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Total 105439 results found since Jan 2013.

Benefits of and untoward events during intrahospital transport of pediatric intensive care unit patients
Conclusion: Critically ill children can be transported safely with adequate pretransport preparations, which may help in avoiding major UEs and benefit the patient by change in the therapy.
Source: Indian Journal of Critical Care Medicine - January 12, 2017 Category: Intensive Care Authors: MM Harish Suhail Sarwar Siddiqui Natesh R Prabu Harish K Chaudhari Jigeeshu V Divatia Atul Prabhakar Kulkarni Source Type: research

Chest ultrasonography in pediatric critical care practice.
Abstract An increasingly amount of evidence suggests that lung ultrasonography constitutes a relevant complementary diagnostic tool for adults patient in acute respiratory failure. A comprehensive and standardized ultrasonographic semiology has been described, relying on accurate and reproducible data directly obtained at patient's bedside. Therefore, pleural effusion, pneumothorax, pulmonary consolidation and interstitial lung disease can be diagnosed in a critical care environment with a similar level of performance than when reference diagnosis methods such as thoracic CT-scan are employed. Furthermore, lung ul...
Source: Annales Francaises d'Anesthesie et de Reanimation - October 30, 2013 Category: Anesthesiology Authors: Riu B, Ruiz J, Mari A, Silva S Tags: Ann Fr Anesth Reanim Source Type: research

Brain lesions in eclampsia: A series of 39 cases admitted in an Intensive Care Unit
Y Brouh, Konan Kouassi Jean, A Ouattara, Y Tétchi, Y Pete, N Koffi, C Abhé, M KaneIndian Journal of Critical Care Medicine 2016 20(3):178-181The aim of this study was to identify the encephalic lesions in the eclampsia occurrences. Within a period of 18 months, computed tomography (CT) of the brain was performed in all patients admitted in intensive care for eclampsia. These CTs were analyzed and intracerebral lesions were identified. Thirty-nine patients were included. We noted 10 cases of ischemic stroke, 9 cases of cerebral edema, and 3 cases of hemorrhagic stroke and subarachnoid hemorrhage. The CT scan c...
Source: Indian Journal of Critical Care Medicine - March 8, 2016 Category: Intensive Care Authors: Y BrouhKonan Kouassi JeanA OuattaraY TétchiY PeteN KoffiC AbhéM Kane 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

Tracheal Size and Morphology on the Reconstructed CT Imaging*
Objectives: To characterize the real size and morphology of tracheas in childhood for the optimal selection of endotracheal tube. Design: A retrospective cohort study of pediatric patients who received CT scan of the cervical spine from July 2011 to March 2018. Cross-sectional CT images vertical to trachea were reconstructed and the accurate tracheal diameters were measured. The validity of the traditional age-based formula for predicting the endotracheal tube size was assessed for the best fit to trachea. Setting: Tertiary Emergency and Critical Care Center of Kyushu University Hospital. Patients: Children, who...
Source: Pediatric Critical Care Medicine - August 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Cerebrospinal Fluid Markers of Macrophage and Lymphocyte Activation After Traumatic Brain Injury in Children
Objectives: The magnitude and role of the cellular immune response following pediatric traumatic brain injury remains unknown. We tested the hypothesis that macrophage/microglia and T-cell activation occurs following pediatric traumatic brain injury by measuring cerebrospinal fluid levels of soluble cluster of differentiation 163 and ferritin and soluble interleukin-2 receptor α, respectively, and determined whether these biomarkers were associated with relevant clinical variables and outcome. Design: Retrospective analysis of samples from an established, single-center cerebrospinal fluid bank. Setting: PICU in a tertiary...
Source: Pediatric Critical Care Medicine - July 1, 2015 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Clinical Deterioration and Neurocritical Care Utilization in Pediatric Patients With Glasgow Coma Scale Score of 9–13 After Traumatic Brain Injury: Associations With Patient and Injury Characteristics
OBJECTIVES: To define the clinical characteristics of hospitalized children with moderate traumatic brain injury and identify factors associated with deterioration to severe traumatic brain injury. DESIGN: Retrospective cohort study. SETTING: Tertiary Children’s Hospital with Level 1 Trauma Center designation. PATIENTS: Inpatient children less than 18 years old with an International Classification of Diseases code for traumatic brain injury and an admission Glasgow Coma Scale score of 9–13. MEASUREMENTS AND RESULTS: We queried the National Trauma Data Bank for our institutional data and ...
Source: Pediatric Critical Care Medicine - November 1, 2021 Category: Pediatrics Tags: Clinical Investigations Source Type: research

