https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/430 2026-06-03T02:45:45Z 2026-06-03T02:45:45Z Suman Devarmani , Ann Cheruvillil Joy, Shreeshail Anjutagi,Keerti Wali https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/6202 2026-05-16T07:28:48Z 2026-02-01T00:00:00Z

Title: Efficacy of pre-operative salbutamol nebulization in improving patient comfort and surgical outcomes during cataract surgery in copd and asthma patients Authors: Suman Devarmani , Ann Cheruvillil Joy, Shreeshail Anjutagi,Keerti Wali Abstract: increased risk of perioperative respiratory discomfort even during minor procedures such as cataract surgery performed under local anesthesia. Intraoperative coughing, dyspnea, and poor cooperation may adversely affect surgical outcomes. Preoperative bronchodilation with salbutamol may improve respiratory stability and patient comfort; however, evidence in ophthalmic surgeries is limited. Aim: To compare the efficacy of preoperative salbutamol nebulization in improving patient comfort and surgical outcomes during cataract surgery in patients with COPD and/or asthma, and to propose a standard preoperative protocol. Methods: A hospital-based cross-sectional comparative study was conducted over one year in a tertiary care center. Thirty adult patients with bronchial asthma and/or COPD undergoing cataract surgery were randomly allocated into two groups: salbutamol group (n=15), receiving preoperative nebulization with salbutamol (2.5 mg), and control group (n=15), receiving standard care without nebulization. Patient comfort (better/uneventful vs breathlessness) and intraoperative surgical conditions (uneventful vs disrupted) were assessed. Statistical analysis was performed using Chi-square test, with p<0.05 considered significant. Results: The mean age was comparable between the salbutamol (65.4 ± 7.3 years) and control groups (69.9 ± 7.8 years). Good patient comfort was observed in 86.7% of patients in the salbutamol group compared to 40.0% in the control group (χ²=7.03, p=0.008). Breathlessness was significantly lower in the intervention group (13.3% vs 60.0%). Uneventful surgical conditions were achieved in 86.7% of patients receiving salbutamol compared to 40.0% in controls (χ²=7.03, p=0.008). Conclusion: Preoperative salbutamol nebulization significantly improves intraoperative patient comfort and surgical conditions in patients with COPD and asthma undergoing cataract surgery. Incorporating this simple and cost-effective intervention into routine preoperative protocols may enhance surgical outcomes and patient experience.

2026-02-01T00:00:00Z Keertivardhan D. Kulkarni, Apoorva Ravi, Pranavi V. https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/5369 2024-01-18T06:19:27Z 2023-01-01T00:00:00Z

Title: Bagassosis‑ An infrequent type of hypersensitivity pneumonitis: A case report. Authors: Keertivardhan D. Kulkarni, Apoorva Ravi, Pranavi V.

2023-01-01T00:00:00Z Vijaya Kumar, Siddartha S Angadi, Praveen Kumar, Vishwantha Malkappa Jalawadi. https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/4470 2022-10-12T11:08:39Z 2022-01-01T00:00:00Z

Title: Clinical profile of patients undergoing fiber optic bronchoscopy. Authors: Vijaya Kumar, Siddartha S Angadi, Praveen Kumar, Vishwantha Malkappa Jalawadi.

2022-01-01T00:00:00Z Vijaya Kumar, Siddartha S Angadi, Praveen Kumar, Vishwantha Malkappa Jalawadi. https://digitallibrary.bldedu.ac.in/xmlui/handle/123456789/4469 2022-10-12T11:06:29Z 2022-01-01T00:00:00Z

Title: The effectiveness of bronchial washings (BW) in the diagnosis of sputum smear for acid fast bacilli (AFB) negative cases of pulmonary tuberculosis. Authors: Vijaya Kumar, Siddartha S Angadi, Praveen Kumar, Vishwantha Malkappa Jalawadi.

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