Publications by authors named "Kirthiha Govindaraj"

Background: Patients with multiple co-morbidities undergoing cataract surgery are at risk of hypoxia and hypercarbia secondary to the rebreathing of the accumulated carbon dioxide under the surgical drapes. They are also at risk of fire accidents due to the hyperoxic condition secondary to oxygen supplementation.

Objectives: The main aim of the study was to determine the lowest level of hemoglobin oxygen saturation while providing medical air in comparison with oxygen.

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Background: Adhesive capsulitis is a distressing ailment that progressively limits the active and passive mobility of the shoulder joint. Physical therapy (PT) combined with intra-articular steroid (IAS) injection and suprascapular nerve block (SSNB) has shown improved functional outcomes. We aimed to assess whether providing both IAS injection and SSNB improved outcomes compared with IAS injection alone.

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Background And Aims: The role of preoperative pharmacological prophylaxis in preventing aspiration pneumonitis under general anesthesia (GA) in patients at low risk of aspiration pneumonitis is still under debate. We addressed the need for routine pharmacological aspiration prophylaxis in at-risk population by assessing the change in gastric volume using ultrasound with and without pharmacological acid aspiration prophylaxis.

Material And Methods: A single-center, randomized double-blinded trial, with 200 adult patients scheduled for elective surgical procedures under GA, were randomized into a prophylaxis group, in which the patients received oral famotidine and metoclopramide, and a no prophylaxis group, in which the patients did not receive any prophylaxis.

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Article Synopsis
  • This study examines how combining ketamine with propofol affects airway collapse in children during MRI sedation.
  • Fifty-eight children were split into two groups: one receiving only propofol and the other receiving a mix of ketamine and propofol.
  • Results showed that the combination significantly reduced upper airway collapse compared to propofol alone, as seen through MRI measurements at various anatomical levels.
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Article Synopsis
  • The study compares two second-generation supraglottic airway devices, Ambu AuraGain and LMA ProSeal, focusing on their effectiveness in reducing gastric insufflation volume during general anesthesia in 120 adult patients.
  • Results showed that the Ambu AuraGain group had a significantly lower gastric volume at the end of surgery compared to the LMA ProSeal group (5.91 ml vs. 12.28 ml), along with differences observed within each group.
  • Additionally, while oropharyngeal sealing and peak airway pressures were similar between the two devices, the LMA ProSeal was associated with a higher rate of postoperative complications.
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