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Journals World Journal of Critical Care...

World Journal of Critical Care Medicine

https://read.qxmd.com/read/38633479/shock-index-and-its-variants-as-predictors-of-mortality-in-severe-traumatic-brain-injury
#1
JOURNAL ARTICLE
Randhall B Carteri, Mateus Padilha, Silvaine Sasso de Quadros, Eder Kroeff Cardoso, Mateus Grellert
BACKGROUND: The increase in severe traumatic brain injury (sTBI) incidence is a worldwide phenomenon, resulting in a heavy disease burden in the public health systems, specifically in emerging countries. The shock index (SI) is a physiological parameter that indicates cardiovascular status and has been used as a tool to assess the presence and severity of shock, which is increased in sTBI. Considering the high mortality of sTBI, scrutinizing the predictive potential of SI and its variants is vital...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633478/systematic-review-with-expert-consensus-on-use-of-extracorporeal-hemoadsorption-in-septic-shock-an-indian-perspective
#2
JOURNAL ARTICLE
Yatin Mehta, Abdul Samad Ansari, Amit Kumar Mandal, Dipanjan Chatterjee, Gauri Shankar Sharma, Prachee Sathe, Purvesh V Umraniya, Rajib Paul, Sachin Gupta, Vinod Singh, Yogendra Pal Singh
BACKGROUND: Septic shock is a severe form of sepsis characterised by deterioration in circulatory and cellular-metabolic parameters. Despite standard therapy, the outcomes are poor. Newer adjuvant therapy, such as CytoSorb® extracorporeal haemoadsorption device, has been investigated and shown promising outcome. However, there is a lack of some guidance to make clinical decisions on the use of CytoSorb® haemoadsorption as an adjuvant therapy in septic shock in Indian Setting...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633477/21st-century-critical-care-medicine-an-overview
#3
REVIEW
Smitesh Padte, Vikramaditya Samala Venkata, Priyal Mehta, Sawsan Tawfeeq, Rahul Kashyap, Salim Surani
Critical care medicine in the 21st century has witnessed remarkable advancements that have significantly improved patient outcomes in intensive care units (ICUs). This abstract provides a concise summary of the latest developments in critical care, highlighting key areas of innovation. Recent advancements in critical care include Precision Medicine: Tailoring treatments based on individual patient characteristics, genomics, and biomarkers to enhance the effectiveness of therapies. The objective is to describe the recent advancements in Critical Care Medicine...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633476/angioinvasive-mucormycosis-in-burn-intensive-care-units-a-case-report-and-review-of-literature
#4
Atul Parashar, Chandra Singh
BACKGROUND: Mucormycosis is a rare, rapidly progressive and often fatal fungal infection. The rarity of the condition lends itself to unfamiliarity, delayed treatment, and poor outcomes. Diagnosis of fungal infections early enough to enable appropriate treatment occurs in less than half of affected patients. CASE SUMMARY: An 11-year-old girl with a history of 15% total body surface area scald burns involving both lower limbs progressed to develop angioinvasive mucormycosis...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633475/predictive-value-of-thrombocytopenia-for-bloodstream-infection-in-patients-with-sepsis-and-septic-shock
#5
JOURNAL ARTICLE
Xia Li, Sheng Wang, Jun Ma, Su-Ge Bai, Su-Zhen Fu
BACKGROUND: Thrombocytopenia is common in patients with sepsis and septic shock. AIM: To analyse the decrease in the number of platelets for predicting bloodstream infection in patients with sepsis and septic shock in the intensive care unit. METHODS: A retrospective analysis of patients admitted with sepsis and septic shock in Xingtai People Hospital was revisited. Patient population characteristics and laboratory data were collected for analysis...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633474/driving-pressure-in-mechanical-ventilation-a-review
