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Total 141452 results found since Jan 2013.

Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery: A Retrospective Multicenter Study
OBJECTIVES: We aimed to describe characteristics and operative outcomes from a multicenter cohort of infants who underwent repair of anomalous left coronary artery from the pulmonary artery. We also aimed to identify factors associated with major adverse cardiovascular events following anomalous left coronary artery from the pulmonary artery repair. DESIGN: Retrospective chart review. SETTING: Twenty-one tertiary-care referral centers. PATIENTS: Infants less than 365 days old who underwent anomalous left coronary artery from the pulmonary artery repair. INTERVENTIONS: None. MEASUREMENTS A...
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

Impedance cardiography (electrical velocimetry) and transthoracic echocardiography for non-invasive cardiac output monitoring in pediatric intensive care patients: a prospective single-center observational study
Conclusions: This study shows that EV is comparable with aortic flow-based TTE for pediatric patients.
Source: Critical Care - November 19, 2014 Category: Intensive Care Authors: Martin BlohmDenise ObrechtJana HartwichGoetz MuellerJan KerstenJochen WeilDominique Singer Source Type: research

Nutrition assessment in patients undergoing liver transplant
Neha Bakshi, Kalyani SinghIndian Journal of Critical Care Medicine 2014 18(10):672-681Liver transplantation (LT) is a major surgery performed on patients with end stage liver disease. Nutrition is an integral part of patient care, and protein-energy malnutrition is almost universally present in patients suffering from liver disease undergoing LT. Nutrition assessment of preliver transplant phase helps to make a good nutrition care plan for the patients. Nutrition status has been associated with various factors which are related to the success of liver transplant such as morbidity, mortality, and length of hospital stay. To...
Source: Indian Journal of Critical Care Medicine - October 3, 2014 Category: Intensive Care Authors: Neha BakshiKalyani Singh Source Type: research

Recent advances in management of acute liver failure
Charles Panackel, Rony Thomas, Benoy Sebastian, Sunil K MathaiIndian Journal of Critical Care Medicine 2015 19(1):27-33Acute liver failure (ALF) is a life-threatening illness, where a previously normal liver fails within days to weeks. Sudden loss of synthetic and detoxification function of liver results in jaundice, encephalopathy, coagulopathy, and multiorgan failure. The etiology of ALF varies demographically. The mortality of ALF is as high as 40-50%. The initial care of patients with ALF depends on prompt recognition of the condition and early detection of etiology. Management includes intensive care support, t...
Source: Indian Journal of Critical Care Medicine - January 6, 2015 Category: Intensive Care Authors: Charles PanackelRony ThomasBenoy SebastianSunil K Mathai Source Type: research

Reversal of severe lactic acidosis with thiamine in a renal allograft recipient
K Nanda Kumar, Veena R Shah, Beena K Parikh, Sumedha SondeIndian Journal of Critical Care Medicine 2015 19(7):425-428A 48-year-old female patient with end-stage renal failure developed unexplained severe lactic acidosis (LA) associated with hyperglycemia during robotic-assisted laparoscopic renal transplantation. Initial treatment with sodium bicarbonate and insulin infusion were ineffective in treating acidemia. Postoperatively, intravenous administration of thiamine resulted in rapid improvement of LA and blood sugar levels. Uremia and chronic hemodialysis might be the causes behind the quantitative/qualitative deficienc...
Source: Indian Journal of Critical Care Medicine - July 8, 2015 Category: Intensive Care Authors: K Nanda KumarVeena R ShahBeena K ParikhSumedha Sonde Source Type: research

Nurses ’ perceptions of caring for parents of children with chronic medical complexity in the pediatric intensive care unit
Dramatic advances in neonatal and critical care have allowed medically fragile children to survive (Burns et al., 2010). Medical equipment and technological advances, such as ventilator support, feeding tubes, total parenteral nutrition and transplantation, have successfully prolonged the lives of children with life-threatening conditions, creating a new generation of long-term survivors of childhood-onset diseases (Cohen et al., 2011, Cohen and Patel, 2014). These children experience lifelong comorbidities that are associated with high mortality.
Source: Intensive and Critical Care Nursing - May 20, 2017 Category: Nursing Authors: Gabrielle Denis-Larocque, Karl Williams, Isabelle St-Sauveur, Margaret Ruddy, Janet Rennick Source Type: research

Guidelines for prevention of hospital acquired infections
Yatin Mehta, Abhinav Gupta, Subhash Todi, Sheila Nainan Myatra, DP Samaddar, Vijaya Patil, Pradip Kumar Bhattacharya, Suresh RamasubbanIndian Journal of Critical Care Medicine 2014 18(3):149-163These guidelines, written for clinicians, contains evidence-based recommendations for the prevention of hospital acquired infections Hospital acquired infections are a major cause of mortality and morbidity and provide challenge to clinicians. Measures of infection control include identifying patients at risk of nosocomial infections, observing hand hygiene, following standard precautions to reduce transmission and strategies to red...
Source: Indian Journal of Critical Care Medicine - March 12, 2014 Category: Intensive Care Authors: Yatin MehtaAbhinav GuptaSubhash TodiSheila Nainan MyatraDP SamaddarVijaya PatilPradip Kumar BhattacharyaSuresh Ramasubban Source Type: research

