Sunday, 1 January 2023

Happy New Year

 Let's pray for peace and love

Let's pray for health and happiness

Let's pray for love of truth and a kindlier hand 

Let's pray for sweeter manners and tender care

Let's hug the world and laugh together

Let's pray for new ideas and beautiful dreams 

Happy New Year 2023 ... Col Pradeep Pendyala

Saviours in the Shadows

 Happy New Year to all the Saviours in the Shadows 

All the best for inducing, monitoring and the reversal

Keep titrating the drugs and your infusions 

Keep relieving the pain of the patients and the stress of the Surgeons

Keep sedating,keep documenting and keep evaluating all through the surgery

You're the guardian angel

Although he's a stranger 

Patient has faith and trust in you

'Cause you're the monument of compassion and empathy...Col Pradeep Pendyala

Wednesday, 28 December 2022

Window

 Through this window glass

I stare out for many answers

I feel the crispy wind 

And I see the birds

I look for the possibilities outside

And the truth inside

Or is it the window to my soul

I see the clouds glide above the window

Why is there a pane of glass 

Separating me from the truth and tears of joy 

You complement each day of my life

You're indeed my soul 

And the soul of my existence...Col Pradeep Pendyala

Thursday, 22 December 2022

Christmas has arrived

 When you taste first slice of cake 

When your parents are planning a special surprise

When the balls of red and gold allowed to shine

When you start hearing familiar Christmas carols

When the wintry sun appears with a sleepy head

When stars appear shivering in the sky

When St Nicholas comes down the chimney

When you start decorating the Christmas tree

When you find everywhere ribbons, packages and boxes

When there's thrill of hope

And your world rejoices 

Christmas has truly arrived

Col Pradeep Pendyala

Professor of Anaesthesiology

Monday, 19 December 2022

FIFA World Cup

 My world is abuzz with soccer

The spirit of football everywhere

I've a thought

That would never go away 

Argentina has ruled the roost

Though I couldn't give a hoot

My heart goes to Mbappé

He did win : people's hearts

And a Golden Boot

...Col Pradeep Pendyala

Professor of Anaesthesiology

Wednesday, 23 November 2022

Important drugs

 Anaesthesiologists should always remember few facts about few important drugs without fail. Firstly, the drug of choice in surviving sepsis campaign is definitely Norepinephrine. Dobutamine is the drug of choice in post operative cardiac surgery cases. Renal dose of dopamine is a myth because it doesn't increase GFR and it's better avoided for fear of arrythmias. Phenylephrine is pure alpha 1 agonist and it lasts only for fifteen minutes. Avoid giving more than 2 microgram per kg per minute for fear of severe vasoconstriction and ischemia. Ephedrine lasts for one hour. But it's a tendency of causing foetal acidosis by decreasing uteroplacental perfusion due to its vasoconstriction. Ephedrine releases Norepinephrine from nerve terminals and produces its effects. When hypotension occurs after general anaesthesia, volatile  extra usage or after spinal anaesthesia, ephedrine is the drug of choice. But it can cause tachyphylaxis by its prolonged usage as the Norepinephrine stores get depleted. Among the two...amrinone and milrinone, milrinone is preferred as it doesn't cause thrombocytopenia. Milrinone increases the cyclic AMP by inhibiting phosphodiastrase and thus calcium entry increased and myocardial contractility too. When there's refractive hypotension in septic shock patients, try Vasopressin but it can cause diabetes insipidus and hyponatremia... Col Pradeep Pendyala

Monday, 21 November 2022

Humour and intelligence

 I always believed that people who've good sense humour are generally more intelligent. The ability to produce humour is a sign of cleverness. Funny people are always loved in the society and they do have higher IQ  ( intelligence quotient). Moreover, higher humour sense is linked to emotional intelligence. Comedians and mimicry artists usually have very good sense of observation. More curiosity means more intelligence. Someone actually said that you can tell how smart people are by what they laugh at. Col Pradeep Pendyala 😀🙏