Dalim Kumar Baidya

Dalim Kumar Baidya
All India Institute of Medical Sciences | AIIMS · Anesthesiology, Pain Medicine and Critical Care

MD (Anesthesiology), EDIC

About

189
Publications
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Introduction
Dalim Kumar Baidya currently works as an Additional Professor at the Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi. He does research in Critical Care Medicine (sepsis, hemodynamics, acute respiratory failure, POCUS), airway management and Perioperative outcomes.
Additional affiliations
July 2018 - June 2022
All India Institute of Medical Sciences
Position
  • Professor (Additional)
July 2015 - June 2018
All India Institute of Medical Sciences
Position
  • Professor (Associate)
May 2012 - June 2015
All India Institute of Medical Sciences
Position
  • Professor (Assistant)
Education
July 2005 - June 2008
All India Institute of Medical Sciences New Delhi
Field of study

Publications

Publications (189)
Article
Full-text available
Though once considered the gold standard, epidural anaesthesia has complications that may be significant and include hypotension, urinary retention, partial or patchy block and, in rare cases, devastating neurological injuries also. Paravertebral block (PVB) is an alternative technique for unilateral surgical procedures like thoracotomy, which may...
Article
Purpose: The role of high-flow nasal oxygen (HFNO) therapy in adult patients with acute hypoxemic respiratory failure is controversial. Methods: This meta-analysis of prospective randomized controlled trials (RCTs) has been designed to compare HFNO with noninvasive ventilation (NIV) and conventional oxygen therapy in such patients. Results: In...
Article
Full-text available
Background: Serial lactate measurement is found to predict mortality in septic shock. Majority of patients with perforation peritonitis for emergency laparotomy are in sepsis and mortality rate is substantial. However, lactate dynamics has not been studied in this patient population. Methods: After institutional ethics clearance and informed wri...
Article
Full-text available
Background & objectives: In this study we describe the epidemiological data, comorbidities, clinical symptoms, severity of illness and early outcome of patients with coronavirus disease 2019 (COVID-19) from a tertiary care teaching hospital in New Delhi, India. Methods: In this preliminary analysis of a prospective observational study, all adult pa...
Article
Background: Efficacy of high-flow nasal cannula (HFNC) over noninvasive ventilation (NIV) in severe coronavirus disease 2019 (COVID-19) pneumonia is not known. We aimed to assess the incidence of invasive mechanical ventilation in patients with acute hypoxemic respiratory failure due to COVID-19 treated with either HFNC or NIV. Methods: This was...
Article
Background The analgesic efficacy of preemptive administration of caudal morphine for spine surgeries in adults is not well studied. In a double-blinded, randomized controlled trial, safety and analgesic efficacy of preemptive, single-shot caudal morphine and bupivacaine was compared with caudal bupivacaine alone in lumbosacral spine surgeries. M...
Article
Purpose: Skeletal muscle ultrasound is a valuable tool for assessing muscle wasting in ICU. Previous studies on skeletal muscle ultrasound in ICU have been performed on lower limb muscles. The current study is formulated to assess the feasibility and reliability of anterior temporalis (AT) muscle ultrasound for measuring muscle wasting in ICU. Met...
Article
Full-text available
Background and Aims: Mechanical ventilation in prone position was associated with a reduction in mortality and increasein arterial oxygenation in acute respiratory distress syndrome (ARDS) patients. However, physiological effects of prone positionin COVID ARDS patients are unknown. Material and Methods: In this prospective observational study, dat...
Article
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Background and Aims: Percutaneous dilatational tracheostomy (PDT) may improve the outcome in critically ill COVID-19 patients on mechanical ventilation. However, the timing of performing tracheostomy may be controversial, and it is an aerosol-generating procedure with a potential risk of viral exposure to healthcare workers. Material and Methods:...
