Md Rabiul Alam

Md Rabiul Alam
Evercare Hospital Dhaka · Anaesthesia & Pain Medicine

MBBS, MCPS, FCPS

About

65
Publications
99,508
Reads
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63
Citations
Citations since 2016
42 Research Items
51 Citations
20162017201820192020202120220246810
20162017201820192020202120220246810
20162017201820192020202120220246810
20162017201820192020202120220246810
Introduction
A learner and facilitator to perioperative medicine. Live with patients. Like to listen to their complaints against medical care services. I love and enjoy to serve hospitalized patients. Interested to pass time with dying patients. Dislike formal jobs.
Additional affiliations
February 2020 - October 2020
Labaid Specialized Hospital Dhaka
Position
  • Senior Consultant
August 2017 - September 2019
Combined Military Hospital Dhaka
Position
  • Classified Anaesthesiologist
June 2017 - July 2017
Amrita Institute of Medical Sciences
Position
  • PostDoc Position
Education
January 2002 - July 2003
Bangabandhu Sheikh Mujib Medical University
Field of study
  • Anaesthesiology
January 1997 - February 1998
Bangladesh College of Physicians & Surgeons
Field of study
  • Anaesthesiology
July 1996 - December 1997
Armed Forces Medical Institute
Field of study
  • Anaesthesiology

