Snake bite is a well-known occupational hazard amongst farmers, plantation workers, and other outdoor workers results in much morbidity mortality throughout the world. This no more an issue restricted to particular part of world; it has become global issue. Accurate statistics incidence snakebite its world does not exist; however, certain be higher than what reported. because even today most victims initially approach traditional healers for treatment many are registered hospital. Hence,...

Background and Aims: Organophosphorus (OP) compound poisoning is one of the most common poisonings in India. The aim study was to outcomes predictors mortality patients with acute OP requiring mechanical ventilation. Methods: A retrospective conducted intensive care unit 117 were included. Diagnosis performed from history taken either patient or patient's relatives. Demographic data, month year, mode poisoning, age group, duration ventilation, time starting pralidoxime (PAM), recorded. Chi...

Context: Snake bites are the common cause of morbidity and mortality in tropical countries. Aims: To analyze outcome snake bite victims Settings Design: Retrospective analysis data from Intensive care unit, Department Anesthesiology. Materials Methods: All patients admitted intensive unit for management during year May 2004 - April 2009 were retrospectively reviewed. The included age, sex, month time incident, site bite, dose anti--snake venom, administration, duration mechanical...

Introduction Bedside measurement of optic nerve sheath diameter (ONSD) using ultrasonography (USG) is a useful method for detecting raised intracranial pressure (ICP). The primary and main objective this study to estimate ONSD among patients with brain tumor its regression post resection assess the correlation as well diagnostic accuracy same. Materials Methods This prospective observational was performed in tertiary health care center over span 3 months on 68 adults either sex, out which 30...

Study Objectives: To compare the efficacy of two different types Heat and Moisture Exchangers (HME filters) in reducing transmission infection from patient to ventilator vice versa also its cost effectiveness. Design: Randomized, controlled, double blind, prospective study. Patients Methods: 60 patients admitted ICU May 1, 2007 July 31, either sex, age ranging between 20 years, requiring mechanical ventilation were screened for Following intubation patients, HME device was attached breathing...

Airway management in patients of ankylosing spondylitis remains a challenge for anaesthesiologists. Many new airway devices have been used securing these patients. The Airtraq(®) optical laryngoscope is one the rigid laryngoscopes with proximal view finder that reflects an image transferred from distal tip blade through series lenses, prisms and mirrors. We report two cases who were scheduled total hip replacement subtotal thyroidectomy successfully intubated using laryngoscope.

Metabolic acid-base disorders in critically ill patients may not be identified by base excess (BE) approach. Anion gap method can detect approximately 1/3 hidden "gap acidosis". In such conditions, when adjusted for hypoalbuminemia, Fencl-Stewart's approach reliably the abnormal anions.Evaluate efficacy of simplified Fencl-Stewart equation identifying changes status sepsis following resuscitation with two different fluids.Intensive care unit, randomized, prospective, interventional...

El procedimiento de tomar las muestras gases arteriales puede ser técnicamente difícil y tiene limitaciones complicaciones. La colocación un catéter venoso central es obligado en la unidad cuidados intensivos (UCI). toma sangre venosa mucho más fácil rápida, menos complicada. Correlación concordancia entre los valores pH, PO2, PCO2 HCO3– arterial pacientes con ventilación mecánica. objetivo era evaluar correlación e inferir si venosos centrales podían reemplazar lectura arteriales. UCI...

Background: The Pitt Bacteremia Score (PBS) is used to predict 14-day inpatient mortality in bloodstream infections. This study evaluates whether PBS can also ICU patients colonized or infected with Carbapenem -resistant Enterobacterales (CRE). Methods: CRE were selected, and each component was individually assessed. Outcomes noted after 14 days, a cutoff score for prediction analyzed. Results: Of 30 patients, 26 (86%) expired 4 (14%) survived. A of ≥4 associated significant increase...

Children in rural India are a vulnerable group for snake bites. Improper elicitation of history and atypical presentations could lead to misdiagnosis delay treatment. We reporting the case an 8-year-old male child who presented with convulsions, unconsciousness hypertension was initially managed as hypertensive encephalopathy showing no sign improvement even after 20 hs. The when reviewed suggested neurotoxic bite although patient did not have any classical local findings. Anti-snake venom...

The procedure for arterial blood sampling can be technically difficult with limitations and complications. To evaluate the correlation agreement between central venous pH, PO2, PCO2 HCO3− values infer whether gas (CVBG) could replace (ABG) values. Prospective observational study. A total of 100 samples were collected from 50 adult normotensive normothermic patients requiring mechanical ventilation. Arterial was radial artery within 2 minutes withdrawn same patient. Correlation tested using...

Background: The procedure for arterial blood sampling can be technically difficult with limitations and complications. Aims: To evaluate the correlation agreement between central venous pH, PO2, PCO2 HCO3- values infer whether gas (CVBG) could replace (ABG) values. Design: Prospective observational study. Methods Material: A total of 100 samples were collected from 50 adult normotensive normothermic patients requiring mechanical ventilation. Arterial was radial artery within 2 minutes...

Diaphragmatic injuries are relatively rare and result from either blunt or penetrating trauma. Regardless of the mechanism, diagnosis is often missed high index suspicion vital. The clinical signs associated with a diaphragmatic hernia can range no outward to immediately life-threatening respiratory compromise. Establishing (DI) be challenging as it clinically occult. Accurate critical since DI may in grave sequelae due herniation strangulation displaced intra-abdominal organs. We present...

Introduction: Coronavirus Disease-2019 (COVID-19) has taken the world by storm since its detection in China. The pandemic swept across globe and affected India. presence or absence of co-morbidities may determine clinical outcome. Clinical manifestations include cough, fever dyspnoea mainly. Aim: To elucidate epidemiological findings, features, COVID-19 disease outcomes first 500 patients admitted at a tertiary care teaching hospital Northern Materials Methods: retrospective observational...

A case of penetrating chest trauma owing to bull horn goring injury was managed surgically. Postoperative respiratory distress and severe hypoxia initially by conventional modes ventilatory assistance. We were unable correct non resolving hypoxaemia through usual course tracheal intubation positive pressure ventilation. Large amount persistent air leak at the intercostal tube drainage site arose suspicion associated traumatic bronchopleural fistula led try out alternative methods support. An...