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A pilot study of nebulized heparin for prevention of ventilator induced lung injury: Comparative effects with an inhaled corticosteroid
Conclusion: The results of this study show that the overall effectiveness of nebulized heparin is at least as comparable with a potent corticosteroid (budesonide). Heparin could be a safe and effective modality for patients who at risk of VILI.
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Farzin Ghiasi Mohsen Sadeghian Mohammad Emami Babak Ali Kiaie Sarah Mousavi Source Type: research
Dyspnea, eosinopenia, consolidation, acidemia and atrial fibrillation score and BAP-65 score, tools for prediction of mortality in acute exacerbations of chronic obstructive pulmonary disease: A comparative pilot study
Conclusion: Both DECAF and BAP-65 scores were found to be good predictors of mortality and need for ventilation in this pilot study.
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Viral Sangwan Dhruva Chaudhry Roopa Malik Source Type: research
Capillary leak syndrome following snakebite envenomation
V Udayabhaskaran, ET Arun Thomas, Bhagya ShajiIndian Journal of Critical Care Medicine 2017 21(10):698-702Capillary leak syndrome is a unique complication that follows Russell's viper envenomation. This syndrome has a very high fatality rate and is characterized by parotid swelling, chemosis, periorbital edema, hypotension, albuminuria, hypoalbuminemia, and hemoconcentration. This syndrome is frequently recognized from the southern parts of India, especially from the state of Kerala. It has been postulated that a vascular apoptosis inducing component of Russell's viper venom that is not neutralized by...
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: V Udayabhaskaran ET Arun Thomas Bhagya Shaji Source Type: research
Hypercapnic respiratory failure in case of chiari 1.5 malformation: Case Report and review of the literature
We report a 35-year-old male who presented with acute hypercapnic respiratory failure (Type 2), without any preexisting neurological or respiratory abnormality. Analysis of blood gases in emergency revealed a pH of 7.12, pCO2of 132 mmHg, and arterial oxygen tension of 118 mm Hg. He was intubated and ventilated. Magnetic resonance imaging brain revealed herniation of the cerebellar tonsils along with brain stem and fourth ventricle. The patient underwent surgery and gradually weaned off. He was mobilized and discharged on day 6. Acute respiratory failure has not been reported with Chiari 1.5 malformation. The lesson to be l...
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Viralkumar M Vasani Subhas Kanti Konar S Satish Source Type: research
Polymicrobial blood stream infection: Consensus definition is required
Sunil Kumar Garg, Pragya GargIndian Journal of Critical Care Medicine 2017 21(10):712-713
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Sunil Kumar Garg Pragya Garg Source Type: research
FAST HUGS BID: Modified mnemonic for surgical patient
Abhijit S Nair, Vibhavari Milind Naik, Basanth Kumar RayaniIndian Journal of Critical Care Medicine 2017 21(10):713-714
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Abhijit S Nair Vibhavari Milind Naik Basanth Kumar Rayani Source Type: research
The PCQP score for volume status of acutely ill patients: Integrating vascular pedicle width, caval index, respiratory variability of the qrs complex and R wave amplitude
Conclusion: PCQP score could be a reliable and noninvasive technique for the assessment of volume status in critically ill patients.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Ali Taghizadieh Kavous Shahsavari Nia Payman Moharramzadeh Mahboob Pouraghaei Atefeh Ghavidel Zahra Parsian Ata Mahmoodpoor Source Type: research
Treatment of acute kidney injury complicating septic shock with EMiC2 high-cutoff hemofilter: Case series
Conclusion: This case series shows that HCO-CVVH/CVVHD using EMiC2 hemofilter may provide good cytokine modulation, when used along with good quality standard sepsis therapy. A further large-scale prospective randomized controlled trial is recommended.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Hoi-Ping Shum King-Chung Chan Wing-Wa Yan Tak Mao Chan Source Type: research
An interventional quality improvement study to assess the compliance to cardiopulmonary resuscitation documentation in an indian teaching hospital
Conclusions: This study establishes that the compliance to CPR documentation is poor as assessed by CPR documentation content and quality, which improves after physician training, but not up to the mark level (100%) that may be due to busy Indian hospital settings and human behavioral factors. Due to ethical constraints of live CPR assessment, this document checklist approach may be considered as an internal quality assessment method for CPR compliance. Furthermore, correct instruction in CPR technique along with proper documentation of the procedure is required, followed up with periodic re-education during the...
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Viraj Nevrekar Prasan Kumar Panda Naveet Wig RM Pandey Praveen Agarwal Ashutosh Biswas Source Type: research
Prophylaxis and incidence of symptomatic deep vein thrombosis in indian patients with sepsis: DETECT-deep vein thrombosis registry
Conclusions: Two-third patients received thromboprophylaxis. The substantial role of thromboprophylaxis in DVT prevention mandates monitoring and control of thromboprophylaxis through internal audits in hospitals.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Nagarajan Ramakrishnan DETECT-DVT Investigators Source Type: research
Cerebral air embolism secondary to lung laceration
We report a case of cerebral air embolism which has occurred secondary to lung laceration. The patient underwent intercostal drainage for hydro-pneumothorax and developed forceful cough and suddenly changed in consciousness. Air embolism was diagnosed by computed tomography brain and was managed by high-concentration oxygen therapy and other supportive measures and is being discharged in satisfactory condition.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Ashok Kumar Singh Jayant Verma Surendra Kumar Source Type: research
Imidacloprid poisoning: An emerging cause of potentially fatal poisoning
We report a case of poisoning with imidacloprid compound presenting with a variety of systemic features including respiratory failure and patient's improvement with conservative management.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Sanjay A Mundhe Siddheshwar V Birajdar Sheshrao S Chavan Nikhil R Pawar Source Type: research
Meckel & #39;s diverticulitis masquerading as acute pancreatitis: A diagnostic dilemma
We report a 9-year-old boy who presented with acute onset of periumbilical pain and nonbilious vomiting. His clinical and laboratory parameters were unremarkable, except for serum amylase levels. He was conservatively managed initially as acute pancreatitis with paralytic ileus. However, the child deteriorated in a course of 2 days with bilious vomiting, abdominal distension, and dehydration. Imaging was suggestive of an ileoileal intussusception, and exploratory laparotomy identified Meckel's diverticulum as the lead point for the intussusception. The histopathological examination revealed inflamed heterotopic ...
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: C Danny Darlington G Fatima Shirly Anitha Source Type: research
Canagliflozin-associated diabetic ketoacidosis with lower-than-anticipated glucose levels
Sonali Vadi, Manjusha AgarwalIndian Journal of Critical Care Medicine 2017 21(11):793-795The Food and Drug Administration has approved the use of sodium-glucose co-transporter 2 (SGLT-2) inhibitors for use in Type II diabetics. These are a relatively new addition to the armamentaria of diabetes management. Postmarketing surveillance is a witness to several side effects, a morbid one being ketoacidosis. Herein is discussed a scenario of a Type II diabetic who presented with substantial ketoacidosis without significant hyperglycemia. The absence of the customary precipitating factors and the presence of a recent introduction...
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Sonali Vadi Manjusha Agarwal Source Type: research
Influenza B virus triggering macrophage activation syndrome in an infant
We report a 10-month-old female infant with fever, convulsions, and hepatosplenomegaly. Laboratory data of bicytopenia, low erythrocyte sedimentation rate, and elevated liver enzymes suggested MAS. This was supported by the presence of hyperferritinemia with hypertriglyceridemia. MAS was triggered by influenza B virus. She responded to treatment with immunoglobulin and steroid.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: K Jayashree Suchetha Rao Nutan Kamath Source Type: research
