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ranjith smims rrt anaesthesia management venous coronary acs mi heart nstemi infarction cardiac vaccine immunisation universal spm uip programme myocardial stemi deep vein operative postop thrombosis leg dvt varicose rural primary asthma bronchial anaesthetist chest xray pneumoperitoneum da vinci considerations robot brain death amrita hospital apnea testing organ donation blood pressure non invasive blood pressure monitoring invasive blood pressure monitoring wheatstone bridge arterial blood pressure neuromuscular blocking agents atracurium skeletal muscle relaxants pancuronium vecuronium non depolarising agents interscalene thorax upper limb blocks regional ultrasound supraclavicular axillary