Dr. Habib Md Reazaul Karim, MBBS, MD, DNB, IDCCM, Fellow NIV - All India Institute of Medical Sciences - Professor (Assistant)

Dr. Habib Md Reazaul Karim

MBBS, MD, DNB, IDCCM, Fellow NIV

All India Institute of Medical Sciences

Professor (Assistant)

Raipur, Chhatissgarh | India

Main Specialties: Anesthesiology, Critical Care Medicine, Emergency Medicine

Additional Specialties: Anesthesia and Critical Care Medicine

ORCID logohttps://orcid.org/0000-0002-6632-0491


Top Author

Dr. Habib Md Reazaul Karim, MBBS, MD, DNB, IDCCM, Fellow NIV - All India Institute of Medical Sciences - Professor (Assistant)

Dr. Habib Md Reazaul Karim

MBBS, MD, DNB, IDCCM, Fellow NIV

Introduction

Currently working in an institute and associated with teaching, training, research and patient care in the field of perioperative, emergency, critical care and acute pain medicine.

Primary Affiliation: All India Institute of Medical Sciences - Raipur, Chhatissgarh , India

Specialties:

Additional Specialties:

Research Interests:


View Dr. Habib Md Reazaul Karim’s Resume / CV

Education

Jul 2013 - Mar 2015
Indian College of Critical care Medicine
IDCCM
Critical Care Medicine
Jan 2013 - Jan 2014
National Board of Examinations
DNB
Anesthesiology
Dec 2013
NBE, New Delhi
DNB
Anaesthesia
May 2010 - Apr 2013
North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
MD
Anaesthesiology and Critical Care
Feb 2002 - Feb 2008
Assam Medical College
MBBS

Experience

Nov 2016 - Sep 2017
Andaman & Nicobar Island Institute of Medical Sciences
Assistant Professor
Anaesthesiology
Nov 2016
Assistant Professor
Jun 2013 - Oct 2016
North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
Senior Resident Doctor
Anesthesiology and Critical Care
Jun 2013
SRD
May 2010
Post Graduate Trainee
Jan 2009
JRD
Feb 2008
Internship
Sep 2017
All India Institute of Medical Sciences - Raipur
Assistant Professor
Anaesthesiology & Critical care

Publications

142Publications

721Reads

159Profile Views

10PubMed Central Citations

Acute increase in nasal high flow support and ROX index stability: Our insights in response to Mauri T et al.

J Crit Care 2020 Aug 18;58:132. Epub 2019 Oct 18.

Intensive Care Unit, Hospital Morales Meseguer, Murcia 30500, Spain. Electronic address:

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http://dx.doi.org/10.1016/j.jcrc.2019.08.015DOI Listing
August 2020
1 Read
2.191 Impact Factor

Letter to the editor: Aeration changes induced by high flow nasal cannula are more homogeneous than those generated by non-invasive ventilation in healthy subjects.

J Crit Care 2020 Jun 14;57:275-276. Epub 2019 Nov 14.

Department of Cardiac Anesthesia and Intensive Care, Intensive Care Unit; Hospital Morales Meseguer, Murcia, Spain.

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http://dx.doi.org/10.1016/j.jcrc.2019.10.007DOI Listing
June 2020
2.191 Impact Factor

In response to Na et al.'s long-term mortality of patients discharged from the hospital after successful critical care: do we need more comprehensive data?

Korean J Anesthesiol 2020 Apr 26;73(2):171-172. Epub 2019 Sep 26.

Department of Pulmonary and Critical Care Medicine, Hofstra Northwell School of Medicine, Lenox Hill Hospital, New York, NY, USA.

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http://dx.doi.org/10.4097/kja.19366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113164PMC
April 2020

Letter in response to Xiao : ED50 and ED95 of intrathecal bupivacaine with or without phenylephrine.

Reg Anesth Pain Med 2020 03 25;45(3):250. Epub 2019 Dec 25.

Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

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http://dx.doi.org/10.1136/rapm-2019-100679DOI Listing
March 2020
3.089 Impact Factor

Hysteresis Loop Can be an Adjunct Monitoring for Neuromuscular Blockade while on Controlled Ventilation During Low- and Minimal-Flow Anaesthesia.

Turk J Anaesthesiol Reanim 2020 Feb 11;48(1):84-85. Epub 2019 Nov 11.

All India Institute of Medical Sciences, Raipur, India.

