Rajani Sundar - Academia.edu (original) (raw)

Papers by Rajani Sundar

Research paper thumbnail of Effectiveness of Perfusion Index (Pi)As an Early Predictor of Successful Caudal Block in Children Under General Anaesthesia– an Observational Study

IJAR - Indian Journal of Applied Research, 2019

Research paper thumbnail of Comparison of patient controlled epidural analgesia with continuous epidural analgesia for postoperative pain control after surgeries for gynaecological cancers- a randomized controlled study

Onkologia i Radioterapia, 2021

Pain free recuperation is the basic right of every surgical patient. Postoperative pain has a del... more Pain free recuperation is the basic right of every surgical patient. Postoperative pain has a deleterious effect on the short-term and long-term outcome of patients. In this study, we compared Patient Controlled Epidural Analgesia (PCEA) with background infusion with Continuous Epidural Analgesia (CEA) for quality of pain relief in postoperative patients with gynaecological cancers. Materials and methods: This was a randomized controlled trial conducted in a tertiary hospital in India. The patients with gynaecological cancers who underwent surgery with midline laparotomy were randomized into two groups. One group received CEA (Group-CEA) with ropivacaine and fentanyl at 6 ml/hour-10 ml/hour titrated for pain and the other group received CEA at a basal dose of 6ml/hour and bolus PCEA (Group-PCEA) for residual pain. The patients were studied for 36 hours after extubation. Primary outcome measured was the pain score using the Numerical Rating Scale (NRS) and secondary outcomes were morphine consumption, hemodynamic parameters, motor and sensory block and adverse effects. Results: The mean NRS pain scores up to 6 hours, 24 hours and 36 hours for Group-CEA and Group-PCEA were 0.23 ± 0.39, 0.13 ± 0.13, 3.6 ± 6.1, 0.36 ± 0.60, 0.19 ± 0.26, 5.7 ± 6.1 respectively. The Differences in pain score and morphine consumption between CEA and PCEA groups at different time points namely up to 6 th , 24 th and 36 th hours were calculated. The pain scores and morphine consumption in the CEA and PCEA groups was not statistically significant at any time points. Two patients in the Group-PCEA and none in the Group-CEA had motor block. The level of sensory block, effect on the hemodynamic parameters and adverse effects were comparable. Conclusion: In gynaecological cancer surgeries performed through midline laparotomy, both CEA and PCEA with background infusion provide effective analgesia with no significant difference in pain scores.

Research paper thumbnail of Thyroid storm: A Case Report

Journal of Academic Emergency Medicine Case Reports, 2014

Jo ur na l of Ac ad em ic Em er ge nc y M ed ici ne Ak ad em ik Ac il Tıp Olg u Su nu ml arı De r... more Jo ur na l of Ac ad em ic Em er ge nc y M ed ici ne Ak ad em ik Ac il Tıp Olg u Su nu ml arı De rgi si

Research paper thumbnail of Anaesthetic management of acquired non malignant tracheo-oesophageal fistula

Annals of cardiac anaesthesia, 1998

Acquired non malignant tracheo-oesophageal fistula is an uncommon complication of endotracheal in... more Acquired non malignant tracheo-oesophageal fistula is an uncommon complication of endotracheal intubation and tracheostomy. Patients are usually diagnosed while on mechanical ventilation. The rationale of management is to prevent pulmonary contamination, maintain nutrition and achieve spontaneous ventilation prior to surgical repair. Cautious management of the airway is required during tracheal reconstruction. We present a case of non malignant tracheo-oesophageal fistula in which repair was achieved by primary closure of the tracheal and oesophageal defects.

Research paper thumbnail of Infected cystic hygroma in a child with laryngeal involvement: Role of LMA in emergency decompresion

Journal of Anaesthesiology Clinical Pharmacology, 2007

Research paper thumbnail of Teratoma Arising from Hepato Duodenal Ligament in the Newborn with Transection of Portal Vein, Hepatic Artery and Common Bile Duct: A Surgical Challenge

Journal of Indian Association of Pediatric Surgeons

A 7-day-old neonate presented with a large intra-abdominal mass adherent to the hilum of the live... more A 7-day-old neonate presented with a large intra-abdominal mass adherent to the hilum of the liver encasing the portal triad. During excision, the portal vein, hepatic artery, and common bile duct were injured. The repair was done promptly and needed massive blood transfusion. Histopathology revealed immature teratoma Grade III. Survival in neonate following total transection of portal triad is rare and has not been reported.

