Browsing by Author "Koshy, T"
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Item A Novel Technique for Easy Identification of the Subclavian Vein During Ultrasound-Guided Cannulation(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2010) Muralikrishna, T; Koshy, T; Misra, S; Sinha, PKItem Accuracy of a Chest X-Ray-Based Method for Predicting the Depth of Insertion of Endotracheal Tubes in Pediatric Patients Undergoing Cardiac Surgery(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2016) Koshy, T; Misra, S; Chatterjee, N; Dharan, BSObjectives: The incidence of endotracheal tube (ETT) malposition in children with various described methods is 15% to 30%. Chest x-ray (CXR) is the gold standard for confirming appropriate ETT position. The aim of this study was to measure the accuracy of a preoperative CXR-based method in determining depth of insertion of ETTs and to compare it with methods based on the intubation depth mark or formulae (age, height, and ETT internal diameter) in children undergoing cardiac surgery. Design: Prospective observational study. Setting: University-affiliated tertiary care hospital. Participants: Sixty-six consecutive children scheduled for elective pediatric cardiac surgery. Interventions: None. Measurements and Main Results: The distance from carina to, mid-trachea was measured for each child preoperatively on the CXR displayed as a computed radiography image in a picture archival and communications system computer. Following intubation, ETTs deliberately were pushed endobronchially and then pulled back to the carina; they were further withdrawn by the previously measured carina to mid-tracheal distance and secured. CXRs postoperatively were repeated to confirm ETT position. The ETT position was measured with other methods using the picture archival and communications system ruler on the postoperative CXR and compared with the CXR method. The proportion of appropriate ETT position with the CXR method was 98.5% (p < 0.001 v other methods). In children younger than 3 years, the appropriate proportion was 97.4%. Conclusion: The appropriate positioning of ETTs in the trachea by the CXR method is superior to other methods. (C) 2016 Elsevier Inc. All rights reserved.Item An unusual cause of high airway pressure and inadequate ventilation because of a defective connector despite accurate placement of a double-lumen tube(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2006) Koshy, T; Sinha, PK; Vijayakumar, A; Dash, PK; Unnikrishnan, KPItem Anesthesia in Developing Countries: One-Way Traffic?(ANESTHESIA AND ANALGESIA, 2009) Misra, S; Koshy, TItem Another defect in right-angle double connector resulting in high peak inspiratory pressure during one lung anesthesia: A simple and practical approach for rapid detection(ANESTHESIA AND ANALGESIA, 2006) Koshy, T; Sinha, PK; Vijayakumar, AItem Brachiocephalic artery to left innominate vein fistula following median sternotomy(EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2005) Duara, R; Suneel, PR; Koshy, T; Neelakandhan, KSItem Defective double lumen tubes: Mallinckrodt the culprit!(ANESTHESIA AND ANALGESIA, 2007) Sinha, PK; Koshy, TItem High cuff pressure in the silicone endotracheal tube of the LMA-Fastrach: implications for patient safety(JOURNAL OF CLINICAL ANESTHESIA, 2011) Suneel, PR; Koshy, T; Unnikrishnan, KPItem Increased anesthetic depth, not metoprolol, may have caused the change in bispectral index - Reply(ANESTHESIA AND ANALGESIA, 2008) Sinha, PK; Jacob, D; Koshy, TItem One-Lung Ventilation Can Alter the Severity of Aortic Regurgitation(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2010) Sinha, PK; Misra, S; Koshy, TItem Rapid decrease in bispectral index following a single intravenous injection of metoprolol(ANESTHESIA AND ANALGESIA, 2007) Sinha, PK; Jacob, D; Koshy, TItem Real-time three-dimensional transoesophageal echocardiography for diagnosing the extent of dehiscence of Starr-Edward valve prosthesis in the mitral position(EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2014) Kundan, S; Varma, PK; Koshy, TItem Reverse sellick's maneuver for transesophageal echocardiographic probe placement(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2007) Sinha, PK; Koshy, T