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International Journal of Critical Illness and Injury Science

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https://www.readbyqxmd.com/read/30181978/undiagnosed-autoimmune-hepatitis-causing-prolonged-mechanical-ventilation
#1
David W Mattingley, Thomas J Papadimos
No abstract text is available yet for this article.
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181977/massive-air-embolism-while-removing-a-central-venous-catheter
#2
Gil Myeong Seong, Jaechun Lee, Misun Kim, Jay Chol Choi, Su Wan Kim
Air embolism is a rare but mostly iatrogenic complication of medical or surgical procedures and may have a serious outcome. On the removal of a central venous catheter (CVC), minor carelessness can lead to a venous air embolism sometimes accompanied by arterial embolism. We experienced the case of a 61-year-old male who suffered from a paradoxical systemic air embolism while we removed a CVC. Immediate resuscitation and venovenous extracorporeal membrane oxygenation support saved his life. Multiple end-organ damage related to the systemic air embolism was noted, including the kidney, liver, and brain...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181976/multidrug-resistant-burkholderia-cepacia-bacteremia-in-an-immunocompetent-adult-diagnosed-with-dengue-and-scrub-coinfection-a-rare-case-report
#3
Sai Saran, Afzal Azim, Mohan Gurjar
Burkholderia cepacia is an opportunistic nosocomial pathogen causing infections in immunocompromised hosts. Infection by Burkholderia in an immunocompetent host is a rare entity. We report a case of dengue and scrub coinfection complicated by B. cepacia bloodstream infection along with literature review of such infections in immunocompetent adults. Before the introduction of automated technologies, it was difficult to differentiate this organism from other aerobic Gram-negative nonfermenters, which have different intrinsic resistance profiles...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181975/prognostic-significance-of-nonthyroidal-illness-syndrome-in-critically-ill-adult-patients-with-sepsis
#4
Rajesh Padhi, Sobhitendu Kabi, Baikuntha Nath Panda, Snehalata Jagati
Aim: This study was performed to investigate the association of non-thyroidal illness syndrome (NTIS) with 28-day mortality in adults with sepsis. Methods: We performed a prospective observational analysis of adult patients with sepsis. Patients' demographic data, comorbidities, the blood test results including thyroid hormone analysis at admission, Acute Physiologic and Chronic Health Evaluation II score and Sequential Organ Failure Assessment score were compared between 28-day survivors and non-survivors...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181974/inferior-vena-cava-diameter-as-a-guide-in-hypotensive-patients-for-appropriate-saline-therapy-an-observational-study
#5
Mojtaba Chardoli, Mitra Ahmadi, Omid Shafe, Hooman Bakhshandeh
Background: Knowledge of intravascular volume (IV) status of a hypotensive patient is of utmost importance. Clinical evaluation and central venous pressure (CVP) measurement are routinely used as a guide for evaluation of IV in these patients. However, clinical assessment may be inaccurate, and CVP measurement is invasive. Moreover, CVP changes slowly with saline therapy, which is unfavorable for fluid resuscitation. Aim: Our aim is to find the correlation and sensitivity of inferior vena cava (IVC) diameter measured by ultrasound to provide a noninvasive method for evaluation of IV among patients with hypotension and hypovolemia in the emergency department (ED)...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181973/the-acute-care-diagnostics-collaboration-performance-assessment-of-contrast-enhanced-ultrasound-compared-to-abdominal-computed-tomography-and-conventional-ultrasound-in-an-emergency-trauma-score-bayesian-clinical-decision-scheme
#6
Amado Alejandro Baez, Laila Cochon
Background: Bayes' theorem describes the probability of an event, based on conditions that might be related to the event.[1] We developed the Bayesian Diagnostic Gains (BDG) method as a simple tool for interpreting diagnostic impact.[234567]. Aim: We aimed to evaluate the clinical diagnostic impact of contrast-enhanced ultrasound (CEUS) compared to traditional abdominal computed tomography (CT) and standard ultrasound (US) in a Bayesian Clinical Decision Scheme...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181972/the-relationship-between-fluid-resuscitation-and-intra-abdominal-hypertension-in-patients-with-blunt-abdominal-trauma
#7
Soudabeh Vatankhah, Rahim Ali Sheikhi, Mohammad Heidari, Parisa Moradimajd
Background: Excessive fluid administration for saving patients from hypovolemic shocks is one of the main causes of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). The purpose of this paper is to survey the relationship between fluid resuscitation and increase intra-abdominal pressure (IAP). Materials and Methods: The present descriptive-analytical study recruited 100 patients with confirmed abdominal trauma and presenting to emergency departments...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181971/vasoactive-ventilation-renal-score-in-predicting-outcome-postcardiac-surgery-in-children
#8
Shahzad Alam, Shalini Akunuri, Akanksha Jain, Rufaida Mazahir, Rajesh Hegde
Objective: The objective of this study was to evaluate vasoactive-ventilation-renal (VVR) score to predict outcome postcardiac surgery in children and establish the time at which the score is best to predict outcome. Materials and Methods: This prospective cohort included children ≤18 years recovering from cardiac surgery for congenital heart disease. Data were collected from the Intensive Care Unit (ICU) and vasoactive-inotropic score (VIS) and VVR scores calculated at admission, 24 h, and 48 h postoperatively...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181970/acute-care-for-the-three-leading-causes-of-mortality-in-lower-middle-income-countries-a-systematic-review
#9
REVIEW
Cassidy M Dahn, Olindi Wijesekera, Grace E Garcia, Konrad Karasek, Gabrielle A Jacquet
According to the World Health Organization, the three leading causes of mortality in lower-middle-income countries (LMIC) are ischemic heart disease (IHD), stroke, and lower respiratory infections (LRIs), causing 111.8, 68.8, and 51.5 annual deaths per 100,000, respectively. Due to barriers to healthcare, patients frequently present in critical stages of these diseases. Measured implementations in critical care in LMIC have been published; however, the literature has not been formally reviewed. We performed a systematic review of the literature indexed in PubMed as of October 2017...
