Papers by Nilesh Srivastava
International journal of engineering research and technology, 2018
International journal of engineering research and technology, 2018
Heart, Lung and Circulation, 2018
S585 discussion, consent). Information on height, weight, sex, comorbidities (diabetes mellitus, ... more S585 discussion, consent). Information on height, weight, sex, comorbidities (diabetes mellitus, chronic airways disease), operative details (type of surgery, internal mammary artery harvest, wound closure type), postoperative anaesthetic medications was collected. Exclusion criteria were intensive care unit stay >2 days, return to theatre, and redo sternotomies. From days 2 to 5 postoperatively, patients performed two cycles of three deep breaths and three coughs in the morning and repeated this in reverse order in the afternoon, using both the cross-chest and the self-hug methods. Baseline pain scores before and after the procedure were recorded on a numerical scale (0-10). Results: Overall baseline average pain scores were low (<3), decreasing over time and similar in morning and afternoon. Overall post-procedure average pain scores were low (<4), and similar over time (cross-chest vs self-hug). On postoperative days 2-4 the patients experienced mildly reduced pain with the self-hug Additional results according to patient variables were available. Conclusion: Potentially, self-hug reduces pain poststernotomy and should be trialled in the individual patient.
Heart, Lung and Circulation, 2018
The Indian journal of medical research, 2017
Prescription patterns of guideline-directed medical therapy (GDMT) after coronary artery bypass s... more Prescription patterns of guideline-directed medical therapy (GDMT) after coronary artery bypass surgery [coronary artery bypass graft (CABG)] and percutaneous coronary intervention (PCI) at hospital discharge are often not optimal. In view of scarce data from the developing world, a retrospective analysis of medication advice to patients following CABG and PCI was conducted. Records of 5948 patients (post-PCI: 5152, post-CABG: 796) who underwent revascularization from 2010 to 2014 at a single tertiary care centre in north India were analyzed. While age and gender distributions were similar, diabetes and stable angina were more frequent in CABG group. Prescription rates for aspirin 100 per cent versus 98.2 per cent were similar, while beta-blockers (BBs, 95.2 vs 90%), statins (98.2 vs 91.6%), angiotensin-converting enzyme inhibitors (89.4 vs 41.4%), nitrates (51.2 vs 1.1%) and calcium channel blockers (6.6 vs 1.6%) were more frequently prescribed following PCI. Despite similar baseli...
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Papers by Nilesh Srivastava