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Indian Journal of Critical Care Medicine

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https://www.readbyqxmd.com/read/29962754/ultrasonography-guided-internal-jugular-venous-catheterization-unusual-position-and-unusual-circumstances
#1
Mayank Kumar, Tuhin Mistry, Subrata Kumar Singha, Mamta Sinha
No abstract text is available yet for this article.
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962753/a-letter-in-response-to-diagnosing-catheter-associated-urinary-tract-infection-in-critically-ill-patients-do-the-guidelines-help
#2
COMMENT
Bijayini Behera
No abstract text is available yet for this article.
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962752/fatal-cerebellar-hemorrhage-complicating-pneumococcal-meningitis-are-anticoagulants-the-hidden-enemy
#3
Ali Jendoubi, Mouna Rkhami, Skander Guediche
No abstract text is available yet for this article.
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962751/hyperammonemia-presenting-as-refractory-status-epilepticus-after-lung-transplant-in-a-patient-positive-for-ureaplasma-parvum
#4
Diane C McLaughlin, Jorge M Mallea, Lauren K Ng
Hyperammonemia is a rare complication of lung transplant with a high mortality rate. It presents as encephalopathy and progresses to seizures, status epilepticus, coma, cerebral edema, and brain death. Multiple treatments have been documented including administration of medications, gut decontamination, and dialysis. However, no definitive treatments exist and mortality remains between 67% and 75%. We present the case of a 65-year-old male with idiopathic pulmonary fibrosis who developed refractory status epilepticus secondary to hyperammonemia following lung transplant...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962750/keep-an-eye-on-the-intracranial-pressure-thanks-to-the-optic-nerve-sheath-diameter
#5
Alexandre Vagh Weinmann, Charlotte Beaucreux, Kevin Kearns, Clément Dubost
Neurological examination on sedated patients is challenging and no gold standard monitoring is currently available. We report the case of a patient deeply sedated for the management of acute respiratory distress syndrome secondary to pneumonia. Delay in awakening led to cerebral exploration by transcranial Doppler (TCD) and measurement of optic nerve sheath diameter (ONSD). Abnormal values of ONSD prompted immediate brain computed tomography scan that confirmed high intracranial pressure (ICP) due to multiple deep parenchymal hematomas...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962749/therapeutic-red-cell-exchange-transfusion-as-an-adjuvant-therapy-for-management-of-sickle-cell-crisis-in-adults
#6
Anand Bandachar Mamdapur, Maddani Shanmukhappa Sagar, R Madhusudan, Mustafa Samir
Sickle cell crisis is an acute clinical condition, caused due to capillary occlusion by the deformed red blood cells, leading to vaso-occlusive status. Vaso-occlusion is an emergency condition requiring intensive care admission and carries a high mortality. Sickle cell crisis is usually managed with hydration, analgesics, and supportive care. Therapeutic red cell exchange transfusion is advised as an adjuvant, for the management of sickle cell crisis, and it is mainly practiced in the pediatric population. We report an adult case of sickle cell crisis managed with therapeutic red cell exchange transfusion in Intensive Care Unit and successful outcome in patient management...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962748/hepatomyoencephalopathy-secondary-to-cassia-occidentalis-poisoning-report-of-three-cases-from-north-india
#7
Viswas Chhapola, Sandeep Kumar Kanwal, Ankita Goel Sharma, Virendra Kumar
Cassia occidentalis is an annual tropical shrub causing toxicity in cattle. However, human case reports of its poisoning are scarce. We, here, report three young children, residents of Western Uttar Pradesh in North India, who presented with lethargy, jaundice, and altered sensorium after consumption of Cassia seeds. The toxidrome was defined as hepatomyoencephalopathy. The children were resuscitated, managed for acute liver failure, and subsequently discharged without sequel. Although few studies have previously documented this association, this is the first such case series documenting a direct causal relationship of Cassia to hepatomyoencephalopathy syndrome...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962747/is-my-patient-still-alive
#8
REVIEW
Arun Kumar, Tewari Vineeta, Sandhu Megha
