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Pseudo bulbar palsy: A rare cause of extubation failure
Ritu Singh, Monalisa Nayak, Sunil Kumar Jena, Afzal AzimIndian Journal of Critical Care Medicine 2018 22(8):620-621 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Ritu Singh Monalisa Nayak Sunil Kumar Jena Afzal Azim Source Type: research

Uncommon cause of acute liver failure with encephalopathy
Subodh Kumar Mahto, Ankita Sheoran, Atul Goel, Nagina AgarwalIndian Journal of Critical Care Medicine 2018 22(8):619-620 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Subodh Kumar Mahto Ankita Sheoran Atul Goel Nagina Agarwal Source Type: research

Severe adult-onset still & #39;s disease mimicking systemic infection
We report a case of 22-year-old male who presented with fever, sore throat, and abdominal pain. During hospitalization, he had multiple episodes of tachycardia and tachypnea requiring mechanical ventilation. The patient had elevated white blood cell count, procalcitonin, and troponin. He was extensively investigated and diagnosed as AOSD. He responded to steroids and was discharged on day 20. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Rajani Gubbala Ganshyam Jagathkar Nagalakshmikanth Reddy Mayaluri KP Raghavendra Source Type: research

Acute suppurative thyroiditis with thyroid abscess by Klebsiella pneumoniae: An unusual presentation
We present a case of a diabetic patient showing clinical symptoms of acute thyroiditis with progressing dysphagia, who was diagnosed as thyroid abscess as a result of Klebsiella pneumoniae. The infection in the absence of other significant history was initially considered de novo; however, on extensive evaluation was associated with other distant primary source of the same microbe. The patient was managed with minimally invasive drainage of abscess and intravenous antibiotics. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Prashant Nasa KG Mathew Rakesh Sanker Sandeep Chaudhary Vikas Singhal Source Type: research

Acute reversible ischemic stroke after snake bite
Alok Kumar Sahoo, Bhavna SriramkaIndian Journal of Critical Care Medicine 2018 22(8):611-612Snake bite is very common in India. Ischemic stroke after snake bite has been described in the literature sparsely. Furthermore, the onset of stroke and its clinical reversibility is a rarity. Here, we present a case of snake bite with ischemic stroke which has clinically reversible outcome. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Alok Kumar Sahoo Bhavna Sriramka Source Type: research

A hot body in a cold room hyperthermia secondary to rapid diuresis in cardiac failure; the perils of rapid fluid shifts
Boby Varkey Maramattom, Surya Joseph, Siddharth Bhattacharjee, Anil Kumar, Praveen SreekumarIndian Journal of Critical Care Medicine 2018 22(8):608-610 A 66-year-old man was admitted with anasarca and congestive cardiac failure. He was started on intravenous diuretics and fluid restriction and lost nearly 35 kg of fluids in 13 days. He then developed hyperthermia and delirium. An extensive workup was inconclusive. Analysis of his inpatient fluid balance chart revealed the chance association of massive fluid loss and hyperthermia. Rapid diuresis-induced hyperthermia and volume contraction were considered, and his fluid bal...
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Boby Varkey Maramattom Surya Joseph Siddharth Bhattacharjee Anil Kumar Praveen Sreekumar Source Type: research

Role of intra-abdominal pressure in early acute kidney injury: A prospective cohort study in critically Ill obstetric patients
Conclusions: IAH and AKI are common in critically ill obstetric patients. While IAP does not correlate with early AKI, NGAL is useful to predict AKI. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Asha Tyagi Shubham Lahan Gaurav Verma Shukla Das Mahendra Kumar Source Type: research

A prospective study of fungal colonization and invasive fungal disease in long-term mechanically ventilated patients in a respiratory intensive care unit
Conclusion: Long-term mechanical ventilation (>7 days) is strongly associated with fungal colonization of the respiratory tract and urinary tract. Appropriate prophylactic antifungals may be given and infection control practices to be observed to ensure minimum colonization and therefore infection in such settings. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Amartya Chakraborti Anand Jaiswal Pushpendra Kumar Verma Ritu Singhal Source Type: research

Retrospective evaluation of patients who leave against medical advice in a tertiary teaching care institute
Conclusions: About 3.3% of patients left hospital against medical advice in our retrospective analysis. Most of these cases did so from ward followed by ICU. Financial reasons and expected poor outcome played a significant role. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Nikhil Gautam JP Sharma Anita Sharma Vivek Verma Poonam Arora Parshotam Lal Gautam Source Type: research

The platelet count and its implications in sickle cell disease patients admitted for intensive care
Conclusions: In severe sickle cell crisis thrombocytopenia is more common than thrombocytosis. In the ICU, day 1 platelet counts correlate inversely with prognostic scores and are significantly reduced in multi-organ failure and nonsurvivors. A platelet count above 175 × 109/L predicts patient survival with high specificity and positive predictive value but lacks sensitivity. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Durjoy K Shome Ahmed Jaradat Ahmed I Mahozi Ali S Sinan Ali Ebrahim Mohammed Alrahim Mohammad S Ebraheem Eman J Mansoor Kameela S Majed Sheikh A Azeez Pasha Source Type: research

What happens to patients discharged against medical advice ?
Conclusion: A significant proportion of patients in the CCU get DAMA despite high severity of illness. Understanding the outcomes of these patients will help refine CCU quality audit reports and research study results. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Nagarajan Ramakrishnan Lakshmi Ranganathan Babu K Abraham Senthilkumar Rajagopalan Ramesh Venkataraman Source Type: research

Development a reverse triage system based on modified sequential organ failure assessment for increasing the critical care surge capacity
Conclusion: The MSOFA scores can contribute to the design a leveling system for discharging patients from critical care unit. Based on this system, the members of the caring team can predict the final health status of the patient. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Abbasali Ebrahimian Hossein Ghasemian-Nik Raheb Ghorbani Ali Fakhr-Movahedi Source Type: research

Correlation of neutrophil CD64 with clinical profile and outcome of sepsis patients during intensive care unit stay
Conclusion: Monitoring serial nCD64 during ICU stay may be helpful in determining the clinical course of septic patients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Pralay Shankar Ghosh Harshit Singh Afzal Azim Vikas Agarwal Saurabh Chaturvedi Sai Saran Prabhaker Mishra Mohan Gurjar Arvind Kumar Baronia Banani Poddar Ratender Kumar Singh Ravi Mishra Source Type: research

Thromboelastographic analysis of hemostatic abnormalities in dengue patients admitted in a multidisciplinary intensive care unit: A cross-sectional study
Syed Nabeel Muzaffar, Suhail Sarwar Siddiqui, Afzal AzimIndian Journal of Critical Care Medicine 2018 22(7):563-564 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Syed Nabeel Muzaffar Suhail Sarwar Siddiqui Afzal Azim Source Type: research

Bloodless arterial cannulation technique
Amruta Shringarpure, Pushkar DesaiIndian Journal of Critical Care Medicine 2018 22(7):562-563 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Amruta Shringarpure Pushkar Desai Source Type: research