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Indian Journal of Critical Care Medicine

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https://www.readbyqxmd.com/read/28584442/erratum-changes-in-b-type-natriuretic-peptide-and-related-hemodynamic-parameters-following-a-fluid-challenge-in-critically-ill-patients-with-severe-sepsis-or-septic-shock
#1
(no author information available yet)
[This corrects the article on p. 117 in vol. 21, PMID: 28400680.].
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584441/trouble-shooting-a-small-sized-ijv
#2
Vikas Saini, Dinesh Kumar Sardana, Tanvir Samra, Sameer Sethi
No abstract text is available yet for this article.
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584440/overestimation-of-cardiac-output-by-bent-pulmonary-artery-catheter
#3
Monish S Raut, Sibashankar Kar, Arun Maheshwari, Moloy Rajkhowa, Sumir Dubey, Ganesh Shivnani, Himanshu Arora
No abstract text is available yet for this article.
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584439/intentional-self-harm-human-poisoning-with-agricultural-micronutrient-foliar-spray-from-rural-india-of-southern-karnataka
#4
Srujitha Marupuru, Girish Thunga, Muralidhar Varma, Sudha Vidyasagar, Pranav Chandak, Sai Mounika Cherukuri
No abstract text is available yet for this article.
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584438/neurogenic-pulmonary-edema-in-traumatic-brain-injury
#5
Ramanan Rajagopal, Swaminathan Ganesh, Muralidharan Vetrivel
A 29-year-old male admitted with severe traumatic brain injury following a road traffic accident was sedated and ventilated uneventfully for 72 h. On the fourth posttrauma day, after stopping sedation to assess readiness for extubation, he developed sudden onset desaturation; arterial blood gas showed severe diffusion defect with very low PaO2/FiO2 ratio following an episode of generalized tonic-clonic seizure. The differential diagnoses and further management are discussed.
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584437/severe-pediatric-acute-respiratory-distress-syndrome-due-to-scrub-typhus-successful-ventilation-with-airway-pressure-release-ventilation-mode-after-becoming-refractory-to-protective-ventilation
#6
Sudha Chandelia, Sarika Jain
Scrub typhus can affect lungs from mild illness like pneumonitis to a severe illness like acute respiratory distress syndrome (ARDS). Such patients may be very challenging to treat when their hypoxemia becomes severe and refractory to treatment. Main treatment is supportive in terms of mechanical ventilation. In adult ARDS, low tidal volume (TV) ventilation has been recommended, but there is no consensus on most effective ventilation mode in children. We present a case of a 12-year-old girl who developed severe ARDS (PO2/FiO2 ratio - 58), refractory to low TV ventilation...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584436/titration-of-ideal-positive-end-expiratory-pressure-in-acute-respiratory-distress-syndrome-comparison-between-lower-inflection-point-and-esophageal-pressure-method-using-volumetric-capnography
#7
Nandakishore Baikunje, Inderpaul Singh Sehgal, Sahajal Dhooria, Kuruswamy Thurai Prasad, Ritesh Agarwal
The tenets of mechanical ventilation in acute respiratory distress syndrome (ARDS) include the utilization of low tidal volume and optimal application of positive end-expiratory pressure (PEEP). Optimal PEEP in ARDS is characterized by reduction in alveolar dead space along with improvement in the lung compliance and resultant betterment in oxygenation. There are various methods of setting PEEP in ARDS. Herein, we report a patient of ARDS, wherein we employed measurement of dead space using volumetric capnography to compare two different PEEP strategies, namely, the lower inflection point and transpulmonary pressure monitoring...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584435/a-study-of-24-patients-with-colistin-resistant-gram-negative-isolates-in-a-tertiary-care-hospital-in-south-india
#8
Rajalakshmi Arjun, Ram Gopalakrishnan, P Senthur Nambi, D Suresh Kumar, R Madhumitha, V Ramasubramanian
BACKGROUND: As the use of colistin to treat carbapenem-resistant Gram-negative infections increases, colistin resistance is being increasingly reported in Indian hospitals. MATERIALS AND METHODS: Retrospective chart review of clinical data from patients with colistin-resistant isolates (minimum inhibitory concentration >2 mcg/ml). Clinical profile, outcome, and antibiotics that were used for treatment were analyzed. RESULTS: Twenty-four colistin-resistant isolates were reported over 18 months (January 2014-June 2015)...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584434/management-of-potential-organ-donor-indian-society-of-critical-care-medicine-position-statement
#9
Rahul Anil Pandit, Kapil G Zirpe, Sushma Kirtikumar Gurav, Atul P Kulkarni, Sunil Karnath, Deepak Govil, Babu Abhram, Yatin Mehta, Abinav Gupta, Ashit Hegde, Vijaya Patil, Pradip Bhatacharya, Subhal Dixit, Srinivas Samavedan, Subhash Todi
No abstract text is available yet for this article.
