Indu Lata - Academia.edu (original) (raw)

Papers by Indu Lata

Reproductive System and Sexual Disorders, Aug 14, 2017

Journal of Human Reproductive Sciences, 2014

serum 8 AM cortisol (5.57 µg/dl) and normal prolactin (7.27 ng/ml) levels. Contrast-enhanced MRI ... more serum 8 AM cortisol (5.57 µg/dl) and normal prolactin (7.27 ng/ml) levels. Contrast-enhanced MRI and CT scan of brain revealed 2.9 × 2.5 cm pituitary mass lesion extending from intrasellar to suprasellar region abutting the optic chiasm [Figure 1a]. A diagnosis of nonfunctioning pituitary (NFP) macroadenoma was made. The p a t i e n t s u b s e q u e n t l y s u b j e c t e d t o transsphenoidal microsurgical tumor excision. Postoperatively she was followed with clinical, biochemical assessment and imaging. There was no evidence of hyperprolactinemia, diabetes insipidus, or any residual sellar tumor on MRI. Bilateral vision started improving slowly and slowly and she developed central hypothyroidism, cushingoid features, and secondary amenorrhoea due to hypogonadotrophic hypogonadism. She was on replacement therapy with L-thyroxine 100 µg/day and prednisolone 7.5 mg/day. After 4 months, patient had one episode of seizure with loss of consciousness. On further examination a n d i n v e s t i g a t i o n , M R I m u l t i p l e tuberculoma brain with hydrocephalous

Indian journal of obstetrics and gynecology, 2017

African Journal of Emergency Medicine, Dec 1, 2013

47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% h... more 47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% had vital sign abnormalities and 82% had abnormal physical examination. Among those undergoing point-of care testing, 11/105 tested (10.5%) had hypoglycaemia, 9/ 103 (8.7 %) were malaria positive, 17/30 (56.7%) had positive urine dipstick testing, and 5/26 tested (19.2%) were HIV positive. Laboratory-based tests included CBC and chemistry (each performed in 95.2%), VBG (56.2%), CSF (5.7%), blood culture (5.7%), urine culture (10.5%), CSF culture (1.9%), and CXR of chest (25.7%) and abdomen (3.8%). Interventions included antibiotics (70%), antimalarial (12%), IV fluids (54%), and antipyretics (41%). Top ED diagnoses included malaria (24.3%), pneumonia (15.2%), septicaemia (9.5%), urinary tract infections (7.6%), acute watery diarrhoea with dehydration (6.7%), meningitis (4.8%), anaemia (4.8%), skin and soft tissue infections (4.8%), bowel obstructions (3.8%), and pulmonary tuberculosis, sickle cell disease, and hepatitis (2.9% each). Laboratory-based tests were often abnormal; culture results were often unavailable; Conclusion: A wide range of presentations and management were documented. There was a high rate of positive diagnostic test results. Malaria and pneumonia were top diagnoses, but a wide range of infections were diagnosed.

Gynecology & Obstetrics, Feb 1, 2017

International journal of clinical obstetrics and gynaecology, May 1, 2020

Background: ABO blood groups association with ovarian reserve had been remains controversial in p... more Background: ABO blood groups association with ovarian reserve had been remains controversial in previous studies. The aim of this study was to assess the association of ABO blood type with ovarian reserve in infertile women attending a tertiary care centre in North India. Methods: This is a hospital based retrospective study of the 241 infertile women of under 40 years, who attended the infertility clinic at a tertiary care centre in North India between January 2016 and January 2018 at a tertiary care centre in North India. Patient were divided into two groups depends on the FSH levels, Group 1: FSH level <10 IU/L and Group two: FSH ≥10 IU/L. The correlation between the patients FSH level and ABO blood group were seen. Continuous variable´s presented in mean±SD while categorical variables presented in frequency (%). Results: There was variation in age, FSH, LH, TSH and AMH levels between two groups (Group 1, FSH <10 and Group 2, FSH ≥10), which was significant (p<0.05). FSH was corelated with different ABO blood group, but it was not significant (p>0.05). Conclusions: LH and AMH were found significantly predictors of the ovarian reserve. There was no association found between ABO blood group type with Ovarian reserve in infertile women.

African Journal of Emergency Medicine, 2013

without the risk of exposure to the infected patient. The crew can now operate normally without h... more without the risk of exposure to the infected patient. The crew can now operate normally without having to wear protective gear in the aircraft, while the patient is safely and completely isolated. These principles take meticulous planning, training and retraining of crew to ensure safe transportation of highly infectious diseases. In this presentation we will share various ideas and principles developed in house to cater for this very unique patient transport modality.