#6
REVIEW
Syeda Farheen Zaidi, Asim Shaikh, Daniyal Aziz Khan, Salim Surani, Iqbal Ratnani
Driving pressure (∆P) is a core therapeutic component of mechanical ventilation (MV). Varying levels of ∆P have been employed during MV depending on the type of underlying pathology and severity of injury. However, ∆P levels have also been shown to closely impact hard endpoints such as mortality. Considering this, conducting an in-depth review of ∆P as a unique, outcome-impacting therapeutic modality is extremely important. There is a need to understand the subtleties involved in making sure ∆P levels are optimized to enhance outcomes and minimize harm...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633473/inhaled-volatile-anesthetics-in-the-intensive-care-unit
#7
REVIEW
Erin D Wieruszewski, Mariam ElSaban, Patrick M Wieruszewski, Nathan J Smischney
The discovery and utilization of volatile anesthetics has significantly transformed surgical practices since their inception in the mid-19th century. Recently, a paradigm shift is observed as volatile anesthetics extend beyond traditional confines of the operating theatres, finding diverse applications in intensive care settings. In the dynamic landscape of intensive care, volatile anesthetics emerge as a promising avenue for addressing complex sedation requirements, managing refractory lung pathologies including acute respiratory distress syndrome and status asthmaticus, conditions of high sedative requirements including burns, high opioid or alcohol use and neurological conditions such as status epilepticus...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633472/adding-vortexing-to-the-maki-technique-provides-no-benefit-for-the-diagnosis-of-catheter-colonization-or-catheter-related-bacteremia
#8
JOURNAL ARTICLE
Leonardo Lorente, Maria Lecuona Fernandez, Adriana González-Mesa, Judith Oliveras-Roura, Cristina Rosado, Pablo Cabrera, Emma Casal, Alejandro Jiménez, María Luisa Mora, Ana Madueño
BACKGROUND: A previous study compared vortexing and Maki techniques for the diagnosis of catheter-related bloodstream infection (CRBSI), and concluded that vortexing was not superior to Maki method. AIM: To determine whether the combined use of vortexing and Maki techniques provides profitability versus the Maki technique for the diagnosis of catheter tip colonization (CTC) and CRBSI. METHODS: Observational and prospective study carried out in an Intensive Care Unit...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38633471/community-acquired-multidrug-resistant-pneumonia-bacteraemia-and-infective-endocarditis-a-case-report
#9
Basavaraj Jatteppanavar, Arnab Choudhury, Prasan Kumar Panda, Mukesh Bairwa
BACKGROUND: The prevalence of multidrug-resistant (MDR) bacteria has increased globally, with extensive drug-resistant (XDR) bacteria posing a threat to patients. CASE SUMMARY: This case report describes a young man admitted for suspected tropical fever infections who experienced rapid deterioration in health. Despite negative results for tropical fever infections, he had neutrophilic leucocytosis, acute kidney injury, and chest imaging findings suggestive of bilateral consolidations...
March 9, 2024: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38188452/narrative-review-of-traumatic-pneumorrhachis
#10
REVIEW
Sohil Pothiawala, Ian Civil
Pneumorrhachis (PR) is defined as presence of free air in the spinal canal. Traumatic PR is very rare, and its exact incidence and pathogenesis is unknown. A comprehensive literature search was performed using the PubMed, Cochrane Library, Google Scholar and Scopus databases to identify articles relevant to traumatic PR published till January 2023. A total of 34 resources were selected for inclusion in this narrative review. Traumatic PR can be classified anatomically into epidural and intradural types. In the epidural type, air is present peripherally in the spinal canal and the patients are usually asymptomatic...
