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Total 129485 results found since Jan 2013.

Posterior reversible leukoencephalopathy syndrome (PRES) in intensive care unit & #8211; Case series
Conclusion: Irrespective of the etiology, early control of blood pressure, and removal of precipitating factors is of paramount importance to prevent morbidity and mortality. Awareness about PRES among the intensivist is necessary to ensure early recognition and treatment.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Antara Gokhale Atheel Kimona Sandeep Kantor S Prakash Yogesh Manhas Source Type: research

Effect of intensive education and training of nurses on ventilator-associated pneumonia and central line-associated bloodstream infection incidence in intensive care unit at a tertiary care center in North India
Conclusion: Intensive education and training sessions with feedback from nurses over a period of 6 months led to significant reduction in the incidence of CLABSI; however, the incidence of VAP increased.
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Neeru Sahni Manisha Biswal Komal Gandhi Kulbeer Kaur Vikas Saini Lakshminarayana N Yaddanapudi Source Type: research

Clinical profile of patients admitted with hyponatremia in the medical intensive care unit
Prakash Babaliche, Siddharth Madnani, Sajal KamatIndian Journal of Critical Care Medicine 2017 21(12):819-824 Background and Aims: Hyponatremia is the predominant electrolyte abnormality with an incidence rate of approximately 22%. It is the leading cause of morbidity and mortality with scarce data in Indian intensive care settings. The aim of this study is to evaluate the clinical features and etiology of hyponatremia in patients admitted to an Intensive Care Unit (ICU) of a tertiary care hospital. Materials and Methods: A 1-year prospective cross-sectional observational study was conducted, including 100 adul...
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Prakash Babaliche Siddharth Madnani Sajal Kamat Source Type: research

Evaluation of Candida scoring systems to predict early candidemia: A prospective and observational study at a tertiary care hospital, Uttarakhand
Conclusion: Leon scoring system was found to have highest specificity, diagnostic accuracy, and positive likelihood ratio among all. Thus, we might conclude that a Leon score of ≥2.5 was most suitable for diagnosis of candidemia with significant accuracy and shortening of turnaround time when compared to the gold standard of blood culture. To the best of our knowledge, this is the first report on the subject.
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: Priyanka Gupta Pratima Gupta Biswaroop Chatterjee Garima Mittal Shashank Prateek Aroop Mohanty Source Type: research

Plasmapheresis: A retrospective audit of procedures from a tertiary care center in Southern India
Conclusion: Our small series of data of plasmapheresis procedures from nephrology perspective has reaffirmed the safety and efficacy of the therapy in an experienced setup.
Source: Indian Journal of Critical Care Medicine - December 14, 2017 Category: Intensive Care Authors: OT Ahammed Nizar Pratheeksha Rai Shobhana Nayak Rao M Pradeep Shenoy Source Type: research

Effect of continuous versus intermittent subglottic suctioning on tracheal mucosa by the mallinckrodt taperguard evac oral tracheal tube in intensive care unit ventilated patients: A prospective randomized study
Conclusions: Our results suggest that tracheal mucosal damages did not differ between CSSS and ISSS. The aspirated volume was higher and impossibility to aspirate was lower with ISSS. Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT01555229.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Philippe Seguin Harmonie Perrichet Estelle Le Pabic Yoann Launey Marie Tiercin Romain Corre Graziella Brinchault Bruno Laviolle Source Type: research

Clinical profile, intensive care unit course, and outcome of patients admitted in intensive care unit with chikungunya
Conclusions: Patients with chikungunya fever may require ICU admission for organ failure. They are generally elderly patients with underlying comorbidities. Despite aggressive resuscitation and organ support, these patients are at high risk of death. Admission APACHE II score and need for dialysis may predict patients at higher risk of death.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Anish Gupta Deven Juneja Omender Singh Suneel Kumar Garg Varun Arora Desh Deepak Source Type: research

Outcome of patients admitted to a tertiary referral intensive care unit with urosepsis needing source control
Conclusion: With early source control, obstructive UTI outcomes were comparable to nonobstructive UTI. However, despite undergoing ureteric stenting, more patients with obstructive UTI required RRT than those with nonobstructive UTI.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Chaitra C Rao Pradeep Rangappa Karthik Rao Ipe Jacob Source Type: research

