Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
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Indian J Crit Care Med · Dec 2015
Can integrative weaning index be a routine predictor for weaning success?
To assess the effectiveness of integrative weaning index (IWI) as a predictor of weaning success. ⋯ IWI is a strong predictor of both successful and failed weaning.
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Indian J Crit Care Med · Dec 2015
Agreement between inferior vena cava diameter measurements by subxiphoid versus transhepatic views.
Correcting hypovolemia is extremely important. Central venous pressure measurement is often done to assess volume status. Measurement of inferior vena cava (IVC) is conventionally done in the subcostal view using ultrasonography. It may not be possible to obtain this view in all patients. ⋯ We conclude that when it is not possible to obtain the subcostal view, it is possible to use the lateral transhepatic view. However, using the percentage variation in IVC size is likely to be more reliable than the absolute diameter alone. It is possible to use both views interchangeably.
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Indian J Crit Care Med · Dec 2015
Impact of positive fluid balance on mortality and length of stay in septic shock patients.
Fluid management is important in critically patients. The aim of this study was to determine the relationship between fluid balance and adverse outcomes of septic shock. ⋯ Positive fluid balance over 3 days is associated with increased ICU and hospital mortality along with prolonged ICU stays in septic shock patients.