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Author(s): Aditi Suri (corresponding author) [1]; Namita Arora [1]; Nisha Kachru [1]; Neha Gupta [1] Sir, Post-extubation laryngeal oedema (PLE) and consequent post-extubation stridor (PES) are grave complications after laryngeal [...]

Author(s): Aditi Suri (corresponding author) [1]; Manu Gupta [1]; Sandeep Kumar [1]; Alka Gupta [1] Sir, Spontaneous spinal haematoma (SSH) is a rare complication of dengue.[1,2] We report an intriguing [...]

Byline: Gaurav. Sindwani, Sandeep. Sahu, Aditi. Suri, Sanjoy. Sureka, Manu. Thomas Background and Aims: Postoperative pain following renal transplantation is moderate to severe. Quadratus lumborum block (QLB) is a new [...]

Byline: Gaurav. Sindwani, Aditi. Suri, Sandeep. Sahu Sir, We thank the readers for their critical comments.[1],[2] In response to the first question, quadratus lumborum block (QLB) can be given in [...]

Byline: Gaurav. Sindwani, Aditi. Suri, Rafat. Shamim Sir, Upper gastrointestinal (GI) endoscopy is both a diagnostic and therapeutic procedure. Some of these procedures are usually done under deep sedation with [...]

Byline: Rafat. Shamim, Gaurav. Sindwani, Vansh. Priya, Aditi. Suri Sir, The endotracheal tube (ETT) stylet is commonly used in difficult airway management. Although its use can increase the success rate [...]

Objective: Neoadjuvant chemotherapy improves resectability rates of oesophageal cancer, but the process may also take a toll on the patients' exercise capacity and may adversely affect the postoperative outcomes. It can be assessed objectively using cardiopulmonary exercise testing. Methods: Patients with oesophagus cancer performed a baseline test and a second test after neoadjuvant chemotherapy during the week preceding oesophagectomy. They were followed up for postoperative complications, length of hospital stay, and 30-day mortality. Results: Thirty-three patients completed the study. The mean pre-chemotherapy peak oxygen uptake (VO2 peak) was 1128.39 ± 202.79 mL min-1 (19.46 ± 3.06 mL kg-1 min-1) which declined to 1010.33 ± 195.56 mL min-1 (17.24 ± 2.55 mL kg-1 min-1) in the postchemotherapy period (P < .001). Pre-chemotherapy anaerobic threshold was 906.85 ± 176.81 mL min-1 (15.54 ± 2.24 mL kg-1 min-1) which declined to 764.76 ± 158.79 mL min-1 (13.01 ± 2.22 mL kg-1 min-1) (P < .001) in the post-chemotherapy period. Six patients developed complications of modified Clavien-Dindo grade 3 and above. Two (6.1%) patients succumbed to complications within 30 days. The mean anaerobic threshold in patients who suffered complications modified Clavien-Dindo grade =3 was 693.33 ± 140.99 mL min-1 (11.2 ± 1.17 mL kg-1 min-1) while patients with mild to moderate complications had a mean anaerobic threshold 13.41 ± 2.21 mL kg-1 min-1 (P < .006). An optimal cut off value for anaerobic threshold was 12.5 mL kg-1 min-1. Conclusion: Cardiopulmonary exercise testing accurately predicts outcomes in cancer oesophagus patients who undergo neoadjuvant chemotherapy followed by surgery. [ABSTRACT FROM AUTHOR]

Byline: Aditi. Suri, Gaurav. Sindwani, Sandeep. Sahu, Sanjoy. Sureka Sir, Quadratus lumborum block (QLB) is a type of abdominal wall block which has shown promising results in managing the post-operative [...]

Byline: Gaurav. Sindwani, Aditi. Suri, Ruchi. Verma Sir, A 52-year-old post-menopausal female belonging to American Society of Anesthesiologists Physical Status Class 1, weighing 50 kg, diagnosed with renal cell carcinoma, [...]

The translator was kept as an alternative option to voice translator app in case of failure to communicate with the patient. Use of smartphone app for establishing communication with the patient can decrease the treatment cost by avoiding the translator fees. [Extracted from the article]

The article presents a case study of the 28-year-old male, who was admitted for posterior mediastinal mass excision. It notes the results of the computed tomography scan with mass attached to costovertebral junction, maintenance of general anesthesia with desflurane, the pain in lower limbs moving to motor weakness and loss of sensation in lower limbs.

The article presents a case study of a women with weakness in all the limbs for few months and after Magnetic resonance imaging (MRI) scanning ring‑enhancing lesion can be seen in the brain. MRI of spine shows intramedullary cervical hemangioblastoma in cervicomedullary junction and adjacent cord edema and scan of abdomen shows multiple pancreatic and hepatic cyst. A surgery was performed and Intraoperative hemodynamic was stable after laparoscopic nephrectomy procedure.