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Audit of postoperative surgical intensive care unit admissions
Conclusion: The need for postoperative critical care is significantly higher in males, elderly, patients with poor preoperative risk stratification scores, preexisting medical illness, major intraoperative hemorrhage, hypotension requiring inotropic support, perioperative respiratory problems and patients undergoing abdominal, trauma, and emergent surgeries. A larger study inclusive of other surgical subspecialties would aid in optimal decision-making for admissions to the SICU. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Shaili K Patel Samir M Kacheriwala Dipesh D Duttaroy Source Type: research

Clinical profile, intensive care unit course, and outcome of patients admitted in intensive care unit with chikungunya
Conclusions: Patients with chikungunya fever may require ICU admission for organ failure. They are generally elderly patients with underlying comorbidities. Despite aggressive resuscitation and organ support, these patients are at high risk of death. Admission APACHE II score and need for dialysis may predict patients at higher risk of death. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Anish Gupta Deven Juneja Omender Singh Suneel Kumar Garg Varun Arora Desh Deepak Source Type: research

Effect of continuous versus intermittent subglottic suctioning on tracheal mucosa by the mallinckrodt taperguard evac oral tracheal tube in intensive care unit ventilated patients: A prospective randomized study
Conclusions: Our results suggest that tracheal mucosal damages did not differ between CSSS and ISSS. The aspirated volume was higher and impossibility to aspirate was lower with ISSS. Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT01555229. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Philippe Seguin Harmonie Perrichet Estelle Le Pabic Yoann Launey Marie Tiercin Romain Corre Graziella Brinchault Bruno Laviolle Source Type: research

Reversible myocardial dysfunction after subarachnoid bleed
Indranil Ghosh, Sukalyan Purakayastha, Bibhukalyani DasIndian Journal of Critical Care Medicine 2017 21(12):877-879 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Indranil Ghosh Sukalyan Purakayastha Bibhukalyani Das Source Type: research

Metformin-associated lactic acidosis requiring intensive care in a regional hospital in Hong Kong and predictive factors for mortality
Chung-Tat Lun, Henry Jeffrey Yuen, George Ng, Sheung-On So, Anne Leung, Kang-Yiu LaiIndian Journal of Critical Care Medicine 2017 21(12):875-877 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Chung-Tat Lun Henry Jeffrey Yuen George Ng Sheung-On So Anne Leung Kang-Yiu Lai Source Type: research

Rabies: A novel clinical presentation
We report a patient who suffered of rabies, who was infected by abrasion caused by the nails of a rabid dog. Dogs often lick their nails and thereby transfer the rabies virus-contaminated saliva to their claws. Despite treatment in our Intensive Care Unit and application of various pharmacological antidotes, we were unable to prevent the fatal outcome. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Himmatrao S Bawaskar Pramodini H Bawaskar Parag H Bawaskar Source Type: research

Cerebral venous thrombosis after intravenous immunoglobulin therapy in immune thrombocytopenic purpura
Joe James, PV Shiji, Chandni RadhakrishnanIndian Journal of Critical Care Medicine 2017 21(12):869-871 A common misconception is that immune thrombocytopenic purpura (ITP) causes only bleeding diathesis. From this case vignette of a young male with ITP who had cerebral venous thrombosis, we highlight the importance of considering venous thrombosis in such patients when they present with focal cerebral signs. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Joe James PV Shiji Chandni Radhakrishnan Source Type: research

Practices and perspectives in cardiopulmonary resuscitation attempts and the use of do not attempt resuscitation orders: A cross-sectional survey in Sri Lanka
Conclusions: CPR attempts before death in hospitals across Sri Lanka is prevalent. DNAR use remains uncommon. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Abi Beane Pubudu De Silva Ambepitiyawaduge Kaushila Thilakasiri Tim Stephens Anuruddha Padeniya Priyantha Athapattu Palitha G Mahipala Ponsuge Chathurani Sigera Arjen M Dondorp Rashan Haniffa Source Type: research

Thrombocytopenia in critically ill patients: Clinical and laboratorial behavior and its correlation with short-term outcome during hospitalization
Conclusions: Low as well as declining platelet counts are markers of severity of critical patients and are directly related to prognosis and mortality of patients in ICU. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Divya Khurana Shilpa A Deoke Source Type: research

Plasmapheresis: A retrospective audit of procedures from a tertiary care center in Southern India
Conclusion: Our small series of data of plasmapheresis procedures from nephrology perspective has reaffirmed the safety and efficacy of the therapy in an experienced setup. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: OT Ahammed Nizar Pratheeksha Rai Shobhana Nayak Rao M Pradeep Shenoy Source Type: research

Predictive value of serum myoglobin and creatine phosphokinase for development of acute kidney injury in traumatic rhabdomyolysis
Conclusion: Following traumatic RM, in patients on “crush protocol,” serum myoglobin is a more sensitive and specific test than serum CPK, for predicting AKI. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Nithin Abraham Raju Shoma Vinay Rao J Chakravarthy Joel Gijoe George Jacob Arun Kunnanchery Anil S Mahasampath Gowri Subramani Kandasamy Source Type: research

Risk factors and outcome of acute kidney injury after congenital heart surgery: A prospective observational study
Conclusion: The presence of cyanotic heart disease, duration of surgery, elevated postoperative lactate level, and likely preoperative creatinine level were independent risk factors for the development of AKI after congenital heart surgery. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Shahram Amini Hasan Abbaspour Negar Morovatdar Hojat Naghavi Robabi Ghasem Soltani Mohammad Abbasi Tashnizi Source Type: research

Evaluation of quality indicators in an Indian intensive care unit using & #8220;CHITRA & #8221; database
Conclusion: This study has successfully evaluated a range of QIs in a mixed ICU of a tertiary hospital utilizing CHITRA database. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Kiran Kumar Gudivada Bhuvana Krishna Sampath Sriram Source Type: research

Antioxidant therapy in patients with severe aluminum phosphide poisoning: A pilot study
Conclusions: Antioxidant therapy in the form of NAC in severe ALP poisoning did not confer any survival benefit. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Ashish Bhalla P Jyothinath Surjit Singh Source Type: research

Evaluation of Candida scoring systems to predict early candidemia: A prospective and observational study at a tertiary care hospital, Uttarakhand
Conclusion: Leon scoring system was found to have highest specificity, diagnostic accuracy, and positive likelihood ratio among all. Thus, we might conclude that a Leon score of ≥2.5 was most suitable for diagnosis of candidemia with significant accuracy and shortening of turnaround time when compared to the gold standard of blood culture. To the best of our knowledge, this is the first report on the subject. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Priyanka Gupta Pratima Gupta Biswaroop Chatterjee Garima Mittal Shashank Prateek Aroop Mohanty Source Type: research