The modern-day health-care firmament is fighting one of its biggest battles of mistrust, the seeds of which have been sown over the years and the roots seem to run deep. There is a substantial misunderstanding about the complexities of intensive care treatments, especially the life support interventions. A critically ill patient on ventilator is often perceived by the families to be dead. Such misconceptions have a huge negative impact on the already friable doctor-patient relationship. The paper presents an overview of the problem and deliberates on the possible theories of such misunderstandings and chariness...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962746/a-comparative-study-of-midazolam-and-target-controlled-propofol-infusion-in-the-treatment-of-refractory-status-epilepticus
#9
Dheeraj Masapu, K N Gopala Krishna, Sinha Sanjib, Dhrithiman Chakrabarti, R C Mundlamuri, Nitin Manohar, P Mariamma, P Satishchandra, G S Umamaheswara Rao
Background: The recommended treatment for refractory status epilepticus (RSE) is the use of anesthetic agents, but evidence regarding the agent of choice is lacking. This study was designed to compare target-controlled infusion of propofol versus midazolam for the treatment of RSE regarding seizure control and complications. Methods: This prospective, randomized study recruited 23 adult patients with RSE due to any etiology and treated with either propofol or midazolam titrated to clinical seizure cessation and gradual tapering thereafter...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962745/comparison-of-lung-ultrasound-based-weaning-indices-with-rapid-shallow-breathing-index-are-they-helpful
#10
Abhinav Banerjee, Gesu Mehrotra
Background and Aims: The diaphragm is considered the main respiratory muscle and difficulty in weaning can occur because of impaired diaphragmatic function. Hence, monitoring diaphragmatic function is important. The aim of this study is to assess the ability of various lung ultrasound (US) indices and the rapid shallow breathing index (RSBI) to predict the outcome of the weaning process and compare them with RSBI. Materials and Methods: This was a prospective study conducted on patients admitted to critical care unit at a tertiary care hospital in north India from February 2017 to June 2017...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962744/study-on-clinical-profile-and-predictors-of-mortality-in-cerbera-odollam-poisoning
#11
B Renymol, Dhanya Sasidharan Palappallil, N R Ambili
Context: Cerbera odollam is a tree native to South Asia. It belongs to the poisonous Apocynaceae family. Deliberate self-harm with fruit of this plant is a major clinical problem in the developing world. Ingestion of C. odollam kernels is the cause of deaths in more than half of Kerala's plant poisoning deaths. The data on clinical features and complications of C. odollam poisoning are sparse, apart from a few case reports and limited studies. Aims: The present study was done to find the mode of presentation, complications, need for cardiac pacing, inhospital mortality, and the predictors of mortality in patients with C...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962743/speech-and-swallowing-function-outcome-following-early-tracheostomy-in-patients-who-underwent-neurosurgical-intervention
#12
Valluri Anil Kumar, Bobba Ushasree Reddy, Veldurti Ananta Kiran Kumar, Ranabir Pal, R Lakshman Kumar, Mundlapudi Jahnavi, Amit Agrawal
Background: Evaluation of late-onset speech and swallowing complications of tracheostomy on neurotrauma cases, as the most common intensive care unit procedure, needs to be evaluated. Objectives: A prospective study conducted in a tertiary care teaching hospital to find the late-onset speech and swallowing complications of tracheostomy in neurotrauma cases. Materials and Methods: This prospective observational study was conducted in the intensive care unit on intubated patients needing elective tracheostomy at a tertiary care teaching institute in South India with a dedicated referral trauma center...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962742/a-prospective-antibacterial-utilization-study-in-pediatric-intensive-care-unit-of-a-tertiary-referral-center
#13
Nitin B Mali, Siddharth P Deshpande, Milind S Tullu, Chandrahas T Deshmukh, Nithya J Gogtay, Urmila M Thatte