Preprint
Study objective Subclavian vein cannulation in the infraclavicular region may be a preferred approach as it is associated with less infection than internal jugular or femoral venous access in critically ill patients. ‘Short-axis view” has a problem that shaft of the puncture needle is not visualized and tip of the needle is only seen as ‘dot’; henc...
Article
Full-text available
During the peak of the coronavirus disease-2019 (COVID-19) pandemic, 10 practice-changing decisions were adopted which led to an improved standard of clinical care in the face of overwhelming burden to the healthcare setup. Formation of a control unit with the piggyback team, briefing before donning, replacement of personal protective equipment (PP...
Article
Full-text available
Anesthetic concerns in a post- hematopoietic stem cell transplant recipient, planned for incidental surgeries
Article
Background: Distal radial artery cannulation at the "anatomical snuffbox" carries several theoretical advantages over conventional radial arterial cannulation at the wrist. However, these two techniques have not been evaluated in perioperative settings. Methods: In this randomized controlled trial, n = 200 patients requiring arterial cannulation...
Article
Full-text available
Background: Difficulty in weaning from mechanical ventilation is encountered in appro-ximately 20% of patients in the intensive care unit. We assessed the utility of a combined lung, diaphragmatic, and cardiac ultrasound protocol to predict extubation failure. Material: All patients extubated following a successful spontaneous breathing trial (S...
Article
Full-text available
We think correlation of Doppler ultrasound derived CA-VTI and echocardiography derived SV needs further exploration in a larger sample and in various models of hypovolemia and shock under ideal measurement conditions before concluding whether carotid artery can be considered a true window to the left ventricle. How to cite this article: Kundu R,...
Article
Full-text available
Background and Aims: Post-spinal anaesthesia hypotension (PSH) is common and can lead to significant morbidity and mortality. The inferior vena cava collapsibility index (IVCCI) and carotid artery peak systolic velocity variations (CAPVV) are two widely used parameters for assessing the volume status of critically ill patients which have also been...
Book
Full-text available
Key Features • Extensive coverage of neurocritical care disorders, sepsis, shock, and infectious diseases in terms of updated guidelines, common drugs used, and the latest antibiotic policies in the Indian subcontinent. • Addition of two new chapters relevant to this region-Tropical Fever in ICU and Extracorporeal Therapy in ICU. • Organophosphate...
Article
Full-text available
India has seen a sudden surge of COVID‑19 patients during the second wave in April‑May 2021 and the existing health care system was overburdened with an increased number of severe COVID‑19 patients with high consumption and requirement of oxygen support. Many patients were cared in home‑based oxygen and the clinicians were at times forced to discha...
Article
Full-text available
How to cite this article: Panda R, Hirolli D, Baidya DK. Point-of-care Glucose Monitoring in COVID-19 Intensive Care Unit: How's It Different? Indian J Crit Care Med 2021;25(12):1465-1466.
Article
Full-text available
Background and aims: Lung protective ventilation (LPV) is recommended in acute respiratory distress syndrome. However, role of intraoperative LPV in elective laparotomy is controversial and it has not been evaluated in emergency laparotomy (EL). The aim of the study was to identify whether use of intraoperative LPV in EL in peritonitis patients re...
Article
Full-text available
Background and aims Vitamin C has been used as an anti-oxidant in various diseases including viral illnesses like coronavirus disease (COVID-19) Methods Meta-analysis of randomized controlled trials (RCT) investigating the role of vitamin C supplementation in COVID-19 was carried out. Results Total 6 RCTs including n = 572 patients were included....
Article
Full-text available
Background: Administration of vitamin D to unselected heterogeneous critically ill patients did not demonstrate outcome benefit. The current study was undertaken to identify if early administration of vitamin D can reduce intensive care unit (ICU) length of stay and improve clinical outcomes in critically ill patients with sepsis. Methods: This...
Article
Full-text available
How to cite this article: Nath S, Baidya DK. Mucormycosis in COVID-19: Is Zinc a Silent Killer in India? Indian J Crit Care Med 2021;25(9):1079-1080.
