An Interplay between Lossy Mode Resonance and Surface Plasmon Resonance and Their Sensing Applications.

Conducting metal oxide (CMO) supports lossy mode resonance (LMR) at the CMO-dielectric interface, whereas surface plasmon resonance (SPR) occurs at the typical plasmonic metal-dielectric interface. The present study investigates these resonances in the bi-layer (ITO + Ag) and tri-layer (ITO + Ag + ITO) geometries in the Kretschmann configuration of excitation. It has been found that depending upon the layer thicknesses one resonance dominates the other. In particular, in the tri-layer configuration of ITO + Ag + ITO, the effect of the thickness variation of the sandwiched Ag layer is explored and a resonance, insensitive to the change in the sensing medium refractive index (RI), has been reported. Further, the two kinds of RI sensing probes and the supported resonances have been characterized and compared in terms of sensitivity, detection accuracy and figure of merit. These studies will not only be helpful in gaining a better understanding of underlying physics but may also lead to the realization of biochemical sensing devices with a wider spectral range.

Off-pump coronary bypass grafting in a post-pneumonectomy patient: Challenges and management.

Pulmonary complications are common in cardiac surgical patients. Limited respiratory reserves along with the pain associated with sternotomy add to the morbidity. Patients undergoing cardiac surgery who have had a pneumonectomy done before can be even more challenging to manage perioperatively due to a single-functioning lung. We present a case of a postpneumonectomy patient who underwent off-pump coronary artery bypass grafting. Perioperative optimization of lung function tests was stressed upon including the chest physiotherapy and early mobilization. Preoperative thoracic epidural catheter was inserted for postoperative pain and other proven benefits of thoracic epidural in coronary artery disease patients. We could conclude from our experience that proper optimization of lung function tests and meticulous pain management along with fast-tracking are keys to the management of such patients.