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Byline: Aparna. Pande, Thilaka. Muthiah, Rashmi. Ramachandran, Balachandran. Sundaraperumal, Manpreet. Kaur, Dalim. Baidya Simulation refers to the replication of various elements of a real-world situation to achieve pre-specified objectives by [...]

Byline: Lipika. Soni, Rashmi. Ramachandran, Vimi. Rewari Background and Aims: Simulation-based teaching (SBT) has become integral to healthcare education, offering a dynamic and immersive learning experience for bridging theoretical knowledge [...]

Byline: Chitralok. Hemraj, Mani. Kalaivani, Harsha. Binu, Rashmi. Ramachandran Introduction Newer anaesthetic drugs introduced in practice and older drugs for novel route or indication has led to the need to [...]

Byline: Abhishek. Singh, Rashmi. Ramachandran, C. Chandralekha, Anjan. Trikha, Bikash. Ray, Virinder. Bansal, Sandeep. Mahajan, Krishna. Asuri, Vimi. Rewari Introduction: Early graft function is crucial for successful kidney transplantation. Intravascular [...]

Byline: Tanvi. Meshram, Rashmi. Ramachandran, Anjan. Trikha, Vimi. Rewari Background and Aims: Glidescope®videolaryngoscope (GVL) is a video intubation system with 60° angle blade that provides excellent laryngeal view, does not [...]

Byline: Devanshu. Bansal, Brusabhanu. Nayak, Prabhjot. Singh, Rishi. Nayyar, Rashmi. Ramachandran, Rajeev. Kumar, Amlesh. Seth We thank the authors for their kind appreciation and keen observations. We performed a randomized [...]

Byline: Pradeep. Prakash, Rashmi. Ramachandran, Nikhil. Tandon, Rajeev. Kumar Introduction: Minimally invasive approaches are the current standard of care for pheochromocytoma/paraganglioma (PC/PG) surgery. However, a number of patients still undergo [...]

Byline: Vimi. Rewari, Rashmi. Ramachandran Adequate control of acute postoperative pain remains a challenge despite the improved understanding of pain mechanisms and implementation of a wide array of analgesic techniques. [...]

Byline: Pradeep. Prakash, Rashmi. Ramachandran, Nikhil. Tandon, Rajeev. KumarIntroduction: Pheochromocytoma surgery is associated with significant hemodynamic and metabolic changes that require post-operative monitoring. We prospectively evaluated the trends of blood [...]

Purpose The aim of our study was to evaluate the success rate of fiberoptic-guided endotracheal intubation through an Intubating Laryngeal Mask Airway (ILMA), a Cobra Perilaryngeal Airway (Cobra PLA), and a C-Trach Laryngeal Mask Airway (C-Trach) in patients whose necks are stabilized in a hard cervical collar. Methods One hundred and eighty ASA I-II patients were randomized to undergo endotracheal intubation after general anesthesia via an ILMA (group ILMA), a C-Trach (group C-Trach) or a Cobra PLA (group CPLA) with the application of an appropriately-sized hard cervical collar. A fiberoptic bronchoscope was used for intubation via the ILMA and Cobra PLA. Rate of successful insertion of an endotracheal tube through the three devices was the primary aim. Other parameters compared were time taken for device insertion, endotracheal intubation, hemodynamic changes, incidence of hypoxia, and mucosal injury during the procedure. The incidence of postoperative sore throat was also compared between the three groups. Results The success rates of intubation in the ILMA, C-Trach, and CPLA groups were 100, 100, and 98% respectively. The first-attempt success rate was significantly better with the C-Trach compared to Cobra PLA (100 vs 85%, p < 0.05). The time taken for device insertion was significantly more with the Cobra PLA as compared to that taken with an ILMA or a C-Trach (35.7 vs 30.3 and 27.5 s, respectively). Intubation through a C-Trach took the least amount of time (84.4 s) as compared to an ILMA (117.9 s) or a Cobra PLA (139.2 s). The incidence of hypoxia and airway morbidity was similar between the groups. Conclusion The success rates of fiberoptic-guided endotracheal intubation through an ILMA and a Cobra PLA are similar to the success rate of intubation using a C-Trach in patients whose cervical spines are immobilized with a hard cervical collar. Keywords Hard cervical collar * ILMA™ * C-Trach™ * Cobra PLA™ * Endotracheal intubation, Introduction Airway management in patients with cervical spine immobilization using a hard collar may be required for various purposes like intensive care management for neurological obtundation, respiratory distress, or hemodynamic [...]

Byline: Rashmi. Ramachandran, Vimi. Rewari Neuroendocrine tumors which have the potential to secrete catecholamines are either associated with sympathetic adrenal (pheochromocytoma) or nonadrenal (paraganglioma) tissue. Surgical removal of these tumors [...]

Byline: Rashmi. Ramachandran, Vimi. Rewari, Shikha. Jain, Rajeev. Kumar Sir, Pheochromocytoma and paraganglioma removal may be associated with severe hypotension and hypoglycaemia. Hypotension after tumour removal is usually responsive to [...]

Byline: Mona. Sharma, Renu. Sinha, Anjan. Trikha, Rashmi. Ramachandran, C. Chandralekha Background and Aims : Laryngeal mask airway (LMA) cuff pressure increases when the air is used for the cuff [...]

Byline: Vimi. Rewari, Ravindran. Chandran, Rashmi. Ramachandran, Anjan. Trikha Sir, We describe a case of absence of right internal jugular vein (IJV), which is a rare form of anatomical variation [...]

Byline: Vimi. Rewari, Rashmi. Ramachandran, Neeraj. Parakh, P. Singh, Sreekumar. Jayanandan Introduction The occurrence of intraoperative wide complex arrhythmias (WCT) can not only lead to haemodynamic compromise but their confounding [...]

Author(s): Vimi Rewari[sup.1] , Rashmi Ramachandran[sup.1] Author Affiliations: (1) Department of Anaesthesiology, All India Institute of Medical Sciences, 110029, Ansari Nagar, New Delhi, India To the Editor: Dental trauma during [...]