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Indian Journal of Critical Care Medicine

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https://www.readbyqxmd.com/read/27994388/hypoglycemia-old-foe-with-a-new-face-masquerading-as-an-acute-stroke
#1
Virti D Shah, Sumeet Prakash Mirgh, Rishit K Harbada, Nirmal Surya
No abstract text is available yet for this article.
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994387/refractory-pediatric-cardiogenic-shock-a-case-for-mechanical-support
#2
Anil Sachdev, Bharat Mehra, Arun Mohanty, Dhiren Gupta, Neeraj Gupta
Acute left ventricular dysfunction in children justifies aggressive treatment because of the high potential for complete recovery. The options for providing mechanical support to the failing heart in a child include extracorporeal membrane oxygenation, left ventricular assist devices, and the use of the intra-aortic balloon pump (IABP). The IABP is a commonly used method of temporary circulatory support in adults. However, despite the availability of pediatric size balloons, the usage of IABP for temporary circulatory support in children has not been widespread...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994386/diagnosis-of-a-missed-central-line-guidewire-using-critical-care-ultrasound
#3
Ali Al Bshabshe
Central venous catheterization, though an imperative tool in the management of critically ill patient, is associated with a variety of complications and some of which can be life-threatening. Here, we report an index case in the field of critical care of detecting a missed guidewire primarily using a bedside critical care ultrasound.
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994385/exchange-transfusion-for-babesiosis-when-how-and-how-long
#4
Pramod K Guru, John C O Horo, Heidi D Lehrke, Jeffrey L Winters, John W Wilson
Babesiosis is a zoonotic disease transmitted by Ixodes ticks seen in the United States and parts of Europe. Because of the typically mild course of most infections, the disease is uncommonly seen in clinical practice. However, asplenic patients can develop a life-threatening infection. The first line of therapy for Babesia infections is antiparasitic medications; however, red blood cell (RBC) exchange transfusion has been described as an adjunct therapy. We describe a severe case of babesiosis in an asplenic patient and review the evidence, indications, and protocols for RBC exchange transfusion in this setting...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994384/severe-acute-respiratory-distress-syndrome-caused-by-unintentional-sewing-machine-lubricant-ingestion-a-case-report
#5
Sunil Kishore, Sudha Chandelia, Neha Patharia, Swarnim
Sewing machine oil ingestion is rare but is possible due to its availability at home. Chemically, it belongs to hydrocarbon family which is toxic if aspirated, owing to their physical properties such as high volatility and low viscosity. On the contrary, sewing machine lubricant has high viscosity and low volatility which makes it aspiration less likely. The main danger of hydrocarbon ingestion is chemical pneumonitis which may be as severe as acute respiratory distress syndrome (ARDS). We report a case of a 5-year-old girl with accidental ingestion of sewing machine lubricant oil, who subsequently developed ARDS refractory to mechanical ventilation...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994383/acute-carbolic-acid-poisoning-a-report-of-four-cases
#6
Prabhas Prasun Giri, Rajiv Sinha, Shalini Sikka, Saumen Meur
Phenol (carbolic acid) is one of the oldest antiseptic agents. Apart from being used in many commercially available products, in rural India, it is often used in the household to prevent snake infestation. We hereby present four cases of acute carbolic acid poisoning which we saw over the last monsoon. The cases highlight the multiple routes of absorption of carbolic acid as well as its multi-organ complications which often necessitate intensive care of local therapy decreases systemic phenol absorption from cutaneous exposure and may help in reducing severity...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994382/nasal-intubation-a-comprehensive-review
#7
REVIEW
Varun Chauhan, Gaurav Acharya
