Publications by authors named "Sukhman Shergill"

9 Publications

  • Page 1 of 1

Ocular complications of perioperative anesthesia: a review.

Graefes Arch Clin Exp Ophthalmol 2021 Feb 24. Epub 2021 Feb 24.

Advanced Eye Center, Department of Ophthalmology, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012, India.

Ocular complications associated with anesthesia in ocular and non-ocular surgeries are rare adverse events which may present with clinical presentations vacillating between easily treatable corneal abrasions to more serious complication such as irreversible bilateral vision loss. In this review, we outline the different techniques of anesthetic delivery in ocular surgeries and highlight the incidence and etiologies of associated injuries. The changes in vision in non-ocular surgeries are mistaken for residual sedation or anesthetics, therefore require high clinical suspicion on part of the treating ophthalmologists, to ensure early diagnosis, adequate and swift management especially in surgeries such as cardiac, spine, head and neck, and some orthopedic procedures, that have a comparatively higher incidence of ocular complications. In this article, we review the literature for reports on the clinical incidence of different ocular complications associated with anesthesia in non-ocular surgeries and outline the current understanding of pathophysiological processes associated with these adverse events.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00417-021-05119-xDOI Listing
February 2021

Window to the circulatory system: Ocular manifestations of cardiovascular diseases.

Eur J Ophthalmol 2020 Nov 27;30(6):1207-1219. Epub 2020 Apr 27.

Department of Ophthalmology, Advanced Eye Center, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

The changes in the cardiovascular system are associated with ocular manifestations, often as a consequence of pathological alteration in the ocular vasculature. The ease of visualization of these retinal changes makes the eye a window to the cardiovascular system. Certain congenital cardiac defects lead to changes in the retinal vascularity due to increased tortuosity and dilatation. In adults, the arterial dissection of internal carotid and vertebral arteries present as amaurosis fugax with or without oculo-sympathetic palsy. The patients with untreated infective endocarditis present with Roth spots, retinitis, embolic retinopathy, or sub-retinal abscesses. Hypoperfusive, hypertensive, or "mixed" retinopathy is a hallmark sign in patients of untreated infective endocarditis. Giant cell arteritis can present with ischemic ocular symptoms that may precipitate in irreversible vision loss. Systemic vascular manifestations such as coronary artery disease may manifest in a wide range of symptoms from amaurosis fugax to vision loss depending upon the size and location of retinal emboli. Rare cardio-oncological pathologies such as myxomas result in vision loss secondary to central retinal artery occlusion. A high clinical suspicion in patients with history of cardiovascular diseases can help in early diagnosis and management of impending, adverse cardiovascular and cerebrovascular events. In this review, we comprehensively discuss the spectrum of cardiac and vascular diseases with ocular manifestations as well as highlight the typical ocular presentations associated with these pathologies.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1177/1120672120914232DOI Listing
November 2020

Down and out: acquired oculomotor nerve palsy.

BMJ Case Rep 2019 Aug 21;12(8). Epub 2019 Aug 21.

Ophthalmology, Government Medical College and Hospital, Chandigarh, India.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2019-231485DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6720649PMC
August 2019

Atypical prolonged spinal anaesthesia.

Indian J Anaesth 2018 Dec;62(12):1004-1005

Department of Anesthesiology, Cleveland Clinic, Cleveland, Ohio, USA.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.4103/ija.IJA_527_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299762PMC
December 2018

Awareness about celiac disease amongst physicians.

Indian J Gastroenterol 2017 Jul;36(4):327-329

Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, 110 029, India.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12664-017-0769-xDOI Listing
July 2017

Early esophagogastroduodenoscopy is associated with better Outcomes in upper gastrointestinal bleeding: a nationwide study.

Endosc Int Open 2017 May;5(5):E376-E386

Digestive Disease Institute, Department of Gastroenterology & Hepatology, The Cleveland Clinic, Cleveland, Ohio, United States.

 We analyzed NIS (National Inpatient Sample) database from 2007 - 2013 to determine if early esophagogastroduodenoscopy (EGD) (24 hours) for upper gastrointestinal bleeding improved the outcomes in terms of mortality, length of stay and costs.  Patients were classified as having upper gastrointestinal hemorrhage by querying all diagnostic codes for the ICD-9-CM codes corresponding to upper gastrointestinal bleeding. For these patients, performance of EGD during admission was determined by querying all procedural codes for the ICD-9-CM codes corresponding to EGD; early EGD was defined as having EGD performed within 24 hours of admission and late EGD was defined as having EGD performed after 24 hours of admission.  A total of 1,789,532 subjects with UGIH were identified. Subjects who had an early EGD were less likely to have hypovolemia, acute renal failure and acute respiratory failure. On multivariable analysis, we found that subjects without EGD were 3 times more likely to die during the admission than those with early EGD. In addition, those with late EGD had 50 % higher odds of dying than those with an early EGD. Also, after adjusting for all factors in the model, hospital stay was on average 3 and 3.7 days longer for subjects with no or late EGD, respectively, then for subjects with early EGD.  Early EGD (within 24 hours) is associated with lower in-hospital mortality, morbidity, shorter length of stay and lower total hospital costs.
View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0042-121665DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432117PMC
May 2017

A Young Man With Abdominal Pain, Weight Loss, and Jaundice.

Gastroenterology 2017 Jun 4;152(8):1836-1838. Epub 2017 May 4.

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.gastro.2016.12.044DOI Listing
June 2017

A Malignant Mimic.

Gastroenterology 2017 Apr 1;152(5):953-955. Epub 2017 Mar 1.

Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota; Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota.

View Article and Find Full Text PDF

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.gastro.2016.11.015DOI Listing
April 2017

Celiac disease in older adults.

J Gastrointestin Liver Dis 2013 09;22(3):359-60

Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India; Email:

View Article and Find Full Text PDF

Download full-text PDF

Source
September 2013