Dr.Nagesh Jambure

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Dr. Nagesh Panditrao Jambure. Vice chairman- AS Academy. M.B.B.S. from MIMS, LATUR. MH. M.D.[Anaesthesia], ACPM MC Dhule. MH. About FCA-fellow in Cardiac Anaesthesiology.Sri Jayadeva institute of cardiology, Banglore, Karnataka. Working as Consultant Cardiac Anaesthesiologist and Assistant Professor in Dept. Of Anaesthesiology, M.G.M.Medical college and hospital,Aurangabad, Maharashtra,India. With experience of 5 yrs in cardiac anesthesia. Actively involved in […]

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Hydrocephalus

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Hydrocephalus ( VP Shunt) : In amount of CSF resulting from disturbance of formation, flow or absorption of CSF thus resulting in enlarged cerebral ventricles. Congenital or acquired. Incidence of congenital hydrocephalous 3/1000 live birth Incidence of acquired – Not known. Normal CSF Circulation CSF is secreted from choroid plexus of ventricles and absorbed by […]

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Congenital Diaphragmatic Hernia

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☛ Incidence – 1:2500 ☛ M:F – 2:1 ☛ Lt > Rt  -5:1 Present as a true neonatal emergency requiring rapid resuscitation – correction of metabolic acidosis, fluid deficit, correction of hypothermia & baby prepared for emergency sx. Embryology Failure of closure posterolateral part of diaphragm ( foramen of Bochdalek) or non fusion of anterior […]

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Pregnancy Induced Hypertension

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Hypertensive disorder accounts for 10-15% of pregnancy. Pregnancy indused hypertension[PIH]- Preeclampsia and Eclamsia syndrome Chronic hypertension without protinuria Chronic HTN with superimposed preeclampsia / eclamsia Gestational HTN or transient HTN of third trimester Preeclampsia and Eclamsia syndrome: Classical triad- ☛ Hypertension  ,protinuria    and    generalized edema after 20 wks of gestation ☛ If superimposed […]

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Physiological Changes During Pregnancy

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Physiological Changes During Pregnancy And Anaesthetic Implications  CNS i] MAC: progressive decrease during pregnancy decrease by 40% at term causes: increase progesterone level which is sedatind even given in normal doses increase beta endorphin levels during labour and delivery plays major role ii] Local anaesthetic sensitivity: Increase in pregnancy recent data doesn’t show increased sensitivity dose […]

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