Kelly Dewey, Michael Simmons, Fernanda Duarte, Salim Surani

Levamisole tainted cocaine induced vasculitis

Abstract Levamisole has been implicated in the vasculitis and aganulocytosis. It has been pulled from the United States market for human use. Due to its euphoric and bulking properties, it has been used as a bulking agent in cocaine. We hereby present a case of a 56-year-old Hispanic male, who developed vasculitis due to cocaine […]

Iqbal Ratnani, Faraya Bokhari, Rahim Hirani, Joseph Varon, Salim Surani

Peripherally-inserted central catheters: Watch for retained wires!

An increasing number of patients are being admitted to critical care units with multiple chronic medical conditions. In some of these patients, intravenous access is a challenge. With a concern for indwelling catheter infections, peripherally inserted central catheters (PICC). These lines have been advocated due to their lower rate of complications and comfort to the […]

Najeh Baccouche, Mabrouk Bahloul, Sabrine Bradai, Kais Regaieg, Fatma Ayedi, Mounir Bouaziz

Prognostic value of serum cholinesterase activity in the septic shock due to bacterial infections

Abstract Context: Kinetics of SChE activity analyses, in our knowledge, was not previously studied in the prediction of prognosis of patients with septic shock. Objective: We aimed to analyse kinetics of SChE activity in 4 patients with septic shock. Materials and methods: Prospective study. Results: The kinetics analyses of SChE activity showed that SChE activity […]

I Made Darma Yuda, Dyah Kanya Wati, I Nyoman Budi Hartawan, Ida Bagus Suparyatha

The association between delta shock index and mortality in children with shock

Abstract Background: Shock remains one leading cause of morbidity and mortality in hospitalized children. Delta shock index is a simple tool to assess and evaluate shock. Objective: To investigate whether delta shock index might be related to mortality in children with shock. Methods: Prospective cohort study. Setting: Emergency Room (ER) and Pediatric Intensive Care Unit […]

Amit Kansal, Somnath Chatterjee, Muhammad Habibullah Rana, YeeShay Lee, Ross Freebairn

Is my patient really brain dead?

Abstract The diagnosis of brain death can be fraught with multiple challenges ranging from the presence of complex motor movements to inappropriate patient screening, e.g. patient’s not meeting preconditions. We describe two cases where complex motor movements persisted following clinical death by standard brain death criteria and caused uncertainty with regards to diagnosis of brain […]


MRSA pneumonia mucus plug burden and the difficult airway

An 80-year-old female with a past medical history of chronic obstructive pulmonary disease (COPD), diabetes, and hypertension was initially admitted to the hospital for surgical repair of an incarcerated inguinal hernia. She underwent successful herniorrhaphy with mesh placement. Her post-operative course was complicated by a pelvic hematoma requiring evacuation during an exploratory laparotomy. The patient […]


A randomized controlled trial: Changes of serum sodium levels in children with diarrhea moderate dehydration receiving rehydration therapy with standard hypotonic solution or balanced solution

Abstract Background: Hyponatremia is a condition that may cause dangerous clinical manifestations. Diarrhea with dehydration is one of the most common causes for hyponatremia. Intravenous hypotonic fluid is used for children with moderate dehydration and isotonic Ringer lactate is used for severe dehydration in several therapy guidelines for diarrhea. Aims: To investigate the difference in […]


Prediction of colloid osmotic pressure from albumin and/or hemodynamics in pigs undergoing hemorrhagic shock

Abstract Background and purpose: Colloid osmotic pressure (COP) is strongly affected during by hemorrhagic shock (HS) and imbalances may result in pulmonary and systematic oedema. Measurement of COP is therefore crucial in order to monitor changes and to react to critical levels. The aims of this study were to examine the time-course effects on COP […]


Antimicrobial resistance patterns of Staphylococcus aureus in the intensive care unit at a tertiary hospital

Abstract Purpose: The objective of the present study is to determine the pattern of antimicrobial resistance of Staphylococcus aureus (S. aureus) in the Intensive Care Unit at a tertiary hospital in Mexico. Methods: 1,511 cultures in general surgery, internal medicine, neurosurgery and the ICU were analyzed, the sample pool was limited to ICU patients and […]


Superior cava vein saturation and cardiac lactate as cardiac output predictor after cardio-pulmonary bypass on children

Abstract Objective: to evaluate cardiac heart lactate, superior cava vein saturation and microcirculation dysfunction as cardiac output predictors after surgery on patients with Tetralogy of Fallot (TF) through measuring serum level of sTNFR-1 and IL-6. Design: cohort study Setting: Cipto Mangunkusumo Hospital Patient and participants: Subjects were children aged 1 to 6 years that underwent […]

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