Research paper thumbnail of Aortic valve repair in young patients with ventricular septal defect with aortic regurgitation-our experience

Indian Journal of Thoracic and Cardiovascular Surgery, 2013

Research paper thumbnail of Radial Artery Flows: Comparative Study

Asian Cardiovascular and Thoracic Annals, 2000

Research paper thumbnail of Large Tracheal Cast: An Unusual Cause of Acute Airway Obstruction

Asian Cardiovascular and Thoracic Annals, 1996

Acute airway obstruction developed after overnight ventilation in a patient who had undergone a c... more Acute airway obstruction developed after overnight ventilation in a patient who had undergone a closed mitral valvotomy for mitral stenosis. This was due to a large tracheal cast that had formed probably as a result of fibrinous or plastic tracheobronchitis. The cast was expelled by coughing, after which the postoperative course was uneventful.

Research paper thumbnail of Thyroid storm – A case report

Journal of Anaesthesiology Clinical Pharmacology, 2019

Research paper thumbnail of Open surgical repair of abdominal aortic aneurysm: Proximal aortic control by endoaortic balloon - A novel approach

Annals of Cardiac Anaesthesia, 2012

Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneu... more Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneurysm repair have to undergo open surgical repair. Open surgery has its own morbidity in terms of proximal clamping and declamping, bleeding and prolonged hospital stay and mortality. We present two such patients with juxtarenal abdominal aortic aneurysm who underwent open surgical repair. The proximal aortic control during open surgical repair of the aneurysm was achieved by endoaortic balloon occlusion technique.

Research paper thumbnail of Open surgical repair of abdominal aortic aneurysm: Proximal aortic control by endoaortic balloon - A novel approach

Annals of Cardiac Anaesthesia, 2012

Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneu... more Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneurysm repair have to undergo open surgical repair. Open surgery has its own morbidity in terms of proximal clamping and declamping, bleeding and prolonged hospital stay and mortality. We present two such patients with juxtarenal abdominal aortic aneurysm who underwent open surgical repair. The proximal aortic control during open surgical repair of the aneurysm was achieved by endoaortic balloon occlusion technique.

Research paper thumbnail of Effectiveness of Perfusion Index (Pi)As an Early Predictor of Successful Caudal Block in Children Under General Anaesthesia– an Observational Study

IJAR - Indian Journal of Applied Research, 2019

Research paper thumbnail of Comparison of patient controlled epidural analgesia with continuous epidural analgesia for postoperative pain control after surgeries for gynaecological cancers- a randomized controlled study

Onkologia i Radioterapia, 2021

Pain free recuperation is the basic right of every surgical patient. Postoperative pain has a del... more Pain free recuperation is the basic right of every surgical patient. Postoperative pain has a deleterious effect on the short-term and long-term outcome of patients. In this study, we compared Patient Controlled Epidural Analgesia (PCEA) with background infusion with Continuous Epidural Analgesia (CEA) for quality of pain relief in postoperative patients with gynaecological cancers. Materials and methods: This was a randomized controlled trial conducted in a tertiary hospital in India. The patients with gynaecological cancers who underwent surgery with midline laparotomy were randomized into two groups. One group received CEA (Group-CEA) with ropivacaine and fentanyl at 6 ml/hour-10 ml/hour titrated for pain and the other group received CEA at a basal dose of 6ml/hour and bolus PCEA (Group-PCEA) for residual pain. The patients were studied for 36 hours after extubation. Primary outcome measured was the pain score using the Numerical Rating Scale (NRS) and secondary outcomes were morphine consumption, hemodynamic parameters, motor and sensory block and adverse effects. Results: The mean NRS pain scores up to 6 hours, 24 hours and 36 hours for Group-CEA and Group-PCEA were 0.23 ± 0.39, 0.13 ± 0.13, 3.6 ± 6.1, 0.36 ± 0.60, 0.19 ± 0.26, 5.7 ± 6.1 respectively. The Differences in pain score and morphine consumption between CEA and PCEA groups at different time points namely up to 6 th , 24 th and 36 th hours were calculated. The pain scores and morphine consumption in the CEA and PCEA groups was not statistically significant at any time points. Two patients in the Group-PCEA and none in the Group-CEA had motor block. The level of sensory block, effect on the hemodynamic parameters and adverse effects were comparable. Conclusion: In gynaecological cancer surgeries performed through midline laparotomy, both CEA and PCEA with background infusion provide effective analgesia with no significant difference in pain scores.