Nasal intubation technique was first described in 1902 by Kuhn. The others pioneering the nasal intubation techniques were Macewen, Rosenberg, Meltzer and Auer, and Elsberg. It is the most common method used for giving anesthesia in oral surgeries as it provides a good field for surgeons to operate. The anatomy behind nasal intubation is necessary to know as it gives an idea about the pathway of the endotracheal tube and complications encountered during nasotracheal intubation. Various techniques can be used to intubate the patient by nasal route and all of them have their own associated complications which are discussed in this article...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994381/using-the-first-drop-of-blood-for-monitoring-blood-glucose-values-in-critically-ill-patients-an-observational-study
#8
Sunita Saini, Sukhpal Kaur, Karobi Das, Vikas Saini
CONTEXT: Using the first drop or second drop of blood while measuring blood glucose (BG) values. OBJECTIVE: The study was planned to compare the BG values from the first and second drops of blood. RESEARCH SETTINGS: The study was conducted at the Main Intensive Care Unit, PGIMER, Chandigarh, India. RESEARCH DESIGN: This study was a comparative study. MATERIALS AND METHODS: Ninety patients aged 2-93 years were enrolled in this study...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994380/validity-of-bedside-blood-glucose-measurement-in-critically-ill-patients-with-intensive-insulin-therapy
#9
Ata Mahmoodpoor, Hadi Hamishehkar, Kamran Shadvar, Sarvin Sanaie, Afshin Iranpour, Vahid Fattahi
BACKGROUND AND AIMS: There have been variable results on the practice of tight glycemic control, and studies have demonstrated that point-of-care (POC) glucometers have variable accuracy. Glucometers must be accurate, and many variables can affect blood glucose levels. The purpose of this study was to determine the difference between blood glucose concentrations obtained from POC glucometers and laboratory results in critically ill patients with intensive insulin therapy. MATERIALS AND METHODS: This was a descriptive study which enrolled 300 critically ill patients...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994379/preoperative-red-cell-distribution-width-not-a-useful-prognostic-indicator-for-30-day-mortality-in-patients-who-undergo-major-or-ultra-major-noncardiac-surgery
#10
Yik-Nang Cheung, Hoi-Ping Shum, King-Chung Chan, Wing-Wa Yan
BACKGROUND: Red cell distribution width (RDW) has been shown to be associated with mortality in cardiac surgical patients. This study investigates the association of RDW with the 30-day mortality for those patients who undergo major- or ultra-major noncardiac surgery. METHODS: Patients who received major- or ultra-major noncardiac surgery between July 2012 and May 2013 were included in the study and patients those with preoperative hemoglobin <10 g/day were excluded from the study...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994378/pediatric-trauma-big-score-predicting-mortality-in-polytraumatized-pediatric-patients
#11
Mohamed Abd El-Aziz El-Gamasy, Ahmed Abd El Basset Abo Elezz, Ahmed Sobhy Mohamed Basuni, Mohamed El Sayed Ali Abd Elrazek
BACKGROUND: Trauma is a worldwide health problem and the major cause of death and disability, particularly affecting the young population. It is important to remember that pediatric trauma care has made a significant improvement in the outcomes of these injured children. AIM OF THE WORK: This study aimed at evaluation of pediatric trauma BIG score in comparison with New Injury Severity Score (NISS) and Pediatric Trauma Score (PTS) in Tanta University Emergency Hospital...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27994377/risk-factors-for-early-invasive-fungal-disease-in-critically-ill-patients
#12
Gurmeet Singh, Ceva Wicaksono Pitoyo, Dita Aditianingsih, Cleopas Martin Rumende
BACKGROUND: The incidence of invasive fungal disease (IFD) is increasing worldwide in the past two to three decades. Critically ill patients in Intensive Care Units are more vulnerable to fungal infection. Early detection and treatment are important to decrease morbidity and mortality in critically ill patients. OBJECTIVE: Our study aimed to assess factors associated with early IFD in critically ill patients. MATERIALS AND METHODS: This prospective cohort study was conducted in critically ill patients, from March to September 2015...
November 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829725/complications-and-benefits-of-intrahospital-transport-of-adult-intensive-care-unit-patients
#13
P V Sai Saran, Afzal Azim
No abstract text is available yet for this article.
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829724/management-of-indoxacarb-poisoning-in-a-regional-setting
#14
Ali Sobhani Firoozabadi, Zeynab Nasri-Nasrabadi, Sayed Mahdi Marashi
No abstract text is available yet for this article.
