Amarjeet Kumar

Amarjeet Kumar
All India Institute of Medical Sciences, Patna · Department of Anaesthesiology

MD

About

195
Publications
32,721
Reads
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245
Citations
Citations since 2016
195 Research Items
245 Citations
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2016201720182019202020212022020406080
2016201720182019202020212022020406080
2016201720182019202020212022020406080
Additional affiliations
July 2018 - present
All India Institute of Medical Sciences, Patna
Position
  • Professor (Assistant)
Description
  • Critical care, Anaesthesiology, Trauma and Emergency
Education
July 2011 - July 2020
Patna Medical College
Field of study
  • Anaesthesiology, Critical Care , Emergency medicine

Publications

Publications (195)
Article
Objectives The aim of this study was to assess the technical feasibility and safety of intra-arterial infusion of amphotericin B for the management of rhino-orbito-cerebral mucormycosis in patients unable to receive full dose and schedule of intravenous amphotericin B and/or unsuitable for surgery. Methods Five consecutive patients underwent five s...
Conference Paper
Full-text available
Background and Aims Spine surgery in the thoracolumbar region is one of the most common surgeries performed.The pain management during perioperative period remains a challenge. Interfascial plane block likes erector spinae plane block and thoracolumbar interfascial plane block exerts effective analgesic effect during perioperative period in patient...
Article
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Background: The COVID-19 pandemic has become a global threat, with an inexplicable course of action and suboptimal response to the multitudes of therapies being tried. Vitamin D's pleiotropic effects (immunomodulatory, anti-inflammatory, and antiviral) have lately received considerable attention in the scientific community, and it has been shown t...
Article
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Background: Treatment for coronavirus disease 2019 (COVID-19) pneumonia remains largely supportive till date and multiple clinical trials took place within the short span of time to evaluate the role of investigational therapies. The anti-inflammatory effect of low dose whole lung radiation in treating pneumonia has been documented earlier. This cl...
Article
Background: Previous studies have shown Proseal LMA, and I gel similar to endotracheal intubation in ventilatory ability in pediatric laparoscopic surgeries. Aims: The primary aim of this study was to assess whether there is a significant difference in oropharyngeal leak pressure between Ambu Auragrain, I-gel, and Proseal LMA during pediatric lap...
Article
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Background The role of anticoagulation in preventing and treating thromboembolic events due to presence of micro thrombosis that may affect various end-organs especially in coronavirus disease-19 (COVID-19). Patients receiving some form of anticoagulation therapy are predisposed to more risks of bleeding complications. These bleeding may range from...
Article
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Background: Ultrasound-guided erector spinae plane (ESP) block has been used to provide lumbar analgesia. The craniocaudal spread of local anesthetic in this block can be unpredictable in patients with kyphosis due to backward curvature of the spine, which might prevent longitudinal spread. Case: This is a case of a 33-year-old male (60 kg) diag...
Article
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One of the most challenging comorbidities associated with COVID-19 patients is chronic kidney disease (CKD). We often have to perform dialysis, and a catheter is placed to obtain vascular access. A rare but not unusual complication is the lost guidewire during dialysis catheter placement.Wearing a PPE kit during such procedures increases discomfort...
Article
A continuous peripheral nerve block (CPNB) is commonly used to provide intraoperative analgesia in long duration surgeries, and postoperatively as a component of multimodal analgesia. The failure rate on the first postoperative day for infraclavicular and supraclavicular CPNB is 19% to 26%, respectively. Possible causes of CPNB failure include cath...
Article
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COVID-19 is associated with a significant incidence of secondary infections, both bacterial and fungal probably due to immune dysregulation. In recent times there are increased reports of invasive mucormycosis in COVID-19 patients in India. Rhino-orbital cerebral mucormycosis is an uncommon infection caused by the angiotropic fungus belonging to th...
Article
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Background: We aimed to study organizational aspects, case mix, and practices in Indian intensive care units (ICUs) from 2018 to 2019, following the Indian Intensive Care Case Mix and Practice Patterns Study (INDICAPS) of 2010 to 2011. Methods: An observational, 4-day point prevalence study was performed between 2018 and 2019. ICU, patient characte...
Article
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Chronic kidney disease (CKD) is characterized by loss of kidney function and generally it is associated with several alterations in pulmonary functions, including restriction, obstruction, and impaired diffusion capacity. It became challenging to maintain oxygenation in a CKD patient associated with COVID 19 on non-invasive ventilation (NIV). In pa...