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http://dx.doi.org/10.5152/TJAR.2019.82584DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001811PMC
February 2020

Can TAP Block, as a Component of Multimodal Analgesia in Robotic Nephrectomy, Offer Long-term Benefits Without Any Medium-term Effects? Our Reply to the Article by Covotta et al.

Pain Med 2020 Jan 6. Epub 2020 Jan 6.

Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences, Raipur, India.

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http://dx.doi.org/10.1093/pm/pnz339DOI Listing
January 2020
2.300 Impact Factor

Is an intravenous bolus of dexmedetomidine really a safe and effective option in treating shivering following neuraxial anesthesia?

Can J Anaesth 2020 01 1;67(1):143-144. Epub 2019 Jul 1.

Department of Cardiac Anesthesia and Intensive Care, Luigi Sacco University Hospital, Milan, Italy.

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http://dx.doi.org/10.1007/s12630-019-01429-1DOI Listing
January 2020
3 Reads
2.527 Impact Factor

Take extra care of my delicate skin: A lesson from a case of burn from operating room LED top light.

Paediatr Anaesth 2020 01;30(1):78-79

Department of Dermatology, All India Institute of Medical Sciences, Raipur, India.

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http://dx.doi.org/10.1111/pan.13762DOI Listing
January 2020
1.742 Impact Factor

Smoked for Years but Stopped a Few Months Back: Dilemma Regarding the American Society of Anesthesiologists Physical Status.

Turk J Anaesthesiol Reanim 2019 Dec 2;47(6):515-516. Epub 2019 Sep 2.

All India Institute of Medical Sciences, Raipur, India.

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http://dx.doi.org/10.5152/TJAR.2019.28863DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886825PMC
December 2019

Bypassing preoperative evaluation for cataract extraction is impractical for many centres: Our response to IE Gabbay et al.

Eur J Ophthalmol 2019 Dec 23:1120672119896770. Epub 2019 Dec 23.

Department of Anaesthesia and Intensive Care, Cork University Hospital, Cork, Ireland.

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http://dx.doi.org/10.1177/1120672119896770DOI Listing
December 2019
1.058 Impact Factor

Comment on "Noninvasive Ventilation Weaning in Acute Hypercapnic Respiratory Failure due to COPD Exacerbation: A Real-Life Observational Study".

Can Respir J 2019 1;2019:5490510. Epub 2019 Oct 1.

Intensive Care Unit, Hospital Morales Meseguer, Murcia 30500, Spain.

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http://dx.doi.org/10.1155/2019/5490510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791258PMC
November 2019
1 Read
1.663 Impact Factor

In Response to Mamo et al. Noninvasive Ventilation After Thoracoabdominal Aortic Surgery: Is the Prevention of Postoperative Pulmonary Complications Rock-solid?

J Cardiothorac Vasc Anesth 2019 11 3;33(11):3219-3220. Epub 2019 Aug 3.

Department of Anesthesia & Critical Care, McGill University Health Centre, Montréal, QC, Canada.

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http://dx.doi.org/10.1053/j.jvca.2019.07.149DOI Listing
November 2019
2 Reads
1.482 Impact Factor

American Society of Anesthesiologists physical status: how the obscurity in the system itself contributes to inaccuracies and variations in classification.

Korean J Anesthesiol 2019 10 1;72(5):506-507. Epub 2019 Apr 1.

Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, India.

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http://dx.doi.org/10.4097/kja.19085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6781217PMC
October 2019
2 Reads

Predictors of Mortality in Acute Kidney Injury Patients in an Intensive Care Unit: Is Hemodialysis No Good?

Indian J Crit Care Med 2019 Sep;23(9):439

Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

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http://dx.doi.org/10.5005/jp-journals-10071-23243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775714PMC
September 2019

Autocycling During Noninvasive Positive Pressure Ventilation as a Factor for Severe Syncope: Exciting Observation, But Needs More Scrutiny.

J Clin Sleep Med 2019 09;15(9):1377

International School of Non-invasive Ventilation, Hospital General Universitario Morales Meseguer, Murcia, Spain.

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http://dx.doi.org/10.5664/jcsm.7942DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6760405PMC
September 2019
2 Reads
3.053 Impact Factor

Preintubation feedback controlled machine delivered noninvasive ventilation versus human delivered traditional mask ventilation: is human performance inferior to machine?

J Clin Monit Comput 2019 Sep 28. Epub 2019 Sep 28.

