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Dr. Janak Sharma

Gynaecologist, Delhi

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Dr. Janak Sharma Gynaecologist, Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Janak Sharma
Dr. Janak Sharma is one of the best Gynaecologists in Janakpuri, Delhi. You can visit him at Sharma Clinic & Maternity Centre in Janakpuri, Delhi. Book an appointment online with Dr. Janak Sharma and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 29 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Sharma Clinic & Maternity Centre

88-C, A-Blk, Chandan Nagar,Janakpuri,Landmark: Near Mota Singh School, DelhiDelhi Get Directions
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Adverse Respiratory Events - How They Can Be Controlled?

MBBS, MS - General Surgery, MCh - Cardio Thoracic Surgery
General Surgeon, Lucknow
Adverse Respiratory Events - How They Can Be Controlled?

Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.

Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:

  1. Relax you
  2. Block pain
  3. Make you sleepy or forgetful
  4. Make you unconscious for your surgery

Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to death & brain damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:

  1. Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome.
  2. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
  3. Difficult tracheal intubationTracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.

Other’s are as listed below:

  • Airway Obstruction
  • Inadequate inspired oxygen delivery
  • Aspiration
  • Endobronchial Intubation
  • Premature Extubation

Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.

Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:

  • Pulse Oximetry
  • Capnometry
  • Combination of Both

Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2818 people found this helpful

I am a 22 years old female. I have missed my menstrual cycle since two months. I am so worried. Never had sex. I have thyroid .Can you suggest me what to do?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am a 22 years old female. I have missed my menstrual cycle since two months. I am so worried. Never had sex. I have...
Hi Barsha, delayed period could be because of stress or hormonal imbalance. In your case it could be due thyroid levels. Please control TSH levels so that your periods will be regular.
1 person found this helpful
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Hi, my husband has got a 1 inch lump near his ass hole, he does not have pain but have irritation while sitting. Could you please let us know how we can cure this. I am really worred about this, this is from past 4 days.

MD - Oncology
Oncologist, Hubli-Dharwad
Do a biospy from the lump and then colonoscopy with a surgeon, then let me know, even cancer of anal canals are curable, but this can be a papiloma too.
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I am 24 yrs. 27 weeks 3 days pregnant. First pregnancy. Having frequent braxton hicks contractions. Not painful. But can feel tightening in the stomach. Goes away within 20 seconds or so. But frequency is increased since 3 days. I am very worried and scared. Is something going to be wrong. Please reply. Thanks.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I am 24 yrs. 27 weeks 3 days pregnant. First pregnancy. Having frequent braxton hicks contractions. Not painful. But ...
Hi, nothing is wrongIn this period baby will have more space and move freely.The contractions are not harmful. Be relaxed and enjoy the pregnancy.
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Incision Care After Surgery: 4 Easy Ways For It!

MBBS, MS - General Surgery
General Surgeon, Bangalore
Incision Care After Surgery: 4 Easy Ways For It!

Having a surgery, big or small, will subject your body to a certain degree of pain. Post-operative care, hence, is of paramount importance. You'll have a surgical wound where the surgeon has made an incision. To ensure that it heals quickly and to reduce the risk of an infection, it is important that you care for your wound area and keep a regular check for unusual signs and symptoms.

Let us take a step back to understand the normal process of how a wound heals. At first, there will be inflammation during the first week when blood flow to your wound increases. This is a crucial care period as your wound is still fresh. The second phase is proliferation where new blood vessels and tissue begin to grow around the area.

The third and final phase is maturation where new cells develop to strengthen the wound and soften the scar. Depending on the location and size of your wound, your surgeon may have used stitches (medically called sutures), metal clips or staples, adhesive dressing, tape or glue. Stitches, clips and staples are usually removed between three and fourteen days after your treatment. Here is how you can care for your surgical incision:

  1. Change your dressing regularly: Most patients are called to the hospital at regular intervals during the first week for change of dressing two or three times. The nurse or doctor ensures a sterile environment during the process. If you find your dressing falling of late night and you can't go to the hospital, you can wash your hands thoroughly and open a new sterile dressing package and apply to your wound. At all times, touch only the edges of your old / new dressing.
  2. General care for your incision site: Keep the incision site as clean and dry as possible. Keep it covered with plastic during a shower if it is on your hands or legs or take a sponge bath until you get a green signal from your doctor. Protect the incision from sunlight. Some incisions may get itchy as they heal. This is quite common, but it is important not to scratch your incision during this period.
  3. Eating and drinking properly to heal quickly: Vitamin C and Proteins are important as they aid in healing of wounds. Eat a healthy and balanced diet, which includes a variety of lean meat, fish, eggs, dairy products, fruit and vegetables. Make sure that you drink enough water because if you're dehydrated, your wound may take longer to heal.
  4. Look for signs of infection: The common signs of an infection are redness, swelling, unusual drainage, warmth around the incision site increased pain or tenderness at the incision, incision opens up or a fever of more than 100.4 degrees Fahrenheit.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3725 people found this helpful

I am 26 years old. I am having less menstrual blood flow only for one and half day for last few years. I consulted some doctors, they told its because of stress and it will be ok by the time. Please let me know it has any other side effect after marriage or not ?

FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
Check your hb, and take this medicine asokaristam 30 ml twice a day, sukumara kwatha 15 ml mixed with 40 ml water morning empty stomach and evening, rajapravartini vati 2-0-2,

I have my last menses on 29-05-15 I did not get date till now. I have a 2 years boy and we dont wont to commit a one more child now what shall we do please suggest us thankyou.

MD - Homeopathy
Homeopath, Pune
I have my last menses on 29-05-15 I did not get date till now. I have a 2 years boy and we dont wont to commit a one ...
Hello, your last date is 29-5-15 is it right? it's just 12 days from now, why are you worried? or date you posted is wrong? you mean to say 29-4-15? if that is the case confirm pregnancy by urine pregnancy kit in pharmacy, depending on that result further decisions can be take. Or directly go to lab and give sample for pregnancy test. Revert back with the results. If it is positive then consult gynecologist who will guide you for methods of termination of pregnancy, if it is negative then check if you have proper diet and heavy exercise, wait for another 7 days and even after that periods won't come re-do urine pregnancy test, if still negative then consult gyanecologist for further evaluation like sonography, hormonal studies etc. But first thing please confirm your last date of periods. Thanks.
1 person found this helpful
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I have miscarriage due to high BP I want to bcom pregnant again but there's always fear and anxiety about next pregnancy depressed all the time and only think over this issue pls help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I have miscarriage due to high BP I want to bcom pregnant again but there's always fear and anxiety about next pregna...
Hi lybrate-user first rule out APLA, SLE you may have to add some medicines in order to prevent abortion.
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Hey I am 14 years and 10 months old. And my periods are having a light flow from past 3-4 months. On my first day I have a lot pain even. I didn't used to have it before. The flow is not proper it hardly fills one pad a day. My hair is falling from quite few time and i have gained a little weight and when I walk up or down the stairs I breathe heavily and my facial hair are growing a lot. I can't even concentrate on my studies. Help please.

Doctor B.R.Sur Medical College(Delhi), I G N O U, Delhi
Homeopath,
Hey I am 14 years and 10 months old. And my periods are having a light flow from past 3-4 months. On my first day I h...
Divi get your ultrasound abdomen done n thyroid profile test done. So as to know the cause. Can take puls30 / 3 doses followed by s/l tds for a month. Maintain physical exercises. Avoid fried, junk foods. Drink lots of water, n take your full sleep.
1 person found this helpful
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