Parneeta Bhatia - Academia.edu (original) (raw)
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Papers by Parneeta Bhatia
Anesthesia & Analgesia, 2004
We describe an unusual complication during flotation of a pulmonary artery catheter through a pre... more We describe an unusual complication during flotation of a pulmonary artery catheter through a preexisting percutaneous introducer sheath. A malfunctioning pulmonary artery catheter, which was placed through an introducer sheath in the right internal jugular vein, was removed. Attempts at repositioning a second pulmonary artery catheter met with resistance, and we were unable to either advance or withdraw it. Chest radiograph showed a bent introducer sheath going from the right internal jugular vein into the right subclavian vein and a pulmonary artery catheter loop. Under continuous fluoroscopy, the introducer sheath and the pulmonary artery catheter were withdrawn as one unit, which resulted in relaxation of the acute angulation in the introducer sheath and allowed the pulmonary artery catheter to unfold, thus facilitating their complete extraction. We conclude that complications may occur during placement of a pulmonary artery catheter through a well positioned introducer sheath and that fluoroscopy is a valuable tool for safe management of such a complication.
The use of the GlideScope ® video laryngoscope has increased tremendously since its release in 20... more The use of the GlideScope ® video laryngoscope has increased tremendously since its release in 2001. Compared to the Macintosh laryngoscope, its unique design allows an improved view of the glottis. During intubation, it decreases the need to anteriorly displace the lower jaw or manipulate the cervical spine. As a result, there is lesser sympathetic response to intubation and possibly fewer traumas to the dentition. Intubation may be performed on an awake patient more easily. The GlideScope ® video laryngoscope plays a significant role in the management of routine and difficult airways. Unfortunately, the same unique design also requires the use of a stylet and introduces blind spots in the oropharynx during intubation. As a result of this drawback, cases of airway trauma have been reported. We have aimed to write a critical review discussing the complications and precautions associated with the use of the Glide-Scope ® video laryngoscope.
Anesthesia & Analgesia, 2004
We describe an unusual complication during flotation of a pulmonary artery catheter through a pre... more We describe an unusual complication during flotation of a pulmonary artery catheter through a preexisting percutaneous introducer sheath. A malfunctioning pulmonary artery catheter, which was placed through an introducer sheath in the right internal jugular vein, was removed. Attempts at repositioning a second pulmonary artery catheter met with resistance, and we were unable to either advance or withdraw it. Chest radiograph showed a bent introducer sheath going from the right internal jugular vein into the right subclavian vein and a pulmonary artery catheter loop. Under continuous fluoroscopy, the introducer sheath and the pulmonary artery catheter were withdrawn as one unit, which resulted in relaxation of the acute angulation in the introducer sheath and allowed the pulmonary artery catheter to unfold, thus facilitating their complete extraction. We conclude that complications may occur during placement of a pulmonary artery catheter through a well positioned introducer sheath and that fluoroscopy is a valuable tool for safe management of such a complication.
The use of the GlideScope ® video laryngoscope has increased tremendously since its release in 20... more The use of the GlideScope ® video laryngoscope has increased tremendously since its release in 2001. Compared to the Macintosh laryngoscope, its unique design allows an improved view of the glottis. During intubation, it decreases the need to anteriorly displace the lower jaw or manipulate the cervical spine. As a result, there is lesser sympathetic response to intubation and possibly fewer traumas to the dentition. Intubation may be performed on an awake patient more easily. The GlideScope ® video laryngoscope plays a significant role in the management of routine and difficult airways. Unfortunately, the same unique design also requires the use of a stylet and introduces blind spots in the oropharynx during intubation. As a result of this drawback, cases of airway trauma have been reported. We have aimed to write a critical review discussing the complications and precautions associated with the use of the Glide-Scope ® video laryngoscope.