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Total 129485 results found since Jan 2013.

The need for extracorporeal membrane oxygenation in adults undergoing congenital heart surgery: Impact and trends of utilization
Conclusion: ECMO is only needed in a small proportion of postoperative ACHD patients. The use of ECMO significantly increases cost, length of stay and mortality in these patients. Improved identification of postoperative ACHD patients who are more likely to survive ECMO may facilitate improved survival and decreased resource utilization.
Source: Indian Journal of Critical Care Medicine - September 14, 2017 Category: Intensive Care Authors: Salvatore Aiello Rohit S Loomba Connor Kriz Matthew Buelow Saurabh Aggarwal Rohit R Arora Source Type: research

Prognostic value of venous to arterial carbon dioxide difference during early resuscitation in critically ill patients with septic shock
Conclusions: High PCO2gap >7.8 mmHg after 6 h from resuscitation of septic shock patients is associated with high mortality.
Source: Indian Journal of Critical Care Medicine - September 14, 2017 Category: Intensive Care Authors: Tamer Abdallah Helmy Ehab Mahmoud El-reweny Farahat Gomaa Ghazy Source Type: research

Iatrogenic bilateral simultaneous pneumothorax: Call for vigilance
We report the case of a 40-year-old male who had bilateral simultaneous iatrogenic pneumothorax with pneumomediastinum leading to cardiac arrest situation, due to wrong placement of nebulization kit in spontaneously breathing intubated patient. We report this case for its rarity, due to the critical importance of this cause as a etiology of bilateral simultaneous iatrogenic pneumothorax leading to cardiac arrest situation, and need to understand the importance of continuous training and stress of emergency environment.
Source: Indian Journal of Critical Care Medicine - September 14, 2017 Category: Intensive Care Authors: Sunil Kumar Garg Pragya Garg Nidhi Anchan Ashish Jaiswal Source Type: research

Diabetic ketoacidosis with extreme hypernatremia in a 4-year-old girl
Manish Kumar Arya, Sheikh Minhaj Ahmed, Krishnakumar N Shah, Uma S AliIndian Journal of Critical Care Medicine 2017 21(9):610-612A 4-year-old girl admitted with altered mental status, new-onset diabetes mellitus, and diabetic ketoacidosis (DKA) had a rapid rise in serum sodium from 158 mEq/L (corrected sodium 165 mEq/L) at the admission to 204 mEq/L within 18 hours of admission despite standard fluid and insulin therapy recommended for the treatment of DKA. During her illness, she developed arterial and deep vein thrombosis (DVT), bloodstream infection with Candida species, and extensive skin blistering and denudation. The...
Source: Indian Journal of Critical Care Medicine - September 14, 2017 Category: Intensive Care Authors: Manish Kumar Arya Sheikh Minhaj Ahmed Krishnakumar N Shah Uma S Ali Source Type: research

The effects of atorvastatin on inflammatory responses and mortality in septic shock: A single-center, randomized controlled trial
Conclusions: Atorvastatin-induced changes in inflammatory biomarkers did not confer mortality benefit in septic shock (ClinicalTrials.govNCT02681653).
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Ratender Kumar Singh Vikas Agarwal Arvind Kumar Baronia Sudeep Kumar Banani Poddar Afzal Azim Source Type: research

Blowing Bubbles Helps Intubation
We describe a patient who suffered significant neck trauma following a suicide attempt. On initial presentation to accident and emergency, he was an easy intubation with a Grade 1 view obtained at laryngoscopy. After surgery to repair his neck laceration, he was extubated and discharged from ICU. He later developed a severe aspiration pneumonia and required reintubation. After induction and paralysis with suxamethonium, the best view at laryngoscopy was a Grade 3 despite the use of different laryngoscopes. As the muscle paralysis wore off the patient began breathing. This produced bubbles in the back of the patient&...
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: David Howe Source Type: research

