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Experience with & #946;-D-Glucan assay in the management of critically ill patients with high risk of invasive candidiasis: An observational study
Conclusion: A BDG value of <80 pg/ml facilitates early discontinuation of empirical antifungal therapy, with considerable cost savings. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Nitin Bansal Ram Gopalakrishnan Nandini Sethuraman Nagarajan Ramakrishnan P Senthur Nambi D Suresh Kumar R Madhumitha MA Thirunarayan V Ramasubramanian Source Type: research

Clinicoetiological pattern and outcome of neonates requiring mechanical ventilation: Study in a tertiary care centre
Mohini Yadav, Gauri Chauhan, AK Bhardwaj, PD SharmaIndian Journal of Critical Care Medicine 2018 22(5):361-363The clinical and etiological pattern of ventilated newborns, their outcome in relation to morbidity and mortality was studied with 50 ventilated newborns, including outborns. M:f ratio was 2.1:1. The most common gestational age 28–36 weeks (60%) and mostly were appropriate for gestational age (66%). Survival rate 40% (20/50) being directly proportional to the gestational age and intrauterine growth pattern (P < 0.01). Babies by LSCS Lower Segment Cessarian Se...
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Mohini Yadav Gauri Chauhan AK Bhardwaj PD Sharma Source Type: research

Diagnosing catheter-associated urinary tract infection in critically Ill patients: Do the guidelines help ?
Sai Saran, Namrata S Rao, Afzal AzimIndian Journal of Critical Care Medicine 2018 22(5):357-360Catheter-associated urinary tract infection (CAUTI) is the leading cause of hospital-acquired infections in hospitalized patients in medical and surgical wards, but it is still commonly underdiagnosed in critically ill patients despite a higher device usage rate. The most commonly employed diagnostic criteria for such diagnosis come from the Infectious Disease Society of America and Centers for Disease Control and Prevention National Health Safety Network surveillance definition. It is surprising that no separate diagnostic crite...
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Sai Saran Namrata S Rao Afzal Azim Source Type: research

Comparision of analgesic efficacy of tramadol infusion versus tramadol plus ondansetron infusion in medical intensive care unit
Conclusions: We conclude that co-administration of tramadol and ondansetron can be practiced in medical ICU patients without any higher requirement in dosage of tramadol. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Surya Prakash Yarramalle Kartik Munta S Manimala Rao Pradeep Marur Venkategowda Sagar Sunka Sai Kiran Dudam Source Type: research

Medication errors in the emergency department: Knowledge, attitude, behavior, and training needs of nurses
Conclusion: The sample showed appropriate knowledge, positive attitudes, and right behavior related to the preparation and administration of IV medications. The skills that nurses must have in pharmacology are still rising, both due to the safety of drug therapy and to the increasing number of drugs available; the result is that nurses have to update their knowledge regularly. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Emanuele Di Simone Noemi Giannetta Flavia Auddino Antonio Cicotto Deborah Grilli Marco Di Muzio Source Type: research

Competence of intensivists in focused transthoracic echocardiography in intensive care unit: A prospective observational study
Conclusion: Intensivists with requisite training in TTE were able to perform focused echocardiography with comparable accuracy to that of cardiologists. Further studies are required to elucidate the therapeutic implications of fTTE performed by the intensivists. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Muthapillai Senthilnathan Pankaj Kundra Sandeep Kumar Mishra Savitri Velayudhan Ajith Ananthakrishna Pillai Source Type: research

Clinicohematological profile of febrile neutropenia in childhood acute leukemia and utility of serum procalcitonin levels in neutropenic patients
Conclusion: The higher levels of PCT had a high negative correlation with ANC but low correlation with microbiologically detected infections. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Rajan Kapoor Ashish K Simalti Shuvendu Roy Pulkit Agarwal Source Type: research

Mortality prediction using acute physiology and chronic health evaluation II and acute physiology and chronic health evaluation IV scoring systems: Is there a difference ?
Conclusions: The APACHE II and IV scoring systems have comparable discrimination ability, but the calibration of APACHE IV seems to be better than that of APACHE II. There is a need to recalibrate the scales with weights derived from the Indian population. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Ramesh Venkataraman Vijayaprasad Gopichandran Lakshmi Ranganathan Senthilkumar Rajagopal Babu K Abraham Nagarajan Ramakrishnan Source Type: research

