Difficult Airway Management, Chronic Pain management.
C/O Prof S.M.Muzhir, 4/1414 D, New Sir Syed Nagar, Aligarh 202002
I did MBBS in 2001 and later MD in Anaesthesiology in 2005 from J.N.Medical College, A.M.U, Aligarh. Then, I was appointed as Senior Resident for 1yr and 4 months, later worked as Assistant Professor for 13 years from 2006 to 2019. Presently, I am working as Associate Professor in the Department of Anaesthesiology since 2019. My thrust area are Airway Management, Acute and Chronic Pain Management .Some of the reputed journals which have published my articles are Acta Anaesthesiologica Scandanavia, Journal of Clinical Anesthesia, Minerva Anestesiologica,Acta Anaesthesiologica Belgica, Acta Anaesthesiologica Taiwanica, Revista Brasileira de Anestesiologia , Indian Journal of Anaesthesia, and Journal of Anaesthesiology and Clinical Pharmacology.
- Amir SH, Ali QE, Firdaus U, Azhar A Z. Lateral Cheek retraction- A simple maneuver in aiding laryngoscopy and intubation in paediatric patients. Jurnalul Român de Anestezie Terapie Intensivã 2012; 19: 35-38. Download PDF
- Amir SH, Bano S, Khan RM, Ahmed M, Zia M, Nasreen F. Electro-stimulation at P6 for prevention of PONV. Journal of Anaesthesia Clinical Pharmacology 2007; 23: 383-6. Background: Post Operative Nausea & Vomiting (PONV) is a distressing complication especially after middle ear surgery. Non-pharmacological methods offer case of acceptance, low costs and need to be re-examined for efficacy in PONV prophylaxis. Patients & Methods: 40 adult ASA grade I & II patients undergoing middle ear surgery were randomly selected into 2 groups of 20 each. Group I received accupuncture at P6 point. Group II patients received sham acupuncture. Anaesthesia technique was standardised in both groups. A blinded observer collected postoperative data on PONV, alongwith total dose of ondansetron received & patient satisfaction till 24 hrs of surgery. Results: Overall incidence of Nausea was 30% & vomiting 25% in group I while 80% patients in group II reported both nausea & vomiting. Need of rescue antiemetics was also higher in group II. However only 50% patients in group II accepted this technique for future use. Conclusion : We therefore conclude that acupuncture using electrical stimulation is safe and effective in the prevention of PONV in patients undergoing middle ear surgery.
- Ali QE, Amir SH, Firdaus U, Siddiqui OA, Azhar AZ. A comparative study of the efficacy of Pediatric Airtraq with conventional laryngoscope in children. Minerva Anestesiologia 2013; 79:1366-70. Background. Management of paediatric airway poses a challenge to anaesthesiologists. In children, laryngoscopy and intubation becomes easier using simple maneuver like retracting the cheek laterally than standard routine practice of laryngoscopy and intubation. We evaluated the efficacy of retracting the cheek laterally while laryngoscopy and intubation in patients of paediatric age group. Method. After institutional approval and written consent from the parents of the children they were allocated into two groups of 25 patients each. Group A patients were those in which right lateral cheek retraction was performed by an assistant while doing laryngoscopy and intubation. Group B patients were those in which conventional laryngoscopy and intubation was done without aiding cheek retraction. The parameters noted were duration of intubation, number of intubation attempts, need for optimization maneuvers and ease of intubation. Result. There was no difference between the groups as regard to demographic data. Time of intubation and need for optimization maneuvers (posterior displacement of the larynx by putting backward pressure on the thyroid or cricoid cartilage, Optimal External Laryngeal Manipulation and Backward, Upward, Rightward Pressure) was significantly shorter in Group A as compared to Group B (p < 0.05). Number of intubation attempts was significantly higher in Group B (p < 0.05) as compared to Group A. It was significantly easier to intubate when lateral cheek retraction was performed in Group A while doing laryngoscopy and intubation (p < 0.05) as compared to Group B patients where lateral cheek retraction was not performed. Conclusion. Lateral cheek retraction plays an important role in securing airway in paediatric patients. It improves visualization of the glottic opening and subsequent intubation in comparison to standard laryngoscopy.
