Pooja Bhosle

Physiotherapy New Zealand

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Shubhada Aphale

Bharati Vidyapeeth Deemed University

Arunima Prasad

All India Institute of Medical Sciences

S. Ubeja

Bombay Hospital

Syed Rais Akhter Rizvi

Rajiv Gandhi University of Health Sciences

S. Acharya

Ajinkya Bhosle

Manuj Bansal

Fortis Memorial Research Institute

Harish Kumar

Saveetha University

Priyanka Jain

Devi Ahilya Vishwavidyalaya

A Quintana Loya

Colegio de Postgraduados

Cooperative Institutions

All India Institute of Medical Sciences

All India Institute of Medical Sciences Raipur

All India Institute of Medical Sciences Bhopal

Bombay Hospital

Rajiv Gandhi University of Health Sciences

Tamil Nadu Government Multi Super Speciality Hospital

Fortis Memorial Research Institute

Saveetha University

Bharati Vidyapeeth Deemed University

Devi Ahilya Vishwavidyalaya

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A Comparison Of Circulatory Response To Laryngoscopy And Intubation With MacIntosh And McCoy Blade

The Internet Journal of Anesthesiology (2013)

Pooja Bhosle Shubhada Aphale Manuj Bansal

Background: It has been observed that laryngoscopy and intubation leads to profound cardiovascular effects along with an increase in catecholamine concentrations. Multiple studies have been conducted to attenuate the same. McCoy blade has been found to decrease this pressor response as compared to the Macintosh blade used routinely. Therefore, a comparative study of heart rate (HR) and mean arterial pressure (MAP) changes during laryngoscopy and intubation using these two blades was conducted to establish the same. Methods: The study included 200 patients divided into two groups of 100 each. Laryngoscopy and intubation was performed either with Macintosh or McCoy blade. The HR and MAP were recorded at every 1 minute interval during laryngoscopy and intubation for 5 minutes. Apart from above observations, Mallampatti classification (MPC), Cormack and Lehane classification (C& L) and time required for intubation were noted. Results: There was no difference in baseline HR and MAP in both the groups i.e. Macintosh (MK) and McCoy (MY) . The percentage rise from baseline HR and MAP in MK group was highly significant during laryngoscopy and intubation and 1 minute after that as compared to MY group. Similarly, comparison of HR and MAP changes between both the groups revealed highly significant decrease in the parameters in MY group, during laryngoscopy and intubation and 1 minute after the procedure. No other complications of laryngoscopy & intubation were observed in our study. Conclusion: McCoy blade, primarily devised for difficult intubation has additional benefit of alleviating the pressor response to laryngoscopy and intubation. We recommend its use in patients with cardiovascular compromise, raised intracranial tension (ICT), apart from its established indications. Abbreviations: HRHeart Rate, MAPMean Arterial Pressure, ICT – Intracranial tension

Pressor response

Mean arterial pressure

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Comparison of Mulligan Bent Leg Raise (BLR) Versus Traction Straight Leg Raise (TSLR) Technique in Hamstring Tightness in Sewing Machine Operators with Low Back Pain

International Journal of Science and Healthcare Research (2022)

Pooja Bhosle Syed Rais Akhter Rizvi

Background and Objectives: Mulligans Bent Leg Raise (BLR) and Traction Straight Leg Raise (TSLR) both have been showed improvement in hamstring flexibility. The objective of the study was to find the comparative effect of Mulligans Bent Leg Raise (BLR) over Traction Straight Leg Raise (TSLR) in hamstring tightness in sewing machine operators with low back pain. Methods: 40 sewing machine operators with Hamstring tightness in terms of Lack Of Active knee extension test more than 200 were randomly allocated in two groups. Group A (N=11; M=8, F=9) Mulligans Bent Leg Raise Technique and Group B (N=20; M=9, F=11) received Traction Straight Leg Raise technique. The outcome was assessed in terms of hamstring flexibility by Back saver sit and reach test and disability by Oswestry Low Back Pain Disability Questionnaire at pre and post intervention. Results: The result of present study demonstrated that Both the interventions in group-A (BLR) and group-B (TSLR) were found to be individually effective in treating sewing machine operators with hamstring tightness and low back pain in increasing BSSR in both right and left side and decreasing the disability. But, while compared the post test outcomes in between the groups, there was no much difference in between the groups. Interpretation and Conclusion: The present study concludes that both the interventions of Mulligans BLR and TSLR were individually effective in increasing the flexibility of hamstring and decreasing the disability due to low back Pain.