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829723/radial-artery-pseudoaneurysm-a-rare-complication-after-a-single-arterial-puncture-for-blood-gas-analysis
#15
Kajal Nitin Patel, Shruti P Gandhi, Harsh C Sutariya
With a reported incidence of 0.048%, radial artery pseudoaneurysm (PA) is a rare but serious complication of arterial cannulation. We report a case of PA developing after a single puncture of the right radial artery for arterial blood-gas analysis diagnosed by Doppler ultrasound in young male patient. The development of PA after puncture of radial artery for continuous blood pressure monitoring and serial blood-gas analysis has been reported in the past; however, to the best of our knowledge, there is only one case report of development of PA after a single arterial puncture for blood-gas analysis is reported in the past...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829722/cerebral-hyperperfusion-syndrome-after-intracranial-stenting-of-the-middle-cerebral-artery
#16
Boby Varkey Maramattom
Cerebral hyperperfusion syndrome (CHS) is a rare complication following cerebral revascularization. It presents with ipsilateral headache, seizures, and intracerebral hemorrhage. It has mostly been described following extracranial carotid endarterectomy and stenting and it is very unusual after intracranial stenting. A 71-year-old man with a stuttering stroke was taken up for a cerebral angiogram (digital subtraction angiography), which showed a dissection of the distal left middle cerebral artery. This was recanalized with a solitaire AB stent...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829721/successful-engraftment-after-hematopoietic-stem-cell-transplantation-with-infusion-of-donor-stem-cells-through-the-extracorporeal-membrane-oxygenation-circuit
#17
Pilar Anton-Martin, Cindy Darnell-Bowens, Victor M Aquino, Teresa Jones, Lakshmi Raman
Wiskott-Aldrich syndrome (WAS) is a rare X-linked primary immunodeficiency due to mutations in the WAS gene expressed in hematopoietic cells. Hematopoietic stem cell transplantation (HSCT) is the treatment of choice when an appropriate human leukocyte antigen-matched donor is available. The use of the extracorporeal membrane oxygenation (ECMO) circuit to infuse donor cells for HSCT has not been previously published in the literature. We describe a case of a child who had successful engraftment after HSCT with infusion of the donor stem cells through the ECMO circuit...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829720/an-encounter-with-enalapril-induced-resistant-life-threatening-angioedema-at-rural-health-center-in-botswana
#18
Nikhil Anish, Abiy Mulugeta Gabremedhin
Angioedema, a rare, potentially fatal and usually self-limiting adverse effect of therapy with enalapril, is always a challenging encounter for an intensive care specialist in a rural setup. Here, we present a 74-year-old female, who presented to the Emergency Department of Sekgoma Memorial Hospital, Serowe village, Botswana, with progressive swelling of her face, tongue and breathing difficulty just 2 days after starting tablet enalapril. She failed to respond to usual treatment with adrenaline, steroids, and H1-antihistaminic agent, but she responded well with intravenous fresh-frozen plasma infusion...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829719/endoscopic-ultrasound-with-an-echobronchoscope-guided-fine-needle-aspiration-for-diagnosis-of-a-mediastinal-lesion-in-a-mechanically-ventilated-patient-a-case-report-and-systematic-review-of-the-literature
#19
Kuruswamy Thurai Prasad, Inderpaul Singh Sehgal, Nalini Gupta, Navneet Singh, Ritesh Agarwal, Sahajal Dhooria
Endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) is routinely used for accessing mediastinal lymph nodes and masses. However, in patients with respiratory failure, who are being mechanically ventilated through an endotracheal tube, EBUS-TBNA may not be feasible due to several reasons. In such patients, the esophageal route offers a useful alternative for accessing mediastinal lesions. Herein, we describe a 50-year-old man with a mediastinal mass, who was being invasively ventilated for respiratory failure...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829718/a-rare-case-of-movement-disorder-in-intensive-care-unit
#20
Vikas Sikri, Alok Jain, Vinay Singhal, Amit Gupta
Hemichorea-hemiballismus syndrome (HCHB represents a peculiar form of hyperkinetic movement disorder with varying degrees of chorea and/or ballistic movements on one side of body. The patients are conscious of their environment but unable to control the movements. HCHB is a rare occurrence in acute stroke patients. Patients with sub-cortical strokes are more prone to develop movement disorders than with cortical stroke. We report one such interesting case here posing difficulties in management and intensive care of the patient...
October 2016: Indian Journal of Critical Care Medicine
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