Article
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Pulmonary protective ventilation with careful control of pressure and volume is required when ventilating patients with complex acute respiratory distress syndrome (ARDS) like pneumonia associated with COVID-19. These are evidence-based interventions for mechanical ventilation in patients with ARDS for improving the outcomes
Article
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Kumar A, Kumar A, Kumar A, Sinha C, Kumar N, Singh PK. Acute Exacerbation of Cough as a Precipitating Cause of Hypoxia in COVID-19 Patients. Indian J Crit Care Med 2021;25(11):1324-1325.
Article
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Background: The SARS-CoV-2 infection affects the cardiovascular system at many levels. They initially infect endothelial cells, inducing marked endothelial damage and inflammation. However, there was no empirical evidence of functional compromise of arterial walls. Aims and Objective: Our primary objective was to study functional arterial damage i...
Article
Bradyarrhythmia in children is a real challenge for an anesthesiologist. Blood transfusion-related cardiac arrest may be due to hyperkalemia, citrate toxicity, and severe acidosis. We came across such an emergent situation of unanticipated bradyarrhythmia after packed red blood transfusion in a two-year child having a posterior fossa tumor (medullo...
Article
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Itolizumab is an anti-CD6 humanized IgG1 mAb that binds to domain 1 of CD6, a receptor present on T -effector cells, is responsible for priming, activation, and differentiation of T-cells. We are reporting severe infusion-related hypersensitivity reactions following Itolizumab infusion in a 66 years old male who tested COVID-19 positive. He was adm...
Article
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Background: The world is facing the most challenging pandemic in the 21st century. The developed and developing countries are facing the burden equally and no proven treatment options available. Recent studies suggest the plausibility of vitamin D therapy and prophylaxis for COVID-19, in the setting where the deficiency is more prevalent. Though e...
Article
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Palliative care patients might be at an increased risk of acquiring the infection due to their poor clinical status. Every care is been taken by the hospital authorities to prevent the spread of infection among healthcare workers and other patients. Somehow, the acute psychological impact of this disease on non-COVID emergency patients is not often...
Article
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Purpose: COVID-19 pandemic has affected the human life all over the world in many aspects including a sudden and forceful set back to our healthcare system. This has also influenced the plastic and reconstructive management of emergency cases including those due to road traffic accidents. The article would like to focus on the change in pattern of...
Article
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Background and objectives: Anterior cruciate ligament reconstruction (ACLR) is one of the most frequently performed orthopedic procedures. The ability to perform ACLR on an outpatient basis is largely dependent on an effective analgesic regimen. The aim of the study was to compare the analgesic effect between continuous adductor canal block (cACB)...
Article
Endotracheal suctioning by open or closed-suction systems is a common practice in caring for mechanically ventilated patients . There are various advantages of using a closed-suction catheter system (CSCS) over the open suction system. They are easy to use, less time consuming, and better tolerated by the patients. The suctioning of an endotracheal...
Article
Full-text available
One of the most commonly affected organ systems by SARS-CoV-2 virus is the respiratory system. Major challenge with coronavirus disease is managing the pulmonary complications. Role of non-invasive ventilation in patients of coronavirus disease 2019 (COVID 19) has been questioned in spite of evidence showing its use in acute hypoxemic respiratory f...
Article
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We report a situation of leaking peripheral intravenous cannula (PIVC) due to dysfunction of the injection port valve. After shifting the patient to the operating room, anesthesia monitors were attached. The patient was having a 20-G peripheral intravenous cannula (Vygonule V, Vygon Haryana India Pvt. Ltd.) in situ over the dorsum of the right hand...
Article
Approximately 14% COVID-19 patients, develop acute hypoxic respiratory failure. A high flow nasal cannula device might be preferred to obtain an oxygen saturation above 90% in these cases. In resource limited settings, where high flow nasal cannula is not an option, additional low flow oxygen therapy through nasal prongs could be added to non-rebre...
Article
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INTRODUCTION: Elderly COVID-19 patients admitted to the intensive care unit (ICU) are at high risk of an inflammatory syndrome, hypercatabolic reaction, malnutrition, and physical immobilization. This may result in loss of muscle mass and pulmonary infection leading to prolonged ventilatory support. Factors responsible for muscle mass loss in ICU a...