Epidemiology and antifungal susceptibility of Candida species isolated from urinary tract infections: A study from an intensive care unit of a tertiary care hospital
Priya Datta, Mandeep Kaur, Satinder Gombar, Jagdish ChanderIndian Journal of Critical Care Medicine 2018 22(1):56-57
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Priya Datta Mandeep Kaur Satinder Gombar Jagdish Chander Source Type: research

Profile of patients with active tuberculosis admitted to a respiratory intensive care unit in a tertiary care center of North India
Conclusion: TB was an uncommon cause of ICU admission even in a high TB burden country. Critically ill patients with TB had high mortality. A higher APACHE II score and delta SOFA were independent predictors of ICU mortality.
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Valliappan Muthu Sahajal Dhooria Ritesh Agarwal Kuruswamy Thurai Prasad Ashutosh N Aggarwal Digambar Behera Inderpaul Singh Sehgal Source Type: research

Serum estradiol level at intensive care unit admission and mortality in critically ill patients
Conclusions: The serum estradiol level is elevated in critically ill patients, regardless of gender, especially in those who die. It has good discriminative capacity to predict mortality, and it is an independent risk factor for death in this group of patients.
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Luis Alejandro Sanchez.Hurtado Rolando Lugo-Cob Brigette C Tejeda-Huezo Alejandro Esquivel-Ch & #225;vez Abraham A Cano-Oviedo Sergio Zamora-Varela Saira S Gomez-Flores Perla Arvizu-Tachiquin Jos & #233; A Baltazar-Torres Source Type: research

Colistin-resistant Klebsiella pneumoniae in surgical polytrauma intensive care unit of level-1 trauma center: First case series from trauma patients in India
Conclusions: CRK is an emerging and challenging pathogen in polytrauma victims . There was an outbreak of CRK in our ICU that could be contained with infection control measures.
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Richa Aggarwal Neha Rastogi Purva Mathur Kapil Dev Soni Subodh Kumar Amit Gupta Sushma Sagar Source Type: research

A case of Lemierre & #39;s syndrome in Intensive Care Unit
We report a 21-year-old young male with Lemierre's syndrome presented as tonsillitis and Fusobacterium septicemia with respiratory failure and required intensive care. Lemierre's syndrome is the septic embolic complication of recent pharyngeal illness. Fusobacterium spp. accounts for the majority of cases. High index of suspicion is needed and prolonged antibiotic is advised. It is seldom seen in intensive care but should never be forgotten.
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Man-Yee Man Hoi-Ping Shum Wing-Wa Yan Susanna K P. Lau Source Type: research

Pulmonary nocardiosis: Unusual presentation in Intensive Care Unit
Ashok Kumar Singh, Aditya Shukla, R Bajwa, Roshni Agrawal, Neha SrivastwaIndian Journal of Critical Care Medicine 2018 22(2):125-127 Pulmonary nocardiosis is a rare disease, which mainly affects immunocompromised hosts such as uncontrolled diabetics; HIV patients; and patients on immunosuppressive therapies such as anticancer drugs, systemic steroids, and transplant recipients. The diagnosis is often missed and delayed, resulting in inappropriate treatment and thus higher mortality. We are reporting a case of pulmonary nocardiosis with acute presentation in an immune-competent host, who presented with community-acquired p...
Source: Indian Journal of Critical Care Medicine - February 19, 2018 Category: Intensive Care Authors: Ashok Kumar Singh Aditya Shukla R Bajwa Roshni Agrawal Neha Srivastwa Source Type: research

Delirium in the Intensive Care Unit: Incidence, risk factors, and impact on outcome
Conclusion: Delirium is frequent in the ICU and is associated with poor outcome. Several risk factors for delirium are linked to intensive care environment.
Source: Indian Journal of Critical Care Medicine - March 16, 2018 Category: Intensive Care Authors: Nejla Tilouche Mohamed Fekih Hassen Habiba Ben Sik Ali Oussamma Jaoued Rim Gharbi S Souheil El Atrous Source Type: research