Intensive Care Unit, Hospital Morales Meseguer, 30500, Murcia, Spain.

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http://dx.doi.org/10.1007/s10877-019-00394-wDOI Listing
September 2019
1 Read
1.448 Impact Factor

Noninvasive Mechanical Ventilation in Combination With Propofol Deep Sedation in Left Atrial Ablation Procedures: Yes, But Should Be Cautious.

Am J Cardiol 2019 09 16;124(6):993. Epub 2019 Jul 16.

Department of Anesthesiology, Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India. Electronic address:

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http://dx.doi.org/10.1016/j.amjcard.2019.07.014DOI Listing
September 2019
4 Reads
3.276 Impact Factor

Trial of Noninvasive Ventilation with Pressure or Adaptive Support in Acute Exacerbation of COPD by Sehgal IS : Further Considerations.

COPD 2019 08 29;16(3-4):303-304. Epub 2019 Jul 29.

Department of Cardiac Anesthesia and Intensive Care, Intensive Care Unit; Hospital Morales Meseguer , Murcia , Spain.

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http://dx.doi.org/10.1080/15412555.2019.1639148DOI Listing
August 2019
2 Reads

Prevalence and impact of abnormal routine pre-operative test results among elective surgical patients with or without co-morbidity: An observational comparative study.

Niger Postgrad Med J 2018 Apr-Jun;25(2):121-125

Department of Anaesthesiology, Andaman and Nicobar Islands Institute of Medical Sciences and GB Pant Hospital, Port Blair, Andaman and Nicobar Islands, India.

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http://dx.doi.org/10.4103/npmj.npmj_34_18DOI Listing
April 2019
21 Reads

Letter To The Editor Vol.37(2)

Journal of Bangladesh College of Physicians and Surgeons

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March 2019
7 Reads

Pre-hospital invasive ventilation in patients with septic shock: Is hyperoxemia an unwanted company?

Am J Emerg Med 2019 03 7;37(3):533-534. Epub 2018 Jul 7.

Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur PIN-492099, India. Electronic address:

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http://dx.doi.org/10.1016/j.ajem.2018.07.015DOI Listing
March 2019
12 Reads
1.152 Impact Factor

Additional factors to consider while providing humidification support to neonates.

Acta Paediatr 2019 02 8;108(2):379. Epub 2018 Sep 8.

Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain.

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http://dx.doi.org/10.1111/apa.14539DOI Listing
February 2019
52 Reads
1.842 Impact Factor

Dexmedetomidine versus Propofol Along with Scalp Block for Chronic Subdural Haematoma Evacuation Under Monitored Anaesthesia Care: Which is Better?

Turk J Anaesthesiol Reanim 2019 Feb 1;47(1):79-80. Epub 2019 Feb 1.

Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, India.

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http://dx.doi.org/10.5152/TJAR.2018.13914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6598655PMC
February 2019
2 Reads

High flow nasal cannulae versus non-invasive ventilation in moderate hypercapnic respiratory failure: Different roads, same destination but doubtful equality.

Clin Respir J 2018 Sep 22;12(9):2457-2458. Epub 2018 Aug 22.

Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, India.

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http://dx.doi.org/10.1111/crj.12942DOI Listing
September 2018
15 Reads
1 Citation
2.200 Impact Factor

Nitrous oxide in waste anesthetic gases with different fresh gas flow: a case-based pilot observation and a practical thought on scavenging.

Med Gas Res 2018 Jul-Sep;8(3):125-127. Epub 2018 Sep 25.

Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, India.

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http://www.medgasres.com/text.asp?2018/8/3/125/241066
Publisher Site
http://dx.doi.org/10.4103/2045-9912.241066DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178643PMC
September 2018
23 Reads

Religious belief as determinant of animal derived medications in health care: how much is fairly good?

Karim, H. M. R., & Khan, T. H. (2018). Religious belief as determinant of animal derived medications in health care: how much is fairly good? Anaesth, Pain & Intensive Care, 22(2), 151-154.