- Ali QE, Das B, Amir SH, Siddiqui OA, Jamil S. Comparison of the Airtraq and McCoy laryngoscopes using a rigid neck collar in patients with simulated difficult laryngoscopy. Journal of Clinical Anesthesia 2014; 26:199-203. Study Objective: To determine the efficacy of the Airtraq versus the McCoy laryngoscope as intubation devices with the neck stabilized by a rigid cervical collar. Design: Prospective, randomized, double-blinded study. Setting: Jawaharlal Nehru Medical College. Patients: 60 ASA physical status 1, 2, and 3 patients, aged 18–70 years, scheduled for various surgical procedures requiring tracheal intubation for surgical anesthesia. Interventions: Patients were randomly allocated to undergo intubation with the McCoy (n = 30) or Airtraq (n = 30) laryngoscope. Measurements and Main Results: Differences in intubation times between the Airtraq and the McCoy laryngoscope, modified Cormack-Lehane score, percentage of glottic opening (POGO) score, and airway trauma were compared. Overall intubation success rates were 100% with both devices and a similar number of intubation attempts were required. However, the mean (SD) time required for successful intubation was shorter with the Airtraq (28.73 ± 6.39 sec) than the McCoy laryngoscope (39.11 ± 14.01 sec; P b 0.0001). The frequencies of intubation complications were similar. Esophageal intubation occurred in 4 cases but only with the McCoy laryngoscope. Conclusion: Intubation time was shorter with the Airtraq than the McCoy laryngoscope, even though the overall success rates between the two devices were similar. © 2014 Elsevier Inc. All rights reserved
- Ali QE, Amir SH, Jamil S, Ahmad S. A comparative evaluation of the Airtraq and King Vision video laryngoscope as an intubating aid in adult patients. Acta Anaesthesiologica Belgica 2015; 66: 81-5. Abstract : Airtraq® has been shown to improve ease of intubation in patients with normal and difficult airway. King Vision® video laryngoscope is a newly introduced intubating device with an attached monitor. We here hypothesized that the King Vision® video laryngoscope with channeled blade performs better during intubation as compared to Airtraq®. In this study, we performed a comparison between the King Vision® video laryngoscope and the Airtraq® with regard to time needed for intubation, number of attempts required to intubate, and complications. Fifty ASA grade I and II adult patients posted for a routine surgical procedure were randomly divided into two groups of 25 patients each. All patients were anesthetized using similar techniques. The time required to intubate patients was significantly shorter when the King Vision® video laryngoscope with channeled blade was used as compared to the Airtraq® (p < 0.05). The number of attempts to successfully intubate patients was also significantly lower (p < 0.05) for the King Vision® video laryngoscope than for the Airtraq®. The use of the Kings Vision® video laryngoscope with channeled blade should be encouraged in difficult intubation situations in adult patients with a mouth opening of more than 18 mm.
- Kamal S, Ali QE, Das B, Amir SH, Ahmed S, Pal K. King vision video laryngoscope versus Lightwand as an intubating device in adult patients with Mallampatti grade III and IV patients. Journal of Clinical Anesthesia 2016; 34: 483- 9. Study objective: Anticipated and unanticipated difficult airways are often encountered by anesthesiologists in their clinical practice. There are various devices available in such situations. We aim to compare King Vision video laryngoscope and Lightwand for their performance as an intubating device in predicted difficult intubation. Design: Prospective, randomized, single blind study. Setting: Jawaharlal Nehru Medical College. Patients: Sixty ASA 1 and 2 with Mallampati grade III and IV. Interventions: Patients were divided into 2 groups of 30 patients each. Patients of King Vision group [n = 30] and Lightwand group [n = 30] were intubated using respective devices. Primary outcome measure was time taken to intubate whereas secondary outcome measure ware number of attempts for intubation, no of adjustment maneuvers, changes in heart rate and mean arterial pressure and airway trauma. Measurements and Main Results: Mean intubation time using King Vision video laryngoscope (19.50 ± 6.73 seconds was lower than the intubation time using Lightwand 25.40 ± 7.42 s, P = .00). The difference between number of attempts, success of intubation, numbers of adjustment maneuvers were comparable. There was a significant rise in heart rate within the groups from the pre-induction values. However inter group variations were similar. In addition, there was a significant rise in mean arterial pressure within the groups from the pre-induction values. Inter group variations show less increase in mean arterial pressure with Lightwand at immediate post intubation (P = .0234) and at 3 min and 5 min post intubation anesthesia. © 2016 Published by Elsevier Inc. 1. Intro