December 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38188451/systematic-review-and-meta-analysis-of-seroprevalence-of-human-immunodeficiency-virus-serological-markers-among-pregnant-women-in-africa-1984-2020
#11
JOURNAL ARTICLE
Jean Thierry Ebogo-Belobo, Sebastien Kenmoe, Chris Andre Mbongue Mikangue, Serges Tchatchouang, Lontuo-Fogang Robertine, Guy Roussel Takuissu, Juliette Laure Ndzie Ondigui, Arnol Bowo-Ngandji, Raoul Kenfack-Momo, Cyprien Kengne-Ndé, Donatien Serge Mbaga, Elisabeth Zeuko'o Menkem, Ginette Irma Kame-Ngasse, Jeannette Nina Magoudjou-Pekam, Josiane Kenfack-Zanguim, Seraphine Nkie Esemu, Paul Alain Tagnouokam-Ngoupo, Lucy Ndip, Richard Njouom
BACKGROUND: Human immunodeficiency virus (HIV) is a major public health concern, particularly in Africa where HIV rates remain substantial. Pregnant women are at an increased risk of acquiring HIV, which has a significant impact on both maternal and child health. AIM: To review summarizes HIV seroprevalence among pregnant women in Africa. It also identifies regional and clinical characteristics that contribute to study-specific estimates variation. METHODS: The study included pregnant women from any African country or region, irrespective of their symptoms, and any study design conducted in any setting...
December 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/38188450/new-onset-atrial-fibrillation-among-covid-19-patients-a-narrative-review
#12
REVIEW
Fahimeh Talaei, Akshat Banga, Amanda Pursell, Ann Gage, Namratha Pallipamu, Amith Reddy Seri, Ramesh Adhikari, Rahul Kashyap, Salim Surani
Over the last three years, research has focused on examining cardiac issues arising from coronavirus disease 2019 (COVID-19) infection, including the emergence of new-onset atrial fibrillation (NOAF). Still, no clinical study was conducted on the persistence of this arrhythmia after COVID-19 recovery. Our objective was to compose a narrative review that investigates COVID-19-associated NOAF, emphasizing the evolving pathophysiological mechanisms akin to those suggested for sustaining AF. Given the distinct strategies involved in the persistence of atrial AF and the crucial burden of persistent AF, we aim to underscore the importance of extended follow-up for COVID-19-associated NOAF...
December 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37745260/improving-environmental-sustainability-of-intensive-care-units-a-mini-review
#13
REVIEW
Kay Choong See
The carbon footprint of healthcare is significantly impacted by intensive care units, which has implications for climate change and planetary health. Considering this, it is crucial to implement widespread efforts to promote environmental sustainability in these units. A literature search for publications relevant to environmental sustainability of intensive care units was done using PubMed. This mini-review seeks to equip intensive care unit practitioners and managers with the knowledge necessary to measure and mitigate the carbon cost of healthcare for critically ill patients...
September 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37745259/delayed-inflammatory-pulmonary-syndrome-a-distinct-clinical-entity-in-the-spectrum-of-inflammatory-syndromes-in-covid-19-infection
#14
JOURNAL ARTICLE
Prithviraj Bose, Binila Chacko, Ashwin Oliver Arul, Leena Robinson Vimala, Balamugesh Thangakunam, George M Varghese, Mohan Jambugulam, Audrin Lenin, John Victor Peter
BACKGROUND: During the second wave of the coronavirus disease 2019 (COVID-19) pandemic, a subset of critically ill patients developed delayed respiratory deterioration in the absence of new infection, fluid overload or extra-pulmonary organ dysfunction. AIM: To describe the clinical and laboratory characteristics, outcomes, and management of these patients, and to contrast this entity with other post COVID-19 immune dysregulation related inflammatory disorders. METHODS: This was a retrospective observational study of adult patients admitted to the medical intensive care unit of a 2200-bed university affiliated teaching hospital, between May and August 2021, who fulfilled clearly defined inclusion and exclusion criteria...
September 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37745258/should-we-initiate-vasopressors-earlier-in-patients-with-septic-shock-a-mini-systemic-review
#15
REVIEW
Hang-Xiang Zhou, Chun-Fu Yang, He-Yan Wang, Yin Teng, Hang-Yong He
Septic shock treatment remains a major challenge for intensive care units, despite the recent prominent advances in both management and outcomes. Vasopressors serve as a cornerstone of septic shock therapy, but there is still controversy over the timing of administration. Specifically, it remains unclear whether vasopressors should be used early in the course of treatment. Here, we provide a systematic review of the literature on the timing of vasopressor administration. Research was systematically identified through PubMed, Embase and Cochrane searching according to PRISMA guidelines...
