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This page shows you the most recent publications within this specialty of the MedWorm directory.

Group Prenatal Care: Has Its Time Come?
Group prenatal care is an emerging trend in obstetrics, and for medically low-risk women has been shown to result in lower rates of preterm birth, higher rates of breastfeeding, and higher rates of participation in postpartum family planning. Significant cost savings to the health care system are seen when the lower rates of preterm birth and neonatal intensive care unit admissions are considered. More research is needed about patients’ health outcomes as well as the economic and workforce implications to outpatient obstetric practices before widely transitioning prenatal care into group settings. (Source: Clinical Obste...
Source: Clinical Obstetrics and Gynecology - May 6, 2015 Category: OBGYN Tags: Changes in Obstetrics, and Gynecologic Care Source Type: research

Predictors of intensive care unit transfer or death in emergency department patients with suspected infection
Conclusion: Readily available clinical and laboratory variables at arrival in the ED can support identification of late deterioration leading to ICU transfer or death within 48 h of admission. (Source: European Journal of Emergency Medicine)
Source: European Journal of Emergency Medicine - May 6, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Icatibant in Angiotensin Converting Enzyme (ACE) Inhibitor‐Associated Angioedema
DiscussionAll patients improved after receiving icatibant, consistent with its bradykinin‐receptor blocking mechanism. Icatibant rapidly reversed symptoms, and appeared to avert the need for intubation or expedite extubation. Timely use of icatibant in ACE‐inhibitor associated angioedema may avert the need for invasive airway procedures and intensive care unit (ICU) admission. (Source: Internal Medicine Journal)
Source: Internal Medicine Journal - May 6, 2015 Category: Internal Medicine Authors: Jie Shen Fok, Constance H Katelaris, Anthony F Brown, William B Smith Tags: Original Article Source Type: research

Urinary neutrophil gelatinase-associated lipocalin in critically ill surgical cancer patients
Conclusions: In oncological postoperative patients admitted to the ICU, urinary N-GAL was an independent predictor of AKI; moreover, its level was higher in the deceased patients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Pericles Almeida Delfino DuarteAndreia Cristina FumagalliVanessa WandeurDelmiro Becker Source Type: research

Stress levels of critical care doctors in India: A national survey
Conclusion: Despite the higher workload, stress levels measured in our survey in Indian critical care doctors were lower compared to International data. Substantiation of this data through a wider study and broad-based measures to improve the quality of critical care units and quality of the lives of these doctors is the need of the hour. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Rahul AmteKartik MuntaPalepu B Gopal Source Type: research

Problems and limitations in thrombolysis of acute stroke patients at a tertiary care center
Conclusion: Reasons for delay in thrombolysis are: Absence of stroke education program for common people. Lack of priority for triage and imaging for stroke patients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Sushma K GuravKapil G ZirpeRS WadiaManishprasad K PathakAbhijeet M DeshmukhRahul V SonawaneNikhil Goli Source Type: research

Metabolic acidosis during parenteral nutrition: Pathophysiological mechanisms
Evangelia Dounousi, Xanthi Zikou, Vasilis Koulouras, Kostas KatopodisIndian Journal of Critical Care Medicine 2015 19(5):270-274Total parenteral nutrition (TPN) is associated with metabolic complications including metabolic acidosis (MA), one of the main disorders of acid-base balance. The main causes involved in the appearance of MA during TPN administration are the metabolism of cationic amino acids and amino acids containing sulfuric acid (exogenous addition), the titratable acidity of the infused parenteral solution, the addition of acidificant agents (hydrochloric acid, acetic acid), thiamine deficiency, disruption of...
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Evangelia DounousiXanthi ZikouVasilis KoulourasKostas Katopodis Source Type: research

Complications during the management of pediatric refractory status epilepticus with benzodiazepine and pentobarbital infusions
In conclusion, children with RSE who required pentobarbital therapy had a longer hospital stay with more complications. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: William PattenSayed Z NaqviAndre RaszynskiBalagangadhar R Totapally Source Type: research