Publications

Publications (65)
Article
Full-text available
Central neuraxial block is an extensively implemented technique in anaesthetic practice. Spinal dural punctures occur deliberately in spinal anaesthesia and inadvertently during attempting epidural blocks. The incidence of disabling headache following dural perforation ranges from 0.3 to 20% in spinal anaesthesia and may be upto 70% after accidenta...
Article
Full-text available
Headache is not an uncommon complication of spinal anesthesia. The efficacy of intravenous (IV) hydrocortisone in treating the patients with postdural puncture headache was observed in this study. Sixty patients with headache following spinal anesthesia were randomly allocated into two groups. Thirty patients received only conventional therapy (rec...
Article
Full-text available
In this context, particularly to prevent the medication errors during the intrathecal administration of local anaesthetics, we propose to change the presentation and packaging of the appliances and agents used for this purpose. One spinal needle with a syringe prefilled with the local anaesthetic agents may be marketed in a single blister pack, whi...
Article
Full-text available
Background: Mortalities in Intensive Care Units (ICUs) are high and widely variable. The unpredictability of death rates is attributable to age, sex, nature and severity of illness, comorbidity, well‑timed medical attention, quality of the attending staffs, iatrogenic events, total management facilities, and overall grade of the ICU in general. Mat...
Article
Full-text available
Background & Objective: Diabetes mellitus is widely prevalent and significantly impacts the perioperative outcome. We aimed to assess the perioperative practice for managing diabetes mellitus patients and variation across different establishments. Methodology: A questionnaire-based online survey was conducted for the present cross-sectional, multin...
Presentation
Full-text available
# Identifying the patients who would benefit from Transversus Abdominis Plane (TAP) blocks # Relevant anatomy associated with TAP blocks # Several techniques to approach TAP blocks # Importance of an interprofessional team
Article
Full-text available
Prognostication is sensitive and always uncomfortable for the doctors. Doctors often get involved in it by encountering somewhat pressures, obligations, and critical queries from the agonized patients and their relatives in stress. Instead, they are neither trained properly in prognosticating by a formal curriculum nor having any unanimous determin...
Presentation
Full-text available
চলমান ভয়াবহ করোনা পরিস্থিতির তীব্রতা কমে আসার সাথে সাথেই শিক্ষার্থীদের প্রাতিষ্ঠানিক পাঠদান কার্যক্রম শুরু করতে হবে। সে লক্ষ্যে পূর্ব-প্রস্তুতি হিসেবে ডব্লিউএইচও, ইউনিসেফ এবং ইন্টারন্যাশনাল ফেডারেশন অব রেডক্রস অ্যান্ড রেডক্রিসেন্ট সোসাইটিজ কর্তৃক প্রণীত নীতিমালা অনুসরণ করে বাংলাদেশের প্রেক্ষাপটে করণীয় নিয়ে এই বক্তব্য উপস্থাপন করা হয়েছে।
Preprint
Full-text available
COVID-19 pandemic has killed over 310,000 individuals as of 17 May 2020. Healthcare providers are profoundly vulnerable to be contaminated instead of taking every single careful step. Although the respiratory tract and the lungs are the target organs some complications may develop even at the introductory phase of this sickness course. Hemoconcentr...
Preprint
Full-text available
COVID-19 pandemic has killed over 310,000 individuals as of 17 May 2020. Healthcare providers are profoundly vulnerable to be contaminated instead of taking every single careful step. Although the respiratory tract and the lungs are the target organs some complications may develop even at the introductory phase of this sickness course. Hemoconcentr...
Preprint
Full-text available
COVID-19 pandemic has killed over 310,000 individuals as of 17 May 2020. Healthcare providers are profoundly vulnerable to be contaminated instead of taking every single careful step. Although the respiratory tract and the lungs are the target organs some complications may develop even at the introductory phase of this sickness course. Hemoconcentr...
Conference Paper
Full-text available
•Don’t make firm predictions •Do what predictions you do for yourself •Don’t communicate unless asked •Don’t be specific •Don’t be extreme •Be compassionate and optimistic
Preprint
Full-text available
Prognostication is sensitive and always uncomfortable for the doctors. Doctors often get involved in it by encountering somewhat pressures, obligations, and critical queries from the agonized patients and their relatives in stress. Instead, they are neither trained properly in prognosticating by a formal curriculum nor having any unanimous determin...
Presentation
Full-text available
Importance, concepts and day to day practicing activities for a banker to remain healthy in order to achieve a good lifestyle. Reaching the peak of one's own potentials.
Preprint
Full-text available
Saying that someone will die on such and such a day for certain is not permissible and comes under the heading of claiming to have knowledge of the unseen. But if someone says that So and so may die after a certain amount of time, or after a few days, based on his condition and sickness, and by way of expectation only, there is nothing wrong with...
Preprint
Full-text available
Metallic ring occlusion of penis is a rare acute urological emergency. Removal of the rings often appears challenging. A 40-year-old male reported with painful penile swelling by five metallic rings and inability to urinate for 7 hours. He had normal vital signs with markedly tense oedematous penis distal to the rings. The glans was bluish with glo...
Article
Full-text available
Background: Cranial meningocele represents herniation of the cranial meninges containing cerebrospinal fluid through a congenital neural defect in the cranium. A meningocele poses many challenges to the anaesthesiologists when presents for surgical excision and repair. Difficult or failed intubation frequently happens due to improper positioning an...
Article
Full-text available
Background: Central neuraxial block or peripheral nerve block are adopted for foot surgeries, often required in elderly. Objective: To compare the efficiencies of unilateral spinal anesthesia and sciatic nerve block at popliteal fossa for foot surgeries. Methods: This randomized comparative study was carried out on fifty patients of both sexes requ...
Article
Full-text available
Medical science is a dynamic field of study. Theories and guidelines are constantly changing now and then which are having exhaustive outcomes of research works. Demographic data, epidemiological studies, analysis, values, significance, errors, dispersion and correlation - all those concerns of vital statistics should be properly looked after by pr...
Conference Paper
Full-text available
1. Correct patient, Correct site 2. Safe anesthesia, Proper analgesia 3. Difficult airway, Respiratory problem 4. Preparation for possibility of high blood loss 5. Avoid any allergic or adverse drug reaction 6. Reduce surgical site infection 7. Prevent retention of instrument/ gauze/ mops 8. Accurate labeling of specimens 9. Communicate/ exchange c...