Purpose: Antibacterials are commonly prescribed to Pediatric Intensive Care Unit (PICU) patients. However, inappropriate antibacterial prescriptions lead to increases in antibacterial resistance, treatment cost, duration of treatment, and poor clinical outcome. The antibacterial utilization study assesses the prescription patterns and if necessary recommends the interventions to improve antibacterial prescriptions. Hence, the present prospective groundwork was conducted. Materials and Methods: The study was conducted over the period of 6 months (April 18 to October 20, 2014)...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962741/determining-and-comparing-predictive-and-intensity-value-of-severity-scores-sequential-organ-failure-assessment-score-acute-physiology-and-chronic-health-evaluation-4-and-poisoning-severity-score-in-short-term-clinical-outcome-of-patients-with-poisoning-in
#14
Koroush Ebrahimi, Ali Akbar Vaisi Raigani, Rostam Jalali, Mansour Rezaei
Introduction: Today, poisoning is one of the problems of society and it is always one of the ten leading causes of death among youth. This study aimed to determine and compare the predictive and intensity value of three standard criteria of "Sequential Organ Failure Assessment (SOFA) score," "Acute Physiology and Chronic Health Evaluation (APACHE) 4," and "Poisoning Severity Score (PSS)" in short-term clinical outcome of poisoned patients. Methods: The prospective study conducted on 120 patients of critical care units...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962740/sleep-quality-and-quantity-in-intensive-care-unit-patients-a-cross-sectional-study
#15
Ramavath Devendra Naik, Kartik Gupta, Manish Soneja, Arunmozhimaran Elavarasi, V Sreenivas, Sanjeev Sinha
Introduction: Lack of restorative sleep and altered sleep-wake cycle is a frequent problem among patients admitted to the Intensive Care Unit (ICU). This study was conducted to estimate the prevalence of poor sleep and patient's perspective of factors governing poor sleep in the ICU. Materials and Methods: A cross-sectional study was performed in medical ICU of a tertiary care hospital. A total of 32 patients admitted to the ICU for at least 24 h were recruited...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962739/levels-and-diagnostic-value-of-model-based-insulin-sensitivity-in-sepsis-a-preliminary-study
#16
Wan Fadzlina Wan Muhd Shukeri, Mohd Basri Mat-Nor, Ummu Kulthum Jamaludin, Fatanah Suhaimi, Normy Norafiza Abd Razak, Azrina Md Ralib
Background and Aims: Currently, there is a lack of real-time metric with high sensitivity and specificity to diagnose sepsis. Insulin sensitivity (SI) may be determined in real-time using mathematical glucose-insulin models; however, its effectiveness as a diagnostic test of sepsis is unknown. Our aims were to determine the levels and diagnostic value of model-based SI for identification of sepsis in critically ill patients. Materials and Methods: In this retrospective, cohort study, we analyzed SI levels in septic ( n = 18) and nonseptic ( n = 20) patients at 1 (baseline), 4, 8, 12, 16, 20, and 24 h of their Intensive Care Unit admission...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29962738/role-of-domiciliary-noninvasive-ventilation-in-chronic-obstructive-pulmonary-disease-patients-requiring-repeated-admissions-with-acute-type-ii-respiratory-failure-a-prospective-cohort-study
#17
K P Suraj, E Jyothi, R Rakhi
Background: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with acute hypercapnic respiratory failure (AHRF) is associated with high mortality and increased risk for further exacerbations and hospitalization. While there is ample evidence regarding the benefit of noninvasive ventilation (NIV) during AECOPD, evidence supporting long-term noninvasive ventilation (LTNIV) for more stable COPD patients is limited. Objective: The aim of this study is to assess the effectiveness of LTNIV in COPD patients requiring frequent hospital admissions and NIV support for AHRF...
June 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29910558/designing-a-multidimensional-pain-assessment-tool-for-critically-ill-elderly-patients-an-agenda-for-future-research
#18
Hamed Mortazavi
No abstract text is available yet for this article.
May 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29910557/diagnostic-value-of-procalcitonin-in-predicting-bacteremia-in-intensive-care-unit
#19
Rupali Patnaik, Afzal Azim
No abstract text is available yet for this article.
May 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29910556/adding-an-r-in-the-dope-mnemonic-for-ventilator-troubleshooting
#20
Vimal Koshy Thomas, Siju Varghese Abraham
No abstract text is available yet for this article.
May 2018: Indian Journal of Critical Care Medicine
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