Indian Journal of Critical Care Medicine最新文献

{"title":"High Flow, High Hope: HFNO in Acute Hypoxemic Respiratory Failure.","authors":"Anant V Pachisia, Deepak Govil","doi":"10.5005/jp-journals-10071-24779","DOIUrl":"10.5005/jp-journals-10071-24779","url":null,"abstract":"<p><p><b>How to cite this article:</b> Pachisia AV, Govil D. High Flow, High Hope: HFNO in Acute Hypoxemic Respiratory Failure. Indian J Crit Care Med 2024;28(8):726-728.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"726-728"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141430","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":"Management of Paraquat Poisoning-The Way Forward.","authors":"Asif Ahmed, Anu Prasad, Agnideb Bhattacharjee","doi":"10.5005/jp-journals-10071-24781","DOIUrl":"10.5005/jp-journals-10071-24781","url":null,"abstract":"<p><p><b>How to cite this article:</b> Ahmed A, Prasad A, Bhattacharjee A. Management of Paraquat Poisoning-The Way Forward. Indian J Crit Care Med 2024;28(8):722-723.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"722-723"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141431","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":"Oxygen Delivery Devices in Postoperative Patients: Proper Selection of Patients Matters!","authors":"Dipasri Bhattacharya, Antonio M Esquinas, Mohanchandra Mandal","doi":"10.5005/jp-journals-10071-24729","DOIUrl":"10.5005/jp-journals-10071-24729","url":null,"abstract":"<p><p><b>How to cite this article:</b> Bhattacharya D, Esquinas AM, Mandal M. Oxygen Delivery Devices in Postoperative Patients: Proper Selection of Patients Matters! Indian J Crit Care Med 2024;28(8):802.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"802"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141434","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":"Emphysematous Gastritis: An Ominous Condition Masquerading as Enterocolitis in Immunocompromised Host.","authors":"Shilpushp J Bhosale, Malini Joshi, Praveen Dhakne, Atul P Kulkarni","doi":"10.5005/jp-journals-10071-24770","DOIUrl":"10.5005/jp-journals-10071-24770","url":null,"abstract":"<p><p><b>How to cite this article:</b> Bhosale SJ, Joshi M, Dhakne P, Kulkarni AP. Emphysematous Gastritis: An Ominous Condition Masquerading as Enterocolitis in Immunocompromised Host. Indian J Crit Care Med 2024;28(8):808-809.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"808-809"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141427","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: Oxygen Delivery Devices in Postoperative Patients: Proper Selection of Patients Matters!","authors":"Susri Mishra, Nikhil Kothari, Ankur Sharma, Shilpa Goyal","doi":"10.5005/jp-journals-10071-24776","DOIUrl":"10.5005/jp-journals-10071-24776","url":null,"abstract":"<p><p><b>How to cite this article:</b> Mishra S, Kothari N, Sharma A, Goyal S. Author Response: Oxygen Delivery Devices in Postoperative Patients: Proper Selection of Patients Matters! Indian J Crit Care Med 2024;28(8):803.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"803"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141421","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":"Comparison of pSOFA with PRISM III and PIM 2 as Predictors of Outcome in a Tertiary Care Pediatric ICU: A Prospective Cross-sectional Study.","authors":"Shipra Agrwal, Romit Saxena, Mridna Jha, Urmila Jhamb, Pallavi","doi":"10.5005/jp-journals-10071-24772","DOIUrl":"10.5005/jp-journals-10071-24772","url":null,"abstract":"<p><strong>Aims and background: </strong>Severity scores are used to predict the outcome of children admitted to the intensive care unit. A descriptive score such as the pediatric sequential organ failure assessment (pSOFA) may be useful for prediction of outcome. This study was planned to compare the pSOFA score with these well-studied scores for prediction of mortality.