emergency Ceserean Section

Peripartum cardiomyopathy (PPCM) is an unusual form of dilated cardiomyopathy which manifests as acute heart failure in the last trimester of pregnancy or early postpartum period. Choice of anaesthesia is based on the urgency of lower segment caesarean section and severity of PPCM. Here we report a 31year old female G3P2L2 36weeks + 2days diagnosed as Peripartum Cardiomyopathy came with complaints of leaking per vagina was taken up for emergency caesarean section under general anaesthesia. In this case report, we discuss the anaesthetic management of a case of PPCM posted for emergency caesarean section with intra-operative event of desaturation. Anaesthetic management was directed towards optimization of desaturation, myocardial contractility, preload and after load. No adverse events or complications were observed.

Sequestration and purification of essential enzyme from Pleurotus florida compost waste and its application studies

Spent oyster mushroom (Pleurotus florida) compost as tremendous source for isolation of industrial significantenzymes such as amylase, protease, and cellulase. This study was conducted to achieve efficient extraction oflignocellulolytic enzymes amylase (EC 3.2.1.1), cellulase (EC 3.2.1.4), and protease (EC 3.4.21.14) from spent oystermushroom (P. florida) compost waste. Optimal enzyme recovery was achieved when spent oyster mushroom compostwastes and concentrated by acetone precipitation. The purification was performed by column chromatography. Theenzymes such as cellulase, amylase, and protease released from oyster mushroom (P. florida) compost waste wereshowed activities of 15.78 U/ml, 3.42 U/ml, and 0.042 U/ml, respectively. These were utilized in various industrialand environmental applications such as starch processing in potato waste from food industry using amylase andbiotreatment of cotton waste using cellulase.