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An interventional quality improvement study to assess the compliance to cardiopulmonary resuscitation documentation in an indian teaching hospital
Conclusions: This study establishes that the compliance to CPR documentation is poor as assessed by CPR documentation content and quality, which improves after physician training, but not up to the mark level (100%) that may be due to busy Indian hospital settings and human behavioral factors. Due to ethical constraints of live CPR assessment, this document checklist approach may be considered as an internal quality assessment method for CPR compliance. Furthermore, correct instruction in CPR technique along with proper documentation of the procedure is required, followed up with periodic re-education during the...
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Viraj Nevrekar Prasan Kumar Panda Naveet Wig RM Pandey Praveen Agarwal Ashutosh Biswas Source Type: research

Treatment of acute kidney injury complicating septic shock with EMiC2 high-cutoff hemofilter: Case series
Conclusion: This case series shows that HCO-CVVH/CVVHD using EMiC2 hemofilter may provide good cytokine modulation, when used along with good quality standard sepsis therapy. A further large-scale prospective randomized controlled trial is recommended. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Hoi-Ping Shum King-Chung Chan Wing-Wa Yan Tak Mao Chan Source Type: research

Reliability and validity of the checklist for early recognition and treatment of acute illness and injury as a charting tool in the medical intensive care unit
Conclusions: CERTAIN provides a reliable and valid method to evaluate resuscitation events in real time. CERTAIN provided the ability to complete data in real-time. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Alexander Kogan Kelly M Pennington Saraschandra Vallabhajosyula Mikhail Dziadzko Courtney E Bennett Jeffrey B Jensen Ognjen Gajic John C O & #39;Horo Source Type: research

Role of urinary neutrophil gelatinase-associated lipocalin as a biomarker of acute kidney injury in patients with circulatory shock
Conclusion: uNGAL could be a good early predictor biomarker of AKI following circulatory shock. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Radhey Shyam Munna Lal Patel Rekha Sachan Satish Kumar Durgesh Kumar Pushkar Source Type: research

Critical care junior doctors & #39; profile in a lower middle-income country: A national cross-sectional survey
Conclusion: Measures to improve training opportunities for these doctors and strategies to improve their retention in ICUs need to be addressed. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Ambepitiyawaduge Pubudu De Silva D. D. S. Baranage Anuruddha Padeniya Ponsuge Chathurani Sigera Sunil De Alwis Anuja Unnathie Abayadeera Palitha G Mahipala Kosala Saroj Jayasinghe Arjen M Dondorp Rashan Haniffa Source Type: research

The PCQP score for volume status of acutely ill patients: Integrating vascular pedicle width, caval index, respiratory variability of the qrs complex and R wave amplitude
Conclusion: PCQP score could be a reliable and noninvasive technique for the assessment of volume status in critically ill patients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Ali Taghizadieh Kavous Shahsavari Nia Payman Moharramzadeh Mahboob Pouraghaei Atefeh Ghavidel Zahra Parsian Ata Mahmoodpoor Source Type: research

A clinical study on the initial assessment of arterial lactate and base deficit as predictors of outcome in trauma patients
Conclusion: Emergency admission arterial lactate and Base Deficit are useful predictors of mortality, need for blood transfusion and ICU admission at 24 h. It can be used to triage, identify shock early, assess transfusion requirement, and prognosticate trauma patients. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - November 13, 2017 Category: Intensive Care Authors: Rameshbabu Homanna Javali Prithvishree Ravindra Akkamahadevi Patil Madhu Srinivasarangan Harshit Mundada SB Adarsh S Nisarg Source Type: research

FAST HUGS BID: Modified mnemonic for surgical patient
Abhijit S Nair, Vibhavari Milind Naik, Basanth Kumar RayaniIndian Journal of Critical Care Medicine 2017 21(10):713-714 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Abhijit S Nair Vibhavari Milind Naik Basanth Kumar Rayani Source Type: research

