Journal of Clinical Interventional Radiology ISVIR, 2020
Introduction Computed tomography (CT)-guided vertebral biopsy is always recommended for histopath... more Introduction Computed tomography (CT)-guided vertebral biopsy is always recommended for histopathological and microbiological confirmation in cases of tuberculous spondylodiscitis and for antimycobacterial drug sensitivity testing.Aim To compare the conventional technique and a novel axis-defined tram-track technique of CT-guided vertebral biopsy in suspected tuberculous spondylodiscitis.Materials and Methods Sixty-seven patients of clinico-radiologically suspected tuberculous spondylodiscitis referred for CT-guided vertebral biopsy were categorized into two groups: “Group A” patients (n = 32) underwent biopsy by conventional technique, and “Group B” patients (n = 35) by axis-defined tram-track technique. The time taken for procedure, radiation exposure, and any procedural complications were recorded for both the groups.Results A statistically significant difference in procedure time and mean radiation dose was observed between the two groups: a longer procedural time was required i...
Journal of Anesthesia & Critical Care: Open Access, 2016
Background: Traumatic brain injuries (TBI) are the major public health problem and devastating co... more Background: Traumatic brain injuries (TBI) are the major public health problem and devastating condition, with significant mortality and morbidity. Electrolyte imbalance after resuscitation in TBI patients are common and further aggravate this condition. The main objectives are prevention and treatment of intracranial hypertension and secondary brain insults, preservation of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation. Proper in time detection followed by appropriate management not only improves neurological status but also decrease morbidity and mortality. We evaluate the electrolyte derangement in traumatic brain injury patients 24 hour after resuscitation. Method: After Institutional Ethical approval and written informed consent, all TBI patients meeting inclusion criteria were included in this prospective observational study. Serum electrolytes (serum sodium, potassium, calcium and phosphate) were measured at time of admission and 24 hour after resuscitation. All patients received standard treatment according to institutional protocol for TBI patients. Result: Hypernatremia (27.30%) is the most common electrolyte abnormality followed by hyponatremia (18.73%), Hypokalemia (21.58%), Hyperkalemia (17.77%), hypocalcaemia (11.4%), Hyperphosphatemia (9.8%) followed hypophosphatemia (4.8%) within the first 24 hours after resuscitation. Electrolyte imbalance following traumatic head injury is an important cause to look for in patient monitoring. Sodium is the chief electrolytes of concern. Serum potassium, calcium and Phosphate levels also under goes notable changes. Based on CT scan findings several traumatic brain injuries associated with various electrolytes derangements are of important concern especially with in first 24 hours after resuscitation.
This paper is concerned with the effect on the properties of concrete by using waste bottle caps ... more This paper is concerned with the effect on the properties of concrete by using waste bottle caps as an ingredient. Metal caps with plastic backing is used for glass bottles, which is harmful for the environment when disposed off. As well as during their recycling process various harmful and greenhouse gases are generated, along with consumption of high amount of energy. On the other hand we know that concrete is strong in compression but weak in tension. Also some drawbacks of concrete like low ductility, low energy absorption, & shrinkage can be improved by using waste bottle caps as a fibre reinforcement in the concrete. The scope of the project also includes the increasing effect on the Compressive as well as on the Flexural strength of the concrete after reinforcement. A generic 21-tooth crown cork bottle caps were cut into three pieces and mixed with dry concrete mix. Comparison of results of tests like Compressive strength test, Split tensile strength test & Flexural strength ...
Journal of Clinical Interventional Radiology ISVIR, 2020
Introduction Computed tomography (CT)-guided vertebral biopsy is always recommended for histopath... more Introduction Computed tomography (CT)-guided vertebral biopsy is always recommended for histopathological and microbiological confirmation in cases of tuberculous spondylodiscitis and for antimycobacterial drug sensitivity testing.Aim To compare the conventional technique and a novel axis-defined tram-track technique of CT-guided vertebral biopsy in suspected tuberculous spondylodiscitis.Materials and Methods Sixty-seven patients of clinico-radiologically suspected tuberculous spondylodiscitis referred for CT-guided vertebral biopsy were categorized into two groups: “Group A” patients (n = 32) underwent biopsy by conventional technique, and “Group B” patients (n = 35) by axis-defined tram-track technique. The time taken for procedure, radiation exposure, and any procedural complications were recorded for both the groups.Results A statistically significant difference in procedure time and mean radiation dose was observed between the two groups: a longer procedural time was required i...
Journal of Anesthesia & Critical Care: Open Access, 2016
Background: Traumatic brain injuries (TBI) are the major public health problem and devastating co... more Background: Traumatic brain injuries (TBI) are the major public health problem and devastating condition, with significant mortality and morbidity. Electrolyte imbalance after resuscitation in TBI patients are common and further aggravate this condition. The main objectives are prevention and treatment of intracranial hypertension and secondary brain insults, preservation of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation. Proper in time detection followed by appropriate management not only improves neurological status but also decrease morbidity and mortality. We evaluate the electrolyte derangement in traumatic brain injury patients 24 hour after resuscitation. Method: After Institutional Ethical approval and written informed consent, all TBI patients meeting inclusion criteria were included in this prospective observational study. Serum electrolytes (serum sodium, potassium, calcium and phosphate) were measured at time of admission and 24 hour after resuscitation. All patients received standard treatment according to institutional protocol for TBI patients. Result: Hypernatremia (27.30%) is the most common electrolyte abnormality followed by hyponatremia (18.73%), Hypokalemia (21.58%), Hyperkalemia (17.77%), hypocalcaemia (11.4%), Hyperphosphatemia (9.8%) followed hypophosphatemia (4.8%) within the first 24 hours after resuscitation. Electrolyte imbalance following traumatic head injury is an important cause to look for in patient monitoring. Sodium is the chief electrolytes of concern. Serum potassium, calcium and Phosphate levels also under goes notable changes. Based on CT scan findings several traumatic brain injuries associated with various electrolytes derangements are of important concern especially with in first 24 hours after resuscitation.
This paper is concerned with the effect on the properties of concrete by using waste bottle caps ... more This paper is concerned with the effect on the properties of concrete by using waste bottle caps as an ingredient. Metal caps with plastic backing is used for glass bottles, which is harmful for the environment when disposed off. As well as during their recycling process various harmful and greenhouse gases are generated, along with consumption of high amount of energy. On the other hand we know that concrete is strong in compression but weak in tension. Also some drawbacks of concrete like low ductility, low energy absorption, & shrinkage can be improved by using waste bottle caps as a fibre reinforcement in the concrete. The scope of the project also includes the increasing effect on the Compressive as well as on the Flexural strength of the concrete after reinforcement. A generic 21-tooth crown cork bottle caps were cut into three pieces and mixed with dry concrete mix. Comparison of results of tests like Compressive strength test, Split tensile strength test & Flexural strength ...
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Papers by Saurabh Suman