Anaesthesia, Pain and Intensive Care

Editorial view

http://www.apicareonline.com/religious-belief-as-determinant-of-animal-derived-medications-in-health-care-how-much-is-fairly-good/

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August 2018
10 Reads

Effect of education level and previous anaesthesia exposure on knowledge and perception about anaesthesia and anaesthesiologist: A questionnaire based observational study

Indian J Clin Anaesth 2018;5(1):17-24

Indian Journal of Clinical Anaesthesia

Introduction and Aim: Anaesthesia as speciality has evolved very much but the services are yet very much under recognized. This may be partly because of low knowledge of anaesthesia and anaesthesiologists. School education level of patients may also affect this. This study was conducted to assess the patient’s knowledge and perception about the role of anaesthesiologists, anaesthesia and their relationship with different educational level of patients and previous anaesthesia exposure Materials and Methods: The present cross sectional study was conducted with 150 participants aged > 15 years of either sex posted for elective surgery. A questionnaire was used as data collection tool. Data of entire cohort as well as in different subgroups based on education level and previous exposure were calculated and compared using INSTAT software and p < 0.05 was considered significant. Results: All the participants (56.67% female; mean age 39.36 + 12.63 years) completed the questionnaire. Their knowledge and awareness of anaesthesia and anaesthesiologists was very poor. Even patients with previous anaesthesia exposure were having poor knowledge (3 to 41 % in different aspects). No difference in knowledge and awareness was noted with different educational level (p > 0.05). Previously exposed patients had significantly more knowledge regarding ‘who makes you unconscious’, ‘types of anaesthesia’ and routes of ‘general anaesthesia administration’ but it failed to show difference in other aspects. Conclusion: Knowledge about anaesthesia and anaesthesiologists are still very poor. School education has no positive impact and previous anaesthesia exposure increases the knowledge in limited aspects.

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March 2018
12 Reads

Medical education technology workshop for residents: A step towards development of new faculty.

Natl Med J India 2016 May-Jun;29(3):180-181

Department of Cardiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Mawdiangdiang, Shillong, Meghalaya, India.

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January 2018
29 Reads

Abnormal routine pre‑operative test results and their impact on anaesthetic management: An observational study

Indian J Anaesth 2018;62(1):23-28.

Indian Journal of Anaesthesia

Background and Aims: One of the reasons for continued routine pre-operative testing practice is the identification of hidden problems which may affect perioperative management. This study was aimed to assess the prevalence of abnormal test results, their impact on perioperative management and cost-effectiveness for detecting such abnormalities. Methods: This observational study was conducted by screening the files of the patients attending pre-anaesthetic check-up during December 2016–January 2017. Patients' physical status, surgery grade, normal and abnormal test results and different impacts were noted and expressed in absolute numbers/percentage. Number needed to investigate (NNI) to detect a significant abnormality was calculated. Results: Data of 414 patients (46.3% male) with mean ± standard deviation age 43.78 ± 17.24 years and 58.65 ± 12.93 kg weight were analysed. Patients were mostly American Society of Anesthesiologists II and underwent National Institute of Clinical and Health Excellence Grade 3 surgeries. Totally, 345 (11.6%) test results were abnormal. Only 56 (16.2%) abnormalities had an impact in terms of referral, further investigations or delay. Twenty were significant in terms of changing perioperative anaesthetic management. Laboratory abnormalities with non-significant impact resulted in median delay of 3 days (range 1 to 12 days). The NNI for a significant impact and detecting new abnormality was 21 and 28, respectively. Conclusion: Majority (57.2%) of the patients had at least one abnormal routine test result but only 1.8% abnormalities had significant impact. The NNI to find a significant impact or hidden comorbidity was more than 20.

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January 2018
15 Reads

Practice and reasons for routine pre-operative investigations among anaesthesiologists and surgeons: An online survey.

Indian J Anaesth 2017 Nov;61(11):933-935

Department of Anaesthesiology, Andaman and Nicobar Islands Institute of Medical Sciences and GB Pant Hospital, Port Blair, Andaman and Nicobar Islands, India.

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http://dx.doi.org/10.4103/ija.IJA_92_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703009PMC
November 2017
14 Reads
1 Citation

Hypereosinophilia and Intraoperative Complications under General Anesthesia in Surgical Patients Aged 12 Years or More: an Observation

J Anesth Surg. 2017 Aug 31;4(2):82-85.