Article
Full-text available
Cardiopulmonary resuscitation (CPR) is considered an aerosol-generating procedure. The aim of this study was to identify the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among health-care providers (HCPs) involved in CPR in coronavirus 2019 (COVID-19) patients. An online and offline anonymous survey with a preforme...
Article
Background and Aims: Optimum timing of laryngeal mask airway (LMA) removal after general anesthesia with isoflurane is debatable. The objective was to investigate the potential benefits of removing LMA ProSeal at ≤0.4 Minimum alveolar concentration (MAC) isoflurane over awake and “deep plane” extubation after short duration laparoscopic gynecologic...
Article
Full-text available
Introduction: Although various preventive strategies have been advocated, delirium is common in critically ill patients and is associated with increased morbidity, mortality, and long-term adverse effects. The efficacy of a novel delirium prevention bundle in mechanically ventilated critically ill patients was investigated in this study. Methods:...
Article
Background: Vitamin-D is an immune-modulator which might be linked to disease severity by SARS-CoV-2. Methods: Meta-analysis of RCTs and quasi-experimental studies, evaluating the role of vitamin-D supplementation in COVID patients was done. Results: Total 5 studies (3 RCTs and 2 Quasi-experimental) including n = 467 patients were included. Vi...
Article
Full-text available
Background: Data are lacking on the role of cellular components of hematological system as biomarkers for prognosis of sepsis. We planned to identify if these parameters measured at admission to ICU and at 72 hours can be useful as prognostic marker in septic critically ill patients. Materials and methods: In this prospective observational study...
Chapter
The perioperative management of mediastinal masses remains challenging. These are primarily due to respiratory concerns including airway management. The identification of airway compromise, its prevention from collapse, and thus the appropriate choice of anesthetic management remains paramount. The choice of various anesthetic techniques and altern...
Article
Full-text available
Background and Aims: Accurate measurement of intraocular pressure (IOP) under anaesthesia is essential for diagnosis and further management of pediatric glaucoma patients. However, depth of anaesthesia and use of airway device like laryngeal mask airway (LMA) or endotracheal tube can influence IOP values measured. We planned this study to compare c...
Article
Background As respiratory system compliances are heterogenous, we hypothesized that individualized intraoperative positive end-expiratory pressure titration on the basis of lowest driving pressure can reduce postoperative atelectasis and improve intraoperative oxygenation and postoperative lung functions. Methods Eighty-two adult patients undergoi...
Article
Full-text available
As the world fights with the Coronavirus, most of the hospitals are gearing up for the care of these patients. As most of the attention these days is being given on Coronavirus, the patients suffering from other clinical infections are being neglected. SARS-CoV-2 is being kept as the top differential in patients presenting with fever and respirator...
Article
Full-text available
How to cite this article: Anand RK, Baidya DK, Maitra S, Ray BR. A Proposal for Dedicated "Prone Team" and "Prone Bundle of Care" in COVID-19 ICU. Indian J Crit Care Med 2021;25(3):349-350.
Article
Full-text available
Background: Transthoracic echocardiography is a reliable method to measure a dynamic change in left ventricular outflow tract velocity time integral (LVOTVTI) and stroke volume (SV) in response to passive leg raising (PLR) and can predict fluid responsiveness in critically ill patients. Measuring carotid artery velocity time integral (CAVTI) is eas...
Article
BACKGROUND World Health Organization expert groups recommended mortality trials of four repurposed antiviral drugs — remdesivir, hydroxychloroquine, lopinavir, and interferon beta-1a — in patients hospitalized with coronavirus disease 2019 (Covid-19). METHODS We randomly assigned inpatients with Covid-19 equally between one of the trial drug regim...
Article
Full-text available
How to cite this article: Rai N, Baidya DK. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic: Is Sequela the Bigger Threat? Indian J Crit Care Med 2021;25(2):245-246.