Endocrinology & metabolic syndrome, 2016

African Journal of Emergency Medicine, 2013

47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% h... more 47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% had vital sign abnormalities and 82% had abnormal physical examination. Among those undergoing point-of care testing, 11/105 tested (10.5%) had hypoglycaemia, 9/ 103 (8.7 %) were malaria positive, 17/30 (56.7%) had positive urine dipstick testing, and 5/26 tested (19.2%) were HIV positive. Laboratory-based tests included CBC and chemistry (each performed in 95.2%), VBG (56.2%), CSF (5.7%), blood culture (5.7%), urine culture (10.5%), CSF culture (1.9%), and CXR of chest (25.7%) and abdomen (3.8%). Interventions included antibiotics (70%), antimalarial (12%), IV fluids (54%), and antipyretics (41%). Top ED diagnoses included malaria (24.3%), pneumonia (15.2%), septicaemia (9.5%), urinary tract infections (7.6%), acute watery diarrhoea with dehydration (6.7%), meningitis (4.8%), anaemia (4.8%), skin and soft tissue infections (4.8%), bowel obstructions (3.8%), and pulmonary tuberculosis, sickle cell disease, and hepatitis (2.9% each). Laboratory-based tests were often abnormal; culture results were often unavailable; Conclusion: A wide range of presentations and management were documented. There was a high rate of positive diagnostic test results. Malaria and pneumonia were top diagnoses, but a wide range of infections were diagnosed.

Reproductive System and Sexual Disorders, 2017

Journal of Family Medicine and Primary Care

Journal of Anaesthesiology Clinical Pharmacology, 2008

Indian Journal of Community Health, 2008

Journal of Anesthesia, 2015

Transesophageal Doppler (TED)-guided intraoperative fluid therapy has shown to noninvasively opti... more Transesophageal Doppler (TED)-guided intraoperative fluid therapy has shown to noninvasively optimize intravascular volume and reduce postoperative morbidity. The aim of this study was to compare the effects of Doppler-guided intraoperative fluid administration and central venous pressure (CVP)-guided fluid therapy on renal allograft outcome and postoperative complications. A prospective nonrandomized active controlled study was conducted on end-stage renal disease patients scheduled for living donor renal transplant surgery. 110 patients received intraoperative fluid guided by corrected flow time (FTc) and variation in stroke volume values obtained by continuous TED monitoring. Data of 104 patients in whom intraoperative fluid administration was guided by CVP values were retrospectively obtained for a control. The amount of intraoperative fluid given in the study group (12.20 ± 4.24 ml/kg/h) was significantly lower than in the controls (22.21 ± 4.67 ml/kg/h). The amount of colloid used was also significantly less and fewer recipients were seen to require colloid (69 vs 85 %). The mean arterial pressures were comparable throughout. CVP reached was 7.18 ± 3.17 mmHg in the study group. It was significantly higher in the controls (13.42 ± 3.12 mmHg). The postoperative graft function and rate of dysfunction were comparable. Side-effects like postoperative dyspnoea (4.8 vs 0 %) and tissue edema (9.6 vs 2.7 %) were higher in the controls. FTc-guided intraoperative fluid therapy achieved the same rate of immediate graft function as CVP-guided fluid therapy but used a significantly less amount of fluid. The incidence of postoperative complications related to fluid overload was also reduced. The use of TED may replace invasive central line insertions in the future.

International Journal of Critical Illness and Injury Science, 2013

Reproductive System and Sexual Disorders, Aug 14, 2017

Saudi Journal of Anaesthesia, 2017

This is an open access article distributed under the terms of the Creative Commons Attribution-No... more This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. How to cite this article: Sindwani G, Sahu S, Suri A, Saeed Z. Bilateral quadratus lumborum block for postoperative analgesia in a Von Hippel-Lindau syndrome patient undergoing laparoscopic radical nephrectomy.

Journal of Emergencies, Trauma and Shock, 2009

Airway management in the operating room is the responsibility of anesthesiologists, although a va... more Airway management in the operating room is the responsibility of anesthesiologists, although a variety of personnel may be responsible for airway management outside the operating room. Emergency department physicians are prominently involved in airway management in the emergency room both independently and with anesthesiologists. Airway management in trauma patients remains the domain of anesthesiologists. An 18-year old male patient was brought to our emergency room after an alleged history of suicidal attempt with gunshot under the chin. He was scheduled to undergo emergency tracheotomy, debridement, and closure of facial laceration under general anaesthesia, presenting a challenge for. He had to undergo emergency tracheotomy, debridement, and closure of facial lacerations under general anesthesia. The injuries made the patient&amp;amp;amp;amp;amp;amp;amp;amp;#39;s airway management a complex issue. We present the use of the light wand to manage the difficult airway of this patient with complex facial trauma.