Journal of Anesthesia and Surgery

Background: Hypereosinophilia (HE) is a relatively commoner and previously has been shown to be associated with several adverse effects in intraoperative and immediate postoperative period in anesthetic practice. However, recent scientific literature in this aspect is very scarce. Aim: The present study was aimed to assess the frequency of HE and incidences of notable intraoperative adverse events in such patients. Methods: The present study was conducted in a tertiary care teaching hospital during December 2016 to June 2017. Files of all patients aged 12 years and more attending preanesthetic evaluation clinic was screened for the presence of HE. Anesthetic management of these patients was then observed and adverse events like respiratory spasms, urticaria, drug reactions etc noted. Data were presented in absolute numbers and percentage scale. INSTAT software was used for statistical analysis purpose. Results: A total of 1012 patients were included; 74 (7.31%) were having absolute Eosinophil counts (AEC) > 500 x 109/l. Eosinophilia was more among male (58.11%) and significantly more frequent in children than adults (17.39% versus 6.83%; p 0.015). The AEC of hypereosinophilic patients ranged from 502 to 4030 × 109/l. Medicine consultation was taken in two cases while six cases were prescribed antihelminthic and antihistaminic drug by anesthesiologist in preoperative period. The treatment was effective in reducing AEC by an average of 1191.5 × 109/l. Twenty three out of 27 patients who were managed with general anesthesia were observed for HE related complication. No notable complication attributable to HE was found. Conclusion: HE is very common even in adult surgical patients, mostly asymptomatic and idiopathic; HES is however rare. Deworming and antihistaminic treatment was effective in reducing AEC in patients with marked HE. GA with currently used agents appear to be safe and without much adverse effects (if any) in hypereosinophilic patients.

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August 2017
19 Reads

An observational study on patient admission in the anaesthesia gas monitor and minimum alveolar concentration monitoring: A deficiency with huge impact.

Indian J Anaesth 2017 Jul;61(7):570-574

Department of Anaesthesiology, Andaman and Nicobar Islands Institute of Medical Sciences and GB Pant Hospital, Port Blair, Andaman and Nicobar Islands, India.

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http://dx.doi.org/10.4103/ija.IJA_11_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5530742PMC
July 2017
38 Reads

Incidence and progression of cardiac surgery-associated acute kidney injury and its relationship with bypass and cross clamp time.

Ann Card Anaesth 2017 Jan-Mar;20(1):22-27

Perfusionist, Department of Cardio Thoracic Vascular Surgery, North Eastern Indira Gandhi Regional Institute of Medical and Health Sciences, Shillong, Meghalaya, India.

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http://dx.doi.org/10.4103/0971-9784.197823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290689PMC
March 2017
33 Reads
1 Citation

Relationship of on Admission Hypocalcaemia and Illness Severity as Measured by APACHE-II and SOFA Score in Intensive Care Patients'.

J Clin Diagn Res 2017 Mar 1;11(3):UC01-UC03. Epub 2017 Mar 1.

Postgraduate Student, Department of Anaesthesiology, Critical Care and Pain Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

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http://dx.doi.org/10.7860/JCDR/2017/22895.9402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427407PMC
March 2017
26 Reads
1 Citation

Ear, Nose and Throat Foreign Bodies Removed under General Anaesthesia: A Retrospective Study.

J Clin Diagn Res 2017 Feb 1;11(2):MC01-MC04. Epub 2017 Feb 1.

Assistant Professor, Department of General Medicine and Emergency Medicine, NEIGRIHMS , Shillong, India .

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http://dx.doi.org/10.7860/JCDR/2017/22078.9373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376789PMC
February 2017
30 Reads

Comparison of Levosimendan, Milrinone and Dobutamine in treating Low Cardiac Output Syndrome Following Valve Replacement Surgeries with Cardiopulmonary Bypass.

J Clin Diagn Res 2016 Dec 1;10(12):UC05-UC08. Epub 2016 Dec 1.

Assistant Professor, Department of Anaesthesiology, Critical Care & Pain Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences , Shillong, Meghalaya, India .

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http://jcdr.net/article_fulltext.asp?issn=0973-709x&year
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http://dx.doi.org/10.7860/JCDR/2016/23584.8987DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5296550PMC
December 2016
73 Reads
2 Citations

An observational cohort study on pre-operative investigations and referrals: How far are we following recommendations?

Indian J Anaesth 2016 Aug;60(8):552-9

Department of Anaesthesiology, Critical Care and Pain Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

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http://dx.doi.org/10.4103/0019-5049.187783DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989805PMC
August 2016
42 Reads
2 Citations

Scrub typhus masquerading as HELLP syndrome and puerperal sepsis in an asymptomatic malaria patient.

Qatar Med J 2016 11;2016(1). Epub 2016 Jun 11.

