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Loss of guidewire
Wolfram SchummerIndian Journal of Critical Care Medicine 2018 22(7):561-562 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Wolfram Schummer Source Type: research

Curious case of acute unilateral deep vein thrombosis: May-thurner syndrome
We report one such unusual case of acute-onset DVT of the left lower limb due to MTS. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Manohar N. M. Bhat Rohit Vadala Ebenezer Rabindrarajan Nagarajan Ramakrishnan Source Type: research

Epidural hematoma: Vigilance beyond guidelines
We present a case of acute onset of paraplegia because of an epidural hematoma following removal of the epidural catheter in a patient who was given the first dose of antithrombotic therapy after the removal of the epidural catheter as per the ASRA guidelines. The epidural hematoma was diagnosed with an urgent magnetic resonance imaging, and the patient was urgently taken up for surgical evacuation of the hematoma. The patient made full recovery over 1 week period. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Nitin Madhukar Bhorkar Tasneem Saleh Dhansura Urmila Bhaktiprasad Tarawade Sanket Sharad Mehta Source Type: research

Chondrodysplasia punctata with severe airway stenosis
Bobbity Deepthi, Viswas Chhapola, Sandeep Kumar Kanwal, Ankita Goel Sharma, Virendra KumarIndian Journal of Critical Care Medicine 2018 22(7):552-554 Chondrodysplasia punctata (CDP) is a group of skeletal dysplasias characterized primarily by punctate calcifications in cartilage. It is a rare disease with an incidence of 1:100,000 live births. Extensive airway involvement with calcification of tracheal, bronchial, and thyroid cartilage in CDP is an infrequent finding. We aim to report a case of CDP with characteristic radiological features and severe airway involvement. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Bobbity Deepthi Viswas Chhapola Sandeep Kumar Kanwal Ankita Goel Sharma Virendra Kumar Source Type: research

A case of unusual occurrence of nasogastric tube feed coming through the chest tube in a 27-year-old polytrauma patient
Raunaq Chakraborty, Mohd Shoaib Budoo, Sukhyanti KeraiIndian Journal of Critical Care Medicine 2018 22(7):547-551 The provision of early and adequate nutritional support is vital for the successful recovery from the trauma in any form. Nutritional support is enteral unless specified otherwise as dictated by various benefits of the former. Nasogastric tubes provide effective and common mode of enteral feed due to the ease of placement and maintenance. To our knowledge, the late presentation of diaphragmatic hernia with gastric perforation in a trauma patient leading to feed coming through chest tube is very rare of the com...
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Raunaq Chakraborty Mohd Shoaib Budoo Sukhyanti Kerai Source Type: research

Cardiopulmonary arrest and extracorporeal membrane oxygenation: Case report and review
Alexander Robinson, Aniket S Rali, Zubair Shah, Travis Abicht, Eric Hockstad, Andrew SauerIndian Journal of Critical Care Medicine 2018 22(7):544-546 National trends suggest that less than one in four patients experiencing in-hospital cardiac arrest (IHCA) in the United States survive to discharge. This is especially relevant as the rates of IHCA are expected to rise in the years to come. Only a modest upward trend in survival to discharge among patients with IHCA over the past decade warrants evaluation of novel ideas to improve outcomes postcardiopulmonary resuscitation. One such idea is that the use of veno-arterial-ex...
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Alexander Robinson Aniket S Rali Zubair Shah Travis Abicht Eric Hockstad Andrew Sauer Source Type: research

Brain dead presentation of snake bite
Sonika Agarwal, Nidhi Kaeley, Sushant Khanduri, Nand KishoreIndian Journal of Critical Care Medicine 2018 22(7):541-543 Snakebite is considered as a significant public health problem contributing considerably to morbidity and mortality. A neurotoxic snake bite can present from mild ptosis to complete paralysis with external and internal ophthalmoplegia. Three patients presented in emergency intubated outside with deeply comatose, fixed dilated pupil, and absent doll's eye reflex mimicking as brain dead. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Sonika Agarwal Nidhi Kaeley Sushant Khanduri Nand Kishore Source Type: research

The era of device colonizers: Chryseobacterium indologenes infections from a tertiary care center in North India
Conclusions: C. indologenes infections are increasing because of higher use of carbapenems and colistin, to which it is intrinsically resistant. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Vidhi Jain Chinmoy Sahu Nayani Amrin Fatema Afzal Hussain Malay Ghar Kashi Nath Prasad Source Type: research

In vitro activity of fosfomycin against multidrug-resistant urinary and nonurinary gram-negative isolates
Conclusion: Fosfomycin showed excellent in vitro activity for uropathogens. Large-scale evaluation of fosfomycin against MDR systemic isolates is required to evaluate its therapeutic efficacy. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Bijayini Behera Srujana Mohanty Subhrajyoti Sahu Ashok Kumar Praharaj Source Type: research

CD14 & #43; monocytic cytokines: Impact on outcome in severely injured patients
Conclusion: After trauma, an immediate hyperactivation of circulating monocytes is rapidly followed by a substantial paralysis of cell function. Decreased activity of monocytes can be used to identify potential fatal immunological disruption. Since immunological disruption occurs before clinical symptoms; our study proposes an immunological prognostication score for trauma victims. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Nidhi Bhardwaj Surbhi Khurana Subodh Kumar Sushma Sagar Amit Gupta Biplap Mishra Kapil Dev Soni Purva Mathur Source Type: research

Feasibility and accuracy of a nonmedical research person in assimilation and calculation of acute physiologic assessment and chronic health evaluation scores in an Indian intensive care unit
Conclusions: A well-trained and supervised nonmedical research person can assimilate and calculate APACHE II scores with good agreement with an ICU trainee. This may help in deriving data from medically understaffed ICUs in India, thus promoting much-needed research from such ICUs. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: George Prashanth Kurian Pritish John Korula Mahasampath S Gowri Source Type: research

Acute leukoencephalopathy with restricted diffusion
Mahesh KamateIndian Journal of Critical Care Medicine 2018 22(7):519-523 Treatment and outcome of children with acute encephalopathy depend on the cause, prompt treatment of the underlying cause, and use of adequate supportive measures. Many novel causes of acute encephalopathy are emerging where lumbar puncture, computed tomography of the head, and routine biochemical testing can be normal such as acute disseminated encephalomyelitis and febrile infection-related refractory epilepsy syndrome. Magnetic resonance imaging (MRI) plays an important role in the workup of children with acute leukoencephalopathy. Despite this in...
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Mahesh Kamate Source Type: research

Neurological prognostications for the therapeutic hypothermia among comatose survivors of cardiac arrest
Conclusions: Our study showed the simple neurological signs helped predict short-term neurological prognosis. The most reliable sign determining unfavorable outcome was the lack of PLR. The optimal time to assess prognosis was either at 48–72 h or 7 days after return of spontaneous circulation. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Napplika Kongpolprom Jiraphat Cholkraisuwat Source Type: research

Resurgence of global opportunistic multidrug-resistant Stenotrophomonas maltophilia
Conclusion: S. maltophilia was effectively isolated from the hospital environment, with two of hand impression and three of water samples' positive. Patients with respiratory infection had most S. maltophilia isolates. Antibiotic susceptibility revealed more resistance than reported in this region. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Pradheer Gupta Pratibha Kale Vikas Khillan Source Type: research

Impact of additional short session of video training on performance of basic life support skills in 2nd-Year medical students
Conclusions: BLS training should start early in medical curriculum with reinforcement at regular intervals. Single short duration video training session did not have any impact on improvement of skills. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Vikramjeet Arora Manju Bala Sumit Chawla Source Type: research