Indian Journal of Critical Care Medicine via MedWorm.com MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Indian Journal of Critical Care Medicine' source. Sun, 13 Nov 2011 22:42:31 +0100 Acute multifocal dystonic reaction: An unusual presentation of vitamin D-deficient rickets http://www.medworm.com/index.php?rid=5231535&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F198%2F84895 Syed Ahmed Zaki, Vijay LadIndian Journal of Critical Care Medicine 2011 15(3):198-200 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231535 Wed, 14 Sep 2011 04:00:00 +0100 5231535 Fatal airway obstruction following arterial trauma during internal jugular venous cannulation - Lessons to be learned http://www.medworm.com/index.php?rid=5231534&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F197%2F84894 Prathiba ChandershekarIndian Journal of Critical Care Medicine 2011 15(3):197-198 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231534 Wed, 14 Sep 2011 04:00:00 +0100 5231534 Serum procalcitonin in sepsis http://www.medworm.com/index.php?rid=5231533&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F197%2F84893 Viroj WiwanitkitIndian Journal of Critical Care Medicine 2011 15(3):197-197 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231533 Wed, 14 Sep 2011 04:00:00 +0100 5231533 Authors' reply http://www.medworm.com/index.php?rid=5231532&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F196%2F84892 Binila Chacko, John Victor Peter, Shalom Patole, Jude Joseph Fleming, Ratnasamy SelvakumarIndian Journal of Critical Care Medicine 2011 15(3):196-197 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231532 Wed, 14 Sep 2011 04:00:00 +0100 5231532 Electrolytes assessed by point-of-care testing http://www.medworm.com/index.php?rid=5231531&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F196%2F84890 Viroj WiwanitkitIndian Journal of Critical Care Medicine 2011 15(3):196-196 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231531 Wed, 14 Sep 2011 04:00:00 +0100 5231531 Chest radiograph in subclavian vein cannulation http://www.medworm.com/index.php?rid=5231530&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F195%2F84889 Haider Abbas, Ajay Chowdhary, Jaishree BograIndian Journal of Critical Care Medicine 2011 15(3):195-196 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231530 Wed, 14 Sep 2011 04:00:00 +0100 5231530 Hot climate and elderly surgical patients http://www.medworm.com/index.php?rid=5231529&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F194%2F84888 Reza Yazdani, Ashkan Tabibzadeh, Hamidreza Mahboobi, Tahereh KhorgoeiIndian Journal of Critical Care Medicine 2011 15(3):194-195 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231529 Wed, 14 Sep 2011 04:00:00 +0100 5231529 Dangers of very low blood pH http://www.medworm.com/index.php?rid=5231528&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F194%2F84887 Viktor RosivalIndian Journal of Critical Care Medicine 2011 15(3):194-194 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231528 Wed, 14 Sep 2011 04:00:00 +0100 5231528 Dengue encephalitis http://www.medworm.com/index.php?rid=5231527&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F190%2F84896 We report a case of dengue fever with features of encephalitis. The diagnosis of dengue was confirmed by the serum antibodies to dengue and the presence of a dengue antigen in the cerebrospinal fluid. This patient had characteristic magnetic resonance imaging brain findings, mainly involving the bilateral thalami, with hemorrhage. Dengue is not primarily a neurotropic virus and encephalopathy is a common finding in Dengue. Hence various other etiological possibilities were considered before concluding this as a case of Dengue encephalitis. This case explains the importance of considering the diagnosis of dengue encephalitis in appropriate situations. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231527 Wed, 14 Sep 2011 04:00:00 +0100 5231527 Ecthyma gangrenosum of a single limb http://www.medworm.com/index.php?rid=5231526&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F188%2F84898 We report a case of a previously healthy lady with no apparent immune deficiency or neutropenia who had ecthyma gangrenosum of left lower limb in which the arterial line was placed. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231526 Wed, 14 Sep 2011 04:00:00 +0100 5231526 Neurocysticercosis: Acute presentation and intensive care management of two cases http://www.medworm.com/index.php?rid=5231525&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F185%2F84899 Aanchal Sharma, Charu Mahajan, Girija P Rath, Sarita Mohapatra, Uma P Padhy, Lokesh KumarIndian Journal of Critical Care Medicine 2011 15(3):185-187Neurocysticercosis (NCC), a common helminthic infestation in developing countries, may cause acquired epilepsy and neurological morbidities. Acute symptomatic seizure is the most common manifestation. The other clinical conditions include headache, hydrocephalus, chronic meningitis, focal neurological deficits, and psychological disorders. Altered sensorium and raised intracranial pressure (ICP) may require ventilatory support in an intensive care unit (ICU). Definitive diagnosis is made by identification of parasites in tissues or by a radiological demonstration of the scolex in cystic lesions. Antiepileptic drugs are used to control seizures ... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231525 Wed, 14 Sep 2011 04:00:00 +0100 5231525 Successful treatment of refractory hypotension, noncardiogenic pulmonary edema and acute kidney injury after an overdose of amlodipine http://www.medworm.com/index.php?rid=5231524&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F182%2F84901 We describe a case of successful treatment of refractory hypotension, noncardiogenic pulmonary edema and acute kidney injury after an intoxication with 250 mg of amlodipine. Marked improvement in all hemodynamic parameters was noted with combination of fluids, inotropes, low-dose calcium, low dose insulin, mechanical ventilation and hemodialysis. All available information on overdose of amlodipine is limited to case reports and series. Prospective trial on the use of these agents is required to define its role as the first-line treatment in amlodipine, a calcium channel blockers overdose. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231524 Wed, 14 Sep 2011 04:00:00 +0100 5231524 Primary immune deficiency in the intensive care unit: It is never too late to diagnose and treat http://www.medworm.com/index.php?rid=5231523&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F179%2F84903 Rucha S Dagaonkar, Tiyas Sen, Zarir F Udwadia, Mukesh B DesaiIndian Journal of Critical Care Medicine 2011 15(3):179-181Common variable immunodeficiency disorders (CVIDs), a heterogeneous group of primary immune deficiencies, can present at all age. Our patient with a hitherto undiagnosed CVID, symptomatic since middle ages, presented with severe pneumonia. Specific management of his CVID in addition to standard therapy was life-saving. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231523 Wed, 14 Sep 2011 04:00:00 +0100 5231523 Fulminant intracranial hypertension due to cryptococcal meningitis in a child with nephrotic syndrome http://www.medworm.com/index.php?rid=5231522&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F176%2F84905 We report an 8-year-old boy with nephrotic syndrome, who developed cryptococcal meningitis and died of fulminant intracranial hypertension. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231522 Wed, 14 Sep 2011 04:00:00 +0100 5231522 Genetic predisposition to oxcarbazepine induced Stevens-Johnson syndrome http://www.medworm.com/index.php?rid=5231521&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F173%2F84904 We report a female patient of 38 years with a history of drug allergy who was administered oxcarbazepine for the management of right partial bronchial seizure due to left parasagittal mass lesion following which she developed papular rashes all over the body and diagnosed as SJS. Although carbamazepine (CBZ) is the most common cause of SJS, a new anticonvulsant, oxcarbazepine, which is structurally related to CBZ, has been shown to induce SJS. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231521 Wed, 14 Sep 2011 04:00:00 +0100 5231521 Comparing influence of intermittent subglottic secretions drainage with/without closed suction systems on the incidence of ventilator associated pneumonia http://www.medworm.com/index.php?rid=5231520&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F168%2F84902 Conclusions: ISD of secretions reduces the incidence of VAP. CSS alone or in combination with ISD has no significant effect on VAP incidence. Hence, ISD may be recommended for VAP prevention, but indications other than VAP prevention should determine the type of the suction system. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231520 Wed, 14 Sep 2011 04:00:00 +0100 5231520 Changing trend of antimicrobial resistance among gram-negative bacilli isolated from lower respiratory tract of ICU patients: A 5-year study http://www.medworm.com/index.php?rid=5231519&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F164%2F84900 Conclusions: Gram-negative organisms are the predominant pathogens causing LRTI in ICU. The increasing trend of resistance to cephalosporins and carbapenems in gram-negative organisms is very disturbing. Judicious use of antimicrobial agents is essential to prevent the emergence of multidrug-resistant bacteria in the ICU. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231519 Wed, 14 Sep 2011 04:00:00 +0100 5231519 Preoperative predictors of mortality in adult patients with perforation peritonitis http://www.medworm.com/index.php?rid=5231518&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F157%2F84897 Conclusion: Routine biochemical investigations, delay in presentation, and surgical intervention are good predictors of mortality. Recognizing such patients early may help the anesthesiologists in risk stratification and in providing an early goal-directed therapy. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231518 Wed, 14 Sep 2011 04:00:00 +0100 5231518 Comparison of anxiety, depression, and post-traumatic stress symptoms in relatives of ICU patients in an American and an Indian public hospital http://www.medworm.com/index.php?rid=5231517&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F3%2F147%2F84891 Conclusions: Relatives of patients in the Indian ICU had greater anxiety and depression symptoms compared to those in the American cohort, and had significant differences in factors that may be associated with this psychological impact. Both groups showed substantial discordance between the perceived and objective change in severity of illness. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5231517 Wed, 14 Sep 2011 04:00:00 +0100 5231517 Authors' reply http://www.medworm.com/index.php?rid=5034695&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F142%2F83008 Jyotindu Debnath, Rajesh Kumar, R Bala Murali Krishna, Ankit MathurIndian Journal of Critical Care Medicine 2011 15(2):142-143 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034695 Fri, 15 Jul 2011 23:00:00 +0100 5034695 Contralateral hyperinflation: Computed tomography demonstration of an unusual complication of unrecognized endobronchial intubation http://www.medworm.com/index.php?rid=5034694&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F142%2F83007 Manoj Kumar PanigrahiIndian Journal of Critical Care Medicine 2011 15(2):142-142 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034694 Fri, 15 Jul 2011 23:00:00 +0100 5034694 Alveolar recruitment maneuvers in ventilated children: Caution required http://www.medworm.com/index.php?rid=5034693&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F141%2F83005 T Arun BabuIndian Journal of Critical Care Medicine 2011 15(2):141-141 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034693 Fri, 15 Jul 2011 23:00:00 +0100 5034693 A dangerous clinical practice! http://www.medworm.com/index.php?rid=5034692&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F140%2F83004 Aparna Williams, Ashu S Mathai, John AbrahamIndian Journal of Critical Care Medicine 2011 15(2):140-140 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034692 Fri, 15 Jul 2011 23:00:00 +0100 5034692 Difficulties with neurological prognostication in a young woman with delayed-onset generalised status myoclonus after cardiac arrest due to acute severe asthma http://www.medworm.com/index.php?rid=5034691&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F137%2F83010 We describe here a pregnant woman resuscitated from a cardiac arrest due to acute severe asthma, and an inability to reach a consensus based on published guidelines, with a brief overview of myoclonus, LAS and the role of MRI brain in assisting prognostication. