Browsing by Author "Suneel, PR"
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Item Acquired Coronary Cameral Fistula Following Aortic Valve Replacement(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2016) Sujatha, M; Suneel, PR; Bineesh, RKItem An alternative site for entropy sensor placement(ANESTHESIA AND ANALGESIA, 2006) Sinha, PK; Suneel, PR; Unnikrishnan, KP; Smita, V; Rathod, RCItem Anesthesia for craniotomy in a patient with previous paralytic polio(JOURNAL OF CLINICAL ANESTHESIA, 2008) Suneel, PR; Sinha, PK; Unnikrishnan, KP; Abraham, MPoliomyelitis remains endemic in many developing nations. Patients may develop residual muscle weakness in one or more, limbs after an attack of poliomyelitis in childhood. We report an adult patient who presented for right temporal cortical grid placement. He had childhood poliomyelitis and, while showing no evidence of postpolio syndrome, demonstrated excessive sensitivity to nondepolarizing muscle relaxants and developed prolonged muscle weakness during the postoperative period. (c) 2008 Elsevier Inc. All rights reserved.Item 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 Effect of Operating Microscope Light on Brain Temperature During Craniotomy(JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, 2013) Gayatri, P; Menon, GG; Suneel, PRBackground: Operating microscopes used during neurosurgery are fitted with xenon light. Burn injuries have been reported because of xenon microscope lighting as the intensity of xenon light is 300 W. We designed this study to find out if the light of operating microscope causes an increase in temperature of the brain tissue, which is exposed underneath.Methods: Twenty-one adult patients scheduled for elective craniotomies were enrolled. Distal esophageal temperature (T Eso), brain temperature under the microscope light (T Brain), and brain temperature under dura mater (T Dura) were measured continuously at 15-minute intervals during microscope use. The irrigation fluid temperature, room temperature, intensity of the microscope light, and the distance of the microscope from the brain surface were kept constant.Results: The average age of the patients was 44 +/- 15 years (18 males and 3 females). The mean duration of microscope use was 140 +/- 39 minutes. There were no significant changes in T Brain and T Dura and T Eso over time. T Dura was significantly lower than T Brain both at time 0 and 60 minutes but not at 90 minutes. T Brain was significantly lower than T Eso both at time 0 and 60 minutes but not at 90 minutes. The T Dura remained significantly lower than T Eso at 0, 60, and 90 minutes.Conclusion: Our study shows that there is no significant rise in brain temperature under xenon microscope light up to 120 minutes duration, at intensity of 60% to 70%, from a distance of 20 to 25 cm from the brain surface.Item 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 Modified Deep Transgastric Bicaval View for Revealing Superior Vena Caval Obstruction in a Patient Undergoing Sinus Venosus Atrial Septal Defect Repair: A Case Report(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2016) Aggarwal, N; Unnikrishnan, KP; Suneel, PR; Mathew, TItem Possible explanation for why blue blushed(JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2006) Sinha, PK; Suneel, PR; Unnikrishnan, KPItem Sudden decrease in spectral entropy associated with severe carotid artery spasm(EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2009) Kamath, S; Suneel, PR; Singha, SK