SAUMEN MEUR - Academia.edu (original) (raw)

Papers by SAUMEN MEUR

Journal of pediatric critical care, 2015

Indian Journal of Nephrology, 2016

Despite being a common procedure, percutaneous renal biopsy (PRB) carries the potential for compl... more Despite being a common procedure, percutaneous renal biopsy (PRB) carries the potential for complications. The British Association of Paediatric Nephrologist (BAPN) has published standards for pediatric PRB. As Indian data are scarce, we conducted a prospective audit of 100 consecutive pediatric renal biopsies (60% males) under real-time ultrasound guidance. Nephrotic syndrome was the most common indication for PRB (68%) with minimal change disease (30%) and focal segmental glomerulosclerosis (25%) being the most common histopathological lesions. Gross hematuria was observed in six cases. Major complications was noted in one case, who needed longer hospital stay. The result of the audit demonstrated achievability of BAPN standards. In addition, we also show the usefulness of 16 gauge biopsy needle over 18 gauge biopsy needles (median number of glomeruli 25, range 3–90 vs 13, range 6–46, P = 0.001) without any increase in complications. Being a single center study, we do hope that our results will encourage a wider survey on the current state of pediatric PRB.

Critical Care Update 2017, 2018

JPGN Reports, 2021

Supplemental Digital Content is available in the text.

INDIAN JOURNAL OF APPLIED RESEARCH, 2021

Scrub typhus is a life threatening zoonosis caused by Orientia tsutsugamushi organisms that are t... more Scrub typhus is a life threatening zoonosis caused by Orientia tsutsugamushi organisms that are transmitted by the larvae of trombiculid mites. It is endemic to a geographically distinct region, the so called Tsutsugamushi triangle, which includes Japan, China and South Korea. The disease is more prevalent in southern and northern India.It is characterised by focal or disseminated vasculitis and perivasculitis involving the lungs, liver, spleen and central nervous system. We report our experience with pediatric scrub typhus at a hospital in eastern India with EBV positive and secondary HLH. An 8 year old boy with fever, maculopapular rash, hepatosplenomegaly and lymphadenopathy was admitted in our institution and diagnosed with Scrub typhus. Physical and laboratory data showed hepatosplenomegaly, bicytopenia, hyperferritinemia, and hypobrinogenemia. Secondary HLH was diagnosed and the child was managed with IVIG and steroids. In view of rash followed by lymphadenopathy and hepatosp...

World Journal for Pediatric and Congenital Heart Surgery, 2018

The surgical management of d-transposition of great arteries (d-TGAs) with ventricular septal def... more The surgical management of d-transposition of great arteries (d-TGAs) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) is ever evolving and still remains a challenge because of wide anatomic variability, age of presentation, surgical options available, and their variable long-term results in different series. We describe a patient with d-TGA, VSD, and LVOTO who presented to us at 13 years of age and underwent an arterial switch operation along with neoaortic valve replacement with a mechanical prosthesis. The postoperative course was uneventful, and at hospital discharge, the echocardiogram was satisfactory. We present the pros and cons of this hitherto undescribed treatment option.

Indian Journal of Critical Care Medicine, 2016

Phenol (carbolic acid) is one of the oldest antiseptic agents. Apart from being used in many comm... more Phenol (carbolic acid) is one of the oldest antiseptic agents. Apart from being used in many commercially available products, in rural India, it is often used in the household to prevent snake infestation. We hereby present four cases of acute carbolic acid poisoning which we saw over the last monsoon. The cases highlight the multiple routes of absorption of carbolic acid as well as its multi-organ complications which often necessitate intensive care of local therapy decreases systemic phenol absorption from cutaneous exposure and may help in reducing severity.

Catheterization and Cardiovascular Interventions, 2010

Objective: To describe closure of haemodynamically significant arterial ducts in preterm infants ... more Objective: To describe closure of haemodynamically significant arterial ducts in preterm infants using an echocardiographically guided cardiac catheter technique in selected infants in the neonatal nursery and in preference to cardiac surgery. Background: Persistently patent arterial ducts are common in preterm infants and are associated with significant morbidity and mortality. Cardiac catheter techniques continue to improve and occlusion of arterial ducts in preterm infants is becoming technically feasible. Closure of arterial ducts by cardiac catheter techniques would enable selected infants to avoid surgery and a lateral thoracotomy, as well as potentially obviating the need for transfer of sick preterm infants between units for duct closure. Methods and Results: This brief report describes placement of coils or Amplatzer duct devices to occlude arterial ducts in small premature infants exclusively under echocardiographic guidance in the Neonatal Intensive Care Unit. Conclusions: Closing arterial ducts in the neonatal nursery by an echocardiographically guided cardiac catheter technique with minimal morbidity is becoming achievable and is a significant advance in neonatal care.

Paediatrics and Child Health, 2007

Diabetes remains a major contributor to both perinatal mortality and morbidity. The complex probl... more Diabetes remains a major contributor to both perinatal mortality and morbidity. The complex problems associated with both gestational and pre-gestational (types 1 and 2) diabetes in pregnancy are diverse and are not always managed optimally. Improvement of obstetric and newborn care in these patients has undoubtedly resulted in a significant reduction in neonatal mortality and morbidity over the last few decades. However, there is still significant room for improvement, and progress has been slow in some areas of clinical management. Evidence has now emerged that type 2 diabetes during pregnancy has a similar outcome for infants as type 1 diabetes. This has obvious implications for the future as the incidence of type 2 diabetes is rising worldwide. The key to success remains pre-pregnancy planning and tight glycaemic control throughout pregnancy/labour, as well as the early recognition and intensive care treatment of newborn complications. A thorough knowledge of potential problems in diabetic pregnancies and the infants of diabetic mothers is mandatory for professionals involved in their care.