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034691 Fri, 15 Jul 2011 23:00:00 +0100 5034691 Intramural hematoma of duodenum: An unusual complication after endoscopic therapy for a bleeding peptic ulcer http://www.medworm.com/index.php?rid=5034690&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F134%2F83012 We describe here a case of IDH occurring following endoscopic therapy for bleeding duodenal ulcer in an adult patient with end-stage renal disease. The hematomas appeared on the second day of endoscopic intervention, caused transient duodenal obstruction and resolved spontaneously with conservative treatment in a week. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034690 Fri, 15 Jul 2011 23:00:00 +0100 5034690 An unusual case of Weil's syndrome with paraparesis http://www.medworm.com/index.php?rid=5034689&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F130%2F83014 Virendra C Patil, Harsha V Patil, Amit Sakaria, Satish TryambakeIndian Journal of Critical Care Medicine 2011 15(2):130-133Leptospirosis is an important emerging zoonosis with a worldwide distribution that is characterized by a broad spectrum of clinical manifestations ranging from inapparent infection to fulminant disease. Leptospirosis has protean clinical manifestations. The classical presentation of the disease is an acute biphasic febrile illness with or without jaundice. Unusual clinical manifestations may result from involvement of pulmonary, cardiovascular, neural, gastrointestinal, ocular and other systems. Immunological phenomena secondary to antigenic mimicry may also be an important component of many clinical features and may be responsible for reactive arthritis. The presentat... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034689 Fri, 15 Jul 2011 23:00:00 +0100 5034689 Life-threatening postpartum hemolysis, elevated liver functions tests, low platelets syndrome versus thrombocytopenic purpura - Therapeutic plasma exchange is the answer http://www.medworm.com/index.php?rid=5034688&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F126%2F83016 Prashant Nasa, JM Dua, Sudha Kansal, Geeta Chadha, Rajesh Chawla, Manav ManchandaIndian Journal of Critical Care Medicine 2011 15(2):126-129The differential diagnosis of life-threatening microangiopathic disorders in a postpartum female includes severe preeclampsia-eclampsia, hemolysis, elevated liver functions tests, low platelets syndrome and thrombotic thrombocytopenic purpura. There is considerable overlapping in the clinical and laboratory findings between these conditions, and hence an exact diagnosis may not be always possible. However, there is considerable maternal mortality and morbidity associated with these disorders. This case underlines the complexity of pregnancy-related microangiopathies regarding their differential diagnosis, multiple organ dysfunction and role of therapeu... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034688 Fri, 15 Jul 2011 23:00:00 +0100 5034688 Carbamzepine-induced toxic epidermal necrolysis http://www.medworm.com/index.php?rid=5034687&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F123%2F83018 Nithyananda K Chowta, Mukta N Chowta, John Ramapuram, Pramod Kumar, Abul FazilIndian Journal of Critical Care Medicine 2011 15(2):123-125Toxic epidermal necrolysis (TEN), also known as Lyell's syndrome, is a widespread life-threatening mucocutaneous disease where there is extensive detachment of the skin and mucous membrane. Many factors involved in the etiology of TEN including adverse drug reactions. Here we are reporting a case of toxic epidermal necrolysis in an adult male patient after receiving carbamazepine in a 38 year old male. On the18th day of carbamazepine, patient developed blisters which first appeared on the trunk, chest and arms. The erythematous rash was covering almost all over the body with epidermal detachment of 70% body surface area. There was loss of ey... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034687 Fri, 15 Jul 2011 23:00:00 +0100 5034687 Effectiveness of hemodialysis in a case of severe valproate overdose http://www.medworm.com/index.php?rid=5034686&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F120%2F83020 Prashant Nasa, Deepak Sehrawat, Sudha Kansal, Rajesh ChawlaIndian Journal of Critical Care Medicine 2011 15(2):120-122A case of severe sodium valproate overdose is presented in which medicinal management failed to reverse coma of the patient. High-flux hemodialysis was then used to eliminate sodium valproate. This case demonstrated the effectiveness of hemodialysis in not only decreasing valproate levels very rapidly but also as an effective anti-coma management. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034686 Fri, 15 Jul 2011 23:00:00 +0100 5034686 Unusual complication of aluminum phosphide poisoning: Development of hemolysis and methemoglobinemia and its successful treatment http://www.medworm.com/index.php?rid=5034685&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F117%2F83021 Kambiz Soltaninejad, Leiws S Nelson, Nastaran Khodakarim, Zohreh Dadvar, Shahin ShadniaIndian Journal of Critical Care Medicine 2011 15(2):117-119Methemoglobinemia and hemolysis are rare findings following phosphine poisoning. In this paper, a case of aluminum phosphide (AlP) poisoning complicated by methemoglobinemia and hemolysis with a successful treatment is reported. A 28-year-old male patient presented following intentional ingestion of an AlP tablet. In this case, hematuria, hemolysis and methemoglobinemia were significant events. A methemoglobin level of 46% was detected by CO-oximetry. The patient was treated with ascorbic acid and methylene blue and he also received supportive care. Two weeks after admission, the patient was discharged from the hospital. Hemolysis and meth... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034685 Fri, 15 Jul 2011 23:00:00 +0100 5034685 Anasarca sparing one limb http://www.medworm.com/index.php?rid=5034684&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F114%2F83022 Arunkumar R Pande, Ramesh Aggarwal, Sunita Sharma, Amit G KumarIndian Journal of Critical Care Medicine 2011 15(2):114-116Upper extremity deep vein thrombosis commonly refers to thrombosis of the axillary and/or subclavian veins. This condition may lead to some serious complications like pulmonary embolism if the diagnosis and treatment are delayed. We introduce here one such case where the diagnosis of this rare condition was difficult because of the atypical clinical manifestation but the chylous ascites provided a valuable clue which led to early diagnosis and treatment of this patient. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034684 Fri, 15 Jul 2011 23:00:00 +0100 5034684 Efficacy and safety of parenteral omega 3 fatty acids in ventilated patients with acute lung injury http://www.medworm.com/index.php?rid=5034683&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F108%2F83019 Conclusions : In ventilated patients with acute respiratory distress syndrome, intravenous Omega 3 fatty acids alone do not improve ventilation, length of ICU stay, or survival. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034683 Fri, 15 Jul 2011 23:00:00 +0100 5034683 Serum lactate levels as the predictor of outcome in pediatric septic shock http://www.medworm.com/index.php?rid=5034682&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F102%2F83017 Conclusions: Nonsurvivors had higher blood lactate levels at admission as well as at 12 and 24 h. A lactate value of more than 45 mg/dl (5 mmol/l) was a good predictor of death. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034682 Fri, 15 Jul 2011 23:00:00 +0100 5034682 Incidence, risk stratification, antibiogram of pathogens isolated and clinical outcome of ventilator associated pneumonia http://www.medworm.com/index.php?rid=5034681&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F96%2F83015 Conclusions: APACHE II score can be used to stratify the risk of development of VAP and overall risk of mortality. Drug-resistant strains of various organisms are an important cause of VAP in our setting. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034681 Fri, 15 Jul 2011 23:00:00 +0100 5034681 Hot climate and perioperative outcome in elderly patients http://www.medworm.com/index.php?rid=5034680&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F88%2F83013 Conclusion: Hot and humid weather adversely affect the perioperative outcome in elderly surgical patients. Patients with poor reserves are at greater perioperative risk during hot and humid climate. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034680 Fri, 15 Jul 2011 23:00:00 +0100 5034680 Prediction of outcome and prognosis of patients on mechanical ventilation using body mass index, SOFA score, C-Reactive protein, and serum albumin http://www.medworm.com/index.php?rid=5034679&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F82%2F83011 Conclusion: Simple, economic and easily accessible markers like CRP and assessment tools of critically ill patients with SOFA score are important determinants of possible outcomes of a patient from MV. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034679 Fri, 15 Jul 2011 23:00:00 +0100 5034679 Critical illness myopathy and polyneuropathy - A challenge for physiotherapists in the intensive care units http://www.medworm.com/index.php?rid=5034678&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F78%2F83009 Renu B Pattanshetty, Gajanan S GaudeIndian Journal of Critical Care Medicine 2011 15(2):78-81The development of critical patient related generalized neuromuscular weakness, referred to as critical illness polyneuropathy (CIP) and critical illness myopathy (CIM), is a major complication in patients admitted to intensive care units (ICU). Both CIP and CIM cause muscle weakness and paresis in critically ill patients during their ICU stay. Early mobilization or kinesiotherapy have shown muscle weakness reversion in critically ill patients providing faster return to function, reducing weaning time, and length of hospitalization. Exercises in the form of passive, active, and resisted forms have proved to improve strength and psychological well being. Clinical trials using neuromuscular electrica... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034678 Fri, 15 Jul 2011 23:00:00 +0100 5034678 Vasopressin: Its current role in anesthetic practice http://www.medworm.com/index.php?rid=5034677&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F2%2F71%2F83006 Jayanta K Mitra, Jayeeta Roy, Saikat SenguptaIndian Journal of Critical Care Medicine 2011 15(2):71-77Vasopressin or antidiuretic hormone is a potent endogenous hormone, which is responsible for regulating plasma osmolality and volume. In high concentrations, it also raises blood pressure by inducing moderate vasoconstriction. It acts as a neurotransmitter in the brain to control circadian rhythm, thermoregulation and adrenocorticotropic hormone release. The therapeutic use of vasopressin has become increasingly important in the critical care environment in the management of cranial diabetes insipidus, bleeding abnormalities, esophageal variceal hemorrhage, asystolic cardiac arrest and septic shock. After 10 years of ongoing research, vasopressin has grown to a potential component as a vas... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=5034677 Fri, 15 Jul 2011 23:00:00 +0100 5034677 Encephalopathy as a presenting feature of ascariasis in a child http://www.medworm.com/index.php?rid=4620802&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F63%2F78237 Syed Ahmed Zaki, Vijay LadIndian Journal of Critical Care Medicine 2011 15(1):63-64 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620802 Tue, 22 Mar 2011 00:00:00 +0100 4620802 Critically ill patients with 2009 H1N1 infection in an Indian intensive care unit http://www.medworm.com/index.php?rid=4620801&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F62%2F78236 Vivek B Kute, Pankaj R Shah, Manoj R Gumber, Aruna V Vanikar, Hargovind L TrivediIndian Journal of Critical Care Medicine 2011 15(1):62-63 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620801 Tue, 22 Mar 2011 00:00:00 +0100 4620801 Author's reply http://www.medworm.com/index.php?rid=4620800&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F62%2F78235 Nataraj Madagondapalli Srinivasan, Akshay KumarIndian Journal of Critical Care Medicine 2011 15(1):62-62 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620800 Tue, 22 Mar 2011 00:00:00 +0100 4620800 Right subclavian artery cannulation: Is chest roentgenogram sufficient to diagnose the complication? http://www.medworm.com/index.php?rid=4620799&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F61%2F78234 Amit JainIndian Journal of Critical Care Medicine 2011 15(1):61-62 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620799 Tue, 22 Mar 2011 00:00:00 +0100 4620799 Authors' reply http://www.medworm.com/index.php?rid=4620798&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F60%2F78233 J Chacko, B Gagan, E Ashok, M Radha, HV HemanthIndian Journal of Critical Care Medicine 2011 15(1):60-61 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620798 Tue, 22 Mar 2011 00:00:00 +0100 4620798 Novel H1N1 influenza infection in intensive care unit http://www.medworm.com/index.php?rid=4620797&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F60%2F78232 Viroj WiwanitkitIndian Journal of Critical Care Medicine 2011 15(1):60-60 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620797 Tue, 22 Mar 2011 00:00:00 +0100 4620797 Revisiting the eye opening response of the Glasgow Coma Scale http://www.medworm.com/index.php?rid=4620796&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F58%2F78231 Taopheeq Bamidele RabiuIndian Journal of Critical Care Medicine 2011 15(1):58-59The Glasgow Coma Scale (GCS), introduced by Teasdale and Jenneth in 1974, has received tremendous acclaim from clinicians and has been extensively used in clinical practice for the evaluation of the level of consciousness. The author notes that some traumatic brain injury patients close eyes in response to painful stimuli as opposed to the eye opening response to pain of the GCS. A revision of the eye opening response subsection of the GCS is suggested. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620796 Tue, 22 Mar 2011 00:00:00 +0100 4620796 Drug interaction leading to prolonged sedation in a postoperative high risk coronary bypass surgery patient http://www.medworm.com/index.php?rid=4620795&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F55%2F78230 Shrikant Bobade, Vinay Kulkarni, Sudhir Dhumne, Saurabh Barde, Jitesh Chauhan, Avinash SharmaIndian Journal of Critical Care Medicine 2011 15(1):55-57Use of midazolam infusion in mechanically ventilated patient is an established practice in critical care. In our case, the use of erythromycin as a prokinetic agent for better tolerance of enteral feeding and paralytic ileus led to an interaction between midazolam and erythromycin, which resulted in prolonged and deeply sedated patient. In a critically ill patient, there is always a possibility of multiple drug interactions. It is important to understand them and they should be considered before starting new medication. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620795 Tue, 22 Mar 2011 00:00:00 +0100 4620795 Contralateral hyperinflation: Computed tomography demonstration of an unusual complication of unrecognized endobronchial intubation http://www.medworm.com/index.php?rid=4620794&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F52%2F78229 We report a case of unrecognized right main stem EBI with ipsilateral normal aeration and contralateral hyperinflation detected during computed tomography scan of the chest for trauma work up in a case of severe head injury. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620794 Tue, 22 Mar 2011 00:00:00 +0100 4620794 Post-traumatic skin and soft tissue infection due to Aeromonas hydrophila http://www.medworm.com/index.php?rid=4620793&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F49%2F78228 We report a case of posttraumatic skin and soft tissue infection in a patient who sustained laceration after being hit by a water tanker. Aeromonas hydrophila was isolated from pus and was identified to the species level by Vitek 2 and a battery of biochemical tests. The patient responded to thorough drainage, debridement of wound and 2 weeks of intravenous antibiotics. The patient was taken up for split skin grafting of the raw area. She was discharged with satisfactory graft uptake after 1 week without any further antibiotics advice. Follow-up after 3 weeks was satisfactory with healthy cover on the raw area and normal weight bearing on the left leg. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620793 Tue, 22 Mar 2011 00:00:00 +0100 4620793 Nonchylous idiopathic pleural effusion in the newborn http://www.medworm.com/index.php?rid=4620792&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F46%2F78226 Geeta Gathwala, Jagjit Singh, KN Rattan, Kapil BhallaIndian Journal of Critical Care Medicine 2011 15(1):46-48Congenital isolated pleural effusion is a rare cause of respiratory distress in neonates. It is usually chylous. Herein, we report a rare case of nonchylous congenital idiopathic pleural effusion. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620792 Tue, 22 Mar 2011 00:00:00 +0100 4620792 Apical ballooning syndrome after attempted suicidal hanging http://www.medworm.com/index.php?rid=4620791&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F43%2F78225 We report a case of "Apical Ballooning Syndrome" following attempted suicidal hanging. Our patient developed retrosternal chest pain and ischemic changes on electrocardiography (ECG), a day after the suicidal attempt. She underwent an angiogram considering the possibility of acute coronary syndrome. However, her coronary arteries were normal; the left ventricle showed the typical ballooning pattern characterized by hypokinesia of the distal septum and apex. On follow-up a week later, she remained asymptomatic; her ECG changes had reversed and the left ventricular contractility was normal on echocardiography. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620791 Tue, 22 Mar 2011 00:00:00 +0100 4620791 Hemodialysis through persistent left superior vena cava http://www.medworm.com/index.php?rid=4620790&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F40%2F78223 We report a case of end stage renal disease patient who displayed a persistent left superior vena cava (PLSVC) after placement of hemodialysis (HD) catheter through left internal jugular vein, as revealed by routine post-procedure X-ray chest. The diagnosis of PLSVC was confirmed by arterial blood gas, two-dimensional echocardiography, computed tomography thorax and angiographic examination. This anomaly is rather rare; few studies on safety of PLSVC for HD have been reported. The catheter was uneventfully used for HD for 2 months with careful continuous monitoring and removed after arteriovenous fistula was successfully cannulated. Physicians who place HD catheters in the left jugular/subclavian vein should be aware of the existence of PLSVC. (Source: Indian Journal of Critical Care Medic... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620790 Tue, 22 Mar 2011 00:00:00 +0100 4620790 Anaphylactic reaction to intravenous diclofenac http://www.medworm.com/index.php?rid=4620789&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F37%2F78222 We report a case of anaphylactic reaction to IV diclofenac sodium, occurring postoperatively in a 25-year-old primigravida, the clinical features of which mimicked pulmonary embolism. The rarity, clinical importance and the diagnostic dilemma associated prompted us to report this case. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620789 Tue, 22 Mar 2011 00:00:00 +0100 4620789 An evaluation of the charlson co-morbidity score for predicting sepsis after elective major surgery http://www.medworm.com/index.php?rid=4620788&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F30%2F78221 Conclusions: Duration of surgery, but not patient co-morbidity as assessed by the CCS, may predict the postoperative incidence of sepsis. CCS could be used as a guide to predict consumption of critical care resources by elective surgical patients. A higher CCS was associated with a longer ICU stay. Resources, such as postoperative goal directed therapy, may be useful in reducing length of stay, hospital costs and risks of infective complications in this subgroup of patients with higher CCS. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620788 Tue, 22 Mar 2011 00:00:00 +0100 4620788 Electrolytes assessed by point-of-care testing - Are the values comparable with results obtained from the central laboratory? http://www.medworm.com/index.php?rid=4620787&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F24%2F78219 Conclusions: Clinicians should be aware of the difference between whole blood and serum electrolytes, particularly when urgent samples are tested at point of care and routine follow-up electrolytes are sent to the central laboratory. A correction factor needs to be determined at each center. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620787 Tue, 22 Mar 2011 00:00:00 +0100 4620787 Comparison of bronchoscopic and non-bronchoscopic techniques for diagnosis of ventilator associated pneumonia http://www.medworm.com/index.php?rid=4620786&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F16%2F78218 Conclusion: NBAL is an inexpensive, easy, and useful technique for microbiologic diagnosis of VAP. Our findings, if verified, might simplify the approach for the diagnosis of VAP. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620786 Tue, 22 Mar 2011 00:00:00 +0100 4620786 Efficacy of a multimodal intervention strategy in improving hand hygiene compliance in a tertiary level intensive care unit http://www.medworm.com/index.php?rid=4620785&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F6%2F78215 Conclusions: Hand hygiene compliance among health care workers in the ICU is poor; however, intervention strategies, such as the one used, can be useful in improving the compliance rates significantly. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620785 Tue, 22 Mar 2011 00:00:00 +0100 4620785 Significance of serum procalcitonin in sepsis http://www.medworm.com/index.php?rid=4620784&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2011%2F15%2F1%2F1%2F78214 Conclusions: PCT is among the most promising sepsis markers, capable of complementing clinical signs and routine lab parameters suggestive of severe infection. