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Study of Demographic Profile of Organophosphate Compound Poisoning with Special Reference to Early Versus Late Tracheostomy in Tertiary Care Hospital in Rural Area

AbstractTracheostomy is commonly performed life saving procedure. Organophosphorus compound poisoning is a very common emergency encountered in rural area where major population consists of agricultural workers. Ideal timing of tracheostomy is still controversial. Aim of the study is to assess the advantage of performing early (48  h–7 days) versus late tracheostomy (8–15 days) with regard to weaning from a ventilator, complications and length of hospital stay. This is a comparative retrospective interventional study in which 100 patients of organophosphorus poisoning who underwent tracheostomy during hospital stay due to prolonged intubation were analyzed. Study subjects were divided into two groups. Each group constitute of 50 patients each. Group A: Early tracheostomy (48 h–7 days) and Group B: Late tracheostomy (8–15 days). Early tracheostomy required a shorter duration of mechanical ventilator support (4–5 days) when compared to late tracheostomy (5–8 days),p 
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research

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We report the case of a young man who took a large amount of caffeine powder dissolved in water in a suicide attempt. He was found comatose. The initial diagnosis was difficult. In hospital he suffered from rhabdomyolysis with renal failure and sepsis rapidly developed. After renal replacement treatment with hemodialysis, long-term artificial ventilation with tracheotomy and a 3‑week stay in the intensive care unit, the patient could be discharged to a rehabilitation center. PMID: 29468414 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research
CONCLUSION: Kala Pathar(PPD) is a lethal substance when ingested. PPD poisoning is not limited to adults; many cases of pediatric poisoning are also being reported in Southern Punjab. Mortality due to Kala Patharis high. Tracheostomy should be done immediately in all such cases; and high intensive multidisciplinary approach is required. PMID: 29290191 [PubMed - in process]
Source: Hand Surgery - Category: Surgery Authors: Tags: J Coll Physicians Surg Pak Source Type: research
We report a case of a large TEF secondary to endotracheal intubation for organophosphorus poison-induced respiratory failure. Patient presented with dysphagia and recurrent aspiration pneumonia after extubation. She underwent trachea-esophageal fistulectomy and closure with a sternocleidomastoid muscle flap. PMID: 28405997 [PubMed - in process]
Source: Journal of the Association of Physicians of India - Category: Journals (General) Tags: J Assoc Physicians India Source Type: research
CONCLUSION: Intravenous injection of poison hemlock alkaloids can result in significant toxicity, including cardiopulmonary arrest, prolonged weakness, and encephalopathy. PMID: 28168558 [PubMed - as supplied by publisher]
Source: Journal of Medical Toxicology - Category: Toxicology Authors: Tags: J Med Toxicol Source Type: research
Welcome to the 233rd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Cliff Reid deploys bilingual brilliance and teaches us to speak Resuscitese–error proofing common directives in a crisis. [JS] Richard Body discusses whether compassion is a patient’s right in this great talk from SMACC Chicago. [SO] ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Education LITFL review Source Type: blogs
We describe our initial experience at the first ECMO center in Egypt. Methods Our adult ECMO program started in January 2014. Since then we supported eleven respiratory failure patients on ECMO indicated according to ELSO guidelines and one case of ECMO CPR. Respiratory failure patients were subjected to VV ECMO when lung injury score (LIS) was above 3 and PaO2/FiO2 <100 on protective lung strategy mechanical ventilation according to ARDS net protocol and or severe hypercapnia with pH<7.2 with trial of prone positioning in the indicated cases. Percutaneous cannulation was done in all patients using single lumen cann...
Source: The Egyptian Journal of Critical Care Medicine - Category: Intensive Care Source Type: research
We describe our initial experience at the first ECMO center in Egypt. Methods Our adult ECMO program started January 2014. Since then we supported eleven patients on ECMO in respiratory failure patients indicated according to ELSO guidelines and one case of ECMO CPR. Respiratory failure patients were subjected to VV ECMO when lung injury score (LIS) was above 3 and PaO2/fIO2 <100 on protective lung strategy mechanical ventilation according to ARDS net protocol and or severe hypercapnoea with pH<7.2 with trial of prone positioning in indicated cases. Percutaneous cannulation was done in all patients using single lume...
Source: The Egyptian Journal of Critical Care Medicine - Category: Intensive Care Source Type: research
Conclusion The doctors gave my daughter drugs they knew would cause her kidneys to stop working. They gave her these drugs in spite of both of us telling them on a day-to-day basis not to give them. The hospital covered it up. The hospital refused to give us the incident report. The hospital refused to give us a copy of the notes from the meeting with the ethics committee. The hospital denied my daughter’s right to make her own decisions. The hospital tried to deny me from being my daughter's advocate. The hospital administrator threatened to charge me with practicing medicine without a license. The CEO refused to ta...
Source: vactruth.com - Category: Allergy & Immunology Authors: Tags: Case Reports on Vaccine Injury Human Jim O'Kelly Top Stories truth about vaccines Vaccine Death Source Type: blogs
Hair dye ingestion is a rare cause of toxicity in Pakistan. We are presenting the case report of a 55 year old male who presented with accidental hair dye ingestion and developed laryngeal oedema requiring emergent tracheostomy. He had also developed aspir...
Source: SafetyLit: All (Unduplicated) - Category: Global & Universal Tags: Home and Consumer Product Safety Source Type: news
More News: Emergency Medicine | ENT & OMF | Hospitals | India Health | Intensive Care | Poisoning | Rural Health | Study | Tracheostomy