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Total 129485 results found since Jan 2013.

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

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 of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Scott A Helgeson Alexander J Heckman Dana M Harris 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

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 - April 18, 2018 Category: Intensive Care Authors: Jay Prakash Radhika Dhanpal Natesh S Rao Sarayu Ramamurthy 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 - May 17, 2018 Category: Intensive Care Authors: Punthila Sitthikarnkha Rujipat Samransamruajkit Nuanchan Prapphal Jitladda Deerojanawong Suchada Sritippayawan 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 - 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

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

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 - 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

Idiopathic systemic capillary leak syndrome
This report is meant to enhance awareness of ISCLS among physician's community.
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Kashmira Rajendra Hajare Priya Patil Jyoti Bansode Source Type: research

Aortocaval fistula presenting as Type 2 acute myocardial infarction in a patient with severe arteriopathy
We present a case of a 68-year-old male who presented with signs and symptoms suggestive of acute coronary syndrome. This was confirmed by electrocardiogram changes and a rise in cardiac enzymes. A large abdominal aortic aneurysm was diagnosed initially by imaging without evidence of leak or rupture. A coronary angiogram showed only mild diffuse disease. On further reviewing, the computerized tomography imaging revealed an ACF. This was subsequently repaired with rapid improvement in his condition. Acute coronary syndrome is an unusual presentation of ACF with inadequately understood pathophysiological mechanisms. Prompt d...
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Vivekanand Rajendran Krishnaswamy Sundararajan Alice Sawka Source Type: research

Primary cutaneous mucormycosis in a trauma patient with morel-lavall & #233;e lesion
We report a case of cutaneous mucormycosis in a trauma patient with the Morel-Lavallée lesions.
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Karan Singla Tanvir Samra Nidhi Bhatia Source Type: research

Thyrotoxic hypokalemic periodic paralysis
We present a case of a 45-year-old male, with known hyperthyroidism presenting with profound tremor, irritability, quadriparesis, and labored breathing since morning, on the day of admission. Arterial blood gas analysis showed severe hypokalemia. Patient's vital was stabilized and patient's oxygen saturation was maintained on oxygen inhalation. Intravenous potassium chloride infusion was administered with regular monitoring of vitals and electrolytes. Patient's symptoms improved. Thyroid function testing showed high free T3 (tri-iodothyronine) and free T4 (thyroxine) with low thyroid-stimul...
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Satyendra Kumar Sonkar Satish Kumar Neeraj Kumar Singh Source Type: research

Secondary hypertriglyceridemia causing recurrent acute pancreatitis with normal pancreatic enzymes
We present a case of HTG-induced recurrent AP with normal serum amylase and lipase levels in a patient of Syndrome Z.
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Prabhat Kumar Anindya Ghosh Nitin Sinha Rajinder Singh Tonk Source Type: research

Adding an & #8220;R & #8221; in the & #8220;DOPE & #8221; Mnemonic for ventilator troubleshooting
Vimal Koshy Thomas, Siju Varghese AbrahamIndian Journal of Critical Care Medicine 2018 22(5):388-388
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Vimal Koshy Thomas Siju Varghese Abraham Source Type: research

Designing a multidimensional pain assessment tool for critically Ill elderly patients: An agenda for future research
Hamed MortazaviIndian Journal of Critical Care Medicine 2018 22(5):390-391
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Hamed Mortazavi Source Type: research