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A Rare case of Listeria monocytogenes meningitis in an immunocompetent adult
Thejeswini Mahadevaiah, Pradeep Rangappa, Ipe Jacob, Karthik RaoIndian Journal of Critical Care Medicine 2018 22(12):892-893 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Thejeswini Mahadevaiah Pradeep Rangappa Ipe Jacob Karthik Rao Source Type: research

Junctional rhythm: A rare sign in leptospirosis
Rachana Warrier, Santosh Kumar Singh, Sarvinder Singh, Ajai Kumar Tentu, Nidhi Singh, Chinmaya Dash, Vani SinghIndian Journal of Critical Care Medicine 2018 22(12):889-891Leptospirosis is an important re-emerging infectious disease. Leptospirosis has been estimated to affect tens of millions of humans annually with a case fatality rate ranging from 5% to 25%; however, it is underreported due to the lack of clinical suspicion and barriers to diagnostic capacity. A 33-year-old healthy male presented with a history of fever of 2-day duration. His examination revealed icterus. His workup did not show any ...
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Rachana Warrier Santosh Kumar Singh Sarvinder Singh Ajai Kumar Tentu Nidhi Singh Chinmaya Dash Vani Singh Source Type: research

Multiple splenic abscesses in a case of enteric fever: Salvaging spleen through pigtail drainage and antibiotics is a good alternative approach
Vijoy Kumar Jha, Tushar VidhaleIndian Journal of Critical Care Medicine 2018 22(12):886-888Splenic abscess is a rare complication of enteric fever in developing countries. This is seen mostly solitary rather than being multiple and can be fatal if untreated. In general clinical practice, multiple splenic abscesses or thick pus with septations may require splenectomy. Here, we report a rare case of enteric fever with multiple splenic abscesses in a young immunocompetent male who was successfully managed with antibiotics and percutaneous pigtail drainage of pus from the larger cavity. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Vijoy Kumar Jha Tushar Vidhale Source Type: research

Extreme metabolic alkalosis and acute kidney injury in a 38-year-old male patient
We describe a case with life-threatening acid-base disturbances due to vomiting. A 38-year-old man presented to an emergency department with weakness and decreased urine output after having vomited up to 20 times per day over a period of 7 days. Arterial blood gas analysis revealed a metabolic alkalosis with partial respiratory compensation. Initial management consisted of oxygen therapy and intravenous fluid therapy with normal saline and potassium chloride. To prevent further gastric losses of HCl, proton-pump inhibitors and metoclopramide were administered. The vomiting was caused most likely by a temporary duodenal ste...
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Johannes Heymer Andreas Lienig Joachim L & #246;ffler Tobias Schilling Daniel R & #228;pple Source Type: research

Bilateral lower cranial nerve palsy after closed head injury: A case report and review of literature
Jose Chacko, Gagan Brar, Bhargav Mundlapudi, Pradeep KumarIndian Journal of Critical Care Medicine 2018 22(12):879-882Paralysis of the lower cranial nerves is uncommon after closed head injuries. Most cases reported are unilateral and associated with base of skull fractures, usually involving the occipital condyles. Bilateral lower cranial nerve palsy is even less common, with only a handful of cases reported in literature. A 17-year-old girl presented to us after she was involved in a side-on collision with a car while driving a scooter. She sustained traumatic brain injury requiring mechanical ventilation. Detailed neuro...
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Jose Chacko Gagan Brar Bhargav Mundlapudi Pradeep Kumar Source Type: research

Dilemmas and challenges in treating seronegative autoimmune encephalitis in Indian children
Conclusion: The possibility of autoimmune encephalitis should be considered in patients with super-refractory status epilepticus. A large proportion of children with suspected AE may be “seronegative.” A trial of immunotherapy should be given to these children when there is a strong clinical suspicion of autoimmune encephalitis even in the absence of cerebrospinal fluid autoantibodies. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Bandya Sahoo Mukesh Kumar Jain Reshmi Mishra Sibabratta Patnaik Source Type: research

Management of symmetrical peripheral gangrene
The objective of this review is to outline the etiology, pathology findings, and management practices of SPG. About 18%–40% mortality rate was reported, and survivors have high frequency of multiple limb amputations. SPG is the hallmark of disseminated intravascular coagulation (DIC). The main pathogenesis theory, to date, is microthrombosis associated with disturbed procoagulant–anticoagulant balance. The treatment of SPG is largely anecdotal and theoretically involves heparin-based anticoagulation and substitution of natural anticoagulants. Early recognition, prompt managem...
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Agus Iwan Foead Amuthaganesh Mathialagan Raghu Varadarajan Michael Larvin Source Type: research

