Rapid sequence induction and intubation (RSII) is a technique commonly used to protect the airway from aspiration of gastric contents by minimizing the likelihood of regurgitation during induction of anesthesia. Components of a classic RSII consist of oxygen administration, application of cricoid pressure, and the avoidance of mask ventilation before inserting an endotracheal tube to secure the airway. In certain clinical circumstances, a modified technique is implemented in an attempt to optimize patient outcomes and reduce excess risk exposure. Potential variations between a classic RSII and ..read more

https://drive.google.com/file/d/13jR58XXrxkWO5xBoVlLgaRxQFdXcZGAY/view?usp=share_link ..read more

DR. J. SARVA VINOTHINI Senior Consultant Anaesthetist, MIOT Hospitals, Chennai ..read more

Dr. R. Anu Asheetha Asst Professor, Institute of Anaesthesiology, Madurai Medical College Hospital, Madurai ..read more

I am not arguing that a static CVP value should be used to predict a patient’s volume status, or volume responsiveness? Absolutely not. However, there is tremendous meaning in the CVP as the starting point for a basic lesson in hemodynamics. The CVP is the fulcrum of cardiovascular physiology at the bedside; understanding the genesis of the CVP lays the foundation for interpretation of hemodynamic intervention in the ICU as well as interpretation of bedside echocardiography. There is no magic to IVC collapse and distention, they follow the same biophysical principles as the CVP. Ultrasound of ..read more

DR.P.NAGALAKSHMI, Professor, Department of Anaesthesiology, Sri Manakula Vinayagar Medical College, Pondicherry ..read more

Dr. S. Sivaprasath Asst Professor, Institute of Anaesthesiology, Madurai Medical College, Madurai ..read more

INTRODUCTION: In hypoxemic respiratory failure, there is a failure to maintain adequate arterial oxygenation, most commonly due to shunt and ventilation/perfusion (V/Q) mismatch. Critically ill patients are at high risk for rapid desaturation because of reduced functional residual capacity (FRC), V/Q mismatch, and shunt—all of which can be acutely worsened on induction. Collectively, these are commonly referred to as the “physiologically difficult airway.” Subsequently, there is an increased risk for arrhythmia, hemodynamic instability, anoxic brain injury, and even cardiopulmonary arrest ..read more

DR.J.EDWARD JOHNSON Prof and HOD, Dept of Anaesthesiology, Kanyakumari Govt Medical College and Hospital, Asaripallam, Nagercoil ..read more

DR.VISSNUKUMAR M.D, P.D.C.C., CCEPC. Consultant Pain Physician, Sri Chandra Sekara Hoapital, Hosur. Tamilnadu ..read more