Polymicrobial blood stream infection: Consensus definition is required
Sunil Kumar Garg, Pragya GargIndian Journal of Critical Care Medicine 2017 21(10):712-713 (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Sunil Kumar Garg Pragya Garg Source Type: research

Blowing Bubbles Helps Intubation
We describe a patient who suffered significant neck trauma following a suicide attempt. On initial presentation to accident and emergency, he was an easy intubation with a Grade 1 view obtained at laryngoscopy. After surgery to repair his neck laceration, he was extubated and discharged from ICU. He later developed a severe aspiration pneumonia and required reintubation. After induction and paralysis with suxamethonium, the best view at laryngoscopy was a Grade 3 despite the use of different laryngoscopes. As the muscle paralysis wore off the patient began breathing. This produced bubbles in the back of the patient&...
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: David Howe Source Type: research

Hypercapnic respiratory failure in case of chiari 1.5 malformation: Case Report and review of the literature
We report a 35-year-old male who presented with acute hypercapnic respiratory failure (Type 2), without any preexisting neurological or respiratory abnormality. Analysis of blood gases in emergency revealed a pH of 7.12, pCO2of 132 mmHg, and arterial oxygen tension of 118 mm Hg. He was intubated and ventilated. Magnetic resonance imaging brain revealed herniation of the cerebellar tonsils along with brain stem and fourth ventricle. The patient underwent surgery and gradually weaned off. He was mobilized and discharged on day 6. Acute respiratory failure has not been reported with Chiari 1.5 malformation. The lesson to be l...
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Viralkumar M Vasani Subhas Kanti Konar S Satish Source Type: research

Assessment of doripenem, meropenem, and imipenem against respiratory isolates of Pseudomonas aeroginosa in a tertiary care hospital of north India
Conclusion: Our study revealed that doripenem exerted better in vitro activity against the tested bacteria compared to imipenem and meropenem, but the difference was not statistically significant. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Arti Negi Mridu Anand Avinash Singh Awadhesh Kumar Chinmoy Sahu Kashi Nath Prasad Source Type: research

Capillary leak syndrome following snakebite envenomation
V Udayabhaskaran, ET Arun Thomas, Bhagya ShajiIndian Journal of Critical Care Medicine 2017 21(10):698-702Capillary leak syndrome is a unique complication that follows Russell's viper envenomation. This syndrome has a very high fatality rate and is characterized by parotid swelling, chemosis, periorbital edema, hypotension, albuminuria, hypoalbuminemia, and hemoconcentration. This syndrome is frequently recognized from the southern parts of India, especially from the state of Kerala. It has been postulated that a vascular apoptosis inducing component of Russell's viper venom that is not neutralized by...
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: V Udayabhaskaran ET Arun Thomas Bhagya Shaji Source Type: research

Nursing management of adults with severe traumatic brain injury: A narrative review
The objectives of the study are to analyze the pertinently available research and clinical studies that demonstrate the nursing management strategies for adults with STBI and to synthesize the available evidence based on the review. A comprehensive literature search was made in following databases such as Google Scholar, Cochrane, J-Gate, ProQuest, and ScienceDirect for retrieving the related studies. In the included studies, data were extracted and evaluated according to the objective. Narrative analysis was adopted to write this review. Patients with STBI have poor prognosis and require quality care for maximizing patien...
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Roseminu Varghese Jyothi Chakrabarty Girish Menon Source Type: research

Epidemiological study of patients of road traffic injuries attending emergency department of a trauma center in New Delhi
Conclusion: In road traffic accidents some lesser known epidemiological data were generated that may be useful in defining preventive measures. (Source: Indian Journal of Critical Care Medicine)
Source: Indian Journal of Critical Care Medicine - October 17, 2017 Category: Intensive Care Authors: Puneet Misra Anindo Majumdar Mahesh Chandra Misra Shashi Kant Sanjeev Kumar Gupta Amit Gupta Subodh Kumar Source Type: research