Article
Full-text available
Nowadays, laparoscopic surgeries are being performed under subarachnoid block (SAB) safely. Aims: This study was to compare the arterial and end-tidal carbon dioxide (CO2) tension changes during spinal and general anaesthesia (GA) in CO2 pneumoperitoneum for upper abdominal laparoscopic surgeries. Settings and Design: This was a prospective randomi...
Poster
Full-text available
Airway management in paediatric patients with craniofacial disorders always offers greatest challenges to the anaesthesiologists. Many inherent factors like instability of head and neck, disproportionately sized head and body, inability of standard positioning create difficulties of tracheal intubation. It becomes more difficult when the condition...
Conference Paper
Full-text available
* Fluid resuscitation is mandatory in shock from traumatic haemorrhage * Massive use of resuscitative fluids following injury is now being disputed * Adequate resuscitation is no longer judged by presence of normal vital signs * Normalcy of organ and tissue specific mea­sured values are to be achieved * Search for a single endpoint that works for a...
Presentation
Full-text available
Why to monitor the patients in ICU? To know – where is the patient at present…? To decide – what to do now…? To predict – what are scenarios coming up…? To prevent – the upcoming critical incidents… Finally, ultimately and holistically – It gives the definitive, rewarding and better outcomes of the patients
Conference Paper
Full-text available
Death after tonsillectomy related to haemorrhage may not be preventable. But death due to apnoea is preventable. More considered management is needed since: 10 deaths occurred at home, 2 in PACU and 3 in wards within 24 hrs of operations. These children could be saved by proper monitoring during operation night. Be aware of marked opioid sensitivit...
Presentation
Full-text available
Emergency Anaesthetic Mx of Severe Polytrauma with Haemorrhagic Shock
Data
Oesophageal spasms are painful contractions within the muscular tube connecting your mouth and stomach (oesophagus). Oesophageal spasms can feel like sudden, severe chest pain that lasts from a few minutes to hours. Oesophageal spasms typically occur only occasionally and might not need treatment. But sometimes the spasms are frequent and can preve...
Article
Full-text available
Esophageal spasm causes severe retrosternal pain and discomfort at times. Patients with achalasia cardia, esophageal reflux, and esophageal ulcers suffer a lot for this intractable pain. The antispasmodics, calcium‑channel blockers, proton‑pump inhibitors, tricyclic antidepressants, and opioids are recommended as the remedies to relief this pain. P...
Presentation
Full-text available
Peripartum cardiomyopathy is one of the leading causes of death in obstetric patients since it is usually diagnosed incidentally. Echocardiogram remains the mainstay to diagnose it. Many of the peripheral hospitals are deficient of echocardiogram facilities, so there are possibilities to send the patient to OR without diagnosis. To manage such a ca...
Conference Paper
Full-text available
Anaesthesiologists face significant challenges during the perioperative period while dealing an ESRD patient for kidney transplantation. The optimal approach to anaesthetic delivery is to develop an anaesthetic plan tailored to the patient’s specific comorbidities. Preoperative optimisation of the patients, close intraoperative monitoring and resto...
Presentation
Full-text available
Central placenta praevia with percreta carries a high mortality rate for the mother and foetus. Prior multidisciplinary consultation, strategy, contingency plan, skill and expertise can ensure safer outcomes.
Presentation
Full-text available
Surgical and Anaesthetic management of a patient with diseased heart is always challenging. Specially it sweats more when the issue is PREGNANCY. It demands skillful and sophisticated handling of the patient. Moreover, when the finding is incidental, a single break of concentration can be fatal.
Article
Full-text available
Background: Rana Plaza building collapse is the worst industrial disaster of Bangladesh so far. The 9-storied structure collapsed suddenly on April 24, 2013, with more than 4000 people inside. Bangladesh Armed Forces played a key role in the massive rescue operations. Methods: We conducted a cross-sectional study with 423 victims who were treate...
Article
Full-text available
Background Patient education facilitates imparting information to the patients and their caregivers by the health professionals and others that alter the patients’ health behaviors, improve their health status and upright health safety at home. It strengthens the clinician-patient relationship by demonstrating respect and enhances patients’ feeling...
Article
Full-text available
Objective: Headache is a feared complication following spinal anaesthesia with the incidence ranges from 0.3 to 20%. Although it is a self-limiting and non-fatal condition, post-dural puncture headache (PDPH) has immense impact on patients’ recovery making them anxious and depressed as well. Gabapentin is effective in reducing hyperalgesia and is n...
Conference Paper
Full-text available
The Scopes of the presentations are: Anaesthetic definition of elderly & workload, Brief on age-related changes, Importance of good anaesthetic evaluation, Practice of functional reserve/capacity assessment, Morbidity and Mortality, Decision of Surgery & Planning of Anaesthesia & Perioperative management in nutshell.
Presentation
Full-text available
HELLP syndrome can be an extremely serious and complex multisystem disorder involving much more than just eclampsia. Special considerations in obstetric and anaesthetic management are necessary, to minimize the morbidity and mortality are associated with this syndrome and its complications.
Data
A haboob is a type of intense dust storm carried on an atmospheric gravity current, also known as a weather front. Haboobs occur regularly in dry land area regions throughout the world. During thunderstorm formation, winds move in a direction opposite to the storm's travel, and they move from all directions into the thunderstorm. When the storm col...
Conference Paper
Full-text available
The success or failure of any army, the outcome of a war, and the fate of a nation may rest upon how well the diseases are prevented through effective field sanitation and preventive medicine measures (PPM). The extent to which diseases are prevented in the deployed units areas depends upon the effectiveness with which we perform our role from our...
Research
Full-text available
Dear Editor, We have read the E-letter on 'Preoperative Ward' with keen interest and want to supplement some related points. The establishment of preoperative wards (as sketched in that letter) will definitely reduce the number of surgical case cancellations. This will increase the patients' turnover, reduce hospital stay. This will likely decreas...
Article
Full-text available