Journal of Emergencies, Trauma and Shock, 2009

Peripartum cardiomyopathy (PPCM) is a rare life-threatening cardiomyopathy of unknown cause that ... more Peripartum cardiomyopathy (PPCM) is a rare life-threatening cardiomyopathy of unknown cause that occurs in the peripartum period in previously healthy women.[1] the symptomatic patients should receive standard therapy for heart failure, managed by a multidisciplinary team. The diagnosis of PPCM rests on the echocardiographic identification of new left ventricular systolic dysfunction during a limited period surrounding parturition. Diagnostic criteria include an ejection fraction of less than 45%, fractional shortening of less than 30%, or both, and end-diastolic dimension of greater than 2.7 cm/m(2) body surface-area. This entity presents a diagnostic challenge because many women in the last month of a normal pregnancy experience dyspnea, fatigue, and pedal edema, symptoms identical to early congestive heart failure. There are no specific criteria for differentiating subtle symptoms of heart failure from normal late pregnancy. Therefore, it is important that a high index of suspicion be maintained to identify the rare case of PPCM as general examination showing symptoms of heart failure with pulmonary edema. PPCM remains a diagnosis of exclusion. No additional specific criteria have been identified to allow distinction between a peripartum patient with new onset heart failure and left ventricular systolic dysfunction as PPCM and another form of dilated cardiomyopathy. Therefore, all other causes of dilated cardiomyopathy with heart failure must be systematically excluded before accepting the designation of PPCM. Recent observations from Haiti[2] suggest that a latent form of PPCM without clinical symptoms might exist. The investigators identified four clinically normal postpartum women with asymptomatic systolic dysfunction on echocardiography, who subsequently either developed clinically detectable dilated cardiomyopathy or improved and completely recovered heart function.

Reproductive System and Sexual Disorders, Aug 14, 2017

Journal of Human Reproductive Sciences, 2014

serum 8 AM cortisol (5.57 µg/dl) and normal prolactin (7.27 ng/ml) levels. Contrast-enhanced MRI ... more serum 8 AM cortisol (5.57 µg/dl) and normal prolactin (7.27 ng/ml) levels. Contrast-enhanced MRI and CT scan of brain revealed 2.9 × 2.5 cm pituitary mass lesion extending from intrasellar to suprasellar region abutting the optic chiasm [Figure 1a]. A diagnosis of nonfunctioning pituitary (NFP) macroadenoma was made. The p a t i e n t s u b s e q u e n t l y s u b j e c t e d t o transsphenoidal microsurgical tumor excision. Postoperatively she was followed with clinical, biochemical assessment and imaging. There was no evidence of hyperprolactinemia, diabetes insipidus, or any residual sellar tumor on MRI. Bilateral vision started improving slowly and slowly and she developed central hypothyroidism, cushingoid features, and secondary amenorrhoea due to hypogonadotrophic hypogonadism. She was on replacement therapy with L-thyroxine 100 µg/day and prednisolone 7.5 mg/day. After 4 months, patient had one episode of seizure with loss of consciousness. On further examination a n d i n v e s t i g a t i o n , M R I m u l t i p l e tuberculoma brain with hydrocephalous

Indian journal of obstetrics and gynecology, 2017

African Journal of Emergency Medicine, Dec 1, 2013

47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% h... more 47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% had vital sign abnormalities and 82% had abnormal physical examination. Among those undergoing point-of care testing, 11/105 tested (10.5%) had hypoglycaemia, 9/ 103 (8.7 %) were malaria positive, 17/30 (56.7%) had positive urine dipstick testing, and 5/26 tested (19.2%) were HIV positive. Laboratory-based tests included CBC and chemistry (each performed in 95.2%), VBG (56.2%), CSF (5.7%), blood culture (5.7%), urine culture (10.5%), CSF culture (1.9%), and CXR of chest (25.7%) and abdomen (3.8%). Interventions included antibiotics (70%), antimalarial (12%), IV fluids (54%), and antipyretics (41%). Top ED diagnoses included malaria (24.3%), pneumonia (15.2%), septicaemia (9.5%), urinary tract infections (7.6%), acute watery diarrhoea with dehydration (6.7%), meningitis (4.8%), anaemia (4.8%), skin and soft tissue infections (4.8%), bowel obstructions (3.8%), and pulmonary tuberculosis, sickle cell disease, and hepatitis (2.9% each). Laboratory-based tests were often abnormal; culture results were often unavailable; Conclusion: A wide range of presentations and management were documented. There was a high rate of positive diagnostic test results. Malaria and pneumonia were top diagnoses, but a wide range of infections were diagnosed.

