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Indian J Anaesth ; 66(2): 95-99, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1726301
Indian J Anaesth ; 65(7): 508-511, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1332209
Indian J Anaesth ; 65(1): 1-5, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1325867
Indian J Anaesth ; 65(5): 351-355, 2021 May.
Article in English | MEDLINE | ID: covidwho-1249710
Indian J Anaesth ; 65(4): 277-281, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-1202132
Indian J Anaesth ; 65(Suppl 1): S1-S4, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-1159033
Indian J Anaesth ; 64(10): 831-834, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-886251
Indian J Anaesth ; 64(5): 366-368, 2020 May.
Article in English | MEDLINE | ID: covidwho-822416
Indian J Anaesth ; 64(4): 264-266, 2020 Apr.
Article in English | MEDLINE | ID: covidwho-822415
J Anaesthesiol Clin Pharmacol ; 36(Suppl 1): S133-S136, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-822414
J Anaesthesiol Clin Pharmacol ; 36(Suppl 1): S77-S80, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-822413


It is now well known that the severe acute respiratory syndrome (SARS-CoV-2) originated in the Wuhan province of Hubei, China in 2019. Having spread across different countries of the world, this highly contagious disease has posed many challenges for the healthcare workers to work without endangering themselves and their patients' wellbeing. Several things are yet not clear about the virus and the presence or absence of the virus in the cerebrospinal fluid (CSF) is currently a debated topic. This article reports the perioperative management of two coronavirus disease-19 positive cases, one of whom was a pregnant patient. Their CSF samples, which were collected during the administration of spinal anesthesia, tested to be negative for viral reverse transcription polymerase chain reaction (RT-PCR) test. We wish to highlight from these cases, that during spinal anesthesia, CSF in mildly symptomatic COVID-19 cases probably does not pose a risk of transmission to the anesthesiologist. However, we suggest that due to the varied presentations of the virus, health care personnel, especially anesthesiologists have to be careful during the perioperative management of such cases.

Indian J Anaesth ; 64(7): 551-555, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-666581
Indian J Anaesth ; 64(6): 456-462, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-609480


Treatment of chronic pain is an essential service. Due to lockdown, travel restrictions, social and physical distancing requirements or fear that health care facilities may be infected; patients may avoid visiting health care facilities in person. It is also imperative to decrease the risk of exposure of the health care workers (HCWs) to severe acute respiratory syndrome corona virus 2 (SARS CoV2) and to ease the overtly burdened health care system. But any disruption in pain practice will have alarming consequences for individuals, society, and whole of health care system and providers. In the current scenario of COVID-19 pandemic, telemedicine is emerging as a key technology for efficient communication and sustainable solution to provide essential health care services and should be considered for chronic pain patients (CPPs). Recently, Board of Governors in supersession of Medical Council of India along with National Institution for Transforming India (NITI Aayog) released "Telemedicine Practice Guidelines" enabling registered medical practitioners to provide healthcare using telemedicine. This article describes the challenges in CPPs during COVID-19 pandemic and the use of telemedicine as the rescue management vehicle for CPPs in current scenario.

Indian J Anaesth ; 64(Suppl 2): S116-S119, 2020 May.
Article in English | MEDLINE | ID: covidwho-598083
Indian J Anaesth ; 64(Suppl 2): S120-S124, 2020 May.
Article in English | MEDLINE | ID: covidwho-598080


The world has changed due to COVID-19 pandemic. Global spread of COVID-19 has overwhelmed all health systems and has incurred widespread social and economic disruption. The authorities are struggling to ramp up the healthcare systems to overcome it. Anaesthesiologists are facing long duty hours, have fear of bringing disease home to their families, being companion to critically ill patients on long term life support, being on front line of this pandemic crisis, may take toll on all aspects of health of corona warriors- physical, mental, social as well as the emotional.At this juncture, we must pause and ask this question to ourselves, "Buried under stress, are we okay?"

Indian J Anaesth ; 64(Suppl 2): S103-S106, 2020 May.
Article in English | MEDLINE | ID: covidwho-590938
Indian J Anaesth ; 64(Suppl 2): S91-S96, 2020 May.
Article in English | MEDLINE | ID: covidwho-590347


Management of the recent outbreak of the novel coronavirus disease (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) remains challenging. The challenges are not only limited to its preventive strategies, but also extend to curative treatment, and are amplified during the management of critically ill patients with COVID-19. Older persons with comorbidities like diabetes mellitus, cardiac diseases, hepatic impairment, renal disorders and respiratory pathologies or immune impairing conditions are more vulnerable and have a higher mortality from COVID-19. Earlier, the Indian Resuscitation Council (IRC) had proposed the Comprehensive Cardiopulmonary Life Support (CCLS) for management of cardiac arrest victims in the hospital setting. However, in patients with COVID-19, the guidelines need to be modified,due to various concerns like differing etiology of cardiac arrest, virulence of the virus, risk of its transmission to rescuers, and the need to avoid or minimize aerosolization from the patient due to various interventions. There is limited evidence in these patients, as the SARS-CoV-2 is a novel infection and not much literature is available with high-level evidence related to CPR in patients of COVID-19. These suggested guidelines are a continuum of CCLS guidelines by IRC with an emphasis on the various challenges and concerns being faced during the resuscitative management of COVID-19 patients with cardiopulmonary arrest.

Indian J Anaesth ; 64(Suppl 2): S125-S131, 2020 May.
Article in English | MEDLINE | ID: covidwho-589302


Total intravenous anaesthesia (TIVA) is a technique of general anaesthesia (GA) given via intravenous route exclusively. In perspective of COVID-19, TIVA is far more advantageous than inhalational anaesthesia. It avoids the deleterious effects of immunosuppression and lacks any respiratory irritation, thus providing an edge in the current situation. Many peripheral surgeries can be done with the patient breathing spontaneously without any airway device, thus avoiding airway instrumentation leading to droplet and aerosol generation. Intravenous agents can be utilized to provide sedation during regional anaesthesia (RA), which can easily be escalated to contain pain due to sparing of blocks or receding neuraxial anaesthesia. The present narrative review focuses on the merits of adopting TIVA technique during this pandemic so as to decrease the risk and morbidity arising from anaesthetizing COVID-19 patients.