Greetings esteemed IMA members
The IMA Kauvery journal fosters academic excellence, driving our pursuit of medical knowledge and proficiency.
Your participation in IMA endeavours is crucial to our success.
May the forthcoming month bring opportunities for growth and fulfilment.
Yours in IMA service, Dr S Sivaram Kannan President
Dear Colleagues
Greetings from Kauvery IMA! IMA journals are a valuable resource for staying updated on medical knowledge and real-life cases.
Connecting with fellow doctors is enriching.
IMA Kauvery celebrated Women’s Day on March 8th, spreading awareness about women’s health.
It was a great event, part of our mission to promote health and wellness!
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Respected IMA Members
This month’s IMA Journal – packed with great academic work from our hospital!
Big thanks to the editorial and marketing teams. Your feedback is welcome!
With regards Dr. R. Balasubramaniyam Editor
Introduction:
Adrenalectomy presents unique anaesthetic challenges due to the diverse functional status of adrenal tumors, potential for profound hemodynamic instability and complex perioperative endocrine implications. Adrenalectomy is performed for both functional and non-functional adrenal lesions. Functional tumors such as pheochromocytoma, cortisol-secreting adenomas, and aldosteronomas pose significant anaesthetic risks due to hormonal hypersecretion. Even non-functional adrenal masses may be associated with significant perioperative challenges due to anatomical proximity to major vascular structures, risk of haemorrhage and potential adrenal insufficiency post-resection.
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Introduction
Tracheostomy is frequently performed in critically ill patients requiring prolonged airway support. Once the underlying indication resolves and the patient can maintain airway patency and adequate ventilation independently, decannulation should be considered. A structured decannulation protocol helps ensure patient safety and improves success rates.
Abstract Background: SCAPE is a life-threatening hypertensive emergency. Case: A 69-year-old male managed with high-dose GTN and NIV. Conclusion: Early ED intervention prevents intubation.
Abstract
IgA vasculitis, previously known as Henoch–Schönlein purpura, is an immune complex–mediated small vessel vasculitis characterized by deposition of IgA in vessel walls. Although it predominantly affects children, adult-onset disease is relatively uncommon and often presents with atypical manifestations. Gastrointestinal symptoms may precede the characteristic purpuric rash, leading to diagnostic difficulty and potential misdiagnosis.
INTRODUCTION:
Ceftriaxone is a widely used third-generation cephalosporin with broad–spectrum antimicrobial coverage and convenient once-daily dosing. Approximately 30-40% of ceftriaxone is excreted through the biliary system, where it reaches concentrations significantly higher than in serum. In the presence of calcium ions, ceftriaxone complexes, which precipitate in bile and accumulate within the gall bladder lumen. This phenomenon, termed as ceftriaxone- induced pseudolithiasis, represents a reversible drug related biliary precipitation that mimics true cholelithiasis.