Gynecology & Obstetrics, Feb 1, 2017

International journal of clinical obstetrics and gynaecology, May 1, 2020

Background: ABO blood groups association with ovarian reserve had been remains controversial in p... more Background: ABO blood groups association with ovarian reserve had been remains controversial in previous studies. The aim of this study was to assess the association of ABO blood type with ovarian reserve in infertile women attending a tertiary care centre in North India. Methods: This is a hospital based retrospective study of the 241 infertile women of under 40 years, who attended the infertility clinic at a tertiary care centre in North India between January 2016 and January 2018 at a tertiary care centre in North India. Patient were divided into two groups depends on the FSH levels, Group 1: FSH level <10 IU/L and Group two: FSH ≥10 IU/L. The correlation between the patients FSH level and ABO blood group were seen. Continuous variable´s presented in mean±SD while categorical variables presented in frequency (%). Results: There was variation in age, FSH, LH, TSH and AMH levels between two groups (Group 1, FSH <10 and Group 2, FSH ≥10), which was significant (p<0.05). FSH was corelated with different ABO blood group, but it was not significant (p>0.05). Conclusions: LH and AMH were found significantly predictors of the ovarian reserve. There was no association found between ABO blood group type with Ovarian reserve in infertile women.

African Journal of Emergency Medicine, 2013

without the risk of exposure to the infected patient. The crew can now operate normally without h... more without the risk of exposure to the infected patient. The crew can now operate normally without having to wear protective gear in the aircraft, while the patient is safely and completely isolated. These principles take meticulous planning, training and retraining of crew to ensure safe transportation of highly infectious diseases. In this presentation we will share various ideas and principles developed in house to cater for this very unique patient transport modality.

Endocrinology & metabolic syndrome, 2016

African Journal of Emergency Medicine, 2013

47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% h... more 47.6%) vomiting (42.9%), cough (34.3), difficulty breathing (28.6%), and diarrhoea (22.9%). 78% had vital sign abnormalities and 82% had abnormal physical examination. Among those undergoing point-of care testing, 11/105 tested (10.5%) had hypoglycaemia, 9/ 103 (8.7 %) were malaria positive, 17/30 (56.7%) had positive urine dipstick testing, and 5/26 tested (19.2%) were HIV positive. Laboratory-based tests included CBC and chemistry (each performed in 95.2%), VBG (56.2%), CSF (5.7%), blood culture (5.7%), urine culture (10.5%), CSF culture (1.9%), and CXR of chest (25.7%) and abdomen (3.8%). Interventions included antibiotics (70%), antimalarial (12%), IV fluids (54%), and antipyretics (41%). Top ED diagnoses included malaria (24.3%), pneumonia (15.2%), septicaemia (9.5%), urinary tract infections (7.6%), acute watery diarrhoea with dehydration (6.7%), meningitis (4.8%), anaemia (4.8%), skin and soft tissue infections (4.8%), bowel obstructions (3.8%), and pulmonary tuberculosis, sickle cell disease, and hepatitis (2.9% each). Laboratory-based tests were often abnormal; culture results were often unavailable; Conclusion: A wide range of presentations and management were documented. There was a high rate of positive diagnostic test results. Malaria and pneumonia were top diagnoses, but a wide range of infections were diagnosed.