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584433/critically-ill-obstetric-patients-in-a-general-critical-care-unit-a-5-years-retrospective-study-in-a-public-teaching-hospital-of-eastern-india
#10
Sugata Dasgupta, Tulika Jha, Priyojit Bagchi, Shipti Sradha Singh, Ramprasad Gorai, Sourav Das Choudhury
BACKGROUND: Critical care services are essential for the subset of obstetric patients suffering from severe maternal morbidity. Studies on obstetric critical care are important for benchmarking the issues which need to be addressed while managing critically ill obstetric patients. Although there are several published studies on obstetric critical care from India and abroad, studies from Eastern India are limited. The present study was conducted to fill in this lacuna and to audit the obstetric critical care admissions over a 5 years' period...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584432/the-effect-of-high-dose-parenteral-sodium-selenite-in-critically-ill-patients-following-sepsis-a-clinical-and-mechanistic-study
#11
Legese Chelkeba, Arezoo Ahmadi, Mohammad Abdollahi, Atabak Najafi, Mohammad Hosein Ghadimi, Reza Mosaed, Mojtaba Mojtahedzadeh
INTRODUCTION: Severe sepsis and septic shock is characterized by inflammation and oxidative stress. Selenium levels have been reported to be low due to loss or increased requirements during severe sepsis and septic shock. We investigated the effect of high-dose parenteral selenium administration in septic patients. METHODS: A prospective, randomized control clinical trial was performed in septic patients. After randomization, patients in selenium group received high-dose parenteral sodium selenite (2 mg intravenous [IV] bolus followed by 1...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584431/hospital-acquired-infection-prevalence-and-outcome-in-infants-undergoing-open-heart-surgery-in-the-present-era
#12
Manoj Kumar Sahu, Ch Bharat Siddharth, Velayudham Devagouru, Sachin Talwar, Sarvesh Pal Singh, Shiv Chaudhary, Balram Airan
BACKGROUND: The aim of this study is to evaluate the causal relation between hospital-acquired infection (HAI) and clinical outcomes following cardiac surgery in neonates and infants and to identify the risk factors for the development of HAI in this subset of patients. MATERIALS AND METHODS: After Ethics committee approval, one hundred consecutive infants undergoing open heart surgery (OHS) between June 2015 and June 2016 were included in this prospective observational study...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584430/the-benefit-of-benzodiazepine-reduction-improving-sedation-in-surgical-intensive-care
#13
Ralph Schneider, Andreas Puetz, Timon Vassiliou, Thomas Wiesmann, Ulrike Lewan, Hinnerk Wulf, Detlef K Bartsch, Caroline Rolfes
AIMS: Sedation, as it is often required in critical care, is associated with immobilization, prolonged ventilation, and increased morbidity. Most sedation protocols are based on benzodiazepines. The presented study analyzes the benefit of benzodiazepine-free sedation. METHODS: In 2008, 134 patients were treated according to a protocol using benzodiazepine and propofol (Group 1). In 2009, we introduced a new sedation strategy based on sufentanil, nonsteroidal anti-inflammatory drugs, neuroleptics, and antidepressants, which was applied in 140 consecutive patients (Group 2)...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584429/thromboelastography-for-evaluation-of-coagulopathy-in-nonbleeding-patients-with-sepsis-at-intensive-care-unit-admission
#14
Syed Nabeel Muzaffar, Arvind Kumar Baronia, Afzal Azim, Anupam Verma, Mohan Gurjar, Banani Poddar, Ratender Kumar Singh