Role of urinary neutrophil gelatinase-associated lipocalin as a biomarker of acute kidney injury in patients with circulatory shock
Conclusion: uNGAL could be a good early predictor biomarker of AKI following circulatory shock.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Radhey Shyam Munna Lal Patel Rekha Sachan Satish Kumar Durgesh Kumar Pushkar Source Type: research

Malpositioning of central venous catheter from right to left subclavian vein: A rare complication
P Rajendra Takhar, Bunkar Motilal, Arya SavitaIndian Journal of Critical Care Medicine 2017 21(11):799-801Invasive monitoring with central venous catheter (CVC) is a valuable tool now a day in Intensive Care Units and in postoperative hemodynamically unstable patients. It is often employed for administering medications and parenteral nutrition. In most of the instances, these catheters are inserted using proper topographical landmarks and ultrasonography-guided methods. Central venous cannulation is associated now and then with unexpected complications despite the use of all precautions and help of imaging techniques. Ther...
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: P Rajendra Takhar Bunkar Motilal Arya Savita Source Type: research

Monotherapy versus combination therapy against nonbacteremic carbapenem-resistant gram-negative infections: a retrospective observational study
Conclusions: In our retrospective single-center series of CRGNB nonbacteremic infections, CCCT was not superior to CMT. Multicenter large observational studies or prospective randomized clinical trials are the need of the hour.
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Abdul Ghafur Vidyalakshmi Devarajan T Raja Jose Easow MA Raja Sankar Sreenivas Balasubramaniam Ramakrishnan SG Raman Dedeepiya Devaprasad Balaji Venkatachalam Ramesh Nimmagadda 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 - 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

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 - December 14, 2017 Category: Intensive Care Authors: Himmatrao S Bawaskar Pramodini H Bawaskar Parag H Bawaskar Source Type: research

Quad fever: Treatment through lowering of ambient temperature
We present a brief review of literature and the importance of early identification and treatment of this potentially fatal condition.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Shyam Sundar Krishnan Pulak Nigam Omar Bachh Madabushi Chakravarthy Vasudevan Source Type: research

Cardiotoxic effects of raw opium
Piyush Garg, Asif Ali Hitawala, Manoj AgarwalIndian Journal of Critical Care Medicine 2018 22(1):46-48While opioid drug toxicity and side effects of long-term opioid use during medical care are well studied, there is little information regarding effects of ingestion of raw opium. Characterization of the effects to a particular alkaloid is difficult since raw opium contains a number of alkaloids. Here, we present a case of poisoning due to ingestion of raw opium leading to severe myocardial suppression.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Piyush Garg Asif Ali Hitawala Manoj Agarwal Source Type: research

Successful use of ketamine for burst suppression in super refractory status epilepticus following substance abuse
Dnyaneshwar P Mutkule, S Manimala Rao, Jaydip Ray Chaudhuri, Kunche RajasriIndian Journal of Critical Care Medicine 2018 22(1):49-50Status epilepticus is frequently encountered in neuro Intensive Care Units. It is a medical emergency and if not treated promptly can lead to severe brain damage and even death. Here, we present the case of a 18-year-old male with uncontrolled and unrelenting seizures with a rare etiology requiring ketamine infusion for burst suppression as it was resistant to thiopentone and midazolam infusions. The management of this case is presented in detail.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Dnyaneshwar P Mutkule S Manimala Rao Jaydip Ray Chaudhuri Kunche Rajasri Source Type: research

Colistin versus colistin combined with ampicillin-sulbactam for multiresistant Acinetobacter baumannii ventilator-associated pneumonia treatment: An open-label prospective study
Conclusion: Combination therapy with colistin and a high dose of ampicillin/sulbactam was associated with a more favorable clinical response to VAP due to carbapenem-resistant A. baumannii than colistin monotherapy.
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Demosthenes Makris Efi Petinaki Vasssiliki Tsolaki Efstratios Manoulakas Konstantinos Mantzarlis Olimpia Apostolopoulou Dimitrios Sfyras Epaminondas Zakynthinos Source Type: research