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Papers by Ramprasad Sripada

Cambridge University Press eBooks, Jul 23, 2015

Journal of Clinical Anesthesia, 2013

fixed in the midline position to prevent directing both cuffs into one of the mainstem bronchi. T... more fixed in the midline position to prevent directing both cuffs into one of the mainstem bronchi. The EZ-Blocker may only be used to block the mainstem bronchi and to achieve lung collapse of a complete lung. Unlike the Arndt bronchial blocker or the Univent tube, selective blocking of a lobe is not possible with this device. When a bronchoscope is not immediately available, one may also place the device blindly and determine empirically which cuff corresponds to which bronchus. This feature renders the device highly valuable in emergency settings where lung separation must be quickly achieved, eg, in massive unilateral lung bleeding. The device is packaged with a multiport adapter that allows ventilation and placement of the EZ-Blocker and fiberoptic bronchoscope simultaneously. The EZ-Blocker achieves very satisfying results in a first series of 11 patients [4]. The device did not dislocate after patient repositioning, and offered excellent lung separation throughout the entire procedure.

Anesthesiology Research and Practice, 2012

The article reviews the current literature regarding shoulder anesthesia and analgesia. Technique... more The article reviews the current literature regarding shoulder anesthesia and analgesia. Techniques and outcomes are presented that summarize our present understanding of regional anesthesia for the shoulder. Shoulder procedures producing mild to moderate pain may be managed with a single-injection interscalene block. However, studies support that moderate to severe pain, lasting for several days is best managed with a continuous interscalene block. This may cause increased extremity numbness, but will provide greater analgesia, reduce supplemental opioid consumption, improve sleep quality and patient satisfaction. In comparison to the nerve stimulation technique, ultrasound can reduce the volume of local anesthetic needed to produce an effective interscalene block. However, it has not been shown that ultrasound offers a definitive benefit in preventing major complications. The evidence indicates that the suprascapular and/or axillary nerve blocks are not as effective as an interscal...

doi:10.1155/2012/971963 Review Article Regional Blockade of the Shoulder: Approaches and Outcomes

Attribution License, which permits unrestricted use, distribution, and reproduction in any medium... more Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The article reviews the current literature regarding shoulder anesthesia and analgesia. Techniques and outcomes are presented that summarize our present understanding of regional anesthesia for the shoulder. Shoulder procedures producing mild to moderate pain may be managed with a single-injection interscalene block. However, studies support that moderate to severe pain, lasting for several days is best managed with a continuous interscalene block. This may cause increased extremity numbness, but will provide greater analgesia, reduce supplemental opioid consumption, improve sleep quality and patient satisfaction. In comparison to the nerve stimulation technique, ultrasound can reduce the volume of local anesthetic needed to produce an effective inter-scalene block. However, it has not been shown that ultrasound offers a definitive benefit ...

Transesophageal Echocardiography (TEE)

Essence of Anesthesia Practice, 2011

Herniorrhaphy

Essence of Anesthesia Practice, 2011

Prilocaine (Citanest)

Essence of Anesthesia Practice, 2011

International Anesthesiology Clinics, 2012

Both GA and RA techniques have been used for shoulder surgery. ISB is the most successfully used ... more Both GA and RA techniques have been used for shoulder surgery. ISB is the most successfully used RA technique, which can provide complete analgesia for shoulder surgery, and has been used as the sole anesthetic. RA provides several advantages over GA such as rapid recovery, adequate analgesia, a significantly lower incidence of postoperative nausea and vomiting (PONV), and timely same-day discharge. 6 Observational Regional Anesthesia for Shoulder ' 27

Journal of Clinical Anesthesia, 2008

We present the case of an otherwise asymptomatic patient with a rare congenital airway abnormalit... more We present the case of an otherwise asymptomatic patient with a rare congenital airway abnormality of the tracheobronchial tree, who developed a complete airway obstruction after being placed in the prone position. The tracheal bronchus, accessory bronchus arising from the trachea superior to its bifurcation at the carina, was identified by fiberoptic bronchoscopic examination. An endotracheal tube can migrate into a tracheal bronchus causing pulmonary atelectasis, hypoxia, or both.

A965 SENSITIVITY OF TACTILE EXAMINATION OF ENDOTRACHEAL TUBE INTRA-CUFF PRESSURE

Anesthesiology, 1997

Journal of Clinical Anesthesia, 2009

The use of peripheral nerve blocks as the sole anesthetic, augmented with mild sedation for intra... more The use of peripheral nerve blocks as the sole anesthetic, augmented with mild sedation for intraoperative management of surgery on the ankle and knee in two hemophiliac patients, is presented. Peripheral nerve blocks may be safely used for surgery of the extremities in a patient with moderate to severe hemophilia, provided a safe level of Factor VIII is maintained throughout the perioperative period.

