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Tuna Demirdal, Pinar Sen, Salih Atakan NemliIndian Journal of Critical Care Medicine 2018 22(11):820-820 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Tuna Demirdal Pinar Sen Salih Atakan Nemli Source Type: research

Severe sepsis due to chryseobacterium indologenes, a possible emergent multidrug-resistant organism in intensive care unit-acquired infections
We present two cases of C. indologenes infections which were hospital acquired. The pandrug-resistant nature of the bacteria and the associated mortality were uncommon with these two cases. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Sonika Agarwal Barnali Kakati Sushant Khanduri Source Type: research

Ventriculitis caused by multidrug-resistant bacteria in a medical intensive care unit with limited resources
Pedja Kovacevic, Sasa Dragic, Vlado DjajicIndian Journal of Critical Care Medicine 2018 22(11):814-816The widespread use of various devices in the diagnosis or treatment of critically ill neurological patients has led to the more frequent appearance of a new group of meningitis and ventriculitis caused by resistant Gram-negative bacteria or staphylococci. In literature, it has been labeled as health care-associated meningitis and ventriculitis. In our clinical practice (in resource-limited countries), we still have any viable experience neither in the application of these diagnostic and therapeutic tools nor in the handlin...
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Pedja Kovacevic Sasa Dragic Vlado Djajic Source Type: research

Disseminated pyomyositis due to Burkholderia cepacia: A case report
We report a case of B. cepacia pyomyositis in a patient with no history of immunocompromised status, manifesting as disseminated infection with hemophagocytic syndrome presenting to our intensive care unit. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Sai Saran Vijay Sundar Singh Sagarika Panda Mohan Gurjar Krushna Chandra Pani Kalyani Borde Afzal Azim Source Type: research

Bilateral parotid enlargement and trismus: An unexpected clinical finding in a patient with common krait (Bungarus caeruleus) bite
We report a case of bilateral parotid enlargement and trismus due to the bite of common krait (Bungarus caeruleus). These clinical findings have not been reported in literature after the bite with this species. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Sujeet Raina Bhagwan Dass Negi Sayan Malakar Rajesh Sharma Mahesh Kumar Source Type: research

Papillary muscle dysfunction due to coronary slow-flow phenomenon presenting with acute mitral regurgitation and unilateral pulmonary edema
We present a 30-year-old man who developed acute coronary syndrome following an overdose of alprazolam. He developed breathlessness with unilateral infiltrates on the chest radiograph. Echocardiography revealed regional wall motion abnormalities related to underlying ischemia and acute mitral regurgitation with an eccentric jet. Besides, he had significant impairment of left ventricular systolic function. His coronary angiogram revealed a slow-flow phenomenon in the right coronary and left anterior descending artery territories. Ischemia-related dysfunction of the posterolateral papillary muscle probably led to a floppy po...
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Jose Chacko Gagan Brar Bhargav Mundlapudi Pradeep Kumar Source Type: research

A case of keraunoparalysis: A bolt from the blue
Sadananda B Naik, RV Murali KrishnaIndian Journal of Critical Care Medicine 2018 22(11):804-805Keraunoparalysis is a catastrophic but fortunately totally reversible neuroparalysis of the limbs occurring due to a lightning strike. One such case with transient right hemiparesis along with a brief account of the pathophysiology of this unique neurologic problem has been presented here. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Sadananda B Naik RV Murali Krishna Source Type: research

Fatal iron toxicity in an adult: Clinical profile and review
We report an instance wherein an adult committed suicide by ingestion of multiple iron tablets. Delay in treatment was there due to misdiagnosis of the intoxicating agent. She developed fulminant hepatic failure with rapid clinical deterioration. Despite aggressive supportive management, the patient succumbed to the toxic doses of iron. Clinical course and postmortem features are discussed with a review of the literature. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Mandar Ramachandra Sane Kamal Malukani Rashmi Kulkarni Abhishek Varun Source Type: research

Factors affecting early treatment goals of sepsis patients presenting to the emergency department
Conclusion: The sepsis bundle goals were not achieved because of various factors such as under triaging, delay in diagnosis, logistical delay, and financial constraints. Further studies on whether sensitization of medical fraternity about sepsis, implementation of insurance policies for patient care or better point of care diagnostics would aid in achieving the bundles may be evaluated further. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: CK Kassyap Siju V Abraham S Vimal Krishnan Babu Urumese Palatty PC Rajeev Source Type: research

Lung ultrasound and blood gas-based classification of critically ill patients with dyspnea: A pathophysiologic approach
Conclusion: This classification gives an organized approach in managing patients with dyspnea. It predicts that patients with alveolar defect-consolidation are most sick of all the groups and need immediate intervention. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Saurabh Saigal Rajnish Joshi Jai Prakash Sharma Vandana Pandey Abhijit Pakhare Source Type: research

Point-of-care ultrasound to evaluate thickness of rectus femoris, vastus intermedius muscle, and fat as an indicator of muscle and fat wasting in critically ill patients in a multidisciplinary intensive care unit
Conclusions: There is potential utility of ultrasound for early detection and probable corrective measures to prevent ICUAW. The rectus femoris thickness, skin to bone, and bone to muscle thickness show statistically significant difference on day 3, day 7 compared to day 1. Fat layer did not show statistically significant decrease. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Yeshaswini Katari Rangalakshmi Srinivasan Priyadarshini Arvind Sahajananda Hiremathada Source Type: research

Nutrition management of acute postliver transplant recipients
Conclusion: There are scant data on nutrition management in acute post-LT phase. The present study provides the framework for the formulation of continuous, patient-centric, aggressive nutrition management interventions for acute post-LT recipients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Neha Bakshi Kalyani Singh Source Type: research

Cumulative fluid balance and outcome of extubation: A prospective observational study from a general intensive care unit
Conclusions: Our result validates the association between higher cumulative fluid balance and extubation failure in an Indian ICU. A future randomized control trial may examine any role of therapeutic diuresis/ultrafiltration in preventing failed extubation in patients who fulfill the readiness to wean criteria with cumulative net fluid balance ≥3490 ml. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Supradip Ghosh Aayush Chawla Kirtee Mishra Ranupriya Jhalani Ripenmeet Salhotra Amandeep Singh Source Type: research

Targeting the venous confluence of pirogoff for central venous cannulation insertion, when internal jugular vein cannulation is difficult: A three-step approach
Deepanshu Dhiman, Vikas Saini, Sameer Sethi, Tanvir SamraIndian Journal of Critical Care Medicine 2018 22(10):760-761 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - October 17, 2018 Category: Intensive Care Authors: Deepanshu Dhiman Vikas Saini Sameer Sethi Tanvir Samra Source Type: research

& #8220;BROAD effect: Bradycardia in obstructive airway disease & #8221;An unusual phenomenon: A case report
We present one such case that was also a treatment challenge for us. Recurrent bradycardia in COPD, with repeatability on discontinuation of Non Invasive Ventilation (NIV) is an extremely rare condition with not much reports/studies in the medical literature. The mechanisms leading to such an event are poorly understood. To the best of our knowledge, it's the first case to be reported from India. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - October 17, 2018 Category: Intensive Care Authors: Vikas Sikri Vinay Singhal Sandeep Chopra Source Type: research