Introduction: Anaesthesiologists are considered as airway management experts in medical practice. They are frequently called upon to manage the airway of the suddenly critically ill patients at places outside the operation theatre (OT). Objectives: It is intended to share the events, difficulties faced and to assist the newer anaesthesiologists in...
Raw Data
This retrospective observational study is done on 37 off-theatre emergency airway management calls attended at Combined Military Hospital Dhaka within a period of 3 months. It is intended to share the events/difficulties faced and to assist the newer anaesthesiologists in management of patients at venues other than operation theatre. Over 50 to 80...
Conference Paper
Full-text available
A very brief, but substantially complete update on CPR
Article
Full-text available
Background: Over 60% of all elective surgery are performed in USA on outpatient basis, while ambulatory setup is yet to develop widely in our country. Methods: This paper reviewed different published articles on ambulatory anaesthesia for appropriate anaesthetic techniques in outpatient setup. Results: Anaesthesiologists lead outpatient clinics in...
Article
Full-text available
Introduction: Sub-labial antrostomy also known as Caldwel-Luc operation is a well-accepted procedure to remove any diseased mass, organic tissue or non-organic foreign body from maxillary antrum. The proceedings of this operation are though complex but not complicated if done by an expert hand. In addition to sub-labial approach this procedure is f...
Article
Full-text available
Background: Cardiac tamponade is a serious complication of central venous catheter (CVC) placement. Current guidelines strongly suggest that CVC tip should lie in the superior vena cava (SVC) outside the pericardial sac. Various landmarks and sophisticated techniques such as right atrial electrocardiography (ECG) and transoesophageal echocardiograp...
Article
Full-text available
Abstract Introduction: Students' feedback is a recommended tool to evaluate the merit of a teaching curriculum. Search of literature, however, reveals a very few such attempts on the subject of anaesthesiology in medical undergraduate level. Objective: The reported study was conducted to evaluate the undergraduate course curriculum of medical stude...
Article
Full-text available
Worry denotes a strong feeling of anxiety. In the 16th century the word worry began to be used in the sense ‘to harass, as by rough treatment or attack’, or ‘to assault verbally’, and in the 17th century the word took on the sense ‘to bother, distress, or persecute’. Then the modern senses of the word ‘worry’ were recorded as ‘to cause to feel anxi...
Article
Full-text available
This observational study was conducted on 30 cases of nasal polyps treated surgically in Combined Military Hospital (CMH) Chittagong. The study was carried out between the periods of January 2007 to December 2009 to compare the association of allergy between the patients of ethmoidal and antrochoanal polyps. Ethmoidal and antrochoanal polyps are th...
Article
Full-text available
A 3-year-old girl with Pierre Robin Syndrome, having complaints of respiratory distress in supine position and disturbance during sleep due to airway obstruction, was scheduled for adenoidectomy. After ensuring all available precautionary measures along with facilities for emergency tracheostomy, gas induction without muscle relaxation was done in...
Article
Full-text available
An adult unconscious patient was brought in to the ICU with impalpable peripheral pulse, non-recordable BP. Gross pallor, cyanosis, sweating and gasping respiration along with very rapid and feeble carotid pulse. It revealed ventricular tachycardia on monitor and was revived successfully by immediate DC cardioversion with other resuscitative measur...
Article
Full-text available
To the Editor-in-Chief: We have gone through thetime-demanding editorial on ‘Cost Effective Preoperative Evaluation’ with keen interest. We wouldlike to supplement few relevant data of study performedin our centre. Assessing and optimising a patient beforesurgery is an essential for planning and administering asuccessful peri-operative management w...
Article
Full-text available
A prospective comparative study was carried out to evaluate haemodynamic and recovery status using infusion of propofol-midazolam-nalbuphine and ketamine-diazepam-tramadol in surgical daycases. Fifty patients of either sex aged within 18-60 years ASA grade I or II requiring routine surgery as day-case basis under GA were selected in Dept of Anaesth...
Article
Full-text available
Intensivists come across moribund patients with preexcitation syndrome not very infrequent in intensive care units. WPW syndrome is the most common form and usually present with supraventricular tachyarrhythmia. This was a fatal case presented with ventricular tachycardia without any known illness and after revival it was detected as WPW syndrome.
Article
Full-text available
Sixty adult patients of both sexes of ASA (American Society of Anesthesiologists) physical status I and II were included in this prospective study to compare the effects of dexamethasone and domperidone on postoperative emesis following routine laparoscopic cholecystectomy under general anaesthesia. Patients were allocated randomly into three group...
Data
Sixty adult patients of both sexes of ASA (American Society of Anesthesiologists) physical status I and II were included in this prospective study to compare the effects of dexamethasone and domperidone on postoperative emesis following routine laparoscopic cholecystectomy under general anaesthesia. Patients were allocated randomly into three group...
Article
Full-text available
Purpose: Pre-anaesthetic assessment provides the patients’ preoperative physical status, existingmedical conditions and their severity. Peri-operative morbidity and mortality are reduced by pre-anaesthetic optimisation of the patients. This prospective study was aimed to find out theincidence of detection of the pre-existing systemic diseases which...
Article
Full-text available
Introduction: Paediatric patients essentially require premedication for smooth separation from parents before induction of anaesthesia. Midazolam is often used for this purpose in different routes. Objective: To determine the minimum dosage and time required for preoperative smooth separation by intranasal instillation of midazolam. Method: Forty c...
Article
Full-text available
A prospective study was to find out the relevance and compliance of preoperative fasting orders by the paramedics and patients. Validity, usefulness and attitudes towards these orders have also been evaluated. Six-hours fasting orders were in written (100%) and in addition, verbal (28%). Ward nurses instructed the patients to remain fast after taki...
Article
Full-text available
Premedication of paediatric patients is essential for smooth separation from their parents before induction of anaesthesia. Midazolam is often used for paediatric premedication. Thirty children were assigned randomly into two groups. In Group-I, children were separated from their parents after 10 minutes and Group-II, 20 minutes after getting intra...