Reproductive System and Sexual Disorders, 2017

Journal of Family Medicine and Primary Care

Journal of Anaesthesiology Clinical Pharmacology, 2008

Indian Journal of Community Health, 2008

Journal of Anesthesia, 2015

Transesophageal Doppler (TED)-guided intraoperative fluid therapy has shown to noninvasively opti... more Transesophageal Doppler (TED)-guided intraoperative fluid therapy has shown to noninvasively optimize intravascular volume and reduce postoperative morbidity. The aim of this study was to compare the effects of Doppler-guided intraoperative fluid administration and central venous pressure (CVP)-guided fluid therapy on renal allograft outcome and postoperative complications. A prospective nonrandomized active controlled study was conducted on end-stage renal disease patients scheduled for living donor renal transplant surgery. 110 patients received intraoperative fluid guided by corrected flow time (FTc) and variation in stroke volume values obtained by continuous TED monitoring. Data of 104 patients in whom intraoperative fluid administration was guided by CVP values were retrospectively obtained for a control. The amount of intraoperative fluid given in the study group (12.20 ± 4.24 ml/kg/h) was significantly lower than in the controls (22.21 ± 4.67 ml/kg/h). The amount of colloid used was also significantly less and fewer recipients were seen to require colloid (69 vs 85 %). The mean arterial pressures were comparable throughout. CVP reached was 7.18 ± 3.17 mmHg in the study group. It was significantly higher in the controls (13.42 ± 3.12 mmHg). The postoperative graft function and rate of dysfunction were comparable. Side-effects like postoperative dyspnoea (4.8 vs 0 %) and tissue edema (9.6 vs 2.7 %) were higher in the controls. FTc-guided intraoperative fluid therapy achieved the same rate of immediate graft function as CVP-guided fluid therapy but used a significantly less amount of fluid. The incidence of postoperative complications related to fluid overload was also reduced. The use of TED may replace invasive central line insertions in the future.

International Journal of Critical Illness and Injury Science, 2013

Reproductive System and Sexual Disorders, Aug 14, 2017

Saudi Journal of Anaesthesia, 2017

This is an open access article distributed under the terms of the Creative Commons Attribution-No... more This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. How to cite this article: Sindwani G, Sahu S, Suri A, Saeed Z. Bilateral quadratus lumborum block for postoperative analgesia in a Von Hippel-Lindau syndrome patient undergoing laparoscopic radical nephrectomy.

Journal of Emergencies, Trauma and Shock, 2009

Airway management in the operating room is the responsibility of anesthesiologists, although a va... more Airway management in the operating room is the responsibility of anesthesiologists, although a variety of personnel may be responsible for airway management outside the operating room. Emergency department physicians are prominently involved in airway management in the emergency room both independently and with anesthesiologists. Airway management in trauma patients remains the domain of anesthesiologists. An 18-year old male patient was brought to our emergency room after an alleged history of suicidal attempt with gunshot under the chin. He was scheduled to undergo emergency tracheotomy, debridement, and closure of facial laceration under general anaesthesia, presenting a challenge for. He had to undergo emergency tracheotomy, debridement, and closure of facial lacerations under general anesthesia. The injuries made the patient&amp;amp;amp;amp;amp;amp;amp;amp;#39;s airway management a complex issue. We present the use of the light wand to manage the difficult airway of this patient with complex facial trauma.

Journal of Emergencies, Trauma and Shock, 2009

Peripartum cardiomyopathy (PPCM) is a rare life-threatening cardiomyopathy of unknown cause that ... more Peripartum cardiomyopathy (PPCM) is a rare life-threatening cardiomyopathy of unknown cause that occurs in the peripartum period in previously healthy women.[1] the symptomatic patients should receive standard therapy for heart failure, managed by a multidisciplinary team. The diagnosis of PPCM rests on the echocardiographic identification of new left ventricular systolic dysfunction during a limited period surrounding parturition. Diagnostic criteria include an ejection fraction of less than 45%, fractional shortening of less than 30%, or both, and end-diastolic dimension of greater than 2.7 cm/m(2) body surface-area. This entity presents a diagnostic challenge because many women in the last month of a normal pregnancy experience dyspnea, fatigue, and pedal edema, symptoms identical to early congestive heart failure. There are no specific criteria for differentiating subtle symptoms of heart failure from normal late pregnancy. Therefore, it is important that a high index of suspicion be maintained to identify the rare case of PPCM as general examination showing symptoms of heart failure with pulmonary edema. PPCM remains a diagnosis of exclusion. No additional specific criteria have been identified to allow distinction between a peripartum patient with new onset heart failure and left ventricular systolic dysfunction as PPCM and another form of dilated cardiomyopathy. Therefore, all other causes of dilated cardiomyopathy with heart failure must be systematically excluded before accepting the designation of PPCM. Recent observations from Haiti[2] suggest that a latent form of PPCM without clinical symptoms might exist. The investigators identified four clinically normal postpartum women with asymptomatic systolic dysfunction on echocardiography, who subsequently either developed clinically detectable dilated cardiomyopathy or improved and completely recovered heart function.