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Indian Journal of Critical Care Medicine

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https://www.readbyqxmd.com/read/27829725/complications-and-benefits-of-intrahospital-transport-of-adult-intensive-care-unit-patients
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/27829717/pseudocholinesterase-as-a-predictor-of-mortality-and-morbidity-in-organophosphorus-poisoning
#9
Pradeepkumar Hiremath, Pradeep Rangappa, Ipe Jacob, Karthik Rao
BACKGROUND: Organophosphorus (OP) pesticide poisoning is a major clinical and public health problem in India. Mortality rate remains high at 15%-30%. AIMS: This prospective, observational study examines the relationship between pseudocholinesterase (PChE) activity and morbidity and mortality in OP poisoning. SETTING AND DESIGN: OP poisoning cases admitted to a tertiary care center Intensive Care Unit (ICU) over 5 years from 2010 to 2014 were studied...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829716/association-of-hyponatremia-with-in-hospital-outcomes-in-infective-endocarditis-a-5-year-review-from-an-indian-intensive-care-unit
#10
Saraschandra Vallabhajosyula, Muralidhar D Varma, Shashaank Vallabhajosyula, Saarwaani Vallabhajosyula
Hyponatremia is commonly noted with cardiovascular disorders, but its role in infective endocarditis (IE) is limited to being a marker of increased morbidity in IE patients with intravenous drug use. This was a 5-year retrospective review from an Indian Intensive Care Unit (ICU). Patients >18 years with IE and available serum sodium levels were included in the study. Pediatric and pregnant patients were excluded from the study. Hyponatremia was defined as admission sodium <135 mmol/L. Detailed data were abstracted from the medical records...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829715/organ-donation-after-brain-death-in-india-a-trained-intensivist-is-the-key-to-success
#11
Vijayanand Palaniswamy, Suganya Sadhasivam, Cibi Selvakumaran, Priyadharsan Jayabal, S R Ananth
Organ donation after brain death in India is gaining momentum but only in a few states. Tamil Nadu is leading in the country in this regard. Certain cities have performed well compared to Chennai's results. A single tertiary hospital performed 28 donations in a 17 months period with a team of an intensivist and a transplant coordinator. An intensivist needs training and interest in this noble cause. There is no formal training program in this noble cause for doctors in India. A structured formal training needs to be introduced and made mandatory for the doctors in intensive care to make this donation process a successful program...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829714/seizures-just-the-tip-of-the-iceberg-critical-care-management-of-super-refractory-status-epilepticus
#12
REVIEW
Karen Ruby Lionel, Ajay Prasad Hrishi
Super-refractory status epilepticus (SRSE) is defined as status epilepticus (SE) that continues or recurs 24 h or more after the onset of anesthetic therapy, including those cases where SE recurs on the reduction or withdrawal of anesthesia. Although SRSE is a rare clinical problem, it is associated with high mortality and morbidity rates. This article reviews the treatment approaches and the systemic complications commonly encountered in patients with SRSE. As evident in our search of literature, therapy for SRSE and its complications have been based on clinical reports and expert opinions since there is a lack of controlled and randomized trials...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829713/examining-the-relationship-between-critical-thinking-skills-and-decision-making-ability-of-emergency-medicine-students
#13
Mohammad Heidari, Parvin Ebrahimi
BACKGROUND AND AIMS: Critical-thinking ability would enable students to think creatively and make better decisions and makes them make a greater effort to concentrate on situations related to clinical matters and emergencies. This can bridge the gap between the clinical and theoretical training. Therefore, the aim of the present study is to examine the relationship between critical-thinking ability and decision-making skills of the students of Emergency Medicine. MATERIALS AND METHODS: This descriptive and analytical research was conducted on all the students of medical emergency students (n = 86) in Shahrekord, Iran...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829712/early-detection-of-nonneurologic-organ-failure-in-patients-with-severe-traumatic-brain-injury-multiple-organ-dysfunction-score-or-sequential-organ-failure-assessment
#14
Sara Ramtinfar, Shahrokh Yousefzadeh Chabok, Aliakbar Jafari Chari, Zoheir Reihanian, Ehsan Kazemnezhad Leili, Arsalan Alizadeh
OBJECTIVE: The aim of this study is to compare the discriminant function of multiple organ dysfunction score (MODS) and sequential organ failure assessment (SOFA) components in predicting the Intensive Care Unit (ICU) mortality and neurologic outcome. MATERIALS AND METHODS: A descriptive-analytic study was conducted at a level I trauma center. Data were collected from patients with severe traumatic brain injury admitted to the neurosurgical ICU. Basic demographic data, SOFA and MOD scores were recorded daily for all patients...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829711/validation-of-lactate-clearance-at-6-h-for-mortality-prediction-in-critically-ill-children
#15
Rajeev Kumar, Nirmal Kumar
BACKGROUND AND AIMS: To validate the lactate clearance (LC) at 6 h for mortality prediction in Pediatric Intensive Care Unit (PICU)-admitted patients and its comparison with a pediatric index of mortality 2 (PIM 2) score. DESIGN: A prospective, observational study in a tertiary care center. MATERIALS AND METHODS: Children <13 years of age, admitted to PICU were included in the study. Lactate levels were measured at 0 and 6 h of admission for clearance...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27829710/early-norepinephrine-decreases-fluid-and-ventilatory-requirements-in-pediatric-vasodilatory-septic-shock
#16
Suchitra Ranjit, Rajeswari Natraj, Sathish Kumar Kandath, Niranjan Kissoon, Balasubramaniam Ramakrishnan, Paul E Marik
AIMS: We previously reported that vasodilatation was common in pediatric septic shock, regardless of whether they were warm or cold, providing a rationale for early norepinephrine (NE) to increase venous return (VR) and arterial tone. Our primary aim was to evaluate the effect of smaller fluid bolus plus early-NE versus the American College of Critical Care Medicine (ACCM) approach to more liberal fluid boluses and vasoactive-inotropic agents on fluid balance, shock resolution, ventilator support and mortality in children with septic shock...
October 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27688637/erratum-acute-intermittent-porphyria-a-critical-diagnosis-for-favourable-outcome
#17
(no author information available yet)
[This corrects the article on p. 428 in vol. 20, PMID: 27555700.].
September 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27688636/author-s-reply-to-the-letter-to-editor-yakson-touch-as-a-part-of-early-intervention-in-the-neonatal-intensive-care-unit-a-systematic-narrative-review-comment
#18
Asir John Samuel
No abstract text is available yet for this article.
September 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27688635/aseptic-handling-of-ultrasound-probe-an-easy-solution
#19
Bharat Paliwal, Pradeep Bhatia, Nikhil Kothari, Sadik Mohammed
No abstract text is available yet for this article.
September 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27688634/hantavirus-pulmonary-syndrome-in-a-postpartum-woman
#20
Pooja R Murthy, Rajesh Ucchil, Unmil Shah, Dipak Chaudhari
Hantavirus infection, a rare disease diagnosed in India and carries a very high mortality. There are no reports of this infection in association with pregnancy or postpartum period in our country. We present a case of a 30-year-old female diagnosed to have hantavirus pulmonary syndrome in the postpartum period. We intend to create awareness about this infection and consider it in the differential diagnosis of patients presenting with acute respiratory distress syndrome and multiorgan dysfunction in association with pregnancy and postpartum period...
September 2016: Indian Journal of Critical Care Medicine
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