Informatics Publishing Limited

Sukhminder Jit Singh Bajwa ¹, Zulfiqar Ali ², Mohamad Said Mani Takrouri ³, S. Bala Bhaskar ⁴

Affiliations
1 Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College, Patiala - 140401, Punjab, IN
2 Division of Neuroanesthesiology, SKIMS Soura, Srinagar, IN
3 Alsafwah Center, Riyadh, SA
4 Department of Anaesthesiology and Intensive Care, Vijayanagar Institute of Medical Sciences, Bellary, Karnataka, IN

Abstract

Anaesthesiology as a science has evolved over the years with rigorous research and innovations. The platform for this successful journey over the years was built on honest and purposeful achievements which paved the way for modern anaesthesia. Recently, a sudden surge has been seen in fraudulent research activities throughout the globe. Few of these misconducts do get exposed, but majority of them go unchecked, which can harm the mankind directly or indirectly.

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Sukhminder Jit Singh Bajwa ¹, Zulfiqar Ali ², Arvinder Pal Singh ³

Affiliations
1 Gian Sagar Medical College and Hospital, Banur, Patiala, Punjab, IN
2 Department of Anaesthesiology and Intensive Care, Shere Kashmir Institute of Medical Sciences (SKIMS) Soura, Srinagar, Jammu and Kashmir, IN
3 Anaesthesiology Intensive Care, SGRD Medical College, Amritsar, Punjab, IN

Abstract

For the sake of humanity and betterment of treatment modalities, researchers in medical field have done tireless job since decades in elevating the level of evidence based medicine. Compared to other medicine and surgical fields, the young anesthesiology science has achieved wonderful advancements mainly due to the efforts of these researchers and also a large contribution by the surgical patients. However, every advancement may also have some inherently associated drawbacks just like shadow parts of the objects which are inseparable.

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Sukhminder Jit Singh Bajwa ¹, Smriti Anand ¹, Hemant Gupta ²

Affiliations
1 Department of Anesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, IN
2 Department of Paediatrics, Civil Hospital, Solan, Himachal Pradesh, IN

Abstract

Pediatric patients have always been special patients, in fact the most challenging ones for the attending physicians. These tiny tots apart from being fun to deal with can be quite enigmatic and sometimes a nightmare for the healthcare provider. There exists definitive anatomical, physiological, developmental and pharmacological differences between the adult and pediatric patients and a failure to comprehend this can result in devastating albeit avoidable morbidity and mortality. Also occurrence of pharmacodynamic and pharmacokinetic differences between the adult and pediatric patients makes the safe drug therapy of these patients quite intriguing. However during the process of dealing with the pediatric patients one gains new insights which influence their overall management. The purpose of the present review is therefore to highlight pediatric pharmacology and the need of blending our practical experiences as regards to the pediatric drug therapy with the current available knowledge and literature so as to improvise the pediatric care delivery significantly by the attending physicians and the anesthesiologists.

Keywords

Drugs, Paediatric Patients, Pharmacodynamics, Pharmacokinetics.

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Sukhminder Jit Singh Bajwa ¹, Rudrashish Haldar ², Puneet Phull ³

Affiliations
1 Anaesthesiology & Critical Care, Phull Neuro and Multispecialty Hospital, Patiala, Punjab, IN
2 Department of Neuroanaesthesia, SGPGI, Lucknow, Uttar Pradesh, IN
3 Phull Neuro and Multispecialty Hospital, Patiala, Punjab, IN

Abstract

Diversification is essential for the growth of any speciality and it is an inevitable process in the course of time. Over the years, the science of Anaesthesiology also could not remain immune from the demands of refinement and expanding its realms and there lay the genesis of various subspecialties like Neuroanaesthesiology, Cardiac anaesthesiology, Organ Transplantation Anaesthesiology, Pain Management and Palliative care. Amongst one of the first branches to grow out from mainstream anaesthesiology, Neuroanaesthesiology has carved a distinct niche for itself over the past few years.

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Sukhminder Jit Singh Bajwa ¹, Naveen Malhotra ²

Affiliations
1 Department of Anaesthesiology and Intensive Care, GSMCH, Banur, Patiala - 140506 Punjab, IN
2 Department of Anaesthesiology and Intensive Care, PGIMS, Rohtak – 124514, Haryana, IN

Abstract

In 1946, when Sir Morton demonstrated the ETHER SHOW, nobody would have thought in their wildest of dreams that such innovation will mark the beginning of a much safer surgical atmosphere. It was his motivation, innovative thinking, and dedication that led to birth of a newer specialty, The Anaesthesia. The next few decades saw more of such innovations which led to the further development and advancement of our specialty. However, during all these times research academics played a minimal role and it was mainly the motivation and dedication of individuals which helped in advancement of the specialty with their hard work.

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Sukhminder Jit Singh Bajwa ¹, Smriti Anand ²

Affiliations
1 Anaesthesiology and Intensive Care, GSMCH, Banur, Patiala, Punjab, IN
2 Anaesthesiology and Intensive care, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan, Himachal Pradesh, IN

Abstract

The number of patients diagnosed with malignancy has increased significantly with the advent of new diagnostic modalities, so has the overall prognosis with the dawn of new therapeutic interventions. However many of these patients require critical care admissions as an aftermath of cancer or its treatment. There still exists a dilemma as to which cancer patients to admit and when to admit. The purpose of this review is therefore to outline principles of critical care in cancer patients with special emphasis on critical and palliative care as well as appraisal of economic and ethical aspects in their management.

Keywords

Cancer, Critical Care, Intensive Care Unit (ICU), Prognostic Factors.

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