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Procedure: Dialysis
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Posterior reversible encephalopathy syndrome-an under recognized manifestation of Chronic Kidney Disease
We report successful renal transplantation (RTx) in a CKD patient with PRES. Constraints in operating an effective maintenance dialysis program leave RTx as the only viable option for ESRD patients in our country to prevent complications like PRES associated with uremia and uncontrolled hypertension
Source: Indian Journal of Critical Care Medicine - October 24, 2013 Category: Intensive Care Authors: Vivek B KuteHargovind L TrivediPankaj R ShahManoj R GumberHimanshu V PatelAruna V Vanikar Source Type: research
Acquired hemophilia complicated by cardiorenal syndrome type 3
Rakesh Sharma, Sananta Kumar Dash, Rajesh Chawla, Sudha Kansal, Devender Kumar Agrawal, Harsh DuaIndian Journal of Critical Care Medicine 2013 17(6):378-381Development of autoantibodies against coagulation factor VIII (FVIII) leads to a rare condition defined as acquired hemophilia (AH). If not diagnosed and treated early, AH may be associated with high mortality and morbidity. A 65-year-old woman presented with history of macrohematuria, acute renal failure, cardiogenic shock, and acute respiratory failure. Blood investigation revealed azotemia, prolonged activated partial thromboplastin time (aPTT), coagulation FVIII lev...
Source: Indian Journal of Critical Care Medicine - December 23, 2013 Category: Intensive Care Authors: Rakesh SharmaSananta Kumar DashRajesh ChawlaSudha KansalDevender Kumar AgrawalHarsh Dua Source Type: research
Refractory hyperkalemia related to heparin abuse
We report a case of fatal hyperkalemia related to long-term heparin abuse, which was refractory to anti-hyperkalemia therapy including hemodialysis. The objective is to alert the clinicians to possible abuse of heparin in drug addicts, which can be a cause for refractory hyperkalemia. We also briefly review the available literature on heparin-induced hyperkalemia.
Source: Indian Journal of Critical Care Medicine - December 23, 2013 Category: Intensive Care Authors: Kanwalpreet SodhiSidhartha GargBakhshish SinghAnupam ShrivastavaManender Kumar Singla Source Type: research
Management of life-threatening calcium channel blocker overdose with continuous veno-venous hemodiafiltration with charcoal hemoperfusion
We report here a case of life-threatening overdose of amlodipine with shock, refractory to conventional therapies. Salvage therapy with continuous veno-venous hemodiafiltration using charcoal hemoperfusion with prior infusion of intravenous lipid emulsion resulted in a successful outcome.
Source: Indian Journal of Critical Care Medicine - June 4, 2014 Category: Intensive Care Authors: Suneel K. GargPankaj K. GoyalRahul KumarDeven JunejaAlka BhasinOmender Singh Source Type: research
Successful use of sustained low efficiency dialysis in a case of severe phenobarbital poisoning
Sayandeep Jana, Chandrashish Chakravarty, Abhijit Taraphder, Suresh RamasubbanIndian Journal of Critical Care Medicine 2014 18(8):530-532A 30-year-old female presented with coma and subsequent cardiac arrest caused by phenobarbital overdosage, requiring ventilatory and vasopressor support. She had also developed severe hypoxia following gastric aspiration. Initial therapy, including activated charcoal and forced alkaline diuresis, failed to significantly lower her drug levels and there was minimal neurological improvement. As she was hemodynamically unstable, and unsuitable for conventional dialysis, she was put on sustain...
Source: Indian Journal of Critical Care Medicine - August 5, 2014 Category: Intensive Care Authors: Sayandeep JanaChandrashish ChakravartyAbhijit TaraphderSuresh Ramasubban Source Type: research
Osmotic demyelination syndrome in a normonatremic patient of chronic kidney disease
We report a case of an 18-year-old boy of end-stage renal disease who presented with an episode of acute gastroenteritis. He was managed with aggressive intravenous fluids, hemodialysis and other supportive therapy. But, he developed altered sensorium and seizures that progressed to features of spastic quadriparesis and lower cranial nerve palsy. Neuroimaging showed hyperintensities in pons and midbrain suggestive of ODS. The patient had normal sodium levels at all times and had no evidence of hyponatremia. The patient was managed with hemodialysis, physiotherapy and other conservative measures and had a gradual clinical a...
Source: Indian Journal of Critical Care Medicine - September 4, 2014 Category: Intensive Care Authors: Atul Abhishek JhaVineet BeheraAnantharam JairamKrishna Venkatesh Baliga Source Type: research
Assessment of hypotension during dialysis as a manifestation of myocardial ischemia in patients with chronic renal failure
Conclusions Patients with CKD and regular hemodialysis who experience moderate or severe intradialytic hypotension have significantly higher prevalence of myocardial ischemia and stress induced myocardial dysfunction, than those who experience no or mild intradialytic hypotension.
