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Arran Keir, Umesh C. Pandey, Thomas Cheri, Ross Freebairn

Respiratory arrest following CT guided selective cervical nerve root injection

CT guided cervical nerve root injection is performed for diagnostic purposes or to reduce inflammation and pain in cervical radiculopathy. Steroid and local anaesthetic are injected under CT guidance around the nerve root. This is performed as an outpatient procedure with most patients being able to be discharged 15-30 mins after the procedure. CT guidance […]

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David John Melia, Richard Pieter Ruberti, Kimberley Smith, Sarah Emily Owen

Resuscitation after cardiac surgery in Australia: a survey of practice and the implementation of a training course

Abstract Objective: To characterise the out-of-hours cover of Cardiac-Surgical Intensive Care Units in Australia, the experience of covering physicians in the training, and management of, cardiac arrest after cardiac surgery, and to describe a novel educational course. Design: Nighttime phone survey with doctors on public cardiac intensive care units across Australia. Members of nursing, intensive […]

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Sonika Agarwal, Barnali Kakati, Nand Kishore, Sushant Khanduri, Mukta Singh

Colistin resistance in organisms causing ventilator-associated pneumonia – Are we going into pre-antibiotic era?

Abstract Introduction: Ventilator-associated pneumonia (VAP) is one of the most common infections in mechanically ventilated patients. VAP is usually caused by multidrug resistant bacteria. The beta-lactam antibiotics, which were once considered the backbone of antibiotic therapy is under strain due to a variety of bacterial antibiotic resistance. Recent evidence suggests that colistin is the only […]

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Nurnaningsih, Desy Rusmawatiningtyas

Vitamin D deficiency and outcome of patients with sepsis in pediatric intensive care unit: a prospective observational study

Abstract Background: Vitamin D is important in immunomodulation, regulation of inflammation and cytokines, cell proliferation, cell differentiation, apoptosis, angiogenesis, muscle strength, and muscle contraction. Patients with sepsis have high mortality rate and high deficiency in vitamin D. (1) Vitamin D is increasingly recognized as an important mediator of immune function and may have a preventive […]

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Marjan Asadollahi, Mahtab Ramezani, Fatemeh Sharif, Ehsan Karimialavijeh

Electrocardiography Holter monitoring abnormalities in acute intracerebral hemorrhages

Abstract Objective: To avoid the misinterpretation of electrocardiogram (ECG) abnormalities in acute intracerebral hemorrhage (ICH), it is important to recognize ECG abnormalities in such patients. Previous studies have reported ECG disorders in ICH patients based on a single ECG tracing. In this study, we used ECG Holter monitoring to determine ECG abnormalities in acute ICH […]

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Melia Yunita, Titis Widowati, Nurnaningsih, Desy Rusmawatiningtyas

Initial caloric administration as a risk factor for mortality in critically ill children

Abstract Background: The mortality rate of critically ill children with multiple organ dysfunction syndrome (MODS) in Indonesia is approximately 51.85%. Various studies suggested malnutrition as a risk factor for mortality; therefore, nutrition therapy in the form of initial caloric administration became imperative. Objective: To determine the relationship between initial caloric administration (initial route, initial time […]

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Thomas Lynch V, Brian T. Wessman

The case of the malpositioned feeding tube… while in plain sight

Patient WS is a 63-year-old male who presented to the Emergency Department (ED) with a chief complaint of progressive shortness of breath (SOB) over the past two weeks. Associated symptoms at time of presentation included acute bilateral lower extremity edema, orthopnea, and paroxysmal nocturnal dyspnea. His past medical history was significant for diabetes mellitus type […]

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Rino Alvani Gani, Oska Mesanti, Marcellus Simadibrata, Suhendro, Irsan Hasan, Andri Sanityoso, C. Rinaldi A. Lesmana

Difference in serum procalcitonin levels between decompensated liver cirrhosis patients with and without bacterial infection

Abstract Background: Decompensated liver cirrhosis may increase procalcitonin (PCT) levels in patients without bacterial infection. Previous studies have not provided conclusive results about the difference in serum PCT levels caused by specific liver decompensation and bacterial infection. Objective: To examine the role of PCT in assisting the diagnosis of bacterial infection in decompensated liver cirrhosis […]

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Jesús Cobo Molinos

Diagnosis and treatment of infective endocarditis in intensive care

Abstract Infective endocarditis (IE) is an infectious microbial disease of the heart valvular endothelium. The characteristic lesion consists of the presence of vegetations that can settle in the valvular veils, tendon cords or mural endocardium. Hospital mortality in patients with severe sepsis or septic shock has been between 20 and 50%, a fact probably underestimated […]

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Joseph M. LaRochelle, Kayrah Jack, Brent A. Kitto, Aryn Karpinski, Amy M. Creel

Comparative analysis of clinical pharmacy interventions in a pediatric intensive care unit

Abstract Objective: The objectives of this study were 1) to describe and characterize interventions performed by a clinical pharmacist and 2) provide a comparative analysis of length of stay, mortality, and drug charges in control and intervention groups. Design: This was a retrospective analysis of clinical pharmacy interventions performed in a Pediatric Intensive Care Unit […]

Eko Prasetyo, Andi Asadul Islam, Mochammad Hatta, Djoko Widodo, Ilhamjaya Pattelongi

The effect of mild hypothermia therapy in the level of MMP-9 protein and the Marshall CT score in high risk traumatic brain injury

Abstract The effect of mild hypothermia therapy (34°-36°C) and alterations of matrix metalloproteinase-9 (MMP-9) were examined in 20 patients with high risk traumatic brain injury (TBI). The neurologic status was assessed using the Full Outline of UnResponsiveness (FOUR) score and the outcome using the Marshall CT score. The objective of this study was to determine […]

Omar Alberto Venegas Gurrola, Mónica Rodríguez Borroel, Omar Uriel Sánchez Alba, César Fabián Díaz García

Use of levocarnitine as an alternative treatment for non-anticoagulant rodenticide poisoning

Abstract The objective of this text is to inform and motivate further investigation about the use of levocarnitine as an alternative antidote in patients poisoned by non-anticoagulant rodenticides in a kind of retrospective study through the report of 3 serial cases presented in the Intensive Care Unit (ICU) of the General Hospital Zacatecas ‘Luz González […]

Ravi Mistry, Ross Freebairn

Methaemoglobinaemia-induced oxygen desaturation complicating chest trauma

Case presentation A 72-year-old man presented to the Emergency Department by ambulance following a rollover motor vehicle crash preceded by black-out symptoms. He had been suffering from dermatitis herpetiformis for the last six years and was being treated with dapsone 100 mg and a partially gluten-free diet. On admission he had a respiratory rate of […]

Abbas Alshami, Johanan Luna, Joseph Varon

Propofol-induced macroglossia: a case report

Abstract A 78-year-old lady, without prior exposure to propofol, was admitted to the hospital due to recurrent seizures, and respiratory arrest, which required intubation in order to secure her airway. Propofol was used as the initial sedative agent. Two weeks later she required again administration of propofol, time at which she developed acute macroglossia. This […]

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