Indian Journal of Critical Care Medicine最新文献

{"title":"Amlodipine Intoxication: Resin Revival or <i>Fait Accompli</i>.","authors":"Abdul Samad Ansari","doi":"10.5005/jp-journals-10071-24920","DOIUrl":"10.5005/jp-journals-10071-24920","url":null,"abstract":"<p><p><b>How to cite this article:</b> Ansari AS. Amlodipine Intoxication: Resin Revival or Fait Accompli. Indian J Crit Care Med 2025;29(2):106-107.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 2","pages":"106-107"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's Response: Carbamazepine Intoxication Requires not only Elevated Serum Levels, but also Symptoms of Overdose.","authors":"Darpanarayan Hazra, Nejah F Ellouze, Suad Al Abri","doi":"10.5005/jp-journals-10071-24888","DOIUrl":"10.5005/jp-journals-10071-24888","url":null,"abstract":"<p><p><b>How to cite this article:</b> Hazra D, Ellouze NF, Abri SA. Author's Response: Carbamazepine Intoxication Requires not only Elevated Serum Levels, but also Symptoms of Overdose. Indian J Crit Care Med 2025;29(2): 188.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 2","pages":"188"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-frequency Nasal Cannula Oxygenation in Thoracic Trauma: Unrealistic Expectations?","authors":"Atul P Kulkarni","doi":"10.5005/jp-journals-10071-24918","DOIUrl":"10.5005/jp-journals-10071-24918","url":null,"abstract":"<p><p><b>How to cite this article:</b> Kulkarni AP. High-frequency Nasal Cannula Oxygenation in Thoracic Trauma: Unrealistic Expectations? Indian J Crit Care Med 2025;29(2):101-103.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 2","pages":"101-103"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision-making Preferences and Levels of Anxiety and Depression in Family Members of Patients Admitted to the ICU.","authors":"Dinesh Krishnamoorthy, Senthilkumar, Ramesh Venkataraman, Nagarajan Ramakrishnan, C Vignesh","doi":"10.5005/jp-journals-10071-24894","DOIUrl":"10.5005/jp-journals-10071-24894","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to study decision-making preferences and levels of anxiety and depression in family members of patients admitted to the intensive care unit (ICU).</p><p><strong>Materials and methods: </strong>This was a prospective observational study done in the mixed medical-surgical ICU. About 127 patients were recruited in first analysis and 100 patients were recruited in second analysis. Decision-making preferences were obtained only during first analysis. Hospital anxiety and depression scale (HADS) scores were calculated during both times. Hospital anxiety and depression scale scores more than or equal to 11 were found to have anxiety and depression. We also aimed to study the association between decision-making preferences and levels of anxiety and depression.</p><p><strong>Results: </strong>Around 27 relatives did not give consent during second time analysis. About 61% preferred shared decision-making and 27 and 12% preferred active and passive decision-making respectively. About 63% of the relatives had anxiety during first analysis and 54% had anxiety during second analysis. 66.9% had symptoms of depression during first analysis and 62% had depression during second analysis. There was a significant association between decision-making preferences and level of anxiety and depression.</p><p><strong>Conclusion: </strong>In our study, the majority of the relatives preferred shared decision-making, and the incidence of anxiety and depression seems to be high in the Indian population. A significant association was found between decision-making preferences and level of anxiety and depression, with passive decision-making being associated with a higher risk of anxiety and depression.</p><p><strong>How to cite this article: </strong>Krishnamoorthy D, Senthilkumar, Venkataraman R, Ramakrishnan N, Vignesh C. Decision-making Preferences and Levels of Anxiety and Depression in Family Members of Patients Admitted to the ICU. Indian J Crit Care Med 2025;29(2):155-163.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 2","pages":"155-163"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Efficacy and Safety of Ibutilide in Cardioversion of Atrial Fibrillation or Flutter in Indian Patients: A Multicenter Study.","authors":"Bhupesh Dewan, Sanjaykumar Navale, Siddheshwar Shinde, Janaki Chaudhary","doi":"10.5005/jp-journals-10071-24885","DOIUrl":"10.5005/jp-journals-10071-24885","url":null,"abstract":"<p><strong>Aim and background: </strong>To assess the efficacy and safety of Ibutilide infusion for cardioversion of atrial fibrillation (AF) or flutter (AFL) to sinus rhythm.</p><p><strong>Materials and methods: </strong>This open-label, multicenter phase IV study was conducted at six sites across India. The study enrolled 120 patients (108 with AF, 12 with AFL), each receiving up to two, 10-minute intravenous doses of 1.0 mg Ibutilide. The primary endpoints were the proportion of patients achieving cardioversion and the mean time taken to achieve cardioversion. Secondary endpoints included the proportion of patients maintaining sinus rhythm at 24 hours and the incidence of adverse events.</p><p><strong>Results: </strong>The cardioversion rate at 4 hours post-Ibutilide infusion among 120 patients was 65.83% (<i>n</i> = 79), with an average conversion time of 35.12 ± 36.71 minutes. At 24 hours, 85 patients (70.8%) had successful cardioversion, with a mean time of 107.24 minutes. The majority of patients (71.76%) had achieved cardioversion within 30 minutes. Of the 85 patients who achieved successful conversion, 82 (68.3%) maintained sinus rhythm at 24 hours. A total of 66 patients (55%) achieved cardioversion with the first bolus whereas 19 (15.8%) needed a second bolus. Atrial fibrillation patients had a higher conversion rate (75%) compared to AFL patients (33%). A total of 10 adverse events were recorded in eight patients (6.67%), including nausea, headache, palpitations, and bradycardia. Three severe cardiac events, one case of ventricular tachycardia, and two of tachycardia necessitated discontinuation of Ibutilide. No fatalities or serious adverse events (SAE) were reported.