Julie Misquith

• MD ANESTHESIOLOGY
• Professor (Associate) at Manipal Academy of Higher Education

Introduction: Anaesthesia and upper abdominal surgeries alter lung compliance and functional residual capacity resulting from atelectasis. Upper abdominal surgeries also cause a decrease in peak expiratory flow rates, cough reflex due to pain limited inspiration. Aim: This study aimed to study the effect of thoracic epidural analgesia (TEA) on t...

Congenital long QT syndrome (LQTS) is a rare genetic disorder that has been associated with various genetic mutations including life-threatening cardiac arrhythmias and sudden death. Left thoracoscopic sympathectomy is an effective treatment for patients who are refractory to medical therapy or who need frequent epicardial internal cardio defibrill...

Introduction: Sensory blockade of the brachial plexus with local anaesthetics for perioperative analgesia leads to stable haemodynamics intraoperatively, smoother emergence from general anaesthesia and decreased need for supplemental analgesics or suppositories in the Post-operative period. However, increasing the duration of local anaesthetic acti...

Introduction. Prolonged apnoea occurring during endotracheal intubation leads to a fall in oxygen saturation. Preoxygenation helps in delaying the onset of fall in saturation Aim The aim of the study was to determine whether insufflation of oxygen via a nasopharyngeal catheter would prolong the duration of apnoea (fall in SpO 2 <95%) after preoxyge...

Valvular heart disease during pregnancy and labor poses a significant threat to maternal and fetal outcomes, increasing morbidity. The physiological changes of pregnancy in a parturient with stenotic and regurgitant lesions increases the risk of cardiac decompensation. Moderate-to-severe stenotic lesions can deteriorate in pregnancy due to an incre...

Introduction In India, the prevalence of diabetes mellitus neuropathy was reported to be as high as 30%. Eight percentage of the diabetic population suffer from foot ulceration and 1.8% have amputations. Popliteal nerve block can be potentially used for foot and ankle surgery with several advantages. Aim To compare analgesic duration of an ultraso...

Background Different discharge criteria are available for shifting patients out from postanesthesia care room following surgery. This study was done to compare the three-scoring system namely traditional time-based criteria, Fast track criteria and modified Aldrete score, in Indian population patients who recover after general anesthesia in postane...

Laryngospasm is one of the most commonly occurring perioperative complication seen in the practice of every Anaesthesiologist. It can present with varying degrees of severity and presentation may not be the same in all individuals. There are several risk factors that can cause laryngospasm, knowledge of which can help in its prevention. Over the ye...

ABSTRACT Introduction: Laryngeal Mask Airway (LMA) and endotracheal intubation are two methods of securing airway. Insertion of airway devices causes haemodynamic and Intraocular Pressure (IOP) changes. In the present study, authors compared the two devices and the changes they cause. The mechanism of IOP rise is secondary to increased sympathetic...

As an anaesthesiologist, who faces several challenges in the Operating Room (OR), difficult intubation seems to be the most arduous. Anticipated difficult intubation if not planned well can be both cumbersome and disastrous. We describe the successful management of a case of anticipated difficult intubation due to a rare oropharyngeal mass, which w...

Myasthenia gravis (MG) is a neuromuscular disorder characterized by weakness and fatigability of skeletal muscles. The decrease in the number of acetylcholine receptors results in decreased efficiency of neuromuscular transmission. Although acetylcholine is released normally, it produces small end-plate potentials that fail to trigger muscle action...

Various pharmacologic and non-pharmacologic methods have been tried to limit the pressor responses and intraocular pressure changes following the insertion of endotracheal tube. One such attempt is the use of laryngeal mask airway. To compare the effects of placement of laryngeal mask airway with endotracheal tube on hemodynamic parameters in child...