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4620784 Tue, 22 Mar 2011 00:00:00 +0100 4620784 Impaction of suction catheter - Complication of endotracheal suctioning http://www.medworm.com/index.php?rid=4385807&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F222%2F76092 Aikta Gupta, Anup Mohta, Geeta Kamal, Sapna BathlaIndian Journal of Critical Care Medicine 2010 14(4):222-222 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385807 Sat, 22 Jan 2011 00:00:00 +0100 4385807 Authors' reply http://www.medworm.com/index.php?rid=4385806&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F221%2F76091 Renu B Pattanshetty, GS GaudeIndian Journal of Critical Care Medicine 2010 14(4):221-221 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385806 Sat, 22 Jan 2011 00:00:00 +0100 4385806 More about chest physiotherapy and ventilator-associated pneumonia prevention http://www.medworm.com/index.php?rid=4385805&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F220%2F76090 George NtoumenopoulosIndian Journal of Critical Care Medicine 2010 14(4):220-220 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385805 Sat, 22 Jan 2011 00:00:00 +0100 4385805 Prevalence of metallo-β-lactamase producing Pseudomonas aeruginosa and Acinetobacter species in intensive care areas in a tertiary care hospital http://www.medworm.com/index.php?rid=4385804&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F217%2F76089 Anuradha S De, Simit H Kumar, Sujata M BavejaIndian Journal of Critical Care Medicine 2010 14(4):217-219A total of 39 non-duplicate isolates of carbapenem-resistant Pseudomonas aeruginosa and Acinetobacter species isolated from blood and endotracheal secretions were tested for metallo-β-lactamase (MBL) production by modified-EDTA disc synergy and double disc synergy tests. The prevalence of MBLs was 33.33% by both the above tests. All patients with MBL-positive isolates were multidrug resistant and had multiple risk factors like > 8 days hospital stay, catheterization, IV lines, previous antibiotic use, etc. These were risk factors for imipenem resistance also. The overall mortality in MBL-positive patients was 46.15%. (Source: Indian Journal of Critical Care M... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385804 Sat, 22 Jan 2011 00:00:00 +0100 4385804 Can bradycardia pose as a "red herring" in neurosurgery? Surgical stress exposes an asymptomatic sick sinus syndrome: Diagnostic and management dilemmas http://www.medworm.com/index.php?rid=4385803&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F212%2F76088 We present a case of posterior fossa surgery in which persistent bradycardia developed in the postoperative period. A cardiac cause was initially overlooked since hydrocephalus was present preoperatively, which was initially assumed to be the cause of the bradycardia. The baseline pulse rate prior to surgery was 66 beats/minute. Only when repeated imaging revealed complete resolution of the hydrocephalus was a cardiology work up done and diagnosis of sick sinus syndrome established. The authors present an interesting case which demonstrates the need for a high degree of suspicion for such rare co-existing conditions. The diagnostic and management dilemmas are further discussed. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385803 Sat, 22 Jan 2011 00:00:00 +0100 4385803 Acute cardiogenic shock in a girl with systemic lupus erythematosus http://www.medworm.com/index.php?rid=4385802&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F209%2F76087 We describe the clinical characteristics, management, and outcome of a 15-year young girl with SLE who developed severe left ventricular dysfunction. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385802 Sat, 22 Jan 2011 00:00:00 +0100 4385802 A case of bronchiolitis obliterans in a young child http://www.medworm.com/index.php?rid=4385801&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F205%2F76086 We report a case of BO in a three year old child occurring after an episode of lower respiratory tract infection requiring prolonged mechanical ventilation with subsequent development of ventilator-associated pneumonia. Our patient had a protracted clinical course with good response to corticosteroids. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385801 Sat, 22 Jan 2011 00:00:00 +0100 4385801 Fatal airway obstruction following arterial trauma during internal jugular venous cannulation http://www.medworm.com/index.php?rid=4385800&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F202%2F76085 Aparna Williams, Ashu S Mathai, Gaurav Bhatia, John AbrahamIndian Journal of Critical Care Medicine 2010 14(4):202-204Central venous cannulations are commonly performed in the intensive care unit. However, these may be associated with severe mechanical or bleeding complications. Here, we describe a patient who died following severe and rapid airway obstruction secondary to an arterial trauma during internal jugular vein cannulation. This case report highlights the importance of prompt recognition of arterial trauma so that it can be repaired surgically instead of sheath removal. The prompt diagnosis of an impending airway obstruction and obtaining early airway access cannot be overemphasized. Finally, we discuss the risk factors associated with this complication and what we could have poss... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385800 Sat, 22 Jan 2011 00:00:00 +0100 4385800 A practical approach to adult acute respiratory distress syndrome http://www.medworm.com/index.php?rid=4385799&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F196%2F76084 This article reviews the clinical features and how pathophysiology informs the evidence-based management of ARDS. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385799 Sat, 22 Jan 2011 00:00:00 +0100 4385799 Newer antithrombotic drugs http://www.medworm.com/index.php?rid=4385798&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F188%2F76083 Pranav Sikka, VK BindraIndian Journal of Critical Care Medicine 2010 14(4):188-195Thromboembolic disorders are one of the disorders for which we are still on the look out for a safe and efficient drug. Despite the widespread use of antithrombotic drugs for the prevention and treatment of arterial and venous thrombosis, thromboembolic diseases continue to be a major cause of death and disability worldwide. This shows our inefficiency in searching efficacious and safe antithrombotic drugs. We have reached the basic mechanism of thrombus formation and by interrupting various steps of this mechanism, we can prevent as well as treat thromboembolic disorders. In continuation of Aspirin, now, we are using Clopidogrel, Ticlopidine and GpIIb/IIIa inhibitors (Abciximab, Tirofiban and Eptifibatide). ... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385798 Sat, 22 Jan 2011 00:00:00 +0100 4385798 Use of the pro-seal laryngeal mask airway facilitates percutaneous dilatational tracheostomy in an intensive care unit http://www.medworm.com/index.php?rid=4385797&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F185%2F76082 Conclusion: The pro-seal LMA provides a reliable airway and allows effective ventilation during percutaneous tracheostomy. The passage of a fiberscope through the pro-seal LMA and glottis is easy and provides a clear view of the upper trachea. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385797 Sat, 22 Jan 2011 00:00:00 +0100 4385797 Evaluation of length of central venous catheter inserted via cubital route in Indian patients http://www.medworm.com/index.php?rid=4385796&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F180%2F76081 Conclusions : Appropriate length of catheter fixation for group 1a was <45 cm, group 1b = 45 cm, group 2a = 50 cm, and for group 2b it was ≥50 cm. Gender and arm (right or left) did not have any bearing on the length of fixation. Incidence of malpositioning (15.5%) was more in right-sided catheters, more so, in short heighted people. PICC insertion via cubital route stands better compared with other routes, viz., Internal jugular vein IJV, subclavian and femoral. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385796 Sat, 22 Jan 2011 00:00:00 +0100 4385796 Selection of acute blood purification therapy according to severity score and blood lactic acid value in patients with septic shock http://www.medworm.com/index.php?rid=4385795&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F175%2F76080 Conclusion: Our study suggests that the PMX column might be effective during the early phase of septic shock, before a high level of lactic acid is present. Furthermore, a PMMA column might be the most useful column for performing CVVHDF after DHP-PMX treatment, as suggested by the blood lactic acid value. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385795 Sat, 22 Jan 2011 00:00:00 +0100 4385795 Evaluation of a protocol for hypertonic saline administration in acute euvolemic symptomatic hyponatremia: A prospective observational trial http://www.medworm.com/index.php?rid=4385794&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F170%2F76079 Conclusions: The non-weight based protocol with monitoring for water diuresis is reasonably an effective strategy in the treatment of acute euvolemic symptomatic hyponatremia. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385794 Sat, 22 Jan 2011 00:00:00 +0100 4385794 The impact of packed red blood cell transfusion on clinical outcomes in patients with septic shock treated with early goal directed therapy http://www.medworm.com/index.php?rid=4385793&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F4%2F165%2F76078 Conclusions: In this retrospective cohort study, transfusion of PRBCs was associated with worsened clinical outcomes in patients with septic shock treated with EGDT. Further studies are needed to determine the impact of transfusion of PRBC within the context of early resuscitation of patients with septic shock, as the beneficial effects gained by an early and goal oriented approach to resuscitation may be lost by the negative effects associated with PRBC transfusion. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4385793 Sat, 22 Jan 2011 00:00:00 +0100 4385793 Patient communication in Intensive Care Unit-Application in pediatric population http://www.medworm.com/index.php?rid=4286946&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F162%2F74239 Nagarajan MuthialuIndian Journal of Critical Care Medicine 2010 14(3):162-163 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4286946 Thu, 23 Dec 2010 00:00:00 +0100 4286946 Authors' reply http://www.medworm.com/index.php?rid=4284233&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F162%2F74181 Sachin Gupta, Deepak Govil, Prem N Kakar, Om Prakash, Deep Arora, Shibani Das, Pradeep Govil, Ashima MalhotraIndian Journal of Critical Care Medicine 2010 14(3):162-163 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284233 Thu, 23 Dec 2010 00:00:00 +0100 4284233 Patient communication in intensive care unit-Application in pediatric population http://www.medworm.com/index.php?rid=4284232&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F162%2F74180 Nagarajan MuthialuIndian Journal of Critical Care Medicine 2010 14(3):162-162 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284232 Thu, 23 Dec 2010 00:00:00 +0100 4284232 Management with colistin http://www.medworm.com/index.php?rid=4284231&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F161%2F74179 Harkirat SinghIndian Journal of Critical Care Medicine 2010 14(3):161-162 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284231 Thu, 23 Dec 2010 00:00:00 +0100 4284231 Unexpected cause of esophageal obstruction due to accidental use of traditional medicine in a critically ill patient fed through naso-gastric tube http://www.medworm.com/index.php?rid=4284230&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F160%2F74178 Qutaiba Amir Tawfic, Pradipta Bhakta, Rajini KausalyaIndian Journal of Critical Care Medicine 2010 14(3):160-161 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284230 Thu, 23 Dec 2010 00:00:00 +0100 4284230 Pandemic (H1N1) 2009 influenza: Experience from a critical care unit in India http://www.medworm.com/index.php?rid=4284229&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F156%2F74177 Jyoti N Sahoo, Banani Poddar, Afzal Azim, Ratender K Singh, Mohan Gurjar, Arvind K BaroniaIndian Journal of Critical Care Medicine 2010 14(3):156-159This case series details our experience with seven patients with pandemic (H1N1) 2009 influenza from an intensive care unit in India. All the patients had respiratory failure requiring ventilation except one; two patients developed pneumothorax. Of the seven patients, two died (28.5%) and five recovered. Four patients had co-morbid conditions and one was morbidly obese; all the five patients were discharged alive. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284229 Thu, 23 Dec 2010 00:00:00 +0100 4284229 Morganella morganii could be an important intensive care unit pathogen http://www.medworm.com/index.php?rid=4284228&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F154%2F74176 Nidhi Singla, Neelam Kaistha, Neelam Gulati, Jagdish ChanderIndian Journal of Critical Care Medicine 2010 14(3):154-155 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284228 Thu, 23 Dec 2010 00:00:00 +0100 4284228 Functional residual capacity tool: A practical method to assess lung volume changes during pulmonary complications in mechanically ventilated patients http://www.medworm.com/index.php?rid=4284227&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F151%2F74175 In this report, we describe a patient in whom we used a functional residual capacity (FRC) tool available on a critical care ventilator to identify the loss of lung volume associated with pulmonary complications and increase in FRC with the application of a recruitment maneuver. The case report underlines the utility of the FRC tool in rapid visualization of the lung volume changes and the effects of application of corrective strategies in patients receiving mechanical ventilation. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284227 Thu, 23 Dec 2010 00:00:00 +0100 4284227 Use of recombinant human activated protein C in nonmenstrual staphylococcal toxic shock syndrome http://www.medworm.com/index.php?rid=4284226&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F147%2F74174 We describe our experience with this drug in the early reversal of septic shock from TSS. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284226 Thu, 23 Dec 2010 00:00:00 +0100 4284226 Light at a tunnel's end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy http://www.medworm.com/index.php?rid=4284225&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F144%2F74173 We report a series of four such cases where use of lightwand aided in rapidly locating the trachea during tracheostomy complicated by distorted anatomy. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284225 Thu, 23 Dec 2010 00:00:00 +0100 4284225 Enteral feed obstructing its own way http://www.medworm.com/index.php?rid=4284224&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F141%2F74172 Vikas Kesarwani, Dhaval R Ghelani, Graham ReeceIndian Journal of Critical Care Medicine 2010 14(3):141-143Esophageal obstruction due to solidified enteral feeds is a rare but distressful complication in intensive care unit (ICU) patients. It has been suggested that gastroesophageal reflux, very low gastric pH, decreased pepsin and pancreatic enzyme secretions may be responsible for the solidification of casein containing enteral formulas. Recognition and avoidance of these factors will prevent such complication. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284224 Thu, 23 Dec 2010 00:00:00 +0100 4284224 Cerebrovascular complications in pediatric intensive care unit http://www.medworm.com/index.php?rid=4284223&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F129%2F74171 Anil Sachdev, Rachna Sharma, Dhiren GuptaIndian Journal of Critical Care Medicine 2010 14(3):129-140Cerebrovascular complications are being frequently recognized in the pediatric intensive care unit in the recent few years. The epidemiology and risk factors for pediatric stroke are different from that of the adults. The incidence of ischemic stroke is almost slightly more than that of hemorrhagic stroke. The list of diagnostic causes is increasing with the availability of newer imaging modalities and laboratory tests. The diagnostic work up depends on the age of the child and the rapidity of presentation. Magnetic resonance imaging, computerized tomography and arteriography and venography are the mainstay of diagnosis and to differentiate between ischemic and hemorrhagic events. Very sophi... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284223 Thu, 23 Dec 2010 00:00:00 +0100 4284223 Acute kidney injury after trauma: Prevalence, clinical characteristics and RIFLE classification http://www.medworm.com/index.php?rid=4284221&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F121%2F74170 Conclusions: AKI is a fatal complication after trauma, which presented with a high mortality in the studied population. A better comprehension of factors associated with death in trauma-associated AKI is important, and more effective measures of prevention and treatment of AKI in this population are urgently needed. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284221 Thu, 23 Dec 2010 00:00:00 +0100 4284221 Correlates of severe disease in patients admitted with 2009 pandemic influenza A (H1N1) infection in Saurashtra region, India http://www.medworm.com/index.php?rid=4284220&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F113%2F74169 Conclusion: Delayed referral from general practitioner/physician, duration of antiviral treatment, and presence of coexisting condition (especially pregnancy) were responsible for intensive care or mortality in patients of severe influenza A (H1N1) illness. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284220 Thu, 23 Dec 2010 00:00:00 +0100 4284220 A case control study of cardiovascular health in chemical war disabled Iranian victims http://www.medworm.com/index.php?rid=4284219&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F3%2F109%2F74168 Conclusions: Cardiovascular abnormalities are another late complication in chemical war disabled Iranian victims. Diastolic dysfunction was the most common abnormality in both groups of patients. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4284219 Thu, 23 Dec 2010 00:00:00 +0100 4284219 Critical care issues in liver transplantation http://www.medworm.com/index.php?rid=3840991&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D106%3Bepage%3D107%3Baulast%3DGonzalez-Granado Luis Ignacio Gonzalez-GranadoIndian Journal of Critical Care Medicine 2010 14(2):106-107 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840991 Mon, 09 Aug 2010 12:32:41 +0100 3840991 Cyclophosphamide in alveolar hemorrahge due to leptospirosis http://www.medworm.com/index.php?rid=3840990&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D105%3Bepage%3D106%3Baulast%3DJoshi Anand V Joshi, Farhad KapadiaIndian Journal of Critical Care Medicine 2010 14(2):105-106 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840990 Mon, 09 Aug 2010 12:32:41 +0100 3840990 Carbon monoxide poisoning http://www.medworm.com/index.php?rid=3840989&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D105%3Bepage%3D105%3Baulast%3DSingh H Singh, S AggarwalIndian Journal of Critical Care Medicine 2010 14(2):105-105 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840989 Mon, 09 Aug 2010 12:32:41 +0100 3840989 Placebo support: A possible weaning trial in ventilator dependency http://www.medworm.com/index.php?rid=3840988&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D104%3Bepage%3D105%3Baulast%3DBansal Abhishek Bansal, Anurag Tewari, Harsimran Singh, Shuchita Garg, Abhinav SharmaIndian Journal of Critical Care Medicine 2010 14(2):104-105 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840988 Mon, 09 Aug 2010 12:32:41 +0100 3840988 Successful renal transplantation after recovery from acute disseminated encephalomyelitis in a child with end-stage renal disease http://www.medworm.com/index.php?rid=3840987&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D101%3Bepage%3D103%3Baulast%3DBhosale We report an unusual case of ADEM in an 11-year old boy with end-stage renal disease, who underwent hemopoietic stem cell transplantation prior to renal transplantation. He needed admission to the intensive care unit and required mechanical ventilation. He responded to intravenous injection of steroids and upon recovery, underwent renal transplantation successfully. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840987 Mon, 09 Aug 2010 12:32:41 +0100 3840987 Rifampicin-isoniazid induced fatal fulminant hepatitis during treatment of latent tuberculosis: A case report and literature review http://www.medworm.com/index.php?rid=3840986&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D97%3Bepage%3D100%3Baulast%3DKhan Fahmi Yousef Khan, Fatima RasoulIndian Journal of Critical Care Medicine 2010 14(2):97-100A 42-year-old Indian man received 450 mg rifampicin (RIF) and 150 mg isoniazid (INH) daily after being diagnosed of a latent tuberculosis infection. Baseline serum aminotransferase and total bilirubin levels were within normal limits. On day 31 of treatment, the patient experienced epigastric discomfort and general malaise and one week later he developed nausea and episodic vomiting. The patient missed his first scheduled clinic appointment and he continued taking RIF-INH despite his symptoms. He visited the tuberculosis clinic on day 47 of treatment where he was found to be jaundiced and his liver enzymes were elevated. RIF-INH was stopped and the patient was admitted to our hospital as a case of RIF... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840986 Mon, 09 Aug 2010 12:32:41 +0100 3840986 Finding on a chest radiograph: A dangerous complication of subclavian vein cannulation http://www.medworm.com/index.php?rid=3840985&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D95%3Bepage%3D96%3Baulast%3DSrinivasan Nataraj Madagondapalli Srinivasan, Akshay KumarIndian Journal of Critical Care Medicine 2010 14(2):95-96Cannulation of the subclavian vein has its inherent risks. Post procedure chest radiograph is one of the investigations done to rule out immediate complications. Unless the clinician is aware as to what to look for in the radiograph, some of the dangerous complications can be overlooked. Accidental subclavian artery cannulation is identified immediately by color and jet of the blood. Also the position of the catheter tip has to be confirmed by obtaining the arterial pressure tracing using a pressure transducer. Non availability of Doppler ultrasound and pressure transducer are limiting factors for immediate confirmation of proper catheter placement. Also, in patients with severe hypotens... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840985 Mon, 09 Aug 2010 12:32:41 +0100 3840985 Spontaneous pnemomedastinum in acute severe asthma http://www.medworm.com/index.php?rid=3840984&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D92%3Bepage%3D94%3Baulast%3DAleemuddin NM Aleemuddin, Farah BahmedIndian Journal of Critical Care Medicine 2010 14(2):92-94Spontaneous medastinal emphysema, as a complication of acute severe asthma, is an uncommon entity. It usually runs a benign course and resolves spontaneously without any surgical intervention. Recognition of this complication is critical, as it has to be differentiated from other life threatening ones including oesophageal rupture, Boerhave's syndrome, acute coronary syndrome and pulmonary embolism. This case is being presented to emphasize its recognition in the differential diagnosis of complications arising from acute severe asthma and to present its management strategy in detail. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840984 Mon, 09 Aug 2010 12:32:41 +0100 3840984 Intensive care management of patients with acute intermittent porphyria: Clinical report of four cases and review of literature http://www.medworm.com/index.php?rid=3840983&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D88%3Bepage%3D91%3Baulast%3DMehta Madhur Mehta, Girija P Rath, Uma P Padhy, Manish Marda, Charu Mahajan, Hari H DashIndian Journal of Critical Care Medicine 2010 14(2):88-91Acute intermittent porphyria (AIP), the most common and the most severe form of acute hepatic porphyria, is an autosomal dominant condition. It results from lower-than-normal levels (less than 50%) of porphobilinogen (PBG) deaminase. Patients may present commonly with gastrointestinal complaints and neuropsychiatric manifestations. Diagnosis may be confirmed with the presence of intermediary metabolites of haem synthesis, amino levulinic acid (ALA) and PBG in urine or with specific enzyme assays. Abdominal pain is the most common symptom (90%). Peripheral polyneuropathy, primarily motor with flaccid paresis of proximal musculature, with or... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840983 Mon, 09 Aug 2010 12:32:41 +0100 3840983 Can we predict intensive care relatives at risk for posttraumatic stress disorder? http://www.medworm.com/index.php?rid=3840982&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D83%3Bepage%3D87%3Baulast%3DPillai Conclusions: HAD score greater than 11 was the only factor at admission which could statistically predict a higher PTSD score on follow-up. Adequate counseling of this group of relatives may prevent lasting psychological sequelae of an ICU admission in the relatives of critically ill. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840982 Mon, 09 Aug 2010 12:32:41 +0100 3840982 Critically ill patients with 2009 H1N1 infection in an Indian ICU http://www.medworm.com/index.php?rid=3840981&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D77%3Bepage%3D82%3Baulast%3DChacko Conclusions: 2009 H1N1 infection caused severe disease in relatively young patients without significant co-morbidities, characterized by severe hypoxemia and the requirement for prolonged mechanical ventilation. Extra-pulmonary organ failure included circulatory and renal failure. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840981 Mon, 09 Aug 2010 12:32:41 +0100 3840981 Effect of multimodality chest physiotherapy in prevention of ventilator-associated pneumonia: A randomized clinical trial http://www.medworm.com/index.php?rid=3840980&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D70%3Bepage%3D76%3Baulast%3DPattanshetty Conclusions: It was observed in this study that twice-daily multimodality chest physiotherapy was associated with a significant decrease in the CPIS Scores in the study group as compared to the control group suggesting a decrease in the occurrence of VAP. There was also a significant reduction in the mortality rates with the use of multimodality chest physiotherapy in mechanically ventilated patients. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840980 Mon, 09 Aug 2010 12:32:41 +0100 3840980 Acid-base disorders in critically ill neonates http://www.medworm.com/index.php?rid=3840979&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D65%3Bepage%3D69%3Baulast%3DLekhwani Conclusion: Birth asphyxia with high-lactate levels in neonates constituted major alterations in acid-base disorders seen in an emergency room of a tertiary teaching care hospital. Plasma lactate concentration measurement provides an invaluable tool to assess type of metabolic acidosis in addition to predicting mortality in these neonates. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840979 Mon, 09 Aug 2010 12:32:41 +0100 3840979 Interpretation of arterial blood gas http://www.medworm.com/index.php?rid=3840978&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D2%3Bspage%3D57%3Bepage%3D64%3Baulast%3DSood Pramod Sood, Gunchan Paul, Sandeep PuriIndian Journal of Critical Care Medicine 2010 14(2):57-64Disorders of acid-base balance can lead to severe complications in many disease states, and occasionally the abnormality may be so severe as to become a life-threatening risk factor. The process of analysis and monitoring of arterial blood gas (ABG) is an essential part of diagnosing and managing the oxygenation status and acid-base balance of the high-risk patients, as well as in the care of critically ill patients in the Intensive Care Unit. Since both areas manifest sudden and life-threatening changes in all the systems concerned, a thorough understanding of acid-base balance is mandatory for any physician, and the anesthesiologist is no exception. However, the understanding of ABGs and their... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3840978 Mon, 09 Aug 2010 12:32:41 +0100 3840978 Critical care issues in liver transplantation http://www.medworm.com/index.php?rid=4094649&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F106%2F68232 Luis Ignacio Gonzalez-GranadoIndian Journal of Critical Care Medicine 2010 14(2):106-107 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094649 Sun, 08 Aug 2010 23:00:00 +0100 4094649 Cyclophosphamide in alveolar hemorrahge due to leptospirosis http://www.medworm.com/index.php?rid=4094648&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F105%2F68231 Anand V Joshi, Farhad KapadiaIndian Journal of Critical Care Medicine 2010 14(2):105-106 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094648 Sun, 08 Aug 2010 23:00:00 +0100 4094648 Carbon monoxide poisoning http://www.medworm.com/index.php?rid=4094647&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F105%2F68229 H Singh, S AggarwalIndian Journal of Critical Care Medicine 2010 14(2):105-105 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094647 Sun, 08 Aug 2010 23:00:00 +0100 4094647 Placebo support: A possible weaning trial in ventilator dependency http://www.medworm.com/index.php?rid=4094646&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F104%2F68213 Abhishek Bansal, Anurag Tewari, Harsimran Singh, Shuchita Garg, Abhinav SharmaIndian Journal of Critical Care Medicine 2010 14(2):104-105 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094646 Sun, 08 Aug 2010 23:00:00 +0100 4094646 Successful renal transplantation after recovery from acute disseminated encephalomyelitis in a child with end-stage renal disease http://www.medworm.com/index.php?rid=4094645&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F101%2F68228 We report an unusual case of ADEM in an 11-year old boy with end-stage renal disease, who underwent hemopoietic stem cell transplantation prior to renal transplantation. He needed admission to the intensive care unit and required mechanical ventilation. He responded to intravenous injection of steroids and upon recovery, underwent renal transplantation successfully. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094645 Sun, 08 Aug 2010 23:00:00 +0100 4094645 Rifampicin-isoniazid induced fatal fulminant hepatitis during treatment of latent tuberculosis: A case report and literature review http://www.medworm.com/index.php?rid=4094644&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F97%2F68226 Fahmi Yousef Khan, Fatima RasoulIndian Journal of Critical Care Medicine 2010 14(2):97-100A 42-year-old Indian man received 450 mg rifampicin (RIF) and 150 mg isoniazid (INH) daily after being diagnosed of a latent tuberculosis infection. Baseline serum aminotransferase and total bilirubin levels were within normal limits. On day 31 of treatment, the patient experienced epigastric discomfort and general malaise and one week later he developed nausea and episodic vomiting. The patient missed his first scheduled clinic appointment and he continued taking RIF-INH despite his symptoms. He visited the tuberculosis clinic on day 47 of treatment where he was found to be jaundiced and his liver enzymes were elevated. RIF-INH was stopped and the patient was admitted to our hospital as a case of RIF... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094644 Sun, 08 Aug 2010 23:00:00 +0100 4094644 Finding on a chest radiograph: A dangerous complication of subclavian vein cannulation http://www.medworm.com/index.php?rid=4094643&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F95%2F68225 Nataraj Madagondapalli Srinivasan, Akshay KumarIndian Journal of Critical Care Medicine 2010 14(2):95-96Cannulation of the subclavian vein has its inherent risks. Post procedure chest radiograph is one of the investigations done to rule out immediate complications. Unless the clinician is aware as to what to look for in the radiograph, some of the dangerous complications can be overlooked. Accidental subclavian artery cannulation is identified immediately by color and jet of the blood. Also the position of the catheter tip has to be confirmed by obtaining the arterial pressure tracing using a pressure transducer. Non availability of Doppler ultrasound and pressure transducer are limiting factors for immediate confirmation of proper catheter placement. Also, in patients with severe hypotens... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094643 Sun, 08 Aug 2010 23:00:00 +0100 4094643 Spontaneous pnemomedastinum in acute severe asthma http://www.medworm.com/index.php?rid=4094642&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F92%2F68224 NM Aleemuddin, Farah BahmedIndian Journal of Critical Care Medicine 2010 14(2):92-94Spontaneous medastinal emphysema, as a complication of acute severe asthma, is an uncommon entity. It usually runs a benign course and resolves spontaneously without any surgical intervention. Recognition of this complication is critical, as it has to be differentiated from other life threatening ones including oesophageal rupture, Boerhave's syndrome, acute coronary syndrome and pulmonary embolism. This case is being presented to emphasize its recognition in the differential diagnosis of complications arising from acute severe asthma and to present its management strategy in detail. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094642 Sun, 08 Aug 2010 23:00:00 +0100 4094642 Intensive care management of patients with acute intermittent porphyria: Clinical report of four cases and review of literature http://www.medworm.com/index.php?rid=4094641&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F88%2F68222 Madhur Mehta, Girija P Rath, Uma P Padhy, Manish Marda, Charu Mahajan, Hari H DashIndian Journal of Critical Care Medicine 2010 14(2):88-91Acute intermittent porphyria (AIP), the most common and the most severe form of acute hepatic porphyria, is an autosomal dominant condition. It results from lower-than-normal levels (less than 50%) of porphobilinogen (PBG) deaminase. Patients may present commonly with gastrointestinal complaints and neuropsychiatric manifestations. Diagnosis may be confirmed with the presence of intermediary metabolites of haem synthesis, amino levulinic acid (ALA) and PBG in urine or with specific enzyme assays. Abdominal pain is the most common symptom (90%). Peripheral polyneuropathy, primarily motor with flaccid paresis of proximal musculature, with or... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094641 Sun, 08 Aug 2010 23:00:00 +0100 4094641 Can we predict intensive care relatives at risk for posttraumatic stress disorder? http://www.medworm.com/index.php?rid=4094640&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F83%2F68221 Conclusions: HAD score greater than 11 was the only factor at admission which could statistically predict a higher PTSD score on follow-up. Adequate counseling of this group of relatives may prevent lasting psychological sequelae of an ICU admission in the relatives of critically ill. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094640 Sun, 08 Aug 2010 23:00:00 +0100 4094640 Critically ill patients with 2009 H1N1 infection in an Indian ICU http://www.medworm.com/index.php?rid=4094639&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F77%2F68220 Conclusions: 2009 H1N1 infection caused severe disease in relatively young patients without significant co-morbidities, characterized by severe hypoxemia and the requirement for prolonged mechanical ventilation. Extra-pulmonary organ failure included circulatory and renal failure. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094639 Sun, 08 Aug 2010 23:00:00 +0100 4094639 Effect of multimodality chest physiotherapy in prevention of ventilator-associated pneumonia: A randomized clinical trial http://www.medworm.com/index.php?rid=4094638&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F70%2F68218 Conclusions: It was observed in this study that twice-daily multimodality chest physiotherapy was associated with a significant decrease in the CPIS Scores in the study group as compared to the control group suggesting a decrease in the occurrence of VAP. There was also a significant reduction in the mortality rates with the use of multimodality chest physiotherapy in mechanically ventilated patients. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094638 Sun, 08 Aug 2010 23:00:00 +0100 4094638 Acid-base disorders in critically ill neonates http://www.medworm.com/index.php?rid=4094637&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F65%2F68217 Conclusion: Birth asphyxia with high-lactate levels in neonates constituted major alterations in acid-base disorders seen in an emergency room of a tertiary teaching care hospital. Plasma lactate concentration measurement provides an invaluable tool to assess type of metabolic acidosis in addition to predicting mortality in these neonates. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094637 Sun, 08 Aug 2010 23:00:00 +0100 4094637 Interpretation of arterial blood gas http://www.medworm.com/index.php?rid=4094636&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Ftext.asp%3F2010%2F14%2F2%2F57%2F68215 Pramod Sood, Gunchan Paul, Sandeep PuriIndian Journal of Critical Care Medicine 2010 14(2):57-64Disorders of acid-base balance can lead to severe complications in many disease states, and occasionally the abnormality may be so severe as to become a life-threatening risk factor. The process of analysis and monitoring of arterial blood gas (ABG) is an essential part of diagnosing and managing the oxygenation status and acid-base balance of the high-risk patients, as well as in the care of critically ill patients in the Intensive Care Unit. Since both areas manifest sudden and life-threatening changes in all the systems concerned, a thorough understanding of acid-base balance is mandatory for any physician, and the anesthesiologist is no exception. However, the understanding of ABGs and their... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=4094636 Sun, 08 Aug 2010 23:00:00 +0100 4094636 Pediatric Sepsis Guidelines: summary for resource-limited countries http://www.medworm.com/index.php?rid=3555035&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D41%3Bepage%3D52%3Baulast%3DKhilnani Discussion included issues such as sepsis definitions, rapid cardiopulmonary assessment, feasibility of early aggressive fluid therapy, inotropic support, corticosteriod therapy, early endotracheal intubation and use of positive end expiratory pressure/mechanical ventilation, initial empirical antibiotic therapy, glycemic control, and role of immunoglobulin, blood, and blood products. Objective: To achieve a reasonable evidence-based consensus on the basis of published literature and expert opinion to formulating clinical practice guidelines applicable to resource-limited countries such as India. Recommendations: Pediatric sepsis guidelines are presented in text and flow chart format keeping resource limitations in mind for countries such as India and Africa. Levels of evidence are indicat... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3555035 Wed, 12 May 2010 14:43:59 +0100 3555035 Pediatric sepsis guidelines summary for resource-limited countries http://www.medworm.com/index.php?rid=3537125&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D41%3Bepage%3D52%3Baulast%3DKhilnani Discussion included issues such as sepsis definitions, rapid cardiopulmonary assessment, feasibility of early aggressive fluid therapy, inotropic support, corticosteriod therapy, early endotracheal intubation and use of positive end expiratory pressure/mechanical ventilation, initial empirical antibiotic therapy, glycemic control, and role of immunoglobulin, blood, and blood products. Objective: To achieve a reasonable evidence-based consensus on the basis of published literature and expert opinion to formulating clinical practice guidelines applicable to resource-limited countries such as India. Recommendations: Pediatric sepsis guidelines are presented in text and flow chart format keeping resource limitations in mind for countries such as India and Africa. Levels of evidence are indicat... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537125 Thu, 06 May 2010 15:05:57 +0100 3537125 Expert's comments http://www.medworm.com/index.php?rid=3537124&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D39%3Bepage%3D40%3Baulast%3DMani Mani R KIndian Journal of Critical Care Medicine 2010 14(1):39-40 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537124 Thu, 06 May 2010 15:05:57 +0100 3537124 Effectiveness of early start of direct hemoperfusion with polymyxin B-immobilized fiber columns judging from stabilization in circulatory dynamics in surgical treatment patients http://www.medworm.com/index.php?rid=3537123&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D35%3Bepage%3D39%3Baulast%3DSakamoto Conclusion: The results of this study suggest the utility of early DHP-PMX in surgical group. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537123 Thu, 06 May 2010 15:05:57 +0100 3537123 Comparison of phenylephrine and norepinephrine in the management of dopamine-resistant septic shock http://www.medworm.com/index.php?rid=3537122&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D29%3Bepage%3D34%3Baulast%3DJain This study aims to compare two vasoconstrictors: - norepinephrine and phenylephrine - in the management of dopamine- resistant septic shock. Materials and Methods: We performed a randomized, prospective, controlled trial in 54 septic shock patients, with persistent hypotension despite adequate volume resuscitation and continued dopamine infusion ~25μg/kg/h. Patients were randomly allocated into two groups to receive either norepinephrine or phenylephrine infusion (n = 27 each) titrated to achieve a target of SBP > 90mm Hg, MAP > 75 mm Hg, SVRI > 1100 dynes.s/cm5m2, CI > 2.8 L/min/m2, DO2I > 550 ml/min/m2, and VO2I > 150 ml/min/m2 for continuous 6 h. All the parameters were recorded every 30 min and increment in dos... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537122 Thu, 06 May 2010 15:05:57 +0100 3537122 Microalbuminuria: A novel biomarker of sepsis http://www.medworm.com/index.php?rid=3537121&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D22%3Bepage%3D28%3Baulast%3DBasu Conclusion: Absence of significant microalbuminuria on ICU admission is unlikely to be associated with sepsis. At 24 hours, absence of elevated levels of microalbuminuria is strongly predictive of ICU survival, equivalent to the time-tested APACHE II scores. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537121 Thu, 06 May 2010 15:05:57 +0100 3537121 Sepsis-induced acute kidney injury http://www.medworm.com/index.php?rid=3537120&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D14%3Bepage%3D21%3Baulast%3DMajumdar Majumdar ArghyaIndian Journal of Critical Care Medicine 2010 14(1):14-21Acute kidney injury (AKI) is a common sequel of sepsis in the intensive care unit. It is being suggested that sepsis-induced AKI may have a distinct pathophysiology and identity. Availability of biomarkers now enable us to detect AKI as early as four hours after it's inception and may even help us to delineate sepsis-induced AKI. Protective strategies such as preferential use of vasopressin or prevention of intra-abdominal hypertension may help, in addition to the other global management strategies of sepsis. Pharmacologic interventions have had limited success, may be due to their delayed usage. Newer developments in extracorporeal blood purification techniques may proffer effects beyond simple replacement of r... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537120 Thu, 06 May 2010 15:05:57 +0100 3537120 Severe sepsis bundles http://www.medworm.com/index.php?rid=3537119&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D8%3Bepage%3D13%3Baulast%3DKhan Khan Parvez, Divatia J VIndian Journal of Critical Care Medicine 2010 14(1):8-13Sepsis is a complex syndrome with its wide spectrum of severity, and is one of the most common causes of death in Critical Care Units. The Surviving Sepsis campaign launched in 2004, is aimed at improving diagnosis, management and survival of patients with sepsis. Care bundles are a group of best evidence based interventions which when instituted together, gives maximum outcome benefit. Care Bundles are simple, uniform and have universal practical applicability. Surviving Sepsis campaign guidelines in 2008 incorporated two sepsis care bundles. The Resuscitation bundle includes seven key interventions to be achieved in 6-h while four interventions have to be completed within 24-h in the Management bundle. Compli... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537119 Thu, 06 May 2010 15:05:57 +0100 3537119 Top stories of 2009 http://www.medworm.com/index.php?rid=3537118&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D3%3Bepage%3D7%3Baulast%3DTodi Todi S KIndian Journal of Critical Care Medicine 2010 14(1):3-7 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537118 Thu, 06 May 2010 15:05:57 +0100 3537118 Sepsis: New horizons http://www.medworm.com/index.php?rid=3537117&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2010%3Bvolume%3D14%3Bissue%3D1%3Bspage%3D1%3Bepage%3D2%3Baulast%3DTodi Todi SubhashIndian Journal of Critical Care Medicine 2010 14(1):1-2 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3537117 Thu, 06 May 2010 15:05:57 +0100 3537117 Authors' reply http://www.medworm.com/index.php?rid=3373041&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D225%3Bepage%3D225%3Baulast%3DSingh Singh Harsimran, Tewari Anurag, Kaur Balvinder, Garg SuchitaIndian Journal of Critical Care Medicine 2009 13(4):225-225 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373041 Wed, 17 Mar 2010 16:11:54 +0100 3373041 Venous air embolism http://www.medworm.com/index.php?rid=3373040&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D225%3Bepage%3D225%3Baulast%3DAggarwal Aggarwal SourabhIndian Journal of Critical Care Medicine 2009 13(4):225-225 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373040 Wed, 17 Mar 2010 16:11:54 +0100 3373040 Patient communication (SMS) in ICU http://www.medworm.com/index.php?rid=3373039&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D224%3Bepage%3D225%3Baulast%3DHaranath Haranath P. S. R. KIndian Journal of Critical Care Medicine 2009 13(4):224-225 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373039 Wed, 17 Mar 2010 16:11:54 +0100 3373039 Anaphylactoid to polyurethane foam (yellow foam) among architects http://www.medworm.com/index.php?rid=3373038&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D224%3Bepage%3D224%3Baulast%3DWiwanitkit Wiwanitkit VirojIndian Journal of Critical Care Medicine 2009 13(4):224-224 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373038 Wed, 17 Mar 2010 16:11:54 +0100 3373038 Acute renal failure caused by pheniramine maleate induced rhabdomyolysis: An unusual case http://www.medworm.com/index.php?rid=3373037&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D221%3Bepage%3D223%3Baulast%3DPaul We report a case of a suicide attempt in a young male, where ingestion of antihistamine pheniramine maleate was complicated by nontraumatic rhabdomyolysis and oliguric acute renal failure. Rhabdomyolysis and acute renal failure is a rarely reported but potentially serious complication among patients who present to the emergency after intentional overdoses making recognition and prompt intervention essential. We also describe the potential mechanism of muscle injury in antihistamine overdose. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373037 Wed, 17 Mar 2010 16:11:54 +0100 3373037 Extreme metabolic alkalosis in intensive care http://www.medworm.com/index.php?rid=3373036&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D217%3Bepage%3D220%3Baulast%3DTripathy Tripathy SwagataIndian Journal of Critical Care Medicine 2009 13(4):217-220Metabolic alkalosis is a commonly seen imbalance in the intensive care unit (ICU). Extreme metabolic alkalemia, however, is less common. A pH greater than 7.65 may carry a high risk of mortality (up to 80%). We discuss the entity of life threatening metabolic alkalemia by means of two illustrative cases - both with a pH greater than 7.65 on presentation. The cause, modalities of managing and complications of this condition is discussed from the point of view of both the traditional method of Henderson and Hasselbalch and the mathematical model based on physiochemical model described by Stewart. Special mention to the pitfalls in managing patients of metabolic alkalosis with concomitant renal compromise is mad... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373036 Wed, 17 Mar 2010 16:11:54 +0100 3373036 Ultrasonography: A novel approach to central venous cannulation http://www.medworm.com/index.php?rid=3373035&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D213%3Bepage%3D216%3Baulast%3DAgarwal Conclusion: USG-guided CVC is thus easier, quicker, and safer than landmark approach. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373035 Wed, 17 Mar 2010 16:11:54 +0100 3373035 Role of noninvasive ventilation in weaning from mechanical ventilation in patients of chronic obstructive pulmonary disease: An Indian experience http://www.medworm.com/index.php?rid=3373034&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D207%3Bepage%3D212%3Baulast%3DPrasad Prasad Shiva B.N, Chaudhry Dhruva, Khanna RajanIndian Journal of Critical Care Medicine 2009 13(4):207-212Background: Endotracheal intubation and mechanical ventilation (MV) are often needed in patients of chronic obstructive pulmonary disease (COPD) with acute hypercapnic respiratory failure. The rate of weaning failure is high and prolonged MV increases intubation associated complications. Objective: To evaluate the role of Noninvasive ventilation (NIV) in weaning patients of chronic obstructive pulmonary disease (COPD) from MV, after T piece trial failure. Design: A prospective, randomized, controlled study was conducted in a tertiary care centre. 30 patients of acute exacerbation of COPD with acute on chronic hypercapnic respiratory failure, who were mechanically ventilated, were inclu... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373034 Wed, 17 Mar 2010 16:11:54 +0100 3373034 Quality indicators for ICU: ISCCM guidelines for ICUs in India http://www.medworm.com/index.php?rid=3373033&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D173%3Bepage%3D206%3Baulast%3DRay Ray B, Samaddar D P, Todi S K, Ramakrishnan N, John George, Ramasubban SureshIndian Journal of Critical Care Medicine 2009 13(4):173-206 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3373033 Wed, 17 Mar 2010 16:11:54 +0100 3373033 Authors' reply http://www.medworm.com/index.php?rid=3313944&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D225%3Bepage%3D225%3Baulast%3DSingh%3Btype%3D0 Singh Harsimran, Tewari Anurag, Kaur Balvinder, Garg SuchitaIndian Journal of Critical Care Medicine 2009 13(4):225-225 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313944 Sat, 27 Feb 2010 15:55:25 +0100 3313944 Venous air embolism http://www.medworm.com/index.php?rid=3313943&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D225%3Bepage%3D225%3Baulast%3DAggarwal%3Btype%3D0 Aggarwal SourabhIndian Journal of Critical Care Medicine 2009 13(4):225-225 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313943 Sat, 27 Feb 2010 15:55:25 +0100 3313943 Patient communication (SMS) in ICU http://www.medworm.com/index.php?rid=3313942&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D224%3Bepage%3D225%3Baulast%3DHaranath%3Btype%3D0 Haranath P. S. R. KIndian Journal of Critical Care Medicine 2009 13(4):224-225 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313942 Sat, 27 Feb 2010 15:55:25 +0100 3313942 Anaphylactoid to polyurethane foam (yellow foam) among architects http://www.medworm.com/index.php?rid=3313941&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D224%3Bepage%3D224%3Baulast%3DWiwanitkit%3Btype%3D0 Wiwanitkit VirojIndian Journal of Critical Care Medicine 2009 13(4):224-224 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313941 Sat, 27 Feb 2010 15:55:25 +0100 3313941 Acute renal failure caused by pheniramine maleate induced rhabdomyolysis: An unusual case http://www.medworm.com/index.php?rid=3313940&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D221%3Bepage%3D223%3Baulast%3DPaul%3Btype%3D0 Paul G, Sood P, Paul B S, Puri SIndian Journal of Critical Care Medicine 2009 13(4):221-223 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313940 Sat, 27 Feb 2010 15:55:25 +0100 3313940 Extreme metabolic alkalosis in intensive care http://www.medworm.com/index.php?rid=3313939&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D217%3Bepage%3D220%3Baulast%3DTripathy%3Btype%3D0 Tripathy SwagataIndian Journal of Critical Care Medicine 2009 13(4):217-220 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313939 Sat, 27 Feb 2010 15:55:25 +0100 3313939 Ultrasonography: A novel approach to central venous cannulation http://www.medworm.com/index.php?rid=3313938&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D213%3Bepage%3D216%3Baulast%3DAgarwal%3Btype%3D0 Agarwal Ankit, Singh Dinesh K, Singh Anil PIndian Journal of Critical Care Medicine 2009 13(4):213-216 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313938 Sat, 27 Feb 2010 15:55:25 +0100 3313938 Role of noninvasive ventilation in weaning from mechanical ventilation in patients of chronic obstructive pulmonary disease: An Indian experience http://www.medworm.com/index.php?rid=3313937&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D207%3Bepage%3D212%3Baulast%3DPrasad%3Btype%3D0 Prasad Shiva B.N, Chaudhry Dhruva, Khanna RajanIndian Journal of Critical Care Medicine 2009 13(4):207-212 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313937 Sat, 27 Feb 2010 15:55:25 +0100 3313937 Quality indicators for ICU: ISCCM guidelines for ICUs in India http://www.medworm.com/index.php?rid=3313936&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D4%3Bspage%3D173%3Bepage%3D206%3Baulast%3DRay%3Btype%3D0 Ray B, Samaddar D P, Todi S K, Ramakrishnan N, John George, Ramasubban SureshIndian Journal of Critical Care Medicine 2009 13(4):173-206 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3313936 Sat, 27 Feb 2010 15:55:25 +0100 3313936 Aluminum phosphide poisoning http://www.medworm.com/index.php?rid=3121867&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D3%3Bspage%3D171%3Bepage%3D171%3Baulast%3DWiwanitkit Wiwanitkit VirojIndian Journal of Critical Care Medicine 2009 13(3):171-171 (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3121867 Sat, 26 Dec 2009 15:31:17 +0100 3121867 Accidental carbon monoxide poisoning in our homes http://www.medworm.com/index.php?rid=3121866&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D3%3Bspage%3D169%3Bepage%3D170%3Baulast%3DSharma Sharma Shruti, Gupta Rahul, Paul Barinder S, Puri Sandeep, Garg ShuchitaIndian Journal of Critical Care Medicine 2009 13(3):169-170Carbon monoxide (CO) is a colorless, odorless, tasteless, nonirritating, but significantly toxic gas. It is a product of combustion of organic matter in presence of insufficient oxygen supply. Symptoms of mild poisoning include headaches, vertigo and flu like effects, whereas larger exposures can lead to significant toxicity of the central nervous system (CNS), heart, and even death. We are reporting two cases that presented to us in the winter months of December to January with history, sign, symptoms, and radiological evidence of suspected CO poisoning. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3121866 Sat, 26 Dec 2009 15:31:17 +0100 3121866 Vincristine-induced acute life-threatening hyponatremia resulting in seizure and coma http://www.medworm.com/index.php?rid=3121865&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D3%3Bspage%3D167%3Bepage%3D168%3Baulast%3DNagappa We report a case of a four-year-old boy with stage 1 Wilms tumour, who developed Vincristine-induced acute life- threatening hyponatremia, which presented as generalized tonic clonic seizures and coma. He was intubated and mechanically ventilated. There were no localizing neurological signs. CSF study showed no cells and CSF proteins were 20 mg%. Electrocardiography, chest X-ray, echocardiography, CT scan and liver function tests were normal. Evaluation of electrolytes and arterial blood gas showed serum sodium of 113 mEq/L with mild metabolic acidosis. Serum osmolality was 260 mOsm/L (normal value 285-295 mOsm/L) and urine osmolality was 625 mOsm/L (normal range 300-900 mOsm/L), urine sodium 280 mEq/d (normal range 100-260 mEq/d), serum potassium, blood urea, blood sugars were norm... Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3121865 Sat, 26 Dec 2009 15:31:17 +0100 3121865 Concurrent administration of heparin and activated protein C in a patient with pulmonary embolism and severe sepsis with positive outcome http://www.medworm.com/index.php?rid=3121864&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D3%3Bspage%3D163%3Bepage%3D166%3Baulast%3DJuneja Juneja Deven, Mohan S, Veturi Vivek V, Gopal Palepu BIndian Journal of Critical Care Medicine 2009 13(3):163-166Results of the PROWESS trial suggested that heparin may reduce the efficacy of recombinant human activated protein C (rhAPC) and the XPRESS study also showed increased bleeding complications in patients receiving heparin with rhAPC. Although it has been shown that heparin prophylaxis may be used along with rhAPC, no study has shown the interaction between continuous heparin infusion and rhAPC. Here, we report a case of severe sepsis with pulmonary embolism who was concurrently administered heparin and rhAPC infusions, with positive results and no bleeding complications. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3121864 Sat, 26 Dec 2009 15:31:17 +0100 3121864 How correct is the correct length for central venous catheter insertion http://www.medworm.com/index.php?rid=3121863&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D3%3Bspage%3D159%3Bepage%3D162%3Baulast%3DKujur Conclusion:</b> By cannulating the IJV through a central approach, the catheters can be fixed at a length of 12-13 cm in males and 11-12 cm in females in the right IJV and at a length of 13-14 cm in males and 12-13 cm in females in the left IJV in order to achieve correct positioning. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3121863 Sat, 26 Dec 2009 15:31:17 +0100 3121863 Prevalence and antimicrobial susceptibility pattern of methicillin-resistant <i>Staphylococcus aureus</i> in Assam http://www.medworm.com/index.php?rid=3121862&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D3%3Bspage%3D156%3Bepage%3D158%3Baulast%3DSaikia Conclusions:</b> There is a progressive increase in MRSA prevalence in the country but the present rate is still low in comparison to values found in some other institutes. The rate of inducible MLS<sub> B</sub> resistance was also lower in comparison with findings from other parts of the country. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3121862 Sat, 26 Dec 2009 15:31:17 +0100 3121862 Pattern and outcome of acute poisoning cases in a tertiary care hospital in Karnataka, India http://www.medworm.com/index.php?rid=3121861&cid=s_33826_53_f&fid=33826&url=http%3A%2F%2Fwww.ijccm.org%2Farticle.asp%3Fissn%3D0972-5229%3Byear%3D2009%3Bvolume%3D13%3Bissue%3D3%3Bspage%3D152%3Bepage%3D155%3Baulast%3DRamesha Conclusion:</b> Poisoning is more common in young males. The overall mortality is substantially high, mainly contributed by self-poisoning with insecticides and corrosives. Early care in a tertiary care center may help to reduce mortality in India. (Source: Indian Journal of Critical Care Medicine) Indian Journal of Critical Care Medicine journals http://www.medworm.com/rss/comments.php?id=3121861 Sat, 26 Dec 2009 15:31:17 +0100 3121861