Technology, engineering and innovations- Power buffers in the COVID driveline.....

Mehdiratta, Lalit; Bajwa, Sukhminder Jit Singh

doi:10.4103/ija.ija_423_21

Cited by 10 publications

(2 citation statements)

References 28 publications

(28 reference statements)

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“…Bedside US is now routinely practised in the intensive care unit and operation theatre. [ 46 ] It needs to be extended to the labour room and obstetric critical care unit as well. The technology in POCUS can thus improve the quality of care of the obstetric patient including perioperative care which is the need of the day.…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Bajwa¹,

Kurdi²,

Sutagatti³

et al. 2021

Indian J Anaesth

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Background and Aims: Appropriate volume assessment and fluid management can prevent maternal deaths in the severely pre-eclamptic (SPE) parturients. We planned a systematic review and meta-analysis (MA) to evaluate the role and ability of point-of-care ultrasound (POCUS) in the assessment of volume status and early detection of lung oedema in an SPE parturient. Methods: An e-literature search was done from several databases. Data were extracted under five domains including POCUS-derived parameters like echo comet score (ECS), lung ultrasound (LUS) scores, B-patterns, optic nerve sheath diameter (ONSD), E/e' ratio, presence of pleural effusion, pulmonary interstitial syndrome and pulmonary congestion. The risk of bias was assessed. Extracted data were analysed using MetaXL and Revman 5.3. Heterogeneity in the studies was evaluated using the Cochrane Q test and I 2 statistics. Funnel plots were used for the assessment of publication bias. Results: Seven prospective studies including 574 parturients (including 396 pre-eclamptics) were selected. POCUS included lung, optic nerve, cardiac and thoracic US. In two studies, the ECS and LUS scores pre-delivery were higher in pre-eclamptics. Two studies found a mean ONSD of 5–5.84 mm before delivery. MA revealed a significantly lower mean ECS score at post-delivery than pre-delivery, and the summary prevalence of B-pattern and pleural effusion among SPE parturients was found to be 0.28 (0.03–0.84) and 0.1 (0–0.2), respectively. A good correlation was observed between B-line patterns and diastolic dysfunction (increased E/e' ratio), LUS score and thoracic fluid content, ONSD and ECS in individual studies. Conclusion: POCUS parameters can be useful as early markers of fluid status and serve as useful tools in the precise clinical management of pre-eclampsia.

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Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Bajwa¹,

Kurdi²,

Sutagatti³

et al. 2021

Indian J Anaesth

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“…Engineering and technology came to the rescue to help in improving oxygen production and delivery. [ 16 ] The Indian Railways operated the 'Oxygen Express' to transport medical liquid oxygen and carried 16 tonnes of medical oxygen to different parts of the country requiring oxygen for patients struggling between life and death. [ 17 ] Oxygen generation plants and oxygen concentrators became very popular.…”

Section: Oxygen Crisis and Strategies To Beat It!mentioning

confidence: 99%

Anaesthesiology as an oasis amid the crisis of the vital medicine ‘Oxygen’- innovations and local modifications

Mehdiratta¹,

Sharma²,

Jain³

2021

Indian J Anaesth

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Postgraduate examination: How to match your presentation skills with examiner's expectations?

et al. 2022

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Passing the exit Doctor of Medicine/Diplomate of National Board examination is a significant but challenging milestone in the career of any student. A strong knowledge base is the foundation on which a student can build an impactful performance. Knowledge core is tested in the theory part of the examination and its application to patient care during case presentations and viva in the practical examination. Performance during the practicals has one common denominator: convincing the examiner that the patient during anaesthesia would be safe in the student's hands. The way the student answers, the spontaneity and the confidence that the student exudes in answering, the pointed answers to the questions asked, and setting the priorities right when dealing with a multitude of tasks at hand go a long way in ensuring that. This article describes what examiners expect from students and provides tips to postgraduate students preparing for the examination.

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Technology, engineering and innovations- Power buffers in the COVID driveline.....

Cited by 10 publications

References 28 publications

Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Anaesthesiology as an oasis amid the crisis of the vital medicine ‘Oxygen’- innovations and local modifications

Postgraduate examination: How to match your presentation skills with examiner's expectations?

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