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Total 129485 results found since Jan 2013.

Polyneuropathy in Critically Ill Mechanically Ventilated Children: Experience From a Tertiary Care Hospital in North India*
Conclusions: We observed a high prevalence of critical illness polyneuropathy in children in PICU, mechanically ventilated for 7 days or more; almost all of whom had underlying sepsis.
Source: Pediatric Critical Care Medicine - September 1, 2019 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Readiness for and Response to Coronavirus Disease 2019 Among Pediatric Healthcare Providers: The Role of Simulation for Pandemics and Other Disasters*
CONCLUSIONS: The swift incorporation of disease-specific sessions and the transition of standard education to virtual or hybrid simulation training modes occurred frequently. The approach used, however, depended heavily on local requirements, limitations, and circumstances. In particular, the use of telesimulation allowed education to continue while maintaining social distancing requirements.
Source: Pediatric Critical Care Medicine - June 1, 2021 Category: Pediatrics Tags: Online Clinical Investigation Source Type: research

The utilization of the surviving sepsis campaign care bundles in the treatment of pediatric patients with severe sepsis or septic shock in a resource-limited environment: A prospective multicenter trial
Conclusion: Our study demonstrated a significant reduction in sepsis mortality after the implementation of the SSC care bundles. Early diagnosis of the disease, optimum hemodynamic resuscitation, and timely antibiotic administration are the key elements of sepsis management.
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Rujipat Samransamruajkit Kawiwan Limprayoon Rojanee Lertbunrian Rattapon Uppala Chutima Samathakanee Pravit Jetanachai Nopparat Thamsiri Source Type: research

Strategies for Prevention and Management of Bleeding Following Pediatric Cardiac Surgery on Cardiopulmonary Bypass: A Scoping Review
Conclusions: Overall, this review demonstrates small trial sizes, low level of evidence, and marked heterogeneity of reported endpoints in the included studies. The need for more, higher quality studies reporting clinically relevant, comparable outcomes is highlighted. Emerging fields such as the use of coagulation factor concentrates, goal-directed guidelines, and anti-inflammatory therapies appear to be of particular interest. This scoping review can potentially guide future trial design and form the basis for therapy-specific systematic reviews.
Source: Pediatric Critical Care Medicine - January 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Acute renal failure adversely affects survival in pediatric dengue infection
Conclusions: DHF/DSS is an independent risk factor for the development of ARF in patients with dengue infection. Mortality rate is high once RF develops in these children.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Biswanath Basu Birendranath Roy Source Type: research

Evaluation of Effect of Probiotics on Cytokine Levels in Critically Ill Children With Severe Sepsis: A Double-Blind, Placebo-Controlled Trial*
Conclusions: Probiotics supplementation for 7 days resulted in significant decrease in proinflammatory and increase in antiinflammatory cytokines in children with severe sepsis.
Source: Critical Care Medicine - September 15, 2018 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Intensive care nurses & #39; attitude on palliative and end of life care
Conclusion: Greater emphasis on palliative care in critical care curriculum may improve awareness among critical care nurses.
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Swagata Tripathy Pragyan K Routray Jagdish C Mishra Source Type: research

Evaluation of quality indicators in an Indian intensive care unit using & #8220;CHITRA & #8221; database
Conclusion: This study has successfully evaluated a range of QIs in a mixed ICU of a tertiary hospital utilizing CHITRA database.
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Kiran Kumar Gudivada Bhuvana Krishna Sampath Sriram Source Type: research

Multicenter observational study to evaluate epidemiology and resistance patterns of common intensive care unit-infections
Conclusion: VAP is the most common infection followed by CRBSI and CAUTI. Multidrug-resistant Gram-negative bacteria are the most common organisms. Staphylococcus aureus is uncommon in the Indian setting.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Ramesh Venkataraman Jigi Divatia Nagarajan Ramakrishnan Rajesh Chawla Pravin Amin Palepu Gopal Dhruva Chaudhry Kapil Zirpe Babu Abraham Source Type: research

Predictors of mortality in acute kidney injury patients admitted to medicine intensive care unit in a Rural Tertiary Care Hospital
Conclusion: The overall in-hospital mortality in patients of AKI admitted to medicine-ICU was 28.4%. Sepsis was the most common cause of AKI (24.5%). The presence of metabolic acidosis, hypotension, GCS and APACHE 2 score, advanced AKI stage, higher serum creatinine, and blood urea levels on diagnosis of AKI and the peak rise in their level within 48 h of diagnosis of AKI, use of mechanical ventilator, leukocytosis, and hyperkalemia were associated with in-hospital mortality in AKI patients.
Source: Indian Journal of Critical Care Medicine - April 18, 2018 Category: Intensive Care Authors: Amrish Saxena Shrikant V Meshram Source Type: research

An intervention study for the prevention and control of health care-associated infection in the critical cares area of a tertiary care hospital in Saudi Arabia
Conclusion: This small study showed that strict implementation of care bundles with good compliance of hand hygiene, Personal protective equipment and antibiotic stewardship are helpful for prevention and control of hospital acquired infections. This study also demonstrated significant (28%) reduction of hospital acquired infections during the study period.
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Sanjay Kumar Gupta Fahd Khaleefah Al Khaleefah Ibrahim Saifi Al Harbi Fiaz Ahmed Sinimol Jabar Marilou Andal Torre Sunitha Lorin Mathias Source Type: research

Audit of postoperative surgical intensive care unit admissions
Conclusion: The need for postoperative critical care is significantly higher in males, elderly, patients with poor preoperative risk stratification scores, preexisting medical illness, major intraoperative hemorrhage, hypotension requiring inotropic support, perioperative respiratory problems and patients undergoing abdominal, trauma, and emergent surgeries. A larger study inclusive of other surgical subspecialties would aid in optimal decision-making for admissions to the SICU.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Shaili K Patel Samir M Kacheriwala Dipesh D Duttaroy Source Type: research

Pattern and outcome of obstetric admissions into the intensive care unit of a Southeast Nigerian Hospital
Conclusion: Ruptured uterus was the most common indication for ICU admission in the center. Maternal mortality was significantly associated with unbooked status. This underscores the importance of booking for antenatal care, prompt presentation at the hospital during emergencies, skilled birth attendance, and provision of adequate facilities for the management of critical obstetric cases in this environment.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Benjamin Chukwuma Ozumba Leonard Ogbonna Ajah Vitus Okwuchukwu Obi Uche Anthony Umeh Joseph Tochukwu Enebe Kingsley Chukwu Obioha Source Type: research

Diagnostic value of procalcitonin in predicting bacteremia in intensive care unit
Conclusions: PCT may be an effective biomarker for diagnosing sepsis and predicting disease severity and mortality. There is a need for further well-designed studies to confirm the diagnostic and prognostic value of PCT in septic patients in critical care.
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Tuna Demirdal Pinar Sen Salih Atakan Nemli Source Type: research