Anesthesia Update 2017 Bibhukalyani Das
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ANESTHESIA UPDATE 2017
EDITORIAL BOARD
A S Kameswara Rao
Dipasri Bhattacharjee
Sarbari Swaika
Chaitali Sen Dasgupta
Sujata Ghosh
Indranil Ghosh
Anuradha Mitra
Koel Mitra Roy
Arabinda Ray
Sumanta Dasgupta
Subhendu Sarkar
ANESTHESIA UPDATE 2017
Editors Bibhukalyani Das Scientific Chairperson (ISACON - 2017) Academic Director and Director of Anesthesia Critical Care and Pain Management Institute of Neurosciences Kolkata Kolkata, West Bengal, India Sabyasachi Das Professor Department of Anesthesia Medical College Kolkata, West Bengal, India Foreword Sagarmoy Basu
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Anesthesia Update 2017 / Bibhukalyani Das, Sabyasachi Das
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CONTRIBUTORS
EDITORS
CONTRIBUTING AUTHORS
FOREWORD
It is my privilege and pleasure to write the foreword for the Anesthesia Update 2017 compiled by the 65th ISACON Kolkata organizing team. The compilation includes chapters on different topics of anesthesiology including subspecialties and superspecialties, such as pain, palliative medicine, critical care medicine, neuroanesthesia, cardiac anesthesia, pediatric anesthesia, and so on. The theme of the Congress “Enigma to Reality” is clearly reflected in Anesthesia Update 2017.
“Education is a progressive discovery of our own ignorance”
— Will Durant
The most constant thing in this world is change. Medical education is growing at a very rapid rate and anesthesiology is no exception. Anesthesiologists have grown from being “sleep” doctors to physicians envied by others. The specialty today finally has an independent repute.
Keeping oneself updated in this ever evolving branch is no mean task. The flood of knowledge from widespread access to the internet has the propensity to confuse rather than enlighten us. Regular updates and CMEs are mainly targeted for the benefit of the delegates and postgraduate residents.
The team has tried to digress from the tradition of handing over monotonous lecture notes by bringing out a peer-reviewed update book. Eminent faculty in the field of anesthesiology and intensive care have contributed their valuable time and effort reflected in various chapters of the book. I am confident that this book will be highly appreciated by all the anesthesiologists and intensivists, including our budding postgraduate trainees and the book will find a place in their personal library.
I congratulate the whole team for tremendous endeavor and wish them success.
Sagarmoy Basu
Past President, Indian Society of Anaesthesiologists
Past Editor, Indian Journal of Anaesthesia
Former Professor and Head
Department of Anesthesiology
Calcutta National Medical College
Kolkata, West Bengal, India
PREFACE
Awareness of ignorance is the beginning of wisdom
— Socrates
Anesthesia has travelled beyond the realms of the operating room to the domain of critical care, pain, perioperative care, and care of the terminally ill.
Anesthesia Update 2017 is a small endeavor by the 65th Annual Conference of Indian Society of Anaesthesiologists (ISACON) 2017 Kolkata organizing team, to open our minds to “reality” from the depths of “enigma”. In keeping with the theme, the book is a comprehensive compilation of a variety of topics on the specialty and superspecialty that has increased exponentially in our fraternity. It is a small attempt to impart the knowledge and insights of the luminaries and our generation next from all over the country.
The contents of the book has been organized in a systematic manner and has emphasized on airway management, perioperative evaluation, risk stratification, perioperative fluid and blood product administration, and newer horizons in critical care, palliative, and pain medicine.
Our sincere thanks to all our patrons, the organizing committee, and the entire fraternity of the Indian Society of Anaesthesiologists for all their moral support and encouragement. The team would also like to acknowledge and appreciate the painstaking efforts of the faculty who have taken the time off to contribute and enrich the book; the book which would not have been possible without their help and cooperation.
Last but not the least, our sincere thanks to the publisher, Jaypee Brothers Medical Publishers (P) Ltd., for supporting us with timely publication of Anesthesia Update 2017.
Our efforts will be successful only if this book brings us to the doors of “reality” from “enigma,” thus enhancing the prestige of our society.
With sincere gratitude, on behalf of the organizing team, ISACON 2017.
Bibhukalyani Das
Sabyasachi Das
ACKNOWLEDGMENT
Amita Acharjee
Bijay Banerjee
Shrabani Basu
Chiranjeeb Bhattacharaya
Dhurjoti Prasad Bhattacharya
Sushmita Bhattacharya
Chaital Biswas
Namrata Biswas
Rahul Guha Biswas
Anjana Bose
Chandrasis Chakrabarty
Sucharita Chakraborty
Dipanjanjan Chatterjee
Suman Chatterjee
Rajat Choudhury
Gautam Das
Rekha Das
Anisha Dey
Surajit Giri
Partha Sarathi Goswami
Anupam Goswami
Jyotsna Goswami
Subrata Goswami
Sampa Dutta Gupta
Purba Haldar
Bani Hembram
Burulukui Hembrom
Murlidhar Kanchi
Palash Kumar
Sudeshna Bhar Kundu
Udayan Majumder
Suchismita Mallick
Manirujjaman
Mitra Sukanya Mitra
Mohan Chandra Mondal
Gauri Mukherjee
Maitrayee Mukherjee
Anjum Naz
Rita Pal
Nibedita Pani
Debanjali Ray
J S Rudra
Amit Sah
Trinanjan Sarengi
Subrata Sen
Jayashree Sood
Paramita Trivedi