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/30181969/what-s-new-in-critical-illness-and-injury-science-revalidation-of-vasoactive-ventilation-renal-scoring-in-predicting-outcome-in-postcardiac-surgery-children-and-the-importance-of-replicating-studies
#10
EDITORIAL
Thomas John Papadimos
No abstract text is available yet for this article.
July 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963416/wild-tuber-poisoning-arum-maculatum-a-rare-case-report
#11
K N J Prakash Raju, Kishen Goel, D Anandhi, Vinay R Pandit, R Surendar, M Sasikumar
Arum maculatum , commonly known as wild Arum , is a woodland plant species of the Araceae family. All parts of this plant are considered toxic. We report a case of a young man who allegedly consumed poisonous wild tuber with suicidal intention. He presented to our emergency department 3 h later with features of angioedema. He was managed successfully with adrenaline and hydrocortisone. He was discharged after 4 days of observation. Later, the wild tuber plant was identified to be A. maculatum . We recommend that all patients who present with unknown substance poisoning should be managed according to the principles of intensive care, irrespective of the diagnosis...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963415/perioperative-management-of-massive-fat-embolism-syndrome-presenting-as-refractory-status-epilepticus
#12
William Watson, Jack Louro, Roman Dudaryk
Fat embolism syndrome (FES) most commonly can occur after trauma in patients with long bone fractures. While the majority of FES cases present as a mild decrease in mental status, some may manifest as seizure activity. We describe a case of a young patient with traumatic fractures who developed FES leading to refractory status epilepticus and simultaneously required damage controlled orthopedic surgery. The role of imaging modalities including magnetic resonance imaging, transcranial Doppler, and transesophageal echocardiography in diagnosis is discussed, and a multidisciplinary approach to successful perioperative management is described...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963414/-clostridium-perfringens-empyema-in-a-patient-with-metastatic-squamous-cell-carcinoma-of-the-lung
#13
Daniel Jungmyung Oh, Stephen Brecher, Marcus Ruopp
We report a rare case of Clostridium perfringens (CP) empyema in a patient with metastatic squamous cell cancer of the lung. Clostridial empyemas are rare and clinically variable with some reports noting consequent necrotizing infections and septic shock and others noting quick resolution with source control and antibiotic treatment. This is the first case report to our knowledge to report a CP empyema in a patient with lung malignancy. Given the comorbid lung malignancy, the patient's presenting symptoms were mild with only mild shortness of breath, fevers, and generalized weakness despite the large CP empyema...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963413/ultrasound-guided-peripheral-nerve-blocks-in-high-risk-patients-requiring-lower-limb-above-and-below-knee-amputation
#14
Faisal Shamim, Malika Hameed, Nadeem Siddiqui, Shemila Abbasi
A case series of five high-risk patients with lower limb ischemia, sepsis, altered coagulation, and multi-organ dysfunction requiring emergent or urgent lower limb amputation is presented. Use of peripheral nerve blocks for below and above knee amputations is quite uncommon which provides better hemodynamic stability and pain management, especially in the very sick patients. The surgeries were successfully carried out under ultrasound-guided combined femoral and sciatic nerve blocks. All five patients obtained adequate level of block at the area of amputation...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963412/primary-cecal-pathologies-presenting-as-acute-abdomen-and-critical-appraisal-of-their-current-management-strategies-in-emergency-settings-with-review-of-literature
#15
Singh Mathuria Kaushal-Deep, Afzal Anees, Shehtaj Khan, Mohammad Amanullah Khan, Mehershree Lodhi
Background: The importance of cecal pathologies lie in the fact that being the first part of the large intestine, any disease involving the cecum affects the overall functioning of the large bowel. Primary cecal pathologies presenting as acute abdomen have not been described in any previous study in terms of presentation, management, and outcome. Objectives: The objective of this study was to identify the reported causes of primary cecal pathologies presenting as acute abdomen and the various causes presenting in our setting, the to discuss morbidity and mortality associated with cecal pathologies, and to critically analyze the various management modalities employed in an emergency setting...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963411/antibiotic-stewardship-program-in-intensive-care-unit-first-report-from-iran