Cambridge University Press eBooks, Jul 23, 2015

Journal of Clinical Anesthesia, 2013

fixed in the midline position to prevent directing both cuffs into one of the mainstem bronchi. T... more fixed in the midline position to prevent directing both cuffs into one of the mainstem bronchi. The EZ-Blocker may only be used to block the mainstem bronchi and to achieve lung collapse of a complete lung. Unlike the Arndt bronchial blocker or the Univent tube, selective blocking of a lobe is not possible with this device. When a bronchoscope is not immediately available, one may also place the device blindly and determine empirically which cuff corresponds to which bronchus. This feature renders the device highly valuable in emergency settings where lung separation must be quickly achieved, eg, in massive unilateral lung bleeding. The device is packaged with a multiport adapter that allows ventilation and placement of the EZ-Blocker and fiberoptic bronchoscope simultaneously. The EZ-Blocker achieves very satisfying results in a first series of 11 patients [4]. The device did not dislocate after patient repositioning, and offered excellent lung separation throughout the entire procedure.

Anesthesiology Research and Practice, 2012

The article reviews the current literature regarding shoulder anesthesia and analgesia. Technique... more The article reviews the current literature regarding shoulder anesthesia and analgesia. Techniques and outcomes are presented that summarize our present understanding of regional anesthesia for the shoulder. Shoulder procedures producing mild to moderate pain may be managed with a single-injection interscalene block. However, studies support that moderate to severe pain, lasting for several days is best managed with a continuous interscalene block. This may cause increased extremity numbness, but will provide greater analgesia, reduce supplemental opioid consumption, improve sleep quality and patient satisfaction. In comparison to the nerve stimulation technique, ultrasound can reduce the volume of local anesthetic needed to produce an effective interscalene block. However, it has not been shown that ultrasound offers a definitive benefit in preventing major complications. The evidence indicates that the suprascapular and/or axillary nerve blocks are not as effective as an interscal...

doi:10.1155/2012/971963 Review Article Regional Blockade of the Shoulder: Approaches and Outcomes

Attribution License, which permits unrestricted use, distribution, and reproduction in any medium... more Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The article reviews the current literature regarding shoulder anesthesia and analgesia. Techniques and outcomes are presented that summarize our present understanding of regional anesthesia for the shoulder. Shoulder procedures producing mild to moderate pain may be managed with a single-injection interscalene block. However, studies support that moderate to severe pain, lasting for several days is best managed with a continuous interscalene block. This may cause increased extremity numbness, but will provide greater analgesia, reduce supplemental opioid consumption, improve sleep quality and patient satisfaction. In comparison to the nerve stimulation technique, ultrasound can reduce the volume of local anesthetic needed to produce an effective inter-scalene block. However, it has not been shown that ultrasound offers a definitive benefit ...

Transesophageal Echocardiography (TEE)

Essence of Anesthesia Practice, 2011

Herniorrhaphy

Essence of Anesthesia Practice, 2011

Prilocaine (Citanest)

Essence of Anesthesia Practice, 2011

International Anesthesiology Clinics, 2012

Both GA and RA techniques have been used for shoulder surgery. ISB is the most successfully used ... more Both GA and RA techniques have been used for shoulder surgery. ISB is the most successfully used RA technique, which can provide complete analgesia for shoulder surgery, and has been used as the sole anesthetic. RA provides several advantages over GA such as rapid recovery, adequate analgesia, a significantly lower incidence of postoperative nausea and vomiting (PONV), and timely same-day discharge. 6 Observational Regional Anesthesia for Shoulder ' 27

Journal of Clinical Anesthesia, 2008

We present the case of an otherwise asymptomatic patient with a rare congenital airway abnormalit... more We present the case of an otherwise asymptomatic patient with a rare congenital airway abnormality of the tracheobronchial tree, who developed a complete airway obstruction after being placed in the prone position. The tracheal bronchus, accessory bronchus arising from the trachea superior to its bifurcation at the carina, was identified by fiberoptic bronchoscopic examination. An endotracheal tube can migrate into a tracheal bronchus causing pulmonary atelectasis, hypoxia, or both.

A965 SENSITIVITY OF TACTILE EXAMINATION OF ENDOTRACHEAL TUBE INTRA-CUFF PRESSURE

Anesthesiology, 1997

Journal of Clinical Anesthesia, 2009

The use of peripheral nerve blocks as the sole anesthetic, augmented with mild sedation for intra... more The use of peripheral nerve blocks as the sole anesthetic, augmented with mild sedation for intraoperative management of surgery on the ankle and knee in two hemophiliac patients, is presented. Peripheral nerve blocks may be safely used for surgery of the extremities in a patient with moderate to severe hemophilia, provided a safe level of Factor VIII is maintained throughout the perioperative period.