Suresh Gupta

• Consultant at Sir Ganga Ram Hospital

Objectives In this study, we have reviewed the association between esophageal pressure-guided positive end-expiratory pressure (PEEP) setting and oxygenation and lung mechanics with a conventional mechanical ventilation (MV) strategy in patient with moderate to severe pediatric acute respiratory distress syndrome (PARDS). Design Retrospective coho...

Objective To study the utility of flexible fiberoptic bronchoscopy (FFB), and its effects on oxygenation and hemodynamics in children while on respiratory assist devices. Materials and methods The data of non-ventilated patients who underwent FFB during their stay in the PICU from January 2012 to December 2019 was retrieved from medical, nurses, a...

Objectives: The coronavirus disease 2019 pandemic has reinforced the use of personal protective equipments in healthcare settings. Although filtering face piece 2 respirators provide adequate protection from the aerosolised viral spread, their prolonged use is often associated with subjective discomfort. The study aimed to identify whether an inter...

Objectives: The objective of study was to find an association between timing of tracheostomy with duration of mechanical ventilation (MV) and length of stay (LOS) in PICU and hospital. Methods: The data was collected prospectively from 2000 to 2018 and was analysed retrospectively. Data included clinical diagnosis, indication and duration (days)...

RPREC is all about what you need to know and have in the Pediatric Emergency Room while managing a sick child. Very useful and comprehensive hand book.

Objective: The aim of the study was to identify early predictors of mortality in children with severe dengue fever admitted to pediatric intensive care unit (PICU). Materials and methods: All consecutive children with laboratory-confirmed severe dengue fever were enrolled in this prospective observational study. Besides demographic data, disease...

Objective: To study the profile, indications, related complications, and predictors of decannulation and mortality in patients who underwent tracheostomy in the pediatric intensive care unit (PICU). Methods: Retrospective analysis of prospectively collected data of tracheostomies was done on patients admitted at PICU. Demographics, primary diagnos...

Twenty‐first century has witnessed a lot of medical advancements both in diagnostics and therapeutics. Ultimately, the cost-benefit ratio decides the transfer of fruits from bench to bedside. We have demonstrated here, the utility of a a simple and cost effective technique for providing high flow oxygen therapy to the needy patients. Improvement in...

Physicians have always been on the lookout for an alternative parameter to assess pulmonary functions in difficult situations. Oscillometry can be a value addition to spirometry in adults, whereas it can be a replacement modality in children and elderly. The feasibility with added safety, makes its indepth exploration worthwhile.

Background: Lung function testing is recommended for the management of asthma. Due to certain limitations of conventional spirometry in vulnerable patients, forced oscillation technique (FOT) has been studied with promising results. As there is a paucity of data from developing world, we planned to conduct this study in children using FOT. To asses...

The prevalence of asthma is increasing rapidly, worldwide, due to changing gene-environment interactions. The rate of rise is more in resource poor nations due to lack of knowledge and non-availability of expertise. Monitoring of lung functions is mandatory for diagnosis and further management of asthmatic patients. Spirometry, the widely available...

Objective: In recent years, there has been an increase in the use of noninvasive positive pressure ventilation (NIPPV) and high-flow nasal cannula (HFNC) in children with increased work of breathing due to acute bronchiolitis. However, there are only limited studies comparing the efficacy of these two interventions. This study was done to compare e...

Objective: To compare the effects of noninvasive positive pressure ventilation (NIPPV) and oxygen (OX) therapy in post-extubated patients on re-intubation rate, length of PICU and hospital stay and mortality. Methods: It was randomized interventional study.All patients on mechanical ventilation (MV) for more than 48 hours were assessed and were enr...

Congenital central hypoventilation syndrome (CCHS) is characterized by shallow breathing during sleep due to negligible ventilatory sensitivity to hypercarbia and hypoxemia. It is diagnosed using a genetic test for PHOX2B mutation, which is not easily available. Neurally adjusted ventilatory assist (NAVA) is a spontaneous ventilatory mode that was...

Objective: It was hypothesized that heated humidified high flow nasal cannula (HHHFNC) is equivalent or noninferior to non-invasive ventilation (NIV) for preventing reintubation in high risk children. Primary outcome: To study the re-intubation rate in high risk children in two intervention groups within 48 hours of extubation. Secondary outcome: T...

Objective: To compare the effects of noninvasive positive pressure ventilation(NIPPV) and oxygen (OX) therapy in post-extubated patients on re-intubation rate, length of PICU and hospital stay and mortality. Methods: It was randomized interventional study.All patients on mechanical ventilation (MV) for more than 48 hours were assessed and were enro...

Status Asthmaticus is a common reason for Emergency Room visits in children. Most of the asthma flares are successfully managed by use of β agonist and steroids. If these therapies fail to halt the progression of asthma, a number of medical therapies may be used to treat it. However, the data supporting the use of these therapies are conflicting. W...

Objective To study the safety profile of blind bronchial sampling in mechanically ventilated children. Design Prospective interventional study. Setting Tertiary level pediatric intensive care unit of a multispecialty hospital. Patients Children aged 1 month to 16 years on mechanical ventilator for ≥48 h, were assessed by clinical pulmonary infec...