How we managed a difficult to ventilate patient
Sunil Kumar GargIndian Journal of Critical Care Medicine 2015 19(5):278-279A 40-year-old female presented with respiratory difficulty, cough and sputum with blood streaking. Her right lung was destroyed, and trachea was shifted to the same side. On mechanical ventilation, she developed hypoxia and rise in blood pressure. Ventilator was not delivering set tidal volume. After looking into the cause, it was decided to reintubate the patient with new endotracheal tube after cutting bevel. Thereafter, there was successful ventilation. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Sunil Kumar Garg Source Type: research

Acute concentrated phenol dermal burns: Complications and management
Tapan Jayantilal ParikhIndian Journal of Critical Care Medicine 2015 19(5):280-282Phenol burns can result in multiple organ failure. This is a case report of acute severe phenol dermal burn after accidental splash of 94% phenol on 35-year-old patient's body who was brought to hospital after 90 min of exposure. Decontamination was done with high-density water and glycerol. Early complications in form of metabolic acidosis and acute renal failure required hemodialysis. Extensive protein denaturation was managed with IV albumin and high protein diet. Patient also developed pleural effusion and acute respiratory ...
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Tapan Jayantilal Parikh Source Type: research

Intravenous ketamine for treatment of super-refractory convulsive status epilepticus with septic shock: A report of two cases
Gentle Sunder Shrestha, Pankaj Joshi, Santosh Chhetri, Ragesh Karn, Subhash Prasad AcharyaIndian Journal of Critical Care Medicine 2015 19(5):283-285Refractory and super-refractory status epilepticus is a life-threatening neurological emergency, associated with high morbidity and mortality. Treatment should be aimed to stop seizure and to avoid cerebral damage and another morbidity. Published data about effectiveness, safety and outcome of various therapies and treatment approaches are sparse and are mainly based on small case series and retrospective data. Here we report successful management of two cases of super-refract...
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Gentle Sunder ShresthaPankaj JoshiSantosh ChhetriRagesh KarnSubhash Prasad Acharya Source Type: research

Extra corporeal carbon dioxide removal: A reliable modality in refractory hypercapnia to prevent invasive ventilation
Atiharsh Mohan Agarwal, Tapas Kumar SinghIndian Journal of Critical Care Medicine 2015 19(5):286-288Extracorporeal carbon dioxide removal (ECCO2R) is a valid alternative to consider in hypercapnic respiratory failure in chronic obstructive pulmonary disease (COPD) patients to avoid invasive ventilation when noninvasive ventilation fails. Here we report a similar case, after obtaining informed consent, where a patient suffering from severe hypercapnic respiratory failure due to COPD, was selected for ECCO2R and improved remarkably. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Atiharsh Mohan AgarwalTapas Kumar Singh Source Type: research

Catastrophic antiphospholipid syndrome (CAPS): A rare and fatal encounter
Jayant K MehtaIndian Journal of Critical Care Medicine 2015 19(5):289-290 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Jayant K Mehta Source Type: research

Bilateral symmetrical digital gangrene of upper and lower limbs due to purpura fulminans caused by Streptococcus pyogenes: A rare entity
Goyal Kush Ashokkumar, Rao Madhu, Mathew Shaji, Budania Raghuveer SinghIndian Journal of Critical Care Medicine 2015 19(5):290-291 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Goyal Kush AshokkumarRao MadhuMathew ShajiBudania Raghuveer Singh Source Type: research

Congenital lobar emphysema: Intubation and ventilation strategies
Shailesh Kumar, Prakash K DubeyIndian Journal of Critical Care Medicine 2015 19(5):291-292 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Shailesh KumarPrakash K Dubey Source Type: research

Methylmalonic acidemia and diabetic ketoacidosis: An unusual association
Suresh KumarIndian Journal of Critical Care Medicine 2015 19(5):292-293 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Suresh Kumar Source Type: research

Mortality patterns among critically ill children in a pediatric intensive care unit of a developing country
Mahmood Dhahir Al-MendalawiIndian Journal of Critical Care Medicine 2015 19(5):293-294 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Mahmood Dhahir Al-Mendalawi Source Type: research

Comments on "Candida glabrata candidemia; an emerging threat in critically ill patients"
Armin Ahmed, Afzal Azim, Arvind Kumar BaroniaIndian Journal of Critical Care Medicine 2015 19(5):294-295 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Armin AhmedAfzal AzimArvind Kumar Baronia Source Type: research