</p><p><strong>Conclusion: </strong>Ibutilide was found to be effective and well-tolerated for rapid restoration of sinus rhythm in patients with AF or AFL.</p><p><strong>Clinical trial registry of india: </strong>CTRI/2018/01/011248.</p><p><strong>How to cite this article: </strong>Dewan B, Navale S, Shinde S, Chaudhary J. Clinical Efficacy and Safety of Ibutilide in Cardioversion of Atrial Fibrillation or Flutter in Indian Patients: A Multicenter Study. Indian J Crit Care Med 2025;29(1):45-51.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 1","pages":"45-51"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Mortality after Out-of-hospital Resuscitation are More Diverse than Assumed.","authors":"Josef Finsterer, Carla A Scorza, Fulvio A Scorza, Ana C Fiorini","doi":"10.5005/jp-journals-10071-24872","DOIUrl":"10.5005/jp-journals-10071-24872","url":null,"abstract":"<p><p><b>How to cite this article:</b> Finsterer J, Scorza CA, Scorza FA, Fiorini AC. Risk Factors for Mortality after Out-of-hospital Resuscitation are More Diverse than Assumed. Indian J Crit Care Med 2025;29(1):92-93.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 1","pages":"92-93"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Point-of-care Ultrasound of Airway to Predict Difficult Laryngoscopy and Intubation in Intensive Care Unit Patients.","authors":"Shreyasi Mallick, Saswati Das, Sujit Pradhan, Supriya Kar","doi":"10.5005/jp-journals-10071-24871","DOIUrl":"10.5005/jp-journals-10071-24871","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the role of ultrasound (US) in the assessment of the airway and to determine whether US has the potential to serve as effective, noninvasive and less time-consuming method for the diagnosis of difficult intubation in ICU patients.</p><p><strong>Patients and methods: </strong>This cross-sectional study was carried in 152 critically ill patients who underwent intubation in the ICU from December 2022 to April 2024. Prior to intubation thyromental height (TMH) and hyomental distance ratio (HMD-R) was measured using a scale and distance from skin to hyoid bone (SHB) and distance from skin to thyrohyoid membrane (STM) was measured using a US. Direct laryngoscopy was performed using a Macintosh blade, and the Cormack-Lehane (CL) grade was noted without external laryngeal manipulation. The laryngoscopy was classified as easy (CL Grade I and II) or difficult (CL Grade III and IV). The number of attempts at intubation, need for alternative difficult intubation approaches or inability to secure the airway was also noted.</p><p><strong>Results: </strong>The incidence of difficult airway was 17.76%. The success rate for first-attempt intubation was 96.7%. Based on the receiver operating characteristic (ROC) curve analysis cut-off value of 1.97 cm [95% confidence interval (CI), 0.949-0.996, area under the curve (AUC), 0.972] for anterior soft tissue thickness from the skin to thyrohyoid membrane distinguished the difficult intubation group from the easy intubation group, with a sensitivity of 96.3% and specificity of 86.4%. For the hyoid bone level, a cut-off value of 0.905 cm (95% CI, 0.706-0.887, AUC, 0.797) had a sensitivity of 74.1% and specificity of 74.4%. Anterior soft tissue thickness from the skin to thyrohyoid membrane was a better predictor of a difficult airway. There was a significant correlation between clinical airway assessments and US airway assessments.</p><p><strong>Conclusion: </strong>Point-of-care US can serve as an independent tool for assessing the airway in intensive care unit (ICU) patients, with anterior soft tissue thickness from skin to thyrohyoid membrane being a superior predictor. Combined models of sonographic and clinical tests could enhance the diagnostic value for identifying difficult intubation cases in ICU patients.</p><p><strong>How to cite this article: </strong>Mallick S, Das S, Pradhan S, Kar S. Evaluation of Point-of-care Ultrasound of Airway to Predict Difficult Laryngoscopy and Intubation in Intensive Care Unit Patients. Indian J Crit Care Med 2025;29(1):14-20.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 1","pages":"14-20"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-led Enhanced Recovery after Surgery Programs: Potential Solution to Shorten Postoperative Recovery.","authors":"Niraj Tyagi","doi":"10.5005/jp-journals-10071-24883","DOIUrl":"10.5005/jp-journals-10071-24883","url":null,"abstract":"<p><p><b>How to cite this article:</b> Tyagi N. Nurse-led Enhanced Recovery after Surgery Programs: Potential Solution to Shorten Postoperative Recovery. Indian J Crit Care Med 2025;29(1):3-5.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 1","pages":"3-5"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author Response: Risk Factors for Mortality after Out-of-hospital Resuscitation are More Diverse than Assumed.","authors":"Darpanarayan Hazra, Amal Al-Mandhari","doi":"10.5005/jp-journals-10071-24878","DOIUrl":"https://doi.org/10.5005/jp-journals-10071-24878","url":null,"abstract":"<p><p><b>How to cite this article:</b> Hazra D, Al-Mandhari A. Author Response: Risk Factors for Mortality after Out-of-hospital Resuscitation are More Diverse than Assumed. Indian J Crit Care Med 2025;29(1):94.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 1","pages":"94"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravenous Fluid Prescription in Diabetic Ketoacidosis: Where is the Evidence?","authors":"Supradip Ghosh","doi":"10.5005/jp-journals-10071-24875","DOIUrl":"10.5005/jp-journals-10071-24875","url":null,"abstract":"<p><p><b>How to cite this article</b> Ghosh S. Intravenous Fluid Prescription in Diabetic Ketoacidosis: Where is the Evidence? Indian J Crit Care Med 2025;29(1):10-11.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"29 1","pages":"10-11"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}