#16
Ghoncheh Vahidi, Mostafa Mohammadi, Lida Shojaei, Masoud Ramezani, Sirus Jafari, Hossein Khalili
Introduction: Few data regarding antibiotic stewardship programs in critically ill patients are available. In the present study, the consequence of changing an empirical antibiotic regimen from a carbapenem (meropenem) to a noncarbapenem antibiotic (piperacillin-tazobactam) was evaluated in critically ill patients with a suspicion of sepsis. Methods: This open-label randomized clinical trial was conducted during May 2015-January 2017 at the general Intensive Care Unit of the Imam Khomeini Hospital Complex, Tehran, Iran...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963410/prevalence-of-common-nosocomial-organisms-in-surgical-intensive-care-unit-in-north-india-a-hospital-based-study
#17
Arshi Taj, Anjum Shamim, Shoiab Bashir Khanday, Mohamad Ommid
Background: Nosocomial infection presents with high mortality rate, and it remains a diagnostic and treatment challenge for health-care providers, with developing countries having the highest incidence and mortality rates.[1]. Aim: The present study was undertaken to evaluate prevalence of commonly isolated nosocomial organisms in patients admitted in Surgical Intensive Care Unit (ICU) in Government Medical College Srinagar. Materials and Methods: The study was proposed to be conducted in surgical ICU of Shri Maharaja Hari Singh - a Tertiary Care Hospital in Jammu and Kashmir (India) from March 2015 to March 2016...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963409/portal-vein-thrombosis-what-surgeons-need-to-know
#18
REVIEW
Ricardo Quarrie, Stanislaw P Stawicki
Key points: (a) The lifetime risk of portal vein thrombosis (PVT) is approximately 1%; (b) The portal vein is formed by the union of the splenic and superior mesenteric veins posterior to the pancreas; (c) Imaging modalities most frequently used to diagnose PVT include sonography, computed tomography, and magnetic resonance imaging; (d) Malignancy, hepatic cirrhosis, surgical trauma, and hypercoagulable conditions are the most common risk factors for the development of PVT; (e) PVT eventually leads to the formation of numerous collateral vessels around the thrombosed portal vein; (f) First-line treatment for PVT is therapeutic anticoagulation-it helps prevent the progression of the thrombotic process; (g) Other therapeutic options include surgery and interventional radiographic procedures including mechanical thrombectomy and thrombolysis; (h) Portal biliopathy is a clinicopathologic entity characterized by biliary abnormalities due to portal hypertension secondary to PVT and appears to be more common in cases of extrahepatic PVT...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963408/an-evidence-based-approach-to-evaluation-and-management-of-the-febrile-child-in-indian-emergency-department
#19
REVIEW
Prerna Batra, Neha Thakur, Prashant Mahajan, Reena Patel, Narendra Rai, Nitin Trivedi, Bernhard Fassl, Binita Shah, Abhijeet Saha, Marie Lozon, Rockefeller A Oteng, Dheeraj Shah, Sagar Galwankar
Fever is the most common complaint for a child to visit hospital. Under the aegis of INDO-US Emergency and Trauma Collaborative, Pediatric Emergency Medicine chapter of Academic College of Emergency Experts in India developed evidence-based consensus for evaluation and management of febrile child in emergency department. An extensive literature search and further online communication of the group led to the development of a detailed approach for the evaluation and management of individual conditions associated with fever...
April 2018: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29963407/evidence-based-approach-to-the-trauma-patient-in-extremis-transitioning-from-exclusive-emergency-department-thoracotomy-use-to-protocolized-approaches-incorporating-resuscitative-endovascular-balloon-occlusion-of-the-aorta
#20
M Chance Spalding, Peter G Thomas, M Shay O'Mara, Christine L Ramirez, Franz S Yanagawa, Heidi H Hon, Brian A Hoey, William S Hoff, James Cipolla, Stanislaw P Stawicki
No abstract text is available yet for this article.
April 2018: International Journal of Critical Illness and Injury Science
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