Straight leg raise

10.52403/ijshr.20220712

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A Study to Analyze the Change in Consumer Behavior towards Luxury Goods among students when exposed to Social Media Marketing with specific reference to Wrist Watches

International Journal of Computer Sciences and Engineering (2018)

A Quintana Loya S. Ubeja Priyanka Jain S. Acharya Pooja Bhosle

International Journal of Computer Sciences and Engineering (A UGC Approved and indexed with DOI, ICI and Approved, DPI Digital Library) is one of the leading and growing open access, peer-reviewed, monthly, and scientific research journal for scientists, engineers, research scholars, and academicians, which gains a foothold in Asia and opens to the world, aims to publish original, theoretical and practical advances in Computer Science,Information Technology, Engineering (Software, Mechanical, Civil, Electronics & Electrical), and all interdisciplinary streams of Computing Sciences. It intends to disseminate original, scientific, theoretical or applied research in the field of Computer Sciences and allied fields. It provides a platform for publishing results and research with a strong empirical component. It aims to bridge the significant gap between research and practice by promoting the publication of original, novel, industry-relevant research.

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Bridge (graph theory)

Empirical Research

10.26438/ijcse/v6si9.6773

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Comparative Evaluation of Effect of Dexmedetomidine Versus Normal Saline on Blood Glucose Levels in Diabetes Mellitus Patients Undergoing Spinal Anaesthesia Surgeries

Indian Journal of Anaesthesia and Analgesia (2021)

M Amogh Pooja Bhosle

ontext: Surgical trauma gives rise to a stress response in the human body resulting in hyperglycaemia in the perioperative period. This adversely affects the patient’s outcome. Hyperglycaemia is particularly detrimental in patients with diabetes mellitus. Dexmedetomidine, an alpha 2 adrenoreceptor agonist attenuates this surgical stress response and helps in preventing perioperative hyperglycaemia. Aims: The aim of our study was to monitor and compare the effect of dexmedetomidine versus normal saline on blood glucose levels intraoperatively and postoperatively in patients with diabetes mellitus undergoing spinal anaesthesia surgeries. Other objectives were, to compare haemodynamic changes, ramsay sedation scores intraoperatively andthe requirement of analgesia in the postoperative period between both the groups. Methods: A double blind prospective randomized controlled study was conducted in a tertiary hospital. Out of 60 patients with diabetes mellitus, 30 random patients were administered with intravenous dexmedetomidine after giving spinal anaesthesia. The other half of patients received a placebo. Vital parameters and blood glucose levels were monitored and compared in both the groups. Statistical analysis used: Data was tabulated and compared using unpaired T-test. Results: Statistically significant differences were found in mean heart rate and blood pressure between both the groups. The differences in the blood sugar values in the intra operative period and the postoperative period between both the study groups were also statistically significant. Requirement of additional postoperative analgesics were also considerably less in the dexmedetomidine group. Conclusion: Intravenous dexmedetomidine attenuates the surgical stress response by inhibiting the adrenal surge and prevents hyperglycaemia.

