Sunday, April 8, 2018

PEDIATRICS Dept PUBLICATIONS Bhavnagar

Since 2015




2] https://shar.es/a39TNP Ratna Bhojak, Jayendra Gohil  Efficacy of Once a Month Single Dose Intravenous (Deferoxamine) versus Daily Oral (Deferasirox) Iron Chelator in Thalassemia Major: An Open Label Randomized Parallel Group Active Control Interventional Trial


New added in May 2019

# Gohil JR. Adrenaline before Unconventional Therapy for Status Asthamaticus. Indian J Crit Care Med 2019;23(10):492.      doi.org/10.5005/jp-journals-10071-23273


Refractory Status Asthmaticus: A Case for Unconventional Therapies, article by Vohra R has mentioned survival of a child after using ECMO and isoflurane when other treatments were not effective.1  
History of food ingestion prior to onset of status is not mentioned as there are foods like dairy, nuts, seafood, eggs, and pollution and color, that may precipitate an acute episode.
In the treatment however, inj. adrenaline and inj. hydrocortisone were not used; although intravenous methylprednisolone (2 mg/kg) was used. Intramuscular adrenaline is having better absorption and quicker effects than subcutaneous route.2
Ipratropium is an atropine like drug and leads to thickening of secretions and mucus plugging and have to be removed by bronchoscopy lavage. 
Injections of adrenaline and hydrocortisone should be administered before resorting to ECMO and isoflurane.
Re f erenc es
1. Vohra R, Sachdev A, Gupta D, Gupta N, Gupta S. Refractory status asthmaticus: A case for unconventional therapies. Indian J Crit Care Med 2018;22(10):749–752.
2. Gohil J, Agarwal TS. Anaphylaxis and Angioedema: A of ABC means Adrenaline First: Airway comes Later. J Asso Physicians India. 2018;66(10):76.

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