Noninvasive ventilation for acute respiratory failure due to noncystic fibrosis bronchiectasis
Conclusions: NIV is feasible for management of ARF with non-CF bronchiectasis. High APACHE may predict NIV failure among these patients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Vijay Hadda Gopal Chawla Pawan Tiwari Karan Madan Maroof Ahmad Khan Anant Mohan Gopi C Khilnani Randeep Guleria Source Type: research

High-flow nasal cannula versus conventional oxygen therapy in children with respiratory distress
Conclusion: HFNC therapy revealed a potential clinical advantage in management children hospitalized with respiratory distress compared with conventional respiratory therapy. The early use of HFNC in children with moderate-to-severe respiratory distress may prevent endotracheal tube intubation. Trial Register: TCTR 20170222007. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Punthila Sitthikarnkha Rujipat Samransamruajkit Nuanchan Prapphal Jitladda Deerojanawong Suchada Sritippayawan Source Type: research

Malposition of central venous catheter due to radiation-induced venous stenosis: A report
Jay Prakash, Radhika Dhanpal, Natesh S Rao, Sarayu RamamurthyIndian Journal of Critical Care Medicine 2018 22(4):314-315 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Jay Prakash Radhika Dhanpal Natesh S Rao Sarayu Ramamurthy Source Type: research

Indolent systemic mastocytosis manifesting as protracted anaphylactic shock
Manidipam Chatterjee, Saikat Sengupta, Chandrashish Chakravarty, Suresh Ramasubban, Shilpa Bhartia, Sujoy Khan, Vikash Kumar AgarwalIndian Journal of Critical Care Medicine 2018 22(4):311-313Systemic mastocytosis is a rare disease due to abnormal proliferation of mast cells (MCs). A case of indolent systemic mastocytosis is presented here. After anesthetic induction for elective thyroid swelling with propofol and atracurium followed by endotracheal intubation, a 57-year-old female patient developed acute hypotension, sinus tachycardia, red rashes, increased airway pressure along with difficult ventilation, and desaturation...
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Manidipam Chatterjee Saikat Sengupta Chandrashish Chakravarty Suresh Ramasubban Shilpa Bhartia Sujoy Khan Vikash Kumar Agarwal Source Type: research

First reported case of respiratory syncytial virus infection causing guillain & #8211;Barr & #233; syndrome
We describe a case of one of these illnesses being caused by the respiratory syncytial virus (RSV). An 81-year-old female was admitted for an RSV infection. She went into respiratory failure requiring intubation and mechanical ventilation and treatment with ribavirin. When she was extubated, she had bilateral lower extremity weakness and absent reflexes. Her disease progressed rapidly to involve her diaphragm, and eventually, the family agreed to let the natural death process occur. Our case is the first reported case in which an acute immune-mediated polyneuropathy was caused from an RSV infection. (Source: Indian Journal...
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Scott A Helgeson Alexander J Heckman Dana M Harris Source Type: research

Atypical neurological manifestations of chikungunya fever: Two case reports
Subodh Kumar Mahto, Pulin Kumar Gupta, Akanksha Singh, Ramesh Chand MeenaIndian Journal of Critical Care Medicine 2018 22(4):306-308Chikungunya fever (CHIK) is an arboviral disease which is transmitted by a mosquito bite (Aedes aegypti). Fever, polyarthralgia, and maculopapular rash are hallmark clinical manifestations of this disease. These manifestations are self-liming and complete recovery is seen in most of the cases. However, atypical and lethal complications such as myocarditis, hepatitis, Guillain–Barre syndrome (GBS), and meningoencephalitis have been reported in few cases of CHIK. We hereby report tw...
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Subodh Kumar Mahto Pulin Kumar Gupta Akanksha Singh Ramesh Chand Meena Source Type: research

Cervical myelopathy in a child: A rare cause of hypoventilation syndrome presenting with Type 2 respiratory failure
Alolika Mondal, Prabhas Prasun GiriIndian Journal of Critical Care Medicine 2018 22(4):303-305Hypoventilation syndrome leading to Type 2 respiratory failure is not a rare cause of Pediatric Intensive Care Unit admission and mechanical ventilation. Common causes in pediatric population are Guillain–Barre syndrome and various central nervous system disorders such as encephalitis, traumatic brain injury, and drugs. Any injury or disease in the cervical cord can also produce respiratory paralysis causing respiratory failure. Here, we present two cases of mixed cerebral palsy with cervical myelopathy due to compres...
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Alolika Mondal Prabhas Prasun Giri Source Type: research