Antimicrobial dosing in critically ill patients with sepsis-induced acute kidney injury
Shakti Bedanta Mishra, Afzal AzimIndian Journal of Critical Care Medicine 2015 19(5):295-296 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Shakti Bedanta MishraAfzal Azim Source Type: research

CytoSorb-friend or foe!!
Saroj Kumar Pattnaik, Bibekananda PandaIndian Journal of Critical Care Medicine 2015 19(5):296-296 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - May 6, 2015 Category: Intensive Care Authors: Saroj Kumar PattnaikBibekananda Panda Source Type: research

Geriatric Medicine: An Evidence-Based Approach. F. Lally, C. Roffe (eds.). Oxford: Oxford University Press 2014. ISBN 978-0-19-968964-4; pp 180
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Challenging Concepts in Anaesthesia: Cases with Expert Commentary. P Syme, R Jackson & T Cook (eds.). Oxford: Oxford University Press. ISBN 978-0-19-968627-8; pp. 288; $94.24
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Regional Anaesthesia: A Pocket Guide. A Chuan, D Scott. Oxford: Oxford University Press. ISBN 978-0-19-968423-6; pp. 150; $74.99
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Self-directed simulator echocardiography training: a scalable solution
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

A dilemma while achieving rapid reversal of anticoagulation in a rural setting
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Morbidity and mortality in patients admitted with submandibular space infections to the intensive care unit
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Outcomes and clinical characteristics of critically ill patients requiring inferior vena cava filters in a tertiary referral centre
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Successful conservative management of an iatrogenic ECMO cannula&en;related inferior vena cava injury
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Unusual volatile agent switch: implications for checking unsealed volatile agent containers
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

A pictorial display of contents for quick revision: improving the efficacy and efficiency of cricothyroidotomy kits
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Lactic acidosis and asymptomatic hypoglycaemia due to plasmablastic lymphoma
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Intentional oesophageal intubation for managing regurgitation during endotracheal intubation
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Impact of anaesthesia on outcomes after radiocephalic arteriovenous fistula creation
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Inclusion of financial issues in the surgery cancellation categories introduced by Emanuel et al
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

In response to Katsiampoura et al
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Predicting intensive care and hospital outcome with the Dalhousie Clinical Frailty Scale: a pilot assessment
Frailty may help to predict intensive care unit (ICU) patient outcome. The Dalhousie Clinical Frailty Scale (DCFS) is validated to assess frailty in ambulatory settings but has not been investigated in Australian ICUs. We conducted a prospective three-month study of patients admitted to a tertiary level ICU. Within 24 hours of ICU admission, the next of kin or nurse in charge assigned a DCFS score to the patient. Data were obtained to assess the association between frailty and patient outcome. The DCFS score was completed in 205 of 348 (59%) of eligible patient admissions. The mean DCFS score was 3.2 (±1.6). Overall frail...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Findings of the first ANZICS conference on the role of intensive care in Rapid Response Teams
This article summarises the findings of the conference and presents recommendations on the role of intensive care medicine in RRTs in Australia and New Zealand. (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

2015 Australian Pain Society 35th Annual Scientific Meeting: Managing Pain: from Mechanism to Policy. 15-18 March 2015, Brisbane Convention and Exhibition Centre, Queensland
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Selective unilateral spinal anaesthesia for outpatient knee arthroscopy using real-time monitoring of lower limb sympathetic tone
We present a method with a high success rate that uses real-time monitoring of the sympathetic activityof the legs. In this prospective study, 56 patients scheduled for ambulatory knee arthroscopy had spinal anaesthesia in the lateral recumbent position, with hyperbaric bupivacaine 0.5% injected at 0.33 ml/min up to a maximum dose of 5 mg. Sympathetic tone of the legs was monitored by plantar electrical dermal resistance. The clinical effect was assessed by loss of sensation and muscle strength. The haemodynamic course and adverse events were monitored. The motor block was strictly unilateral in 55 patients (98%) and the s...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