Article
Presently, there is no conclusive data yet for the use of remdesivir or tocilizumab in severe COVID-19 patients. Moreover, there is no study comparing the two drugs in one subset of patients. In some patients, both these drugs are used over a period of time. The present study was designed to evaluate the combined effect of bot these drugs on the cl...
Article
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Approximately 5–6% of patients diagnosed to have COVID-19 infection present with severe hypoxemia requiring invasive ventilation or non- invasive ventilation (NIV). Additional oxygen to patients on NIV can be given by nasal prong or by connecting oxygen tubing directly to the O2 pick-off port of the NIV mask or by connecting oxygen tubing to the si...
Article
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Itolizumab has recently been approved by the Drug Controller General of India (DCGI) for emergency use in India for the treatment COVID-19. The reported infusion-related reaction to Itolizumab are chills/ rigors (common), nausea, flushing, urticaria, cough, hypersensitivity, pruritus, rash, wheezing, dyspnoea, oxygen desaturation, dizziness, headac...
Article
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Approximately 14% of patients diagnosed to have COVID-19 infection develop acute hypoxic respiratory failure (AHRF) requiring oxygen supplementation. Despite the use of conventional oxygen therapy, 5% of these patients require intensive care therapy. Here, we are describing a situation in which oxygen therapy was delivered to the patients by making...
Article
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Severe acute respiratory syndrome coronavirus 2 has affected millions of people worldwide. This pandemic requires newer medical management strategies to control the morbidity and mortality associated with the disease. Several approaches, including global targeting of inflammation or neutralizing a single key inflammatory mediator, are being employe...
Article
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Background and aims: Forero et al. described two approaches of erector spinae (ES) plane block: superficial and deep to erector spinae muscle. We hypothesised that the superficial technique would not lead to optimum analgesia as the drug would have to cross one more muscle layer. We aimed to compare the techniques in terms of analgesia and sensory...
Article
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Background and Aims Radial artery is a common site of cannulation in acute care setting. There are conflicting reports as to which nerve, radial or median or both supplies the radial artery. We did this prospective study in patients undergoing minor procedures under peripheral nerve blocks to ascertain which nerve block, radial or median increases...
Article
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We know that oxygen therapy plays one of the important role for treating hypoxemia and it is widely used across a whole range of specialties and it involves administration of oxygen at concentrations greater than that in ambient air. We are reporting the first case of twisting of reservoir bag on using non-rebreathing face mask for providing supple...
Preprint
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Background Based on the detailed review of available research and case studies reported in reputed international journals, it can be concluded that endothelial damage (En-dotheliitis) both in small and large arteries may be an important factor of morbidity and mortality in COVID-19 patients. Arterial stiffness due to Endothelial Dysfunction has bee...
Article
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Severe acute respiratory syndrome coronavirus 2 is the pathogen that causes coronavirus disease-2019 (COVID-19). Recent studies have shown that the "cytokine storm" (high concentration of proinflammatory cytokines) may contribute to the mortality of COVID-19. Repeated exposure to the virus can lead to a dose-dependent immune response that may be as...
Article
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Background and aims: Ultrasound guided rhomboid intercostal plane block (RIB) is a relatively new regional anaesthesia technique that has shown to provide dermatomal coverage from T2-9 on the whole anterior and posterior hemithorax. It has proved effective in providing preemptive analgesia in various surgeries like mastectomy and thoracotomy. The...
Article
Full-text available
How to cite this article: Naaz S, Sahay N, Kumar R, Kumar A, Asghar A. Prolonged Use of Supraglottic Airway Device for Mechanical Ventilation in the Intensive Care Unit. Indian J Crit Care Med 2020;24(10):1001-1002.
Article
Loss of endotracheal cuff pressure can lead to airway compromise and loss of volume delivery in mechanical ventilation requiring immediate intervention. A 40 years old male posted for bilateral interpositional arthroplasty was intubated nasally with 7.5 mm flexometallic endotracheal tube. In the intraoperative period airway leak was detected due to...
Article
Background and aims Flexible fiberoptic bronchoscopy is used to diagnose diseases of the tracheobronchial tree and to obtain samples. Methods used for awake flexible fiberoptic bronchoscopy (FFB) to anaesthetize the airway include local anaesthetic nebulization, gargles, lozenges, sprays, and airway blocks. The aim is to compare the effect of fenta...