</p><p><strong>Materials and methods: </strong>This prospective cross-sectional study was conducted at the pediatric intensive care units (PICU) of a tertiary care hospital. Children aged from 1 month to 12 years were enrolled sequentially. The pediatric index of mortality (PIM 2) score was calculated within 1 hour, and pediatric risk of mortality (PRISM) III and pSOFA scores were calculated within 24 hours of PICU admission. The pediatric sequential organ failure assessment score was recalculated after 72 hours. The primary outcome variable was hospital mortality, and secondary outcome variables were duration of PICU stay, need for mechanical ventilation, and occurrence of acute kidney injury (AKI). Appropriate statistical tests were used.</p><p><strong>Results: </strong>About 151 children with median (IQR) age of 36 (6, 84) months were enrolled. Mechanical ventilation was required in 87 (57.6%) children. Mortality was 21.2% at 28 days. The median (IQR) predicted mortality using PRISM III and PIM 2 score were 3.4 (1.5%, 11%) and 8.2 (3.1%, 16.6%) respectively. Area under ROC for prediction of mortality was highest for pSOFA 72 with a cut-off of 6.5 having sensitivity of 83.3% and specificity of 76.9%.</p><p><strong>Conclusion: </strong>The pSOFA score calculated at admission and at 72 hours had a better predictive ability for the PICU mortality compared to PRISM III and PIM 2 score.</p><p><strong>How to cite this article: </strong>Agrwal S, Saxena R, Jha M, Jhamb U, Pallavi. Comparison of pSOFA with PRISM III and PIM 2 as Predictors of Outcome in a Tertiary Care Pediatric ICU: A Prospective Cross-sectional Study. Indian J Crit Care Med 2024;28(8):796-801.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"796-801"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141422","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":"Outcome of Early Initiation of High-flow Nasal Oxygen Therapy among Pneumonia Patients Presenting with Acute Hypoxemic Respiratory Failure.","authors":"Doaa M Magdy","doi":"10.5005/jp-journals-10071-24769","DOIUrl":"10.5005/jp-journals-10071-24769","url":null,"abstract":"<p><strong>Background: </strong>High-flow nasal oxygen (HFNO) therapy is an upcoming and beneficial modality for patients with acute hypoxemic respiratory failure (AHRF).</p><p><strong>Objectives: </strong>To evaluate whether early use of HFNO in pneumonia patients with AHRF can reduce the need for invasive ventilation.</p><p><strong>Patients and methods: </strong>In this prospective, randomized controlled trial, 160 patients who fulfilled the criteria were included. The patient's characteristics, sequential organ failure assessment score, and simplified acute physiology score were recorded. Respiratory rate (RR), and oxygenation parameters (PaO₂/FiO₂), and RR-oxygenation index at selected time intervals were collected and analyzed. The primary outcome was the number of patients who needed intubation. Secondary outcomes included length of intensive care unit (ICU) and hospital stay and mortality at day 28.</p><p><strong>Results: </strong>The rate of intubation was not statistically significant between the two groups 15 vs 18.7%; difference 3.7% [(95% confidence interval (CI): 2.5-5.7%]. In 48-hour time periods, the mean PaO₂/FiO₂ ratio was significantly increased in the HFNO group compared with the non-invasive ventilation (NIV) group. The RRs and heart rate (HR) showed a significant decrease in the HFNO group.The length of ICU and hospital stays was not different between both groups. No significant differences were found in mortality rates between the HFNO and NIV groups 9 (11.2%) and 10 (12.5%), with 1.3% (95% CI: 0.7-3.8%) (<i>p</i> = 0.21). Multivariate analysis demonstrated that low baseline PaO₂/FiO₂, Respiratory rate-oxygenation index (ROX index) ≤ 5.4 measured at 12 hour and high severity scores were independent risk factors for intubation.</p><p><strong>Conclusion: </strong>Treatment with HFNO did not reduce the need for intubation among patients with pneumonia-induced AHRF, despite the improved PaO₂/FiO₂ observed with HFNO compared with NIV.</p><p><strong>Clinical trial no: </strong>NCT05809089.</p><p><strong>How to cite this article: </strong>Magdy DM. Outcome of Early Initiation of High-flow Nasal Oxygen Therapy among Pneumonia Patients Presenting with Acute Hypoxemic Respiratory Failure. Indian J Crit Care Med 2024;28(8):753-759.