Fatal right ventricular failure and pulmonary hypertension after protamine administration during cardiac transplantation
Bibek S Pannu, Devang K Sanghavi, Pramod K Guru, Dereddi Raja Reddy, Vivek N IyerIndian Journal of Critical Care Medicine 2016 20(3):185-187Protamine sulfate is the only Food and Drug administration approved medication for reversal of intraoperative heparin-induced anticoagulation during cardiac and vascular surgeries. One of the rare side effects of protamine sulfate is an idiosyncratic reaction resulting in acute pulmonary hypertension (APH) and right ventricular (RV) failure occurring after protamine administration. These reactions are rare but catastrophic with high mortality. A 36-year-old female with severe congestiv...
Source: Indian Journal of Critical Care Medicine - March 8, 2016 Category: Intensive Care Authors: Bibek S PannuDevang K SanghaviPramod K GuruDereddi Raja ReddyVivek N Iyer Source Type: research

The need for extracorporeal membrane oxygenation in adults undergoing congenital heart surgery: Impact and trends of utilization
Conclusion: ECMO is only needed in a small proportion of postoperative ACHD patients. The use of ECMO significantly increases cost, length of stay and mortality in these patients. Improved identification of postoperative ACHD patients who are more likely to survive ECMO may facilitate improved survival and decreased resource utilization.
Source: Indian Journal of Critical Care Medicine - September 14, 2017 Category: Intensive Care Authors: Salvatore Aiello Rohit S Loomba Connor Kriz Matthew Buelow Saurabh Aggarwal Rohit R Arora Source Type: research

Chronic subdural hematoma in a child with acute myeloid leukemia after leukocytosis
Mehmet Basmaci, Askin E HasturkIndian Journal of Critical Care Medicine 2012 16(4):222-224Severe complications that develop in the early stages in patients with acute leukemia have a mortal course. Bleeding, leukostasis, and less frequently, infections are responsible for early mortality. Hemorrhage is most common in acute leukemia and usually leads to death. Hemorrhage may occur due to chemotherapy or bone marrow transplantation in patients with acute leukemia. Leukocytosis, thrombocytopenia, sepsis, and coagulopathy increase the risk of bleeding. There may be multiple etiologic factors. Subdural or subarachnoid hemorrhag...
Source: Indian Journal of Critical Care Medicine - January 25, 2013 Category: Intensive Care Authors: Mehmet BasmaciAskin E Hasturk Source Type: research

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

N-acetylcystein in dengue associated severe hepatitis
We report a case of dengue hemorrhagic fever associated severe hepatitis (encephalopathy grade 2-drowsy and intermittent disorientation) treated with NAC resulted in good outcome without hepatic transplantation.
Source: Indian Journal of Critical Care Medicine - March 12, 2014 Category: Intensive Care Authors: Buddhika Widyaratna Peiris HabaragamuwaPalitha Dissanayaka Source Type: research

The lack of scientific evidence in clinical practice guideline in brain death determination: Implications for organ donation and transplantation
Joseph L Verheijde, Mohamed Y RadyIndian Journal of Critical Care Medicine 2014 18(9):555-557
Source: Indian Journal of Critical Care Medicine - September 4, 2014 Category: Intensive Care Authors: Joseph L VerheijdeMohamed Y Rady Source Type: research

In vitro transdifferentiation of umbilical cord stem cells into cardiac myocytes: Role of growth factors
In this study we aimed to define the conditions for ex-vivo differentiation of cord blood stem cells to cardiomyocytes and endothelial cells. These conditions include the combination of vascular endothelial growth factor (VEGF); basic fibroblast growth factor (FGF-2) and platelet derived growth factor AB (PDGF-AB). Forty cord blood samples were included in this work. In this work, the percentage of CD34+ cells, CD31+ cells and CD34/31+ cells in mononuclear cells (MNC) suspension was counted prior to culture (day zero), and day 10 in the different growth factor cocktails used as well as the control tube, from which the fold...
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Fatal lactic acidosis possibly related to ganciclovir therapy in a renal transplant patient?
We report a case of severe and fatal lactic acidosis developing in a 76-year-old renal transplant woman, a few days after ganciclovir has been introduced to treat CMV pneumonia. Usual etiologies of lactic acidosis were ruled out. A high lactate/pyruvate molecular ratio was suggestive of a respiratory chain dysfunction. With the analogy to nucleoside analogues-related lactic acidosis, we suggest that ganciclovir may exceptionally be responsible for respiratory chain dysfunction and subsequent lactic acidosis, and we discuss potential risk factors in our patient.
Source: Indian Journal of Critical Care Medicine - March 5, 2015 Category: Intensive Care Authors: Xavier WitteboleJohann MorelleMarie-Françoise VincentPhilippe Hantson Source Type: research