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Total 26846 results found since Jan 2013.

Do Intensive Care Unit treatment modalities predict mortality in geriatric patients: An observational study from an Indian Intensive Care Unit
Conclusion: Intensive Care Unit mortality rates increased in the geriatric population requiring mechanical ventilation and inotropes during ICU stay. Only inotropic support could be identified as independent risk factor for mortality.
Source: Indian Journal of Critical Care Medicine - December 5, 2014 Category: Intensive Care Authors: Kanwalpreet SodhiManender Kumar SinglaAnupam ShrivastavaNamita Bansal Source Type: research

Acute kidney injury-incidence, prognostic factors, and outcome of patients in an Intensive Care Unit in a tertiary center: A prospective observational study
Conclusion: The incidence of AKI was 16.1% in critically ill patients. In patients with AKI, 39.1% patients required HD and 28 days mortality was 49.5%. The study also showed good univariate association of urine output criteria of RIFLE classification to the requirement of HD in AKI patients.
Source: Indian Journal of Critical Care Medicine - June 12, 2016 Category: Intensive Care Authors: Sara KorulaSindhu BalakrishnanShyam SundarVergis PaulAnuroop Balagopal 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

Identifying Risk Factors for Pressure Injury in Adult Critical Care Patients.
CONCLUSION: Determining pressure injury risk in critically ill patients is complex and challenging. One common pathophysiological factor is impaired tissue oxygenation and perfusion, which may be nonmodifiable. Improved risk quantification is needed and may be realized in the near future by leveraging the clinical information available in the electronic medical record through the power of predictive analytics. PMID: 32355967 [PubMed - in process]
Source: American Journal of Critical Care - April 30, 2020 Category: Nursing Authors: Cox J, Schallom M, Jung C Tags: Am J Crit Care Source Type: research

A survey on the resources and practices in pediatric critical care of resource-rich and resource-limited countries
Conclusions Although differences exist in access to both trained providers and equipment, the survey results were more striking in their similarity. It is essential that centers from LMICs be included in multinational studies, to generate results applicable to all children worldwide.
Source: Journal of Intensive Care - October 9, 2015 Category: Intensive Care Source Type: research

Quantifiable Bleeding in Children Supported by Extracorporeal Membrane Oxygenation and Outcome
Conclusions: In children supported by extracorporeal membrane oxygenation, chest tube bleeding above 60 mL/kg/d was independently associated with worse clinical outcome. Low fibrinogen was independently associated with chest tube bleeding, whereas platelet count and hemostatic tests were not. Further research is needed to evaluate if interventions to prevent or stop chest tube bleeding influence the clinical outcome.
Source: Critical Care Medicine - October 12, 2019 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Critical Care Compendium update
LITFL’s Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care. Currently there are almost 1,500 entries with more in the works… Some pages are more developed than others, and all the pages are being constantly revised and improved. Links to new references and online resources are added daily, with an emphasis on those that are free and open access (FOAM!). These pages originated from the FCICM exam study notes created by Dr Jeremy Fernando in 2011, and have been updated, modified and added to since. As such will be particularly us...
Source: Life in the Fast Lane - November 17, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Critical Care Compendium Education eLearning Emergency Medicine Featured CCC LITFL collection Source Type: blogs

Associations Between the Use of Critical Care Procedures and Change in Functional Status at Discharge
Quality improvement initiatives in intensive care units (ICUs) have increased survival rates. Changes in functional status following ICU care have been studied, but results are inconclusive because of insufficient consideration of the combinations of critical care procedures used. Using the Japanese administrative database including the Barthel Index (BI) at admission and discharge, we measured the changes in functional status among the adult patients and determined whether longer ICU stay or use of various critical care procedures was associated with functional deterioration. Of the 12 502 528 patients admitted ...
Source: Journal of Intensive Care Medicine - August 30, 2013 Category: Intensive Care Authors: Kuwabara, K., Matsuda, S., Fushimi, K., Ishikawa, K. B., Horiguchi, H., Fujimori, K. Tags: Review of a Large Clinical Series Source Type: research

Applications of the international scoring system for Disseminated Intravascular Coagulopathy (DIC) and its interaction with Sequential Organ Failure Assessment Score (SOFA) in prediction of prognosis and final outcome in ICU
Conclusion A significant correlation exists between SOFA and DIC scores together in critically ill patients with APACHE II score ⩾25 as regards MODS and mortality. The combination of DIC and SOFA scores highly improves the prognostic performance of either score alone. It’s recommended to combine these scores together for better mortality prediction.
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Elizabethkingia meningoseptica : Emerging nosocomial pathogen in bedside hemodialysis patients
Conclusion: E. meningoseptica is emerging as a nosocomial pathogen among patients on hemodialysis. Its unusual resistance pattern coupled with inherent resistance to colistin makes this organism difficult to treat unless susceptibility patterns are available. Isolation of this organism in handwash sink and water is a significant finding as they have been reported to survive in chlorinated water. Disinfecting the sinks and using filtered water for hand washing in critical areas may help in preventing infections with this organism.
Source: Indian Journal of Critical Care Medicine - October 24, 2013 Category: Intensive Care Authors: MS RatnamaniRatna Rao 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

Acute kidney injury and rhabdomyolysis due to multiple wasp stings
We report a case of acute kidney injury and rhabdomyolysis secondary to multiple wasp stings. A 55-year-old farmer developed multi organ dysfunction with acute kidney injury and rhabdomyolysis 3 days after he had sustained multiple wasp stings. The etiology of acute kidney injury is probably both rhabdomyolysis and acute tubular necrosis. He improved completely after hemodialysis and intensive care.
Source: Indian Journal of Critical Care Medicine - July 5, 2014 Category: Intensive Care Authors: Hemachandar Radhakrishnan 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

A pilot randomized controlled trial of comparison between extended daily hemodialysis and continuous veno-venous hemodialysis in patients of acute kidney injury with septic shock
Conclusion: SLED is a viable modality of renal replacement therapy in patients with septic shock as the hemodynamic effects are similar to CRRT.
Source: Indian Journal of Critical Care Medicine - May 16, 2017 Category: Intensive Care Authors: Shakti Bedanta Mishra Afzal Azim Narayan Prasad Ratendra Kumar Singh Banani Poddar Mohan Gurjar Arvind Kumar Baronia Source Type: research

A study of continuous renal replacement therapy and acute peritoneal dialysis in hemodynamic unstable patients
Conclusion: This study showing comparable survival outcome in acute PD and CRRT gives evidence that either of the modalities can be adopted in hemodynamically unstable patients requiring RRT depending on the resources available.
Source: Indian Journal of Critical Care Medicine - June 15, 2017 Category: Intensive Care Authors: Ajay Jaryal Sanjay Vikrant Source Type: research