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Nutrition: Sodium

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Total 46982 results found since Jan 2013.

Hospital-acquired hyponatremia in pediatric intensive care unit
Conclusions: HAH is associated with increased fluid intake, presence of ADH-stimulating drugs or conditions, and postsurgical status and has an adverse effect on the outcome of PICU patients.
Source: Indian Journal of Critical Care Medicine - September 14, 2017 Category: Intensive Care Authors: Anil Sachdev Nagaraj Pandharikar Dhiren Gupta Neeraj Gupta Suresh Gupta Shekhar T Venkatraman Source Type: research

Prevention of Low Cardiac Output Syndrome After Pediatric Cardiac Surgery: A Double-Blind Randomized Clinical Pilot Study Comparing Dobutamine and Milrinone*
Conclusions: Dobutamine and milrinone are safe, well tolerated, and equally effective in prevention of low cardiac output syndrome after pediatric cardiac surgery. The hemodynamic response of the two drugs is comparable. In uncomplicated cases, a trend toward the more cost-saving dobutamine might be anticipated; however, milrinone demonstrated a trend toward higher efficacy in afterload reduction.
Source: Pediatric Critical Care Medicine - July 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

The Use of Clevidipine for Hypertension in Pediatric Patients Receiving Mechanical Circulatory Support
Conclusions: In this pediatric cardiac cohort, clevidipine infusions were effective at hypertension management and were not associated with hypotensive or code events. This report details the largest cohort and longest duration of clevidipine administration within a pediatric population and did not demonstrate hypotensive events, even among neonatal populations. Clevidipine may be a reasonable cost-effective alternative antihypertensive medication compared to traditional short-acting agents.
Source: Pediatric Critical Care Medicine - December 1, 2020 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

Bemiparin versus enoxaparin in the prevention of venous thromboembolism among intensive care unit patients
Conclusion: Bemiparin was superior to enoxaparin as a prophylactic anticoagulant for VTE in critically ill patients with less adverse local complications at the injection site. The study was registered on www.clinicaltrials.gov Registration ID: NCT02795065. Registered June 8, 2016.
Source: Indian Journal of Critical Care Medicine - July 14, 2017 Category: Intensive Care Authors: Mohamed Sayed Abbas 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

Standardized Volume Dosing Protocol of 23.4% Hypertonic Saline for Pediatric Critical Care: Initial Experience.
Conclusion and Relevance: Three standard-volume dose options of 23.4% HTS based on weight increases sodium and reduces ICP in pediatric patients. Standard-volume doses may simplify weight-based dosing, storage and administration for pediatric emergencies, although the optimum dose, and safety of 23.4% HTS in children remains unknown. PMID: 32070111 [PubMed - as supplied by publisher]
Source: The Annals of Pharmacotherapy - February 17, 2020 Category: Drugs & Pharmacology Authors: Cummings BM, Fernandes ND, Parker LF, Murphy SA, Yager PH Tags: Ann Pharmacother Source Type: research

Greater Fluctuations in Serum Sodium Levels Are Associated With Increased Mortality in Children With Externalized Ventriculostomy Drains in a PICU*
Objectives: Dysnatremia is common in critically ill children due to disruption of hormonal homeostasis. Children with brain injury are at risk for syndrome of inappropriate antidiuretic hormone, cerebral salt wasting, and sodium losses due to externalized ventricular drain placement. We hypothesized that among PICU patients managed with an externalized ventricular drain, hyponatremia is common, hyponatremia is associated with seizures and in-hospital mortality, and greater sodium fluctuations are associated with in-hospital mortality. Design: Retrospective observational study. Setting: Tertiary care PICU. Patients: All ped...
Source: Pediatric Critical Care Medicine - November 1, 2014 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Safety and Efficacy of Sodium Nitroprusside During Prolonged Infusion in Pediatric Patients
Conclusions: Sodium nitroprusside is efficacious in maintaining mean arterial blood pressure control in children following a 12-hour infusion. Although a high proportion of patients were found to have elevated cyanide levels, toxicity was not observed.
Source: Pediatric Critical Care Medicine - June 1, 2015 Category: Pediatrics Tags: Feature Articles Source Type: research

Endothelial-Dependent Vasomotor Dysfunction in Infants After Cardiopulmonary Bypass
Conclusions: Cutaneous endothelial dysfunction is present in infants immediately following cardiopulmonary bypass and recovers significantly in some patients within 24 hours postoperatively. Confirmation of an association between persistent endothelial-dependent vasomotor dysfunction and decreased urine output could have important clinical implications. Ongoing research will explore the pattern of endothelial-dependent vasomotor dysfunction after cardiopulmonary bypass and its relationship with biochemical markers of inflammation and clinical outcomes.
Source: Pediatric Critical Care Medicine - January 1, 2020 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Sodium Bicarbonate Use During Pediatric Cardiopulmonary Resuscitation: A Secondary Analysis of the ICU-RESUScitation Project Trial*
Conclusions: In this propensity weighted multicenter cohort study of p-IHCA, sodium bicarbonate use was common and associated with lower rates of survival to hospital discharge.
Source: Pediatric Critical Care Medicine - October 1, 2022 Category: Pediatrics Tags: Feature Articles 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

Canagliflozin-associated diabetic ketoacidosis with lower-than-anticipated glucose levels
Sonali Vadi, Manjusha AgarwalIndian Journal of Critical Care Medicine 2017 21(11):793-795The Food and Drug Administration has approved the use of sodium-glucose co-transporter 2 (SGLT-2) inhibitors for use in Type II diabetics. These are a relatively new addition to the armamentaria of diabetes management. Postmarketing surveillance is a witness to several side effects, a morbid one being ketoacidosis. Herein is discussed a scenario of a Type II diabetic who presented with substantial ketoacidosis without significant hyperglycemia. The absence of the customary precipitating factors and the presence of a recent introduction...
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Sonali Vadi Manjusha Agarwal Source Type: research

Role of correction factor in minimizing errors while calculating electrolyte values between Blood & #8211;gas analyzer and laboratory autoanalyzer: A comparative study
Conclusion: The instrument type and calibration methods differ in different hospitals, so it is important that each center conducts an in-hospital study to know the correction factor before installation of an ABG, and the factor should be used accordingly to minimize all errors.
Source: Indian Journal of Critical Care Medicine - January 15, 2018 Category: Intensive Care Authors: Abhinav Banerjee Gesu Mehrotra Source Type: research

Thyrotoxic hypokalemic periodic paralysis
We present a case of a 45-year-old male, with known hyperthyroidism presenting with profound tremor, irritability, quadriparesis, and labored breathing since morning, on the day of admission. Arterial blood gas analysis showed severe hypokalemia. Patient's vital was stabilized and patient's oxygen saturation was maintained on oxygen inhalation. Intravenous potassium chloride infusion was administered with regular monitoring of vitals and electrolytes. Patient's symptoms improved. Thyroid function testing showed high free T3 (tri-iodothyronine) and free T4 (thyroxine) with low thyroid-stimul...
Source: Indian Journal of Critical Care Medicine - May 17, 2018 Category: Intensive Care Authors: Satyendra Kumar Sonkar Satish Kumar Neeraj Kumar Singh Source Type: research

Osmotic Shifts, Cerebral Edema, and Neurologic Deterioration in Severe Hepatic Encephalopathy
Conclusions: Acute decline in osmolality was associated with brain swelling and neurologic deterioration in severe hepatic encephalopathy. Minimizing osmolality decline may avoid neurologic deterioration.
Source: Critical Care Medicine - January 17, 2018 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research