Abstract:
Pituitary insufficiency because of postpartum haemorrhage with panhypopituitarism usually presents decades after the primary event. Very few cases with early presentation have been reported. We are presenting a case of 21 year old unbooked pregnant (G4P1L1A2), a known asthmatic female with 35 weeks of amenorrhoea. She had haemorrhagic shock post Caesarean delivery and presented with acute partial pituitary hypopituitarism with signs of hypoglycaemia, hyponatremia, hypokalemia and polyuria which responded to intravenous hydrocortisone. We also report the novel use of acupuncture for the treatment of status asthmaticus and difficulty in weaning after failure of maximal pharmacological treatment.
Audience Take Away Notes:
- Management of haemorrhagic shock
- Complications
- Differential diagnosis of hyponatremia/ polyuria in a critically ill patient
- Use of traditional techniques when modern medicine has failed
- Novel use of acupuncture for weaning in bronchial asthma
Biography:
Dr. Nishant is currently working as Professor in the department of anaesthesiology and Critical Care at Lady Hardinge Medical College & Associated Hospitals, New Delhi, which is affiliated to University of Delhi, India. He graduated from Grant Medical College, Mumbai and pursued Diploma in Anaesthesia from Tata Memorial Hospital and Research Centre, Mumbai (University of Mumbai) securing first rank. He further completed his DNB in anaesthesiology from New Delhi and continued his training as senior resident from Maulana Azad Medical College, New Delhi before joining as faculty at LHMC. With an avid Interest in research and teaching, he has more than 40 publications ranging from letters to Original Research, reviews Editorials and book reviews. He is a member of Editorial board of various Journals and a Peer review Member of prestigious National and International Journals. He has delivered close to 100 lectures and conducted workshops pertaining to field of anaesthesiology, Critical care and pain in various conferences and CMEs. He has been an active member of the state chapter of ISA. He is the nodal officer for Pre Hospital trauma technician course- an initiative by the MoHFW to improve services for trauma patients. He played an active part during the COVID pandemic, not only in managing critically ill patients, but also in framing local guidelines and monitoring of Govt. instituted policies and infrastructure. He is also an appointed assessor for NMC for assessment of undergraduate and post graduate courses.