- Amir SH, Ali QE, Bansal S. A comparative evaluation of Video Stylet and flexible fiber-optic bronchoscope in the performance of intubation in adult patients. Indian Journal of Anaesthesia 2017; 61: 321-5. Background and Aims: Video Stylet (VS) is a new intubating modality that provides real-time video of endotracheal intubation (ETI). This device does not need alignment of the oral, pharyngeal and tracheal axes to view glottis and can be used in patients with limited mouth opening. The aim of this study was to compare flexible fibre?optic (FO) bronchoscope with VS in elective surgical patients in apparently normal airway patients requiring oral ETI. Methods: Sixty patients undergoing elective surgery under general anaesthesia of age group 20–60 years, weight 40–70 kg, American Society of Anesthesiologist 1 and 2 and modified Mallampatti I and II were included in the study. Patients in group FO (n = 30) were intubated by flexible FO bronchoscope, whereas patients in group VS (n = 30) were intubated by VS. Primary outcome measure was time taken for intubation (TTI). Secondary outcome measures were successful intubation, haemodynamic response and post-operative complications if any. Results: Average TTI in cases of FO group was 38.2 s (95% confidence interval [CI] 36–41) and in VS group was 19.7 s (95% CI 19–21; P = 0.0001). Three patients required a second attempt for successful intubation in FO group compared to eight in VS group (P = 0.2), with no failures in any group. Haemodynamic response and complications rate were greater in VS group; however, the differences were not statistically significant. Conclusion: VS takes lesser time to intubate than flexible FO bronchoscope.
- Kamal S, Ali QE, Das B, Amir SH, Ahmed S, Pal K. King vision video laryngoscope versus Lightwand as an intubating device in adult patients with Mallampatti grade III and IV patients. Journal of Clinical Anesthesia 2016; 34: 483- 9.
- Ali QE, Amir SH, Jamil S, Ahmad S. A comparative evaluation of the Airtraq and King Vision video laryngoscope as an intubating aid in adult patients. Acta Anaesthesiologica Belgica 2015; 66: 81-5.
- Ali QE, Das B, Amir SH, Siddiqui OA, Jamil S. Comparison of the Airtraq and McCoy laryngoscopes using a rigid neck collar in patients with simulated difficult laryngoscopy. Journal of Clinical Anesthesia 2014; 26:199-203.
- Ali QE, Amir SH, Firdaus U, Siddiqui OA, Azhar AZ. A comparative study of the efficacy of Pediatric Airtraq with conventional laryngoscope in children. Minerva Anestesiologia 2013; 79:1366-70.
- Amir SH, Ali QE, Firdaus U, Azhar A Z. Lateral Cheek retraction- A simple maneuver in aiding laryngoscopy and intubation in paediatric patients..Jurnalul Român de Anestezie Terapie Intensivã 2012; 19: 35-38.
- Ali QE, Siddiqui OA, Amir SH, Azhar AZ, Ali K. Airtraq optical laryngoscope for tracheal intubation in patients with huge lipoma at the nape- A case report Revista Brasileira de Anestesiologia 2012; 62: 5: 736
- Moazzam M, Nasreen F, Bano S, Amir SH. Symptomatic Sinus Bradycardia; a rare effect of intravenous ondansetron. Saudi Journal of Anaesthesia 2011; 1: 96-7.
- Ahmed SM, Amir SH, Mansoor T, Ali S, Nadeem A. Complications following accidental administration of 1.5% glycine intravenously. Acta Anaesthesiologica Scandinavica 2008; 52: 570-71.
- Amir SH, Ali QE, Bansal S. A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients. Indian Journal of Anaesthesia 2017; 61: 321-5.
- Ali QE, Manjunatha L, Amir SH, Jamil S, Quadir A. Efficacy of clonidine as an adjuvant to ropivacaine in supraclavicular brachial plexus block: A prospective study. Indian Journal of Anaesthesia 2014; 58: 709-13.
- Amir SH, Bano S, Khan RM, Ahmed M, Zia M, Nasreen F. Electro-stimulation at P6 for prevention of PONV. Journal of Anaesthesia Clinical Pharmacology 2007; 23: 383-6.