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Condition: Diabetes Mellitus

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Total 63918 results found since Jan 2013.

Does magnesium matter in patients of Medical Intensive Care Unit: A study in rural Central India
Conclusion: Hypomagnesemia is associated with a higher mortality rate in critically ill patients. The need for ventilatory support, but not its duration is significantly higher in hypomagnesemic patients. Hypomagnesemia is commonly associated with sepsis and diabetes mellitus. The duration of MICU stay is significantly higher in patients with low serum Mg.
Source: Indian Journal of Critical Care Medicine - July 8, 2015 Category: Intensive Care Authors: Sunil KumarAkshay HonmodeShraddha JainVijay Bhagat Source Type: research

Glycated hemoglobin A: A predictor of outcome in trauma admissions to intensive care unit
Conclusions: Substantial proportion of trauma admissions has underlying diabetes. HbA 1 c, a measure of pre admission glycaemic status is an important predictor of ICU outcome in trauma patients.
Source: Indian Journal of Critical Care Medicine - January 18, 2014 Category: Intensive Care Authors: Karen Ruby LionelJacob JohnNagamani Sen Source Type: research

Relationship between glycated hemoglobin, Intensive Care Unit admission blood sugar and glucose control with ICU mortality in critically ill patients
Conclusions: Acute hyperglycemia significantly affects mortality in the critically ill patients; this relation is also influenced by chronic hyperglycemia.
Source: Indian Journal of Critical Care Medicine - February 8, 2016 Category: Intensive Care Authors: Ata MahmoodpoorHadi HamishehkarKamran ShadvarMohammadtaghi BeigmohammadiAfshin IranpourSarvin Sanaie Source Type: research

Predictors of mortality and length of stay in hospitalized cases of 2009 influenza A (H1N1): Experiences of a tertiary care center
Conclusion: Increased duration of dyspnoea prior to admission, pneumonia, low PaO 2 /FiO 2 ratio at admission and 24 hours later, higher PaCO 2 values on admission, higher O 2 requirement, number of organ failures and use of corticosteroids and delay in specialized treatment were associated with a poorer outcome.
Source: Indian Journal of Critical Care Medicine - October 24, 2013 Category: Intensive Care Authors: Rajesh ChawlaSudha KansalMunish ChauhanAshish JainBipin Narayanrao Jibhkate Source Type: research

Coinfections in Intensive Care Unit with pulmonary tuberculosis and mucormycosis: A clinical dilemma
Pratibha Dube, Richa Saroa, Sanjeev PaltaIndian Journal of Critical Care Medicine 2016 20(3):191-193Herein, we present the case report of an adult male diabetic patient who had coinfection with Mycobacterium tuberculosis and mucormycosis, which otherwise is a rare clinical entity. Diabetes mellitus may predispose a patient to tuberculosis (TB) infection which further weakens immune system thus making him susceptible to other fungal or bacterial infections which may pose various treatment difficulties. Therefore, there is a need for mycological and bacteriological investigations in patients with pulmonary TB to rule out sec...
Source: Indian Journal of Critical Care Medicine - March 8, 2016 Category: Intensive Care Authors: Pratibha DubeRicha SaroaSanjeev Palta Source Type: research

Critical Care Management of the Patient with Clostridioides difficile
CONCLUSIONS: Strong clinical evidence supports limiting antibiotics when possible to decrease C. difficile infection risk. For patients with fulminant C. difficile infection, oral vancomycin reduces mortality, and adjunctive therapies (including IV metronidazole) and interventions (including fecal microbiota transplant) may benefit select patients. Several important questions remain regarding fulminant C. difficile infection management, including which patients benefit from fecal microbiota transplant or surgery.
Source: Critical Care Medicine - December 21, 2020 Category: Emergency Medicine Tags: Concise Definitive Review Source Type: research

Severe hypertriglyceridemia causing pancreatitis in a child with new-onset Type-I diabetes mellitus presenting with diabetic ketoacidosis
We report a 4-year-old child with severe hypertriglyceridemia, pancreatitis, and diabetic ketoacidosis. Hypertriglyceridemia and pancreatitis with diabetic ketoacidosis can be successfully managed with insulin and hydration therapy in children. Early recognition of this triad is important as insulin requirements, recovery duration, and prognosis can be altered.
Source: Indian Journal of Critical Care Medicine - March 8, 2017 Category: Intensive Care Authors: Pradeep Kumar Sharma Maneesh Kumar Dinesh Kumar Yadav Source Type: research