BACKGROUND: Thromboelastography (TEG) is a global test of coagulation which analyzes the whole coagulation process. TEG is popular in trauma, liver transplant, and cardiac surgeries, but studies in sepsis are limited. We have assessed the utility of TEG for evaluating coagulopathy in nonbleeding patients with sepsis. MATERIALS AND METHODS: A prospective, observational study was done in 12-bedded Intensive Care Unit (ICU) of a tertiary care hospital in North India, during May 2014-November 2014...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584428/a-pilot-randomized-controlled-trial-of-comparison-between-extended-daily-hemodialysis-and-continuous-veno-venous-hemodialysis-in-patients-of-acute-kidney-injury-with-septic-shock
#15
Shakti Bedanta Mishra, Afzal Azim, Narayan Prasad, Ratendra Kumar Singh, Banani Poddar, Mohan Gurjar, Arvind Kumar Baronia
AIM OF STUDY: Acute kidney injury (AKI) is common in patients of septic shock. There is sparse data comparing sustained low-efficiency dialysis (SLED) and continuous renal replacement therapy (CRRT) in patients with septic shock. MATERIALS AND METHODS: This is a prospective randomized study in a 12-bedded medical intensive care unit. After clearance from institute's ethics committee and obtaining informed consent from the relatives, sixty adult patients with septic shock who were to undergo dialysis for AKI were included in the study...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584427/reliability-of-ultrasonography-in-confirming-endotracheal-tube-placement-in-an-emergency-setting
#16
Vimal Koshy Thomas, Cherish Paul, Punchalil Chathappan Rajeev, Babu Urumese Palatty
BACKGROUND AND OBJECTIVES: Over the past few years, ultrasonography is increasingly being used to confirm the correct placement of endotracheal tube (ETT). In our study, we aimed to compare it with the traditional clinical methods and the gold standard quantitative waveform capnography. Two primary outcomes were measured in our study. First was the sensitivity and specificity of ultrasonography against the other two methods to confirm endotracheal intubation. The second primary outcome assessed was the time taken for each method to confirm tube placement in an emergency setting...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28584426/use-of-nutrition-risk-in-critically-ill-nutric-score-to-assess-nutritional-risk-in-mechanically-ventilated-patients-a-prospective-observational-study
#17
M S Kalaiselvan, M K Renuka, A S Arunkumar
CONTEXT: Nutritional risk assessment must be done on all critically ill patients. Malnutrition in intensive care unit (ICU) patients is associated with adverse clinical outcomes. Traditional scoring systems cannot be used for screening in mechanically ventilated (MV) patients because these patients are unable to provide information on their history of food intake and weight loss. The Nutrition Risk in Critically ill (NUTRIC) score is the appropriate nutritional assessment tool in MV patients...
May 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28553054/cardiogenic-shock-the-main-cause-of-mortality-in-acute-aluminum-phosphide-poisoning
#18
Omid Mehrpour, Mohan Gurjar
No abstract text is available yet for this article.
April 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28515615/the-tissue-dilator-a-victim-or-the-aggressor
#19
Prakash K Dubey
No abstract text is available yet for this article.
April 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28515614/symmetrical-peripheral-gangrene-in-severe-plasmodium-vivax-malaria
#20
Prabhat Kumar, Ghazal Tansir, Harish Gupta, Juhi Dixit
No abstract text is available yet for this article.
April 2017: Indian Journal of Critical Care Medicine
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