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The advance directives and foregoing of life support: Where do we stand now ?
Raj Kumar Mani, Sri Nagesh Simha, Roop GursahaniIndian Journal of Critical Care Medicine 2018 22(3):135-137
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Raj Kumar Mani Sri Nagesh Simha Roop Gursahani Source Type: research
Failure of postexposure prophylaxis in a patient given rabies vaccine intramuscularly in the gluteus muscle, Himachal Pradesh, India
Omesh Kumar Bharti, Vivek SharmaIndian Journal of Critical Care Medicine 2018 22(3):189-190
A 48–year-old male was bitten by a dog on the forehead and on the RIGHT side of left eyebrow on November 26, 2017, at 2 pm. The patient was immediately rushed to a nearby private hospital where an MBBS doctor gave him immediate wound wash with soap and water and prescribed five doses of rabies vaccine intramuscularly (IM). Since the patient weight was 60 kg, he was also prescribed 2400 IU of equine rabies immunoglobulin (ERIG), but as eRIG was not available, it was not administered. All the four doses of rabies vaccine...
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Omesh Kumar Bharti Vivek Sharma Source Type: research
Lung collapse secondary to massive pericardial effusion in adults: Two case reports
We present two cases of respiratory insufficiency due to left lung collapse secondary to massive pericardial effusion. Both patients had pericardial effusion due to their underlying disease. Radioimaging showed compression of the left bronchus. Patients got symptomatic relief after pericardiocentesis. Follow-up imaging showed expansion of the lung.
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Yogesh Manhas Antara Gokhale Source Type: research
A clinical conundrum called amitraz poisoning - A case report
We present the case of a 60-year-old gentleman who was shifted from another hospital in unconscious state with an alleged history of consumption of an unknown substance which later was known to be amitraz.
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Sanjith Saseedharan Edwin Joseph Pathrose Bhumika Vedraj Madhav Source Type: research
Preprocedural check of central venous catheter set
Komal Anil Gandhi, Tanvir SamraIndian Journal of Critical Care Medicine 2018 22(3):197-198
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Komal Anil Gandhi Tanvir Samra Source Type: research
Risk factors and outcome of acute kidney injury after congenital heart surgery
Nagarajan MuthialuIndian Journal of Critical Care Medicine 2018 22(3):198-199
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Nagarajan Muthialu Source Type: research
Rabies treatment: Are we anywhere close to cure ?
Subramanian Senthilkumaran, Namasivayam Balamurugan, Nanjundan Karthikeyan, Ponniah ThirumalaikolundusubramanianIndian Journal of Critical Care Medicine 2018 22(3):199-200
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Subramanian Senthilkumaran Namasivayam Balamurugan Nanjundan Karthikeyan Ponniah Thirumalaikolundusubramanian Source Type: research
Symmetrical gangrene in both lower limbs in pneumococcal pneumonia
Subodh Kumar Mahto, Arjun Mallasandra Balakrishna, Nehal Aggarwal, Atul GoelIndian Journal of Critical Care Medicine 2018 22(3):200-201
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Subodh Kumar Mahto Arjun Mallasandra Balakrishna Nehal Aggarwal Atul Goel Source Type: research
Quiz Answers
Yash JaveriIndian Journal of Critical Care Medicine 2018 22(3):202-203
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Yash Javeri Source Type: research
Quiz Section
Yash JaveriIndian Journal of Critical Care Medicine 2018 22(3):204-204
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Yash Javeri Source Type: research
Antibiotic prescription, organisms and its resistance pattern in patients admitted to respiratory ICU with respiratory infection in Mysuru
Conclusion: Piperacillin-tazobactam was the most common antibiotic prescribed to patients with respiratory infection admitted to ICU. More than half of patients (60%) had resistance to the empirical antibiotic used in our ICU, highlighting the need for antibiogram for each ICU. Thirty six percent of patient had prior antibiotic use and had mainly gram negative organisms with high resistance to commonly used antibiotics.
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: M Mahendra BS Jayaraj KS Lokesh SK Chaya Vivek Vardhan Veerapaneni Sneha Limaye Raja Dhar Rajesh Swarnakar Shrikant Ambalkar PA Mahesh Source Type: research
Expert consensus document on management of ST-Elevation myocardial infarction: Adaptation of 2012 ESC guidelines
Tiny Nair, Rajesh Agrawal, Sandeep Bansal, Anjanlal Dutta, Raja Ray, Saumitra RayIndian Journal of Critical Care Medicine 2018 22(4):274-282In 2012, the European Society of Cardiology (ESC) guidelines provided recommendations on the management of ST-elevation myocardial infarction (STEMI). The recommendation from these guidelines is restricted to the European subcontinent. To adapt the updated recommendations for Indian subset of STEMI patients, a panel of experts in the management of STEMI provided their expert opinions. This document provides expert consensus on adapting 2012 ESC STEMI guidelines recommendations in India...
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Tiny Nair Rajesh Agrawal Sandeep Bansal Anjanlal Dutta Raja Ray Saumitra Ray Source Type: research
Epidemiological analysis of extended-spectrum beta-lactamase-producing bacterial infections in adult live donor liver transplant patients
Conclusions: Infections with ESBL-producing organism in liver transplant recipients has a high mortality and very limited therapeutic options.
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Ajeet Singh Deepak Govil Usha Krishan Baveja Anand Gupta Neha Tandon Shrikanth Srinivasan Sachin Gupta Sweta J Patel Sanjiv Saigal Arvinder Singh Soin Source Type: research
Cerebrospinal fluid lactate as a prognostic indicator in postneurosurgical bacterial meningitis and use of intrathecal colistin
Pradeepkumar Hiremath, Pradeep Rangappa, Ipe Jacob, Karthik RaoIndian Journal of Critical Care Medicine 2018 22(4):297-299Postneurosurgical bacterial meningitis (PNBM) is an emergency and requires early diagnosis and treatment with appropriate antibiotics. The cornerstone of diagnosis is microbiological analysis of the cerebrospinal fluid (CSF) cytochemical characteristics such as leucocyte count, CSF glucose, and protein concentration and CSF: Serum glucose ratio. However, this is often misleading in PNBM. The role of CSF lactate assay for diagnosis and prognosis has been debated. This case report looks into the serial me...
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Pradeepkumar Hiremath Pradeep Rangappa Ipe Jacob Karthik Rao Source Type: research
Paradoxical reaction to midazolam in preterm neonates: A case series
We report two newborns in our Neonatal Unit, who developed myoclonic seizure after the administration of midazolam. Both of these neonates were preterm, require multiple invasive and noninvasive investigations also leads to parent and clinician stress.
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Mahendra Kumar Gupta Jayashree A Mondkar Deepraj Hegde Source Type: research