Article
Full-text available
Background: Coronavirus disease 2019 (COVID-19) is a type of pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 pneumonia has characteristic radiological features. Recent evidence indicates usefulness of chest X-ray and lung ultrasound (LUS) in detecting COVID-19 pneumonia. Materials and methods: In this p...
Conference Paper
The officially confirmed number of deaths due to COVID-19 in India as of 20 April2021 was 178,769, and it has been the country with the second largest number ofcases (15 billion) after USA [1]. We attempted to predict the markers of early death inIndian patients by retrospectively analysing data of 34 patients who suffered mortalitywithin 48 h of h...
Article
Study Design. Retrospective, comparative. Objective. i) To design an enhanced recovery after surgery (ERAS) protocol for elective lumbar spine fusion by posterior approach, ii) To compare the results after ERAS implementation in patients undergoing elective lumbar spine fusion with conventional perioperative care Summary of Background Data. De...
Article
Full-text available
Dear Sir, Since the first case diagnosed in Wuhan, China, more than 7 million people have been infected with novel coronavirus (SARS-CoV-2) infection. 1 Though the mortality rate varies across countries, an early estimate of the case fatality rate was around 2-3%. 2,3 Despite the low case fatality rate, the total number of cases in different countr...
Article
Full-text available
Three diabetic patients on regular follow-up were infected with novel coronavirus (SARS-CoV-2) and presented with fever, cough, respiratory distress along with excessive hyperglycemia, and ketosis. All the three patients required mechanical ventilation and ketosis was managed with insulin and fluid resuscitation. Various factors may contribute to t...
Article
Purpose This study aimed to compare the analgesic efficacy of wound infiltration with ropivacaine alone or with adjuvants clonidine or dexamethasone for postoperative pain in temporomandibular joint ankylosis (TMJA) surgery. Materials and Methods The investigators implemented a randomized controlled trial with 3 parallel groups, among the patients...
Preprint
Full-text available
Prone position ventilation has been shown to decrease mortality and improve oxygenation in ARDS patients. With best of our knowledge, no study reported physiological effect of prone position in SARS-CoV-2 infected ARDS patients. In this prospective observational study, data of n=20 consecutive laboratory confirmed SARS-CoV-2 patients with severe AR...
Preprint
Full-text available
Early reports from China and Europe indicated that incidence of venous thromboembolism in COVID-19 patients may be high. In this meta-analysis of observational studies was designed to know worldwide prevalence of thromboembolic events in COVID-19 patients. Primary outcome of our review was to assess the proportion of patients with VTE. Secondary ou...
Chapter
Skin and soft tissue infections (SSTIs) encompass various infectious conditions involving the skin, subcutaneous layer, fascia, and muscle layer. Lower extremities and perineum are most commonly involved but any part of the body may be involved. Patients with uncomplicated superficial SSTIs are treated as outpatients and are rarely encountered in i...
Article
Full-text available
Background and aims: Postoperative pain following laparoscopic donor nephrectomy (LDN) is significant and no suitable analgesic technique is described. Opioid analgesia in standard doses is often suboptimal and associated with numerous adverse effects. Transversus abdominis plane (TAP) block has been evaluated in various laparoscopic procedures. I...
Article
PurposeCarotid artery corrected flow time (cFT) derived from Doppler USG is a known predictor of volume responsiveness. However, it can’t be obtained continuously, and is operator dependent. In this prospective study, correlation between Doppler derived carotid artery cFT and pressure transducer derived radial artery cFT was evaluated in adult pati...
Article
Objective: This trial investigated the post operative analgesic efficacy of oarl etoricoxib 90 mg and 120 mg and a placebo in mandibular fracture pain model. Methods: A total of 63 adult patients with mandibular fractures who were scheduled to undergo maxillofacial surgery were randomly allocated to receive etoricoxib 90 mg, etoricoxib 120 mg an...
Article
Full-text available
Rapid defibrillation is a life‑saving treatment for pulseless ventricular tachycardia and ventricular fibrillation which are the most common cardiac cause of sudden death. Simulation teaching has been shown as an effective teaching method for nurses. The present study was conducted to assess the effectiveness of planned simulation teaching regard...
