Habib Md Reazaul Karim

10 Questions 52 Answers 0 Followers

Questions related from Habib Md Reazaul Karim

What is your practice of sedation in COVID-19 ICU patients?

ICU patients who are receiving invasive mechanical ventilation and noninvasive ventilation often require sedation and analgesia. COVID-19 pneumonia / ARDS induced acute respiratory failure...

10 October 2020 4,535 18 View

What is your opinion or policy on Do Not Intubate or Do Not Resuscitate in COVID-19 induced multi-organ failure?

The entire world is now affected and the resources are getting exhausted. Even the best healthcare systems are failing to tackle the explosion of COVID-19. Judicious use of resources is therefore...

01 April 2020 3,405 6 View

Intraoperative change of consent to do a radical surgery - is it acceptable / legal?

Sometime it has been seen that surgical team approach the patient party / attendant for a radical procedure (for example - consent taken and planned for cystectomy and introp surgeon decided to do...

16 May 2018 1,531 7 View

Can an anaesthesiologist refuse a case for a relatively incopetent surgeon?

I think no other person knows a surgeon better than an anaesthesiologist as a professional especially about the surgical skill and quality. (because they closely observe different surgeons of same...

04 April 2018 4,841 12 View

Should we use protecting plastic covering for OT table and Floor during surgery on Infected (HIV, Hep B, Hep C) cases?

Standard precautions are meant to reduce the risk of transmission of bloodborne and other pathogens from both recognized and unrecognized sources. (WHO) It is also recommended to assume that every...

19 February 2018 6,704 6 View

Should testing for HIV, HBsAg, anti HCV be mandatory before surgery?

Cost is always a concern in the present health care delivery, even in developed countries. The prevalence of such disease is quite low (in most of the area of the world). In such scenario, doing...

23 January 2018 4,688 33 View

How to take away medico legal apprehensions, which is keeping away health care provider from evidence based practice in preop laboratory testing?

Research shows that medic legal apprehension is a big factor contributing towards the continued practice of routine preoperative testing. [doi:10.4103/ija.IJA_92_17] Whereas it is very much...

27 December 2017 2,488 3 View

Unexpected hemorrhage can happen even in intermediate grade surgeries but does this mean that we should have preop Hb level in all such patients?

Cost-effective yet quality health care delivery is one important objective worldwide now. Routine testing costs billion but without much impact. If a patient is not having pallore preop, planned...

25 December 2017 2,156 4 View

If a diabetic patient having RBS < 180 mg%, scheduled for non-cardiac surgery in 1-2 days; is HbA1c required? if yes, why (Plz guide with evidence)?

As an anesthesiologist and also perioperative management, is more concerned with the level of blood sugar at the time or during perioperative time. If that time level is ok, then, will it have an...

20 November 2017 1,056 7 View

Simultaneous mechanical ventilation of multiple patients using one ventilator in COVID-19 patients

Covid-19 cases, who are developing severe ARDS / respiratory failure are requiring mechanical ventilation, and the number of such cases is increasing during this pandemic. However, even in the...

01 January 1970 6,378 17 View