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research
Impact of oral omega-3 fatty acids supplementation in early sepsis on clinical outcome and immunomodulation
Conclusion The use of a short term high dose omega-3 therapy is safe and associated with promising effects on inflammatory cascade and may play a role in treatment of these patients.
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research
Successful management of acute kidney injury in severe acute pancreatitis with intra-abdominal hypertension using peritoneal dialysis
Jaya Prakash Nath, Jacob George, Mohan Das, Noble Gracious, Sajeev Kumar, NS VineethaIndian Journal of Critical Care Medicine 2014 18(12):834-834
Source: Indian Journal of Critical Care Medicine - December 5, 2014 Category: Intensive Care Authors: Jaya Prakash NathJacob GeorgeMohan DasNoble GraciousSajeev KumarNS Vineetha Source Type: research
Part 1: Pressure ulcer assessment – the development of Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE)
Conclusions‘CALCULATE’ offers an important contribution towards the advancement and development of critical care pressure ulcer risk assessment. Future research is needed to further enhance and inform pressure ulcer risk assessment of the critically ill patients.
Implications for practiceThe identification of critical care risk factors may be an indicative method of assessing pressure ulcer risk in the critically ill patients.
Source: Nursing in Critical Care - March 1, 2015 Category: Nursing Authors: Annette Richardson, Isabel Barrow Tags: Practice Development Source Type: research
Acute concentrated phenol dermal burns: Complications and management
Tapan Jayantilal ParikhIndian Journal of Critical Care Medicine 2015 19(5):280-282Phenol burns can result in multiple organ failure. This is a case report of acute severe phenol dermal burn after accidental splash of 94% phenol on 35-year-old patient's body who was brought to hospital after 90 min of exposure. Decontamination was done with high-density water and glycerol. Early complications in form of metabolic acidosis and acute renal failure required hemodialysis. Extensive protein denaturation was managed with IV albumin and high protein diet. Patient also developed pleural effusion and acute respiratory ...
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Tapan Jayantilal Parikh Source Type: research
Invasive candidiasis in non neutropenic critically ill - need for region-specific management guidelines
Armin Ahmed, Afzal Azim, AK Baronia, Rungmei S. K. Marak, Mohan GurjarIndian Journal of Critical Care Medicine 2015 19(6):333-339Use of antifungal agents has increased over past few decades. A number of risk factors such as immunosuppression, broad spectrum antibiotics, dialysis, pancreatitis, surgery, etc., have been linked with the increased risk of invasive candidiasis. Though there are various guidelines available for the use of antifungal therapy, local/regional epidemiology plays an important role in determining the appropriate choice of agent in situations where the offending organism is not known (i.e. empirical, p...
Source: Indian Journal of Critical Care Medicine - June 5, 2015 Category: Intensive Care Authors: Armin AhmedAfzal AzimAK BaroniaRungmei S. K. MarakMohan Gurjar Source Type: research
A case of misplaced permacath dialysis catheter
We report a case of misplaced dialysis catheter into the accessory hemiazygos vein which resulted in a large hemothorax, and we recommend the routine use of a fluoroscope for placement of dialysis catheters so as to avoid serious complications.
Source: Indian Journal of Critical Care Medicine - August 7, 2015 Category: Intensive Care Authors: Mohammed Arshad AliKishore RaikarAsha Kishore Source Type: research
Part 1: Pressure ulcer assessment – the development of Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE)
Conclusions‘CALCULATE’ offers an important contribution towards the advancement and development of critical care pressure ulcer risk assessment. Future research is needed to further enhance and inform pressure ulcer risk assessment of the critically ill patients.
Implications for practiceThe identification of critical care risk factors may be an indicative method of assessing pressure ulcer risk in the critically ill patients.
Source: Nursing in Critical Care - March 19, 2015 Category: Nursing Authors: Annette Richardson, Isabel Barrow Tags: Practice Development Source Type: research
Thrombotic microangiopathy as an initial manifestation in HIV patients
Thanigachalam Dineshkumar, Jeyachandran Dhanapriya, Palanivel Jaganathan, Ramanathan Sakthirajan, Natarajan Gopalakrishnan, T BalasubramaniyanIndian Journal of Critical Care Medicine 2016 20(6):374-376Thrombotic microangiopathy (TMA) is characterized by microangiopathic hemolytic anemia, thrombocytopenia, microvascular thrombosis, and various organ dysfunctions. TMA usually occurs in a more advanced stage of HIV disease. TMA as an initial presenting feature is rare. We here report a male patient who presented with oliguric renal failure. Investigations revealed anemia, thrombocytopenia, schistocytes in peripheral smear, an...
Source: Indian Journal of Critical Care Medicine - June 12, 2016 Category: Intensive Care Authors: Thanigachalam DineshkumarJeyachandran DhanapriyaPalanivel JaganathanRamanathan SakthirajanNatarajan GopalakrishnanT Balasubramaniyan Source Type: research
