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Total 129485 results found since Jan 2013.

Mortality prediction using acute physiology and chronic health evaluation II and acute physiology and chronic health evaluation IV scoring systems: Is there a difference ?
Conclusions: The APACHE II and IV scoring systems have comparable discrimination ability, but the calibration of APACHE IV seems to be better than that of APACHE II. There is a need to recalibrate the scales with weights derived from the Indian population.
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Ramesh Venkataraman Vijayaprasad Gopichandran Lakshmi Ranganathan Senthilkumar Rajagopal Babu K Abraham Nagarajan Ramakrishnan Source Type: research

Speech and swallowing function outcome following early tracheostomy in patients who underwent neurosurgical intervention
Conclusions: Our study suggested that though, majority of neurotrauma patients require tracheostomy for long term ventilator support and associated speech and swallowing problems are expected.
Source: Indian Journal of Critical Care Medicine - June 18, 2018 Category: Intensive Care Authors: Valluri Anil Kumar Bobba Ushasree Reddy Veldurti Ananta Kiran Kumar Ranabir Pal R Lakshman Kumar Mundlapudi Jahnavi Amit Agrawal Source Type: research

Study on clinical profile and predictors of mortality in Cerbera odollam poisoning
Conclusions: C. odollam poisoning is a common method of deliberate self-harm in Kerala. It carries a high mortality rate, and the predictors of mortality include vomiting, bradycardia, hypotension, hyperkalemia, and the presence of severe ECG changes.
Source: Indian Journal of Critical Care Medicine - June 18, 2018 Category: Intensive Care Authors: B Renymol Dhanya Sasidharan Palappallil NR Ambili Source Type: research

Is my patient still alive ?
Arun Kumar, Tewari Vineeta, Sandhu MeghaIndian Journal of Critical Care Medicine 2018 22(6):449-453The modern-day health-care firmament is fighting one of its biggest battles of mistrust, the seeds of which have been sown over the years and the roots seem to run deep. There is a substantial misunderstanding about the complexities of intensive care treatments, especially the life support interventions. A critically ill patient on ventilator is often perceived by the families to be dead. Such misconceptions have a huge negative impact on the already friable doctor–patient relationship. The paper presents an over...
Source: Indian Journal of Critical Care Medicine - June 18, 2018 Category: Intensive Care Authors: Arun Kumar Tewari Vineeta Sandhu Megha Source Type: research

The association between arterial oxygen tension, hemoglobin concentration, and mortality in mechanically ventilated critically ill patients
Conclusions: Hb is an effect modifier on the association between oxygenation and mortality.
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Mahesh Ramanan Nick Fisher Source Type: research

Resurgence of global opportunistic multidrug-resistant Stenotrophomonas maltophilia
Conclusion: S. maltophilia was effectively isolated from the hospital environment, with two of hand impression and three of water samples' positive. Patients with respiratory infection had most S. maltophilia isolates. Antibiotic susceptibility revealed more resistance than reported in this region.
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Pradheer Gupta Pratibha Kale Vikas Khillan Source Type: research

What happens to patients discharged against medical advice ?
Conclusion: A significant proportion of patients in the CCU get DAMA despite high severity of illness. Understanding the outcomes of these patients will help refine CCU quality audit reports and research study results.
Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Nagarajan Ramakrishnan Lakshmi Ranganathan Babu K Abraham Senthilkumar Rajagopalan Ramesh Venkataraman Source Type: research

Verapamil as an adjuvant treatment for drug-resistant epilepsy
S Lakshmikanthcharan, Mohamed Hisham, SK Chaitanya Juluri, Sivakumar Mundilipayalam NandakumarIndian Journal of Critical Care Medicine 2018 22(9):680-682 Almost one-third of the people suffering from epilepsy continue to have seizures in spite of using appropriate antiepileptics. Pharmacoresistance is defined as the failure to achieve seizure control with two or more anticonvulsant medications at appropriate daily dosage. Here, we discuss one such gentleman whose seizures had been intractable despite multiple antiepileptic drugs in maximum tolerable doses. Verapamil, a calcium channel blocker, was used for its P-glycoprot...
Source: Indian Journal of Critical Care Medicine - September 17, 2018 Category: Intensive Care Authors: S Lakshmikanthcharan Mohamed Hisham SK Chaitanya Juluri Sivakumar Mundilipayalam Nandakumar Source Type: research

