Dear colleagues,
Christmas Greetings and New year wishes on behalf of Kauvery Alwarpet branch.
The state conference of IMA TNSB (TIMACON-2023) was held at Erode last weekend was well organised and I congratulate the organisers for the exemplary show. Kauvery hospital is happy to be associated with the conference as the Platinum Sponsor.
I also thanks our state office bearers for recognising and appreciating our branch with 6 awards.
I congratulate the State President Dr Abul Hassan, State Secretary Dr Karthik Prabhu and the State Treasurer Dr Gowrishankar for taking over the coveted posts and on behalf of our branch assure our fullest cooperation in their future endeavours.
Yours in IMA service, Dr S Sivaram Kannan President
IMA Kauvery has been very active organising clinical meetings and patient welfare meetings.
The IMA monthly journal is a testimony to our commitment to continuation of learning and professional development.
IMA kauvery was recognised and awarded in many categories in the the recently held Tamil Nadu State IMA conference at Erode.
We thank all the doctors and Kauvery Hospital who have helped us achieve this feat.
We wish you all Merry Christmas and Happy New Year.
Long live IMA.
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary.
Dear friends
I am delighted to present this edition of our IMA JOURNAL.
The highlight of this edition is the ongoing prospective scientific studies our post graduates are conducting.
Alwarpet Kauvery hospital is a post graduate teaching institute in multiple specialties. This issue has articles from anesthesiology and nephrology.
We congratulate IMA Kauvery for getting the prestigious IMA awards in six categories including our IMA journal.
We, the editorial team thank all our colleagues and post graduates for making it happen.
Best wishes to you for a Happy Christmas and a very Happy and Prosperous New Year.
With best regards Dr. R. Balasubramaniyam Editor
Acute kidney injury is a critical medical condition that can necessitate hemodialysis, a life-saving intervention. This article explores the causes, symptoms, and treatment options for AKI, focusing on the role of hemodialysis in managing this serious renal complication.
Introduction:
Acute kidney injury (AKI) is a heterogeneous syndrome defined by rapid (hours to days) decline in the glomerular filtration rate (GFR), resulting in the retention of metabolic waste products, including urea and creatinine, and dysregulation of fluid, electrolyte, and acid-base homeostasis. Although often considered a discrete syndrome, AKI represents a broad constellation of pathophysiologic processes of varied severity and cause.
Read Full Article
INTRODUCTION :
Spinal anesthesia is widely used simple and effective anesthetic technique for infra-umbilical surgeries that provides complete sensory and motor blockade. Bupivacaine is a potent commonly used local anesthetic for spinal anesthesia due to its long duration of action. However, the use of bupivacaine has some drawbacks. Levobupivacaine is a long acting local anesthetic which is as potent as bupivacaine with less systemic side effects. Addition of intrathecal opioids such as fentanyl and buprenorphine will enhance the characteristics of block which has been proved from previous studies.
INTRODUCTION
Subarachnoid block is excellent anaesthetic technique in this modern era with high success rate and good safety profile. There is always search for a drug which is safe, efficacious and less toxic. Ropivacaine is one of the new drug which has relatively safer drug due its lower toxic profile from number of studies emerging a alternative drug for bupivacaine.
WHY ROPIVACAINE??
Spinal anaesthesia is a safe, economical and effective technique which provides reliable and rapid anesthesia with muscle relaxation for patients undergoing lower abdominal surgeries.
Acute heart failure is the rapid onset or worsening of symptoms and/or signs of heart failure, which requires urgent evaluation and treatment. It is mostly a clinical diagnosis with symptoms and/or signs caused by a structural and/or functional cardiac abnormality and corroborated by elevated natriuretic peptide levels and/or objective evidence of pulmonary or systemic congestion. In most patients, the major cause for admission is volume overload. Sodium and water retention in the extracellular space is the major mechanism contributing to volume overload and the mainstay of treatment is administration of diuretics, especially loop diuretics, intravenously along with supportive care.
Acute kidney injury (AKI) is a common and serious complication of cardiac surgery and is associated with a risk of short and long-term mortality.The incidence of acute kidney injury after cardiac surgery (CSA-AKI) is as high as 30%. Approximately 3% of patients require at least temporary renal replacement therapy (RRT) [1] Patients with severe AKI have a three to eightfold higher perioperative mortality, a prolonged ICU and hospital stay.[2]
Risk factors of CSA-AKI can be categorized into patient pre-, intra- and postoperative factors. Preoperative risk factors are largely non-modifiable and include demographics, such as age and gender; conditions such as hypertension, hyperlipidemia, diabetes mellitus, and vascular disease; and end-organ sequelae such as chronic kidney or liver disease, anemia, and previous stroke [3] .
Kauvery Main Alwarpet IMA branch received six awards at the state annual conference held at Erode.
We extend our hearty congratulations to our IMA office bearers President Dr S Sivaram Kannan, Secretary Dr. Bhuvaneshwari Rajendran, Editor Dr. R. Balasubramaniyam, Treasurer Dr. Murali Magesh, Joint Secretary Dr. K. Mahalakshmi and Dr. Karunakaran Vetri and contribution from Dr. Kavitha Sundaravadanam for their excellent service.