Hyperglycemia at the Time of Acquiring Central Catheter–Associated Bloodstream Infections Is Associated With Mortality in Critically Ill Children*
Conclusions: Hyperglycemia at the time of acquiring central catheter–associated bloodstream infections is common and associated with ICU mortality in critically ill children. Strategies to monitor and control blood glucose to avoid hyperglycemia may improve outcomes in critically ill children experiencing central catheter–associated bloodstream infections.
Source: Pediatric Critical Care Medicine - September 1, 2015 Category: Pediatrics Tags: Feature Articles Source Type: research

Candida glabrata candidemia: An emerging threat in critically ill patients
Conclusion: Candida glabrata was the 3 rd most common Candida causing candidemia in our ICUs with a incidence of 0.21/1000 ICU admissions. The outcome of ICU acquired C. glabrata candidemia was poor with 30 days mortality rate of 53.8%. Renal failure requiring hemodialysis was the only risk factor associated with mortality. Further studies are required to identify the other risk factors associated with mortality in C. glabrata candidemia.
Source: Indian Journal of Critical Care Medicine - March 5, 2015 Category: Intensive Care Authors: Ashish GuptaAnu GuptaAmit Varma Source Type: research

Risk factors for early invasive fungal disease in critically ill patients
Conclusion: DM is a significant factor for the incidence of early IFD in critically ill patients.
Source: Indian Journal of Critical Care Medicine - November 14, 2016 Category: Intensive Care Authors: Gurmeet Singh Ceva Wicaksono Pitoyo Dita Aditianingsih Cleopas Martin Rumende Source Type: research

Diabetic ketoacidosis with extreme hypernatremia in a 4-year-old girl
Manish Kumar Arya, Sheikh Minhaj Ahmed, Krishnakumar N Shah, Uma S AliIndian Journal of Critical Care Medicine 2017 21(9):610-612A 4-year-old girl admitted with altered mental status, new-onset diabetes mellitus, and diabetic ketoacidosis (DKA) had a rapid rise in serum sodium from 158 mEq/L (corrected sodium 165 mEq/L) at the admission to 204 mEq/L within 18 hours of admission despite standard fluid and insulin therapy recommended for the treatment of DKA. During her illness, she developed arterial and deep vein thrombosis (DVT), bloodstream infection with Candida species, and extensive skin blistering and denudation. The...
Source: Indian Journal of Critical Care Medicine - September 14, 2017 Category: Intensive Care Authors: Manish Kumar Arya Sheikh Minhaj Ahmed Krishnakumar N Shah Uma S Ali Source Type: research

Levels and diagnostic value of model-based insulin sensitivity in sepsis: A preliminary study
Conclusions: Model-based SI ruled in and ruled out sepsis with fairly high sensitivity and specificity in our critically ill nondiabetic patients. These findings can be used as a foundation for further, prospective investigation in this area.
Source: Indian Journal of Critical Care Medicine - June 18, 2018 Category: Intensive Care Authors: Wan Fadzlina Wan Muhd Shukeri Mohd Basri Mat-Nor Ummu Kulthum Jamaludin Fatanah Suhaimi Normy Norafiza Abd Razak Azrina Md Ralib Source Type: research

Severe suicidal digoxin and propranolol toxicity with insulin overdose
We present a case of a 32-year-old male doctor, with type I diabetes mellitus on daily insulin therapy, who allegedly consumed large doses of digoxin and propranolol along with simultaneous administration of large dose of insulin with suicidal intent. Initial investigations revealed serum digoxin levels of 7.5 ng/ml, serum insulin 500 μIU/ml, and serum C-peptide 0.43 ng/ml. He was managed with charcoal-based hemoperfusion for digoxin overdose along with injection glucagon for propranolol overdose. His blood sugar levels were maintained with continuous infusion of 20% dextrose till the patient was allowed...
Source: Indian Journal of Critical Care Medicine - March 12, 2014 Category: Intensive Care Authors: Ashish GargSoutik PandaPradip DalviSaurabh MehraSumit RayVinod Kumar Singh 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

Use of a novel hemoadsorption device for cytokine removal as adjuvant therapy in a patient with septic shock with multi-organ dysfunction: A case study
Reshma Basu, Sunjay Pathak, Jyoti Goyal, Rajeev Chaudhry, Rati B Goel, Anil BarwalIndian Journal of Critical Care Medicine 2014 18(12):822-824CytoSorb ® (CytoSorbents Corporation, USA) is a novel sorbent hemoadsorption device for cytokine removal. The aim of this study was to examine the clinical use of CytoSorb ® in the management of patient with septic shock. We used this device as an adjuvant to stabilize a young patient with multi-organ failure and severe sepsis with septic shock. A 36-year-old female patient was hospitalized with the complaints of malaise, general body ache, and breathing diffi...
Source: Indian Journal of Critical Care Medicine - December 5, 2014 Category: Intensive Care Authors: Reshma BasuSunjay PathakJyoti GoyalRajeev ChaudhryRati B GoelAnil Barwal Source Type: research