Extracorporeal treatment in the management of acute poisoning: What an intensivist should know ?
This article aims to provide a brief overview of the technical aspects and the potential indications and limitations of the different ECTRs, highlighting the important characteristics of poison amenable to ECTR and the most appropriate prescriptions used in the setting of acute poisoning. The various principles that govern poison elimination by ECTR (diffusion, convection, adsorption, and centrifugation) and how components of the ECTR can be adjusted to maximize clearance have also being discussed. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Vijoy Kumar Jha KV Padmaprakash Source Type: research

An intervention study for the prevention and control of health care-associated infection in the critical cares area of a tertiary care hospital in Saudi Arabia
Conclusion: This small study showed that strict implementation of care bundles with good compliance of hand hygiene, Personal protective equipment and antibiotic stewardship are helpful for prevention and control of hospital acquired infections. This study also demonstrated significant (28%) reduction of hospital acquired infections during the study period. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Sanjay Kumar Gupta Fahd Khaleefah Al Khaleefah Ibrahim Saifi Al Harbi Fiaz Ahmed Sinimol Jabar Marilou Andal Torre Sunitha Lorin Mathias Source Type: research

Six-hour sepsis bundle decreases mortality: Truth or illusion & #8211; A prospective observational study
Conclusion: Irrespective of sepsis bundle compliance (complete/incomplete), outcome depends on the severity of illness reflected by high lactate and predicted mortality. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Pooja Anthwal Nirmal Kumar Ayush Manchanda Bhawna Garg Source Type: research

The utilization of the surviving sepsis campaign care bundles in the treatment of pediatric patients with severe sepsis or septic shock in a resource-limited environment: A prospective multicenter trial
Conclusion: Our study demonstrated a significant reduction in sepsis mortality after the implementation of the SSC care bundles. Early diagnosis of the disease, optimum hemodynamic resuscitation, and timely antibiotic administration are the key elements of sepsis management. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Rujipat Samransamruajkit Kawiwan Limprayoon Rojanee Lertbunrian Rattapon Uppala Chutima Samathakanee Pravit Jetanachai Nopparat Thamsiri Source Type: research

Comparison of various severity assessment scoring systems in patients with sepsis in a tertiary care teaching hospital
Conclusions: In our study, APACHE II score was found to be the most sensitive and specific in predicting the severity of sepsis compared to other scores. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Keertana Badrinath Monica Shekhar Moturu Sreelakshmi Meenakshi Srinivasan Girish Thunga Sreedharan Nair Karthik Rao Nileshwar Athira Balakrishnan Vijayanarayana Kunhikatta Source Type: research

Comparison of hemodynamic monitoring between transesophageal Doppler and ultrasonography-guided inferior vena cava distensibility in supine versus prone position: A pilot study
Conclusion: IVC variability can be observed in acute respiratory distress syndrome patients in prone position. Inferior Vena Cava Distensibility correlates with flow time in both the positions. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Pralay Shankar Ghosh Afzal Azim Sai Saran Arvind Kumar Baronia Banani Poddar Ratender Kumar Singh Mohan Gurjar Prabhaker Mishra Source Type: research

Acute kidney injury in Malaysian intensive care setting: Incidences, risk factors, and outcome
Conclusions: AKI is common in our ICU, with higher morbidity and mortality. Independent risk factors of AKI include age, the severity of illness, sepsis and preexisting hypertension, and chronic cardiovascular disease. AKI independently contributes to mortality. The presence of AKI and sepsis increased the risk of mortality by three times. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Azrina Md Ralib Suhaila Nanyan Nur Fariza Ramly Lim Chew Har Tan Cheng Cheng Mohd Basri Mat Nor Source Type: research

Turnaround time for red blood cell transfusion in the hospitalized patient: A single-center & #8220;Blood Ordering, Requisitioning, Blood Bank, Issue (of Blood), and Transfusion Delay & #8221; study
Conclusion: Majority of the delay for blood transfusion happens due to the processes outside blood bank premises. Understanding the steps where delay happens has the potential to reduce the turnaround time for lifesaving procedures such as blood transfusion in the hospitalized patients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Authors: Naveen Agnihotri Ajju Agnihotri Source Type: research