A multicentric, prospective, observational antibacterial utilization study in Indian tertiary referral centers
Conclusions: More generic prescriptions and more number of prescriptions as per the sensitivity pattern are required at each public and private hospital.
Source: Indian Journal of Critical Care Medicine - October 17, 2018 Category: Intensive Care Authors: Nitin Bhagwan Mali Siddharth P Deshpande Niteen D Karnik Nithya J Gogtay Renuka P Munshi Jigeeshu V Divatia Sanjay C Wagle Kannan Sridharan Urmila Mukund Thatte Source Type: research

Turnaround time for red blood cell transfusion in the hospitalized patient: A single-center & #8220;Blood Ordering, Requisitioning, Blood Bank, Issue (of Blood), and Transfusion Delay & #8221; study
Conclusion: Majority of the delay for blood transfusion happens due to the processes outside blood bank premises. Understanding the steps where delay happens has the potential to reduce the turnaround time for lifesaving procedures such as blood transfusion in the hospitalized patients.
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Naveen Agnihotri Ajju Agnihotri Source Type: research

The effect of furosemide on the level of neutrophil gelatinase-associated lipocalin in critically hospitalized patients with acute kidney injury
Conclusions: NGAL was not found to reflect any positive or negative effects of Furosemide in patients with AKI.
Source: Indian Journal of Critical Care Medicine - July 14, 2017 Category: Intensive Care Authors: Hadi Hamishehkar Sarvin Sanaie Vahid Fattahi Mehran Mesgari Ata Mahmoodpoor Source Type: research

Clinical features and outcomes of patients with posterior reversible encephalopathy syndrome
Conclusions: PRES is a potentially reversible disorder with prompt recognition and control of blood pressure.
Source: Indian Journal of Critical Care Medicine - July 14, 2017 Category: Intensive Care Authors: MS Kalaiselvan MK Renuka AS Arunkumar Source Type: research

Effect of fat-based versus carbohydrate-based enteral feeding on glycemic control in critically ill patients: A randomized clinical trial
Conclusion: High-fat diets have no preventive effect on stress hyperglycemia. High monounsaturated fat diet may increase serum HDL-cholesterol level and decrease the length of stay in ICU.
Source: Indian Journal of Critical Care Medicine - August 14, 2017 Category: Intensive Care Authors: Mahdieh Nourmohammadi Omid Moradi Moghadam Mohammad Niakan Lahiji Sevak Hatamian Zahra Vahdat Shariatpanahi Source Type: research

Association of massive transfusion for resuscitation in gastrointestinal bleeding with transfusion-related acute lung injury
Conclusions: MT for GIB is associated with an increased risk of TRALI and death. Prospective studies assessing the use of MT in this population are needed to understand and improve outcomes.
Source: Indian Journal of Critical Care Medicine - August 14, 2017 Category: Intensive Care Authors: James J Case Nasreen Khan Michael Delrahim Jasmina Dizdarevic Dane J Nichols Martin A Schreiber Thomas G Deloughery Akram Khan Source Type: research

Temporary left ventricular pacing: A desperate life-saving measure in emergency situation
Ajaz Ahamad Lone, Mohd Iqbal Dar, Fayaz Ahamad Rather, Mohd Sultan Alai, Imran Hafiz, Jahangir Rashid BeighIndian Journal of Critical Care Medicine 2017 21(8):531-533Transcutaneous or transvenous pacing of the right ventricle is performed as a routine practice for patients received with symptomatic bradycardia or complete heart block with relative ease in cath lab. However, more and more patients are received with multiple comorbidities, critical condition, and difficult vascular access. In this article, we describe a patient with difficult venous access with tricuspid regurgitation and displaced the right ventricular pace...
Source: Indian Journal of Critical Care Medicine - August 14, 2017 Category: Intensive Care Authors: Ajaz Ahamad Lone Mohd Iqbal Dar Fayaz Ahamad Rather Mohd Sultan Alai Imran Hafiz Jahangir Rashid Beigh Source Type: research