Department of Anaesthesiology and Critical Care, North Eastern Indira Gandhi Regional Institute of Health and Medical Science, Shillong, Meghalaya, India.

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http://dx.doi.org/10.5339/qmj.2016.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4928108PMC
July 2016
38 Reads

Comparison of effectiveness of class lecture versus workshop-based teaching of basic life support on acquiring practice skills among the health care providers.

Int J Crit Illn Inj Sci 2016 Apr-Jun;6(2):61-4

Department of Community Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.

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http://dx.doi.org/10.4103/2229-5151.183018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4901828PMC
June 2016
43 Reads
1 Citation

Point to ponder while prescribing phenytoin sodium infusion in septic shock patients: A case-based discussion

J Adv Clin Res Insights. 2016;39(1):38-40.

Journal of Advanced Clinical & Research Insights

Extravasations of many drugs can lead to phlebitis to soft tissue necrosis. Phenytoin sodium has also been implicated for such events in a few case reports with varying success of treatments. We present a case with due consent from the patient party where a single loading dose phenytoin sodium leads to phlebitis and rapidly progressed to gangrene of the hand in a critically ill patient ultimately requiring amputation despite providing possible treatments. The intention of presenting the case is to share our bad experience along with a point to ponder which probably would give an opportunity to critical care physicians to get rid of such avoidable traumatic problem while managing such patients in future.

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February 2016
16 Reads

Diversified and Unusual Presentations of Neck Space Infections: Still a Big Concern for Physicians.

J Maxillofac Oral Surg 2015 Dec 3;14(4):935-42. Epub 2015 Mar 3.

Department of ENT and Head and Neck Cancer Surgery, NEIGRIHMS, Shillong, Meghalaya India.

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http://dx.doi.org/10.1007/s12663-015-0757-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4648783PMC
December 2015
56 Reads

Polytrauma patient with through and through penetrating rod in abdomen: Timing and team is of utmost importance in emergency management.

J Emerg Trauma Shock 2015 Jul-Sep;8(3):176-7

Department of Anaesthesiology and Critical Care, North eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong, Meghalaya, India. E-mail:

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http://dx.doi.org/10.4103/0974-2700.160754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520039PMC
August 2015
21 Reads
1 Citation

Laparoscopic Cholecystectomy under Epidural Anesthesia: A Feasibility Study.

N Am J Med Sci 2015 Mar;7(3):129-30

Department of Anaesthesia, Employees' State Insurance-Post Graduate Institute of Medical Sciences and Research, Joka, Kolkata, West Bengal, India. E-mail:

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http://dx.doi.org/10.4103/1947-2714.153929DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4382769PMC
March 2015
25 Reads

Significance of hemodynamic monitoring in perioperative and critical care management in obstetric practice.

Astrocyte 2015;1:295-300

Astrocyte

Assessment and optimization of hemodynamic parameters and oxygen delivery may improve outcome in critically ill patients. Optimum fluid management often needs to take hemodynamic parameter in to account. Comorbidity and critical illness during pregnancy contribute significantly to maternal and fetal morbidity and mortality. This article will focus on the role of hemodynamic monitoring in the field of practice of obstetrics, perioperative and critical care management of obstetric patients with current evidence and type of hemodynamic monitoring technique for such patients. PubMed advanced and Google Scholar search with index word “hemodynamic monitoring”, “haemodynamic monitoring”, “shock”, “obstetric”, “preeclampsia”, “heart disease”, “cardiac disease”, “hemodynamic monitoring in obstetric”, “hemodynamic monitoring in obstetrics”, and “haemodynamic monitoring in obstetric” in different combinations to retrieve clinical trials, case series, and review articles for the current literature review.

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March 2015
16 Reads

Top co-authors

Antonio M Esquinas
Antonio M Esquinas

Hospital Morales Meseguer

12
Md Yunus
Md Yunus

North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences

9
Prithwis Bhattacharyya
Prithwis Bhattacharyya

North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences

7
Pradipta Bhakta
Pradipta Bhakta

University Hospital Limerick

6
Mohd Yunus
Mohd Yunus

Department of Anesthesiology and Critical Care

4
Samarjit Dey
Samarjit Dey

ESI Post Graduate Institute of Medical Science and Research

3
Ranendra Hajong
Ranendra Hajong

Associate Professor

2
Md Jamil
Md Jamil

North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences

2