Research paper thumbnail of Thyroid storm: A Case Report

Journal of Academic Emergency Medicine Case Reports, 2014

Jo ur na l of Ac ad em ic Em er ge nc y M ed ici ne Ak ad em ik Ac il Tıp Olg u Su nu ml arı De r... more Jo ur na l of Ac ad em ic Em er ge nc y M ed ici ne Ak ad em ik Ac il Tıp Olg u Su nu ml arı De rgi si

Research paper thumbnail of Anaesthetic management of acquired non malignant tracheo-oesophageal fistula

Annals of cardiac anaesthesia, 1998

Acquired non malignant tracheo-oesophageal fistula is an uncommon complication of endotracheal in... more Acquired non malignant tracheo-oesophageal fistula is an uncommon complication of endotracheal intubation and tracheostomy. Patients are usually diagnosed while on mechanical ventilation. The rationale of management is to prevent pulmonary contamination, maintain nutrition and achieve spontaneous ventilation prior to surgical repair. Cautious management of the airway is required during tracheal reconstruction. We present a case of non malignant tracheo-oesophageal fistula in which repair was achieved by primary closure of the tracheal and oesophageal defects.

Research paper thumbnail of Infected cystic hygroma in a child with laryngeal involvement: Role of LMA in emergency decompresion

Journal of Anaesthesiology Clinical Pharmacology, 2007

Research paper thumbnail of Teratoma Arising from Hepato Duodenal Ligament in the Newborn with Transection of Portal Vein, Hepatic Artery and Common Bile Duct: A Surgical Challenge

Journal of Indian Association of Pediatric Surgeons

A 7-day-old neonate presented with a large intra-abdominal mass adherent to the hilum of the live... more A 7-day-old neonate presented with a large intra-abdominal mass adherent to the hilum of the liver encasing the portal triad. During excision, the portal vein, hepatic artery, and common bile duct were injured. The repair was done promptly and needed massive blood transfusion. Histopathology revealed immature teratoma Grade III. Survival in neonate following total transection of portal triad is rare and has not been reported.

Research paper thumbnail of Aortic valve repair in young patients with ventricular septal defect with aortic regurgitation-our experience

Indian Journal of Thoracic and Cardiovascular Surgery, 2013

Research paper thumbnail of Radial Artery Flows: Comparative Study

Asian Cardiovascular and Thoracic Annals, 2000

Research paper thumbnail of Large Tracheal Cast: An Unusual Cause of Acute Airway Obstruction

Asian Cardiovascular and Thoracic Annals, 1996

Acute airway obstruction developed after overnight ventilation in a patient who had undergone a c... more Acute airway obstruction developed after overnight ventilation in a patient who had undergone a closed mitral valvotomy for mitral stenosis. This was due to a large tracheal cast that had formed probably as a result of fibrinous or plastic tracheobronchitis. The cast was expelled by coughing, after which the postoperative course was uneventful.

Research paper thumbnail of Thyroid storm – A case report

Journal of Anaesthesiology Clinical Pharmacology, 2019

Research paper thumbnail of Open surgical repair of abdominal aortic aneurysm: Proximal aortic control by endoaortic balloon - A novel approach

Annals of Cardiac Anaesthesia, 2012

Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneu... more Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneurysm repair have to undergo open surgical repair. Open surgery has its own morbidity in terms of proximal clamping and declamping, bleeding and prolonged hospital stay and mortality. We present two such patients with juxtarenal abdominal aortic aneurysm who underwent open surgical repair. The proximal aortic control during open surgical repair of the aneurysm was achieved by endoaortic balloon occlusion technique.

Research paper thumbnail of Open surgical repair of abdominal aortic aneurysm: Proximal aortic control by endoaortic balloon - A novel approach

Annals of Cardiac Anaesthesia, 2012

Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneu... more Patients with infrarenal abdominal aortic aneurysm with unfavorable anatomy for endovascular aneurysm repair have to undergo open surgical repair. Open surgery has its own morbidity in terms of proximal clamping and declamping, bleeding and prolonged hospital stay and mortality. We present two such patients with juxtarenal abdominal aortic aneurysm who underwent open surgical repair. The proximal aortic control during open surgical repair of the aneurysm was achieved by endoaortic balloon occlusion technique.