Article
Objective: Outpatient hysteroscopy is often accompanied by pain and discomfort along with frequent occurrence of bradycardia and hypotension. This study aimed to observe if intravenous low-dose ketamine reduces the pain scores along with lowering the incidence of bradycardia and hypotension during hysteroscopy. Methods: This prospective, randomi...
Conference Paper
Background and aims The analgesic efficacy of preemptive administration of caudal morphine for spine surgeries in adults has never been reported in literature. Present study was designed as a double-blinded, randomized controlled trial to assess the safety and analgesic efficacy of preemptive, single-shot, ultrasound guided administration of caudal...
Article
Full-text available
Background and aims: Administration of fentanyl before induction of anaesthesia with propofol should facilitate smooth induction, with a reduction in induction dose of propofol and its side effects. This study was designed to examine the effect of varying intervals between fentanyl and propofol administration on the dose of propofol required for i...
Article
Objectives: Hypotension is common after induction of general anesthesia, and intraoperative hypotension is associated with postoperative end-organ injury such as acute kidney injury and myocardial ischemia. This study was designed to determine the utility of the carotid corrected flow time (cFT) and carotid artery peak blood flow velocity variatio...
Conference Paper
INTRODUCTION. Patients who are undergoing emergency laparotomy are at risk of both intraoperative hypoxemia and postoperative pulmonary complications (POPC). POPCs are frequent complications following open abdominal surgery and may be associated with hospital mortality. The most important postoperative pulmonary complications are atelectasis, pneum...
Conference Paper
INTRODUCTION. Patients undergoing emergency laparotomy for intra-abdominal infection experience high peri-operative risk. Mortality rate remains high despite of advancement of surgical technique, antibiotic therapy and intensive care support. In the UK, 30-day mortality is one in seven overall, and for the elderly (age ≥ 80 years), almost one in fo...
Article
Full-text available
Background: Whether use of ultrasound (USG) to cannulate dorsalis pedis artery (DPA) increases ſrst pass successful cannulation, decreases the number of attempts and complications as compared to palpation technique was assessed in this study. Design: Randomized controlled trial. Setting: Operating room. Patients: About 60 adult patients undergoing...
Article
Full-text available
ABSTRACT Background: Postspinal anesthesia hypotension (PSH) in pregnant women is common and may lead to poor maternal and fetal outcome. Fluid loading in pregnant women before spinal anesthesia to prevent hypotension is of limited ability. We hypothesized that those women who are hypovolemic before spinal anesthesia may be at risk of PSH and infer...
Article
Full-text available
Background: Whether use of ultrasound (USG) to cannulate dorsalis pedis artery (DPA) increases first pass successful cannulation, decreases the number of attempts and complications as compared to palpation technique was assessed in this study. Design: Randomized controlled trial. Setting: Operating room. Patients: About 60 adult patients undergoing...
Article
Background: Postspinal anesthesia hypotension (PSH) in pregnant women is common and may lead to poor maternal and fetal outcome. Fluid loading in pregnant women before spinal anesthesia to prevent hypotension is of limited ability. We hypothesized that those women who are hypovolemic before spinal anesthesia may be at risk of PSH and inferior vena...
Article
Background Comparison between various approaches of ultrasound (USG)-guided internal jugular vein cannulation, that is, short-axis out-of-plane approach, long-axis in-plane approach, and oblique-axis approach, is sparse. In this network meta-analysis of randomized controlled trials, all three approaches were evaluated to identify the best technique...
Conference Paper
Background and aims: Lung protective ventilation (LPV) is recommended in acute respiratory distress syndrome. However, role of intraoperative LPV in elective laparotomy is controversial and has not been evaluated in emergency laparotomy (EL). Aim of the study was to identify whether use of intraoperative LPV in EL in peritonitis patients reduces p...
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