Biomedical subjects
L J Jassy
Publications and source records attributed to L J Jassy.
Neonatal resuscitation: use of the precordial stethoscope.
The precordial stethoscope allows direct monitoring of infants in the delivery room during neonatal resuscitation. The use of this monitor is already mandated as a standard of care practice in pediatric and adult anesthesia. A simple preparation and application of this monitor is described. The routine use of the precordial stethoscope during infant resuscitation in the delivery room may improve quality of care, especially pertaining to airway management, in an area otherwise devoid of monitors. It may be useful in other pediatric resuscitation settings and when transporting ill or sedated pediatric patients.
The frequency of postdural puncture headache in obstetric patients: a prospective study comparing the 24-gauge versus the 22-gauge Sprotte needle.
STUDY OBJECTIVE: To compare the frequency of postdural puncture headache (PDPH) in obstetric patients when using the 24-gauge or the larger 22-gauge Sprotte needle. DESIGN: Prospective, randomized study. SETTING: Four hospitals. PATIENTS: 375 ASA physical status I and II cesarean section and postpartum tubal ligation patients. INTERVENTIONS: Obstetric patients were randomly assigned to receive spinal anesthesia via a midline dural puncture using the 24-gauge or the 22-gauge Sprotte needle. MEASUREMENTS AND MAIN RESULTS: The rate of PDPH was determined by a postoperative visit by the anesthesiologist as well as questioning patients by telephone 1 week or more after discharge. In the 24-gauge Sprotte needle group (n = 186), 2 mild and 1 moderate PDPHs were reported, for an overall rate of 1.61%. In the 22-gauge Sprotte needle group (n = 189), 2 mild and 1 moderate PDPHs were reported, for an overall rate of 1.59%. All headaches except 1 resolved within 72 hours with conservative treatment. One patient from the 22-gauge Sprotte needle group required an epidural blood patch. There were no failed blocks in either group. CONCLUSIONS: Our results suggest that the 22-gauge Sprotte needle, when compared with the smaller 24-gauge Sprotte needle, can be used in obstetric patients without increasing the frequency of PDPH.