Dexmedetomidine

Blood sugar

10.21088/ijaa.2349.8471.8321.41

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To Compare the Pre-emptive Analgesic Effect of I.V. Keterolac Versus I.V. Tramadol in Pediatric Inguinal Herniotomy and Penile Surgeries

Indian Journal of Anaesthesia and Analgesia (2019)

Harish Kumar Pooja Bhosle

10.21088/ijaa.2349.8471.6619.10

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Hyomental Distance Ratio & Prediction of Difficult Laryngoscopy with Cormack Leahane Grading

Ajinkya Bhosle Pooja Bhosle Shubhada Aphale

A prospective analysis of hyomental distance ratio in prediction of difficult laryngoscopy and intubation was undertaken in 300 patients posted for elective surgeries. Hyomental distance (HMD) is the distance between the tip of hyoid bone to mental prominence and is probably the only estimation not affected by age/sex/racial discrimation. Hyomental distance ratio is defined as the ratio of hyomental distance at extreme of head extension to hyomental distance in neutral position of head. Thus, we evaluated the efficacy of HMDR in predicting difficult visualization of larynx (DVL) along with MMC and Body Mass Index (BMI). METHOD: Preoperatively, 300 patients within the age group of 18-60 years, of both sexes, undergoing general anaesthesia with tracheal intubation, were evaluated for 5 airway predictors. Direct laryngoscopies were then performed by experienced anesthesiologist unaware of airway evaluation and graded the laryngoscopic views using the Cormack-lehane grading. DVL was defined as grade III and IV view. The optimal cut off point of each test were determined and statistically analyzed by chi square test with Yates correction two tailed p value. OBSERVATION: Difficult laryngoscopy was assessed in 27 (9%) patients. From statistical analysis, extended position hyomental distance (EPHMD), HMDR, MMC and Height showed significant relation with DVL and variables like age, sex. weight, BMI and neutral position hyomental distance (NPHMD) were observed statistically insignificant in predicting correlation with DVL. RESULT: HMDR with cutoff of 1.2, MMC class 3 and 4 are clinically reliable predictors of DVL but none of above test provided 100% prediction of difficult laryngoscopy and thus, we recommend seeking an optimal combination of tests that include HMDR, MMC and EPHMD for prediction of intubation than using them separately.

Grading (engineering)

Hyoid bone

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RETROSPECTIVE ANALYSIS OF SEGMENTAL EPIDURAL ANAESTHESIA FOR ABDOMINAL SURGERIES

Innovative Journal of Medical and Health Science (2014)

Pooja Bhosle Shubhada Aphale Arunima PrasadShubhada Aphale Arunima Prasad

A retrospective analysis of segmental epidural anaesthesia for upper and lower abdominal surgeries in 30 patients was undertaken. Epidural anaesthesia is a regional anesthetic technique that has a specific advantage in that selective segments can be blocked along with providing postoperative analgesia. We explored this advantage in selective cases. The patients were within the age group of 26-70 yrs with 67% females. Upper abdominal surgeries included open cholecystectomy, epigastric hernia repair, pyelolithotomy, upper ureterolithotomy, duodenal perforation. Lower abdominal surgeries like loop colostomies, umbilical and incisional hernia repairs with abdominoplasty were studied. Both routine (76.67%) and emergency (23.33%) cases were included into the study group. Patients with comorbidities like diabetes mellitus, chronic hypertension, respiratory disease, muscular dystrophy were part of the study group. The epidural catheter was placed at a level appropriate for the surgery to be undertaken and the segments required to be blocked. Local anaesthetic (lignocaine and bupivacaine) dose was as per the weight of the patient with appropriate age related reduction in geriatric patients. All patients were supplemented with oxygen. 23.33% of the patients required sedation. 23.33% developed hypotension which responded to IV fluids and vasopressors. 50% required post-operative epidural analgesia. In 23% of the patients in whom lower thoracic segments were blocked, none complained of any respiratory difficulty. To summarise, all our patients were operated under segmental epidural anaesthesia without any intraoperative complications. The regional technique was supplemented with light sedation. Thus, segmental epidural should be considered as a very good choice in patients with respiratory problems, muscular dystrophy or in the geriatric patients. The surgeries under segmental epidural anaesthesia have better outcome with surgeon’s & patient’s cooperation.

Narcotic

Perforation

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