The relationship between superior vena cava diameter and collapsibility and central venous pressure
The aim of this study was to assess the relationship between superior vena cava (SVC) diameter, collapsibility and central venous pressure (CVP) in cardiac surgical patients. SVC maximum and minimum diameters, plus collapsibility with ventilation, were measured with transoesophageal echocardiography in the mid-oesophageal bicaval view with M-mode. Simultaneously, CVP was measured via the right atrial port of a pulmonary artery catheter. Measurements were possible in 91 out of 92 patients. The median CVP was 10mmHg with a range of 2 to 19 mmHg. There was a weak, but statistically significant, correlation between CVP and SVC...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Protocolised approach to end-of-life care in the ICU—the ICU PALCare Pilot Project
International literature on end-of-life care in intensive care units (ICUs) supports the use of 'protocol bundles', which is not common practice in our 18-bed adult general ICU in Sydney, New South Wales. We conducted a prospective observational study to identify problems related to end-of-life care practices and to determine whether there was a need to develop protocol bundles. Any ICU patient who had ‘withdrawal’ of life-sustaining treatment to facilitate a comfortable death was eligible. Exclusion criteria included organ donors, unsuitable family dynamics and lack of availability of research staff to obtain family c...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Systematic review and meta-analysis of method comparison studies of Masimo pulse co-oximeters (Radical-7™ or Pronto-7™) and HemoCue® absorption spectrometers (B-Hemoglobin or 201+) with laboratory haemoglobin estimation
We assessed agreement in haemoglobin measurement between Masimo pulse co-oximeters (Rad-7™ and Pronto-7™) and HemoCue® photometers (201+ or B-Hemoglobin) with laboratory-based determination and identified 39 relevant studies (2915 patients in Masimo group and 3084 patients in HemoCue group). In the Masimo group, the overall mean difference was -0.03 g/dl (95% prediction interval -0.30 to 0.23) and 95% limits of agreement -3.0 to 2.9 g/dl compared to 0.08 g/dl (95% prediction interval -0.04 to 0.20) and 95% limits of agreement -1.3 to 1.4 g/dl in the HemoCue group. Only B-Hemoglobin exhibited bias (0.53, 95%...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Consent for labour epidural analgesia: an observational study in a single institution
There is a wide range of practice amongst obstetric anaesthetists when obtaining consent for women requesting labour epidural analgesia. This is the first prospective observational study recording the number and types of risks mentioned and whether the risk was quantified. Statements of benefits and alternatives to the procedure were also noted. Fourteen anaesthetists, each consulting a single patient, were recorded during the process of obtaining consent and inserting the epidural. The most commonly mentioned risks (median 7) were headache/dural puncture, failure/difficulty with insertion, nerve damage, bleeding/haematoma...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

The teaching portfolio as a professional development tool for anaesthetists
This article explains why and how anaesthetists might use a TP as a tool for professional development in medical education. (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Predictors of an increased in vitro thrombotic and bleeding tendency in critically ill trauma and non-trauma patients
In conclusion, in vitro thrombotic tendency was more common than bleeding tendency in critically ill trauma and non-trauma patients. Platelet counts and fibrinogen concentrations were better predictors of increased in vitro thrombotic and bleeding risks than International Normalized Ratio or activated Partial Thromboplastin Time. (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Intensive care unit research ethics and trials on unconscious patients
There are widely acknowledged ethical issues in enrolling unconscious patients in research trials, particularly in intensive care unit (ICU) settings. An analysis of those issues shows that, by and large, patients are better served in units where research is actively taking place for several reasons: i) they do not fall prey to therapeutic prejudices without clear evidential support, ii) they get a chance of accessing new and potentially beneficial treatments, iii) a climate of careful monitoring of patients and their clinical progress is necessary for good clinical research and affects the care of all patients and iv) eve...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research

Research without informed patient consent in incompetent patients
Most patients needing intensive care cannot give informed consent to participation in research. This includes the most acutely and severely ill, with the highest mortality and morbidity, where research has the greatest potential to improve patient outcomes. In these circumstances, consent is usually sought from a substitute decision-maker, but while survivors of intensive care believe substitute decision-makers will look after their interests, evidence suggests substitute decision-makers are poorly equipped for this task. Various models have been suggested for research without patient informed consent when intervention is ...
Source: Anaesthesia and Intensive Care - May 5, 2015 Category: Anesthesiology Source Type: research