Vishal Venkat Raman

Cost-Effectiveness of α2 Agonists for Intravenous Sedation in Patients With Critical Illness

Stephen Morris, Nazir Lone, Cathrine McKenzie, Christopher J. Weir et autres

Importance: Propofol and the α2 agonists dexmedetomidine and clonidine are used for sedation in patients with critical illness receiving mechanical ventilation. Evidence about the cost-effectiveness of intravenous (IV) sedation with these medications is lacking. Objective: To investigate the cost-effectiveness of dexmedetomidine-, clonidine-, …

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Dexmedetomidine- or Clonidine-Based Sedation Compared With Propofol in Critically Ill Patients

Timothy Walsh, Richard Parker, Leanne M. Aitken, Cathrine McKenzie et autres

Importance: Whether α2-adrenergic receptor agonist-based sedation, compared with propofol-based sedation, reduces time to extubation in patients receiving mechanical ventilation in the intensive care unit (ICU) is uncertain. Objective: To evaluate whether dexmedetomidine- or clonidine-based sedation reduces duration of mechanical ventilation compared with …

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Perioperative airway complications in infants and children with Crouzon and Pfeiffer syndromes: A single‐center experience

Vishal Venkat Raman, David de Beer

BACKGROUND: Crouzon and Pfeiffer syndromes are rare genetic disorders characterized by craniosynostosis, exorbitism, and maxillary hypoplasia. Patients with these syndromes frequently require general anesthesia for various diagnostic and surgical procedures and may present a challenge to anesthetists with regard to airway management. …

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Making the experience of elective surgery better

Sarah Wintle, Vishal Venkat Raman, Holly Edmond, Shoaib Rizvi

Objective Patient experience is one of the three pillars of quality in healthcare; improving it must be a key aim if we are to make the overall quality of the healthcare we provide better. Methods We devised a quality improvement project to …

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A clinician's guide to viscoelastic testing in the perioperative period

Vishal Venkat Raman, Ramanathan Kasivisvanathan, Pradeep Madhivathanan

Viscoelastic tests provide a global and dynamic assessment of the coagulation system and thus are becoming increasingly relied upon in the perioperative period. Many clinicians are unfamiliar with viscoelastic testing, so this article provides an overview of their use and interpretation in …

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Subclavian central venous cannulation: should ultrasound guidance be used in routine practice?

Vishal Venkat Raman, Nikunj Shah, Pradeep Madhivathanan

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