Questions

Questions (88)
Question
Some editorial board members have been seen to use the influence of their journals to develop & enhance their own profiles. And some people do the reverse efforts.
What are you doing being an editorial board member? Please provide some instances.
Your insightful recommendations...
Question
The RG COVID-19 page played an updated educative and deductive role in various extended fields of COVID Mx. It will be closed on 14 Mar '22. My proposal is to compose a brief summary or compendium of different specialities related to COVID Mx for future easy access. Your valuable opinion, please.
Question
One of our patients has been detected 4 times COVID-19 positive by RT-PCR (about 6 months interval). But, she had very mild & negligible symptoms! Is she a carrier?
Question
Retirement refers to the time of life when one chooses to permanently leave the workforce behind.
It might coincide with important life changes.
A retired worker might move to a new location, adopting a new lifestyle. Often retirees volunteer for charities and other community organizations. Tourism is a common marker of retirement and for some becomes a way of life.
What is your plan? What should it be for a researcher?

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Projects

Projects (9)
Project
How to proceed against this disaster? What is the latest?
Project
Delivering high-quality care to patients requires an understanding of spiritual values, insights of morale, dedications and commitments. This project will focus on amicable dealings with the patients in Islamic way.
Project
Biostatistics is the branch of statistics responsible for interpreting the scientific data that is generated in the health sciences, including the public health sphere. It is the responsibility of biostatisticians and other experts to consider the variables in subjects (in public health, subjects are usually patients, communities, or populations), to understand them, and to make sense of different sources of variation. The goal of biostatistics is to disentangle the data received and make valid inferences that can be used to solve problems in public health. Biostatistics uses the application of statistical methods to conduct research in the areas of biology, public health, and medicine. Many times, experts in biostatistics collaborate with other scientists and researchers. The goal of this project is to identify the complexities of biostatistics in the clinicians perspectives and to find out their remedies.