September 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37745257/biomarkers-in-sepsis-looking-for-the-holy-grail-or-chasing-a-mirage
#16
REVIEW
Neelmani Ahuja, Anjali Mishra, Ruchi Gupta, Sumit Ray
Sepsis is defined as a life-threatening organ dysfunction caused by the dysregulated host response to infection. It is a complex syndrome and is characterized by physiologic, pathologic and biochemical abnormalities in response to an infection. Diagnosis of sepsis is based on history, physical examination and other investigations (including biomarkers) which may help to increase the certainty of diagnosis. Biomarkers have been evaluated in the past for many diseases and have been evaluated for sepsis as well...
September 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37397592/upper-extremity-deep-vein-thrombosis-an-intensivist-s-perspective
#17
REVIEW
Omender Singh, Deven Juneja
Upper extremity deep vein thrombosis (UEDVT) is less common than lower extremity DVT but is a cause of significant morbidity and mortality in intensive care unit patients. Increasing cancer incidence, prolonged life expectancy and increasing use of intravascular catheters and devices has led to an increased incidence of UEDVT. It is also associated with high rates of complications like pulmonary embolism, post-thrombotic syndrome and recurrent thrombosis. Clinical prediction scores and D-dimer may not be as useful in identifying UEDVT; hence, a high suspicion index is required for diagnosis...
June 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37397591/acute-exacerbation-of-interstitial-lung-disease-in-the-intensive-care-unit-principles-of-diagnostic-evaluation-and-management
#18
REVIEW
Muhammad K Hayat Syed, Or Bruck, Anupam Kumar, Salim Surani
Interstitial lung disease (ILD) is typically managed on an outpatient basis. Critical care physicians manage patients with ILD in the setting of an acute exacerbation (ILD flare) causing severe hypoxia. The principles of management of acute exacerbation of ILD are different from those used to manage patients with acute respiratory distress syndrome from sepsis, etc. Selected patients may be candidates for aggressive measures like extracorporeal membrane oxygenation and lung transplantation, while almost all patients will benefit from early palliative care...
June 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37397590/knowledge-and-awareness-of-infection-control-practices-among-nursing-professionals-a-cross-sectional-survey-from-south-asia-and-the-middle-east
#19
JOURNAL ARTICLE
Kanwalpreet Sodhi, Gunjan Chanchalani, Muktanjali Arya, Gentle S Shrestha, Juhi N Chandwani, Manender Kumar, Monika G Kansal, Mohammad Ashrafuzzaman, Anushka D Mudalige, Ashraf Al Tayar, Bassam Mansour, Hasan M Saeed, Madiha Hashmi, Mitul Das, Nehad N Al Shirawi, Ranjan Mathias, Wagih O Ahmed, Amandeep Sharma, Diptimala Agarwal, Prashant Nasa
BACKGROUND: The proficiency of nursing professionals in the infection prevention and control (IPC) practices is a core component of the strategy to mitigate the challenge of healthcare associated infections. AIM: To test knowledge of nurses working in intensive care units (ICU) in South Asia and Middle East countries on IPC practices. METHODS: An online self-assessment questionnaire based on various aspects of IPC practices was conducted among nurses over three weeks...
June 9, 2023: World Journal of Critical Care Medicine
https://read.qxmd.com/read/37397589/sleep-during-and-following-critical-illness-a-narrative-review
#20
REVIEW
Laurie Showler, Yasmine Ali Abdelhamid, Jeremy Goldin, Adam M Deane
Sleep is a complex process influenced by biological and environmental factors. Disturbances of sleep quantity and quality occur frequently in the critically ill and remain prevalent in survivors for at least 12 mo. Sleep disturbances are associated with adverse outcomes across multiple organ systems but are most strongly linked to delirium and cognitive impairment. This review will outline the predisposing and precipitating factors for sleep disturbance, categorised into patient, environmental and treatment-related factors...
June 9, 2023: World Journal of Critical Care Medicine
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