A5066460852- Hemodynamic Monitoring and Therapy
- Renal function and acid-base balance
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Sepsis Diagnosis and Treatment
- Poisoning and overdose treatments
- Cardiac Arrest and Resuscitation
- Electrolyte and hormonal disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Antibiotic Use and Resistance
- Cardiac electrophysiology and arrhythmias
- Ion Transport and Channel Regulation
- Respiratory Support and Mechanisms
- Atrial Fibrillation Management and Outcomes
- Nosocomial Infections in ICU
- Pesticide Exposure and Toxicity
- Infective Endocarditis Diagnosis and Management
- Antifungal resistance and susceptibility
- Drug-Induced Hepatotoxicity and Protection
- Diet and metabolism studies
- Potassium and Related Disorders
- Trauma and Emergency Care Studies
- Family and Patient Care in Intensive Care Units
- Cardiac Arrhythmias and Treatments
- Diabetes Management and Research
- Diabetes and associated disorders
Fortis Escorts Hospital
2012-2024
Max Super Speciality Hospital
2024
Intravenous fluids are arguably the most widely prescribed medications in acute care setting. Like other classes of medications, fluid prescriptions require several considerations—the right indication, drug (fluid), dose, monitoring and duration. While appropriate prescription can be life- organ saving, irrational worsen dysfunction increase mortality. This article reviews current evidence supporting rationale intravenous acutely ill patients
Amlodipine overdose is only scarcely reported from India.We report two cases of near fatal managed in our ICU with ß uid, vasopressors, calcium infusion and Glucagon.Literature reviewed other treatment modalities discussed.
Introduction:This study was aimed to examine the impact of cumulative fluid balance on extubation failure following planned extubation.Methods: Consecutive adult patients (≥16 years) admitted in a general intensive care unit (ICU), between January 1, 2016, and December 31, 2017, mechanically ventilated for at least 24 h extubated successful spontaneous breathing trial, were prospectively evaluated.Results: The significantly higher group (median 4336.5 ml vs. 2752 ml, P = 0.036).The area...
In hospital-acquired pneumonia (HAP) due to extensively drug resistant gram-negative pathogens, can treatment with high-dose colistin aerosolization using specific aerosol delivery protocol, improve clinical outcome in addition systemic polymyxin-B?
Many countries have observed an increase in the incidence of invasive fungal infections (IFIs) over past two decades with emergence new risk factors and isolation pathogens. Early diagnosis appropriate antifungal treatment remain cornerstones successful outcomes. However, due to non-specific clinical presentations limited availability rapid diagnostic tests, more than half cases is inappropriate. As a result, resistance both yeasts mycelial fungi becoming increasingly common. The Delhi...
A 24-year-old female was admitted to our intensive care unit (ICU) with repeated episodes of seizures following deliberate ingestion an unknown quantity the anti-lice medication BUTOX (Deltmethrin 1.2%).On arrival in emergency department, patient given a bolus dose Lorazepam, and soon intubated, then loading phenytoin commenced.Gastric lavage not performed as had convulsions.On examination, she deeply comatose, getting generalized tonic clonic seizures.Her pulse rate 130/min regular, her...
A rare malposition of central venous catheter in the left superior intercostal vein is described.The diagnostic features and possible ways to prevent this complication are discussed.
Despite widespread availability, reports of herbicide poisoning from India are not common. Diagnosis is often difficult in the absence proper history, non-specific clinical features and lack diagnostic tests. A case Paraquat reported where diagnosis could be established only after recovery patient. The literature reviewed.
<b>Background</b> The natural history of cerebral venous malformations has not been well documented, and the clinical significance these common lesions remains controversial. <b>Objective</b> objective this study was to follow longitudinally course patients with document lesion. <b>Methods</b> Ninety-two radiographically confirmed were entered into between 1987 1996. Annual follow-up maintained by clinic visits andor phone interviews. Sixty-three (25 men 38 women) more than 1 year analyzed....
Round Table IntroductIonIn typical health-care settings, Intensive Care Units (ICUs) have 10%-15% of the total hospital beds, but hospital-acquired infections (HAIs) in ICUs account for 20%-30% all nosocomial infections. [1]In addition, are epicenters multidrug-resistant organisms (MDROs) which may increase chances inadequate empirical antibiotic therapy resulting excess mortality. [1]With emergence carbapenem-resistant Enterobacteriaceae (CRE) along with recent reports colistin resistance,...
We would like to report a case of invasive Fusariosis involving the native mitral valve and complicated by septic thromboembolism. The patient was known end-stage renal disease on maintenance haemodialysis did not have any risk factors for neutropaenia, severe T cell immunodeficiency, postsolid organ transplant recipients, posthaematopoietic stem recipients patients who received cytotoxic and/or high-dose corticosteroid therapy.
Current case report describes a 37-year-old female patient who was admitted to the hospital following subcutaneous injection of Dichlorvos with an insulin syringe. The only peripheral cholinergic sign observed on admission excessive salivation bilateral pyramidal tract signs. Locally she had necrosis skin and tissue surrounding blisters. In subsequent course her illness, developed respiratory arrest requiring ventilator support. She also delayed extrapyramidal manifestations. Relevant...
Sir, A 65-year-old male was brought to the erectile dysfunction with acute onset of altered consciousness level. Relatives informed that patient having high-grade fever 4 days back lasted for 2 days. On day admission, suddenly lost his following an episode vomiting. denied any history abnormal limb movements or frothing from mouth facial deviation. Repeated questioning all available relatives negative head trauma (even trivial). examination, he afebrile heart rate 76/min, regular, blood...
The feasibility of implementing a revised Montpellier intubation bundle incorporating recent evidences was tested in quality-improvement project. It hypothesized that this "Care Bundle" implementation would reduce intubation-related complications.The project conducted an 18-bedded multidisciplinary intensive care unit (ICU). Baseline data for intubations were collected over 3-month "Control Period". During the 2-month "Interphase", developed, and staff members involved process extensively...
Intravenous self-injection of phenol resulting in multi-organ failure is reported. The case discussed, because the unique nature exposure to and rapid involvement multiple organ systems including central nervous,pulmonary, renal hematological systems.
Training in echocardiography is essential for an intensivist.We present a rapidly fatal case of obstructive shock where vigilant intensivist could diagnose left atrial mass obstructing the mitral inflow as etiology shock.