Association Between Continuous Kidney Replacement Therapy Clearance and Outcome in Pediatric Patients With Hyperammonemia Not Due to Inborn Error of Metabolism
CONCLUSIONS: In our single-center retrospective study, we failed to find an association between clearance on CKRT and improved survival nor decreased cerebral edema on head imaging. In fact, we failed to find an association between ammonia level and mortality, after controlling for illness severity.
Source: Pediatric Critical Care Medicine - July 1, 2022 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Pediatric chest computed tomography at a radiation dose approaching a chest radiograph.
PMID: 23992595 [PubMed - in process]
Source: American Journal of Respiratory and Critical Care Medicine - September 1, 2013 Category: Respiratory Medicine Authors: Willemink MJ, de Jong PA Tags: Am J Respir Crit Care Med Source Type: research

Imaging in Neurocritical Care Practice
Semin Respir Crit Care Med 2017; 38: 840-852 DOI: 10.1055/s-0037-1608770The use of neuroimaging in conjunction with serial neurological examinations is a core component of modern neurocritical care practice. Although there is a growing role for other neuromonitoring techniques, the ability to quickly and accurately interpret images in the context of a patient's clinical status arguably remains the indispensable skill for neurocritical care practitioners. Due to its rapid acquisition time and excellent ability to detect intracerebral hemorrhage (ICH), cerebral edema, and signs of elevated intracranial pressure, computed tom...
Source: Seminars in Respiratory and Critical Care Medicine - December 20, 2017 Category: Respiratory Medicine Authors: Williamson, Craig Morgan, Larry Klein, Joshua P. Tags: Review Article Source Type: research

Spontaneous subarachnoid hemorrhage as a differential diagnosis of pre-hospital cardiac arrest
Sohil PothiawalaIndian Journal of Critical Care Medicine 2012 16(4):216-218Spontaneous subarachnoid hemorrhage is the most common neurological disorder leading to pre-hospital cardiac arrest. ECG changes in SAH may mimic myocardial infarction or ischemia, and thus lead to delayed treatment of the primary problem. Early identification of SAH-induced cardiac arrest with the use of computed tomography scan of the brain obtained immediately after resuscitation will aid emergency physicians make further decisions. The overall prognosis of patients who are resuscitated is extremely poor. But, prompt neurosurgical referral and mu...
Source: Indian Journal of Critical Care Medicine - January 25, 2013 Category: Intensive Care Authors: Sohil Pothiawala Source Type: research

Acute arterial thrombosis associated with inadvertent high dose of tranexamic acid
Surjya Prasad Upadhyay, Piyush N Mallick, Manish Jagia, Raj Kumar A SinghIndian Journal of Critical Care Medicine 2013 17(4):237-239Tranexamic acid (TA) act as anti-fibrinolytic agent and is widely used to limit bleeding in clinical practice. Tranexemic acid bind with plasminogen and prevent its conversion to plasmin, which limits the fibrinolytic pathway, so there is a theoretical risk of increasing thrombosis with high or prolonged therapy with TA. We encountered a case of acute arterial thrombosis following inadvertent administration of high dose of TA. A 27-years-old male with no other co-morbidity was ordered intraven...
Source: Indian Journal of Critical Care Medicine - September 19, 2013 Category: Intensive Care Authors: Surjya Prasad UpadhyayPiyush N MallickManish JagiaRaj Kumar A Singh Source Type: research

Optic nerve sheath diameter as a marker for evaluation and prognostication of intracranial pressure in Indian patients: An observational study
Conclusion: Bedside ocular ultrasonography for measuring ONSD can be used an early test for diagnosing raised ICP as it is a noninvasive, cost effective bedside test, which can be repeated for re-evaluation.
Source: Indian Journal of Critical Care Medicine - November 5, 2014 Category: Intensive Care Authors: Chetan G ShirodkarS Manimala RaoDnyaneshwar P MutkuleYogesh R HardePradeep M VenkategowdaM Uma Mahesh Source Type: research

Traumatic Brain Injuries and Computed Tomography Use in Pediatric Sports Participants
We describe the spectrum of these injuries and trends in computed tomography (CT) use in the Pediatric Emergency Care Applied Research Network (PECARN).
Source: The American Journal of Emergency Medicine - July 6, 2015 Category: Emergency Medicine Authors: Todd Glass, Richard M. Ruddy, Elizabeth R. Alpern, Marc Gorelick, James Callahan, Lois Lee, Mike Gerardi, Kraig Melville, Michelle Miskin, James F. Holmes, Nathan Kuppermann, for the Pediatric Emergency Care Applied Research Network (PECARN) Tags: Original Contribution Source Type: research