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"753-759"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141433","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":"Assessing Point-of-care Ultrasound Knowledge and Utilization among Emergency Physicians in Saudi Arabia: A Cross-sectional Survey.","authors":"Khalid Nabeel Almulhim, Razan Anwar Alabdulqader, Mohammed Khalid Alghamd, Alwaleed A Alqarni, Farah M Althikrallah, Ahmed A Alarfaj","doi":"10.5005/jp-journals-10071-24763","DOIUrl":"10.5005/jp-journals-10071-24763","url":null,"abstract":"<p><strong>Background: </strong>This study aims to assess the knowledge, perceptions, and utilization of point-of-care ultrasound (POCUS) among emergency physicians (EPs) in Saudi Arabia. Point-of-care ultrasound has emerged as a valuable tool in emergency medicine, providing real-time diagnostic information at the bedside. Understanding the current state of POCUS integration and the factors influencing its adoption is crucial for optimizing patient care in emergency settings.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted across various hospitals in Saudi Arabia over six months. The study included 100 EPs, encompassing residents and specialists. Data were collected through an online self-administered questionnaire, exploring demographic factors, POCUS training, equipment availability, and physicians' perceptions. Statistical analyses were performed using SPSS version 28.0, including descriptive statistics and Chi-square tests.</p><p><strong>Results: </strong>The study revealed diverse demographic factors, with a majority of physicians working in regional emergency medical centers. While 84.0% of respondents had used an ultrasound device, varying levels of knowledge about POCUS were observed. Regional disparities and differences in training exposure were evident. The majority expressed positive perceptions of POCUS utility, with 67.0% recognizing its usefulness in primary care health centers. However, 31.0% only partially agreed on its daily practice utility, highlighting potential areas for intervention.</p><p><strong>Conclusion: </strong>This study provides a comprehensive assessment of POCUS awareness, knowledge, and perceptions among EPs in Saudi Arabia. The findings underscore the need for targeted educational initiatives, resource allocation, and regional considerations to enhance POCUS integration. Addressing perceived barriers and regional variations can contribute to the widespread adoption of POCUS, ultimately optimizing patient care in emergency settings.</p><p><strong>How to cite this article: </strong>Almulhim KN, Alabdulqader RA, Alghamd MK, Alqarni AA, Althikrallah FM, Alarfaj AA. Assessing Point-of-care Ultrasound Knowledge and Utilization among Emergency Physicians in Saudi Arabia: A Cross-sectional Survey. Indian J Crit Care Med 2024;28(8):769-776.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"769-776"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141419","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":"Does the Referral System for Emergency Obstetric Care in India Require a Major Overhaul?","authors":"Dipali A Taggarsi","doi":"10.5005/jp-journals-10071-24778","DOIUrl":"10.5005/jp-journals-10071-24778","url":null,"abstract":"<p><p><b>How to cite this article:</b> Taggarsi DA. Does the Referral System for Emergency Obstetric Care in India Require a Major Overhaul? Indian J Crit Care Med 2024;28(8):719-721.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"719"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141425","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":"Emphasizing Patient-centered Outcomes and Improved Exclusion Criteria in Randomized Controlled Trials for Clinical Nutrition in Critically Ill Patients.","authors":"Vijay Sundarsingh, Manoj Kumar","doi":"10.5005/jp-journals-10071-24759","DOIUrl":"10.5005/jp-journals-10071-24759","url":null,"abstract":"<p><p><b>How to cite this article:</b> Sundarsingh V, Kumar M. Emphasizing Patient-centered Outcomes and Improved Exclusion Criteria in Randomized Controlled Trials for Clinical Nutrition in Critically Ill Patients. Indian J Crit Care Med 2024;28(8):804-805.</p>","PeriodicalId":47664,"journal":{"name":"Indian Journal of Critical Care Medicine","volume":"28 8","pages":"804-805"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141426","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}