Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
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Pressure ulcers can diminish global life quality, contribute to rapid mortality in some patients and pose a significant cost to health-care organizations. Accordingly, their prevention and management are highly important. Nutritional deprivation and insufficient dietary intake are the key risk factors for the development of pressure ulcers and impaired wound healing. ⋯ Dehydration disturbs cell metabolism and wound healing. Adequate fluid intake is necessary to support the blood flow to wounded tissues and to prevent additional breakdown of the skin. The main aim of the present article is to review the current evidence related to hydration and nutrition for bedsore prevention and management in adults.
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Indian J Crit Care Med · Mar 2018
Delirium in the Intensive Care Unit: Incidence, Risk Factors, and Impact on Outcome.
The incidence and risk factors for delirium vary among studies. ⋯ Delirium is frequent in the ICU and is associated with poor outcome. Several risk factors for delirium are linked to intensive care environment.
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Indian J Crit Care Med · Mar 2018
Case ReportsA Clinical Conundrum Called Amitraz Poisoning - A Case Report.
Amitraz is a nonsystemic insecticide and acaricide which is sometimes also used as scabicide. Due to its widespread use, amitraz poisoning has emerged during the past decade and a half although the literatures on human intoxication cases are scarce. ⋯ The mainstay of treatment is supportive and symptomatic. We present the case of a 60-year-old gentleman who was shifted from another hospital in unconscious state with an alleged history of consumption of an unknown substance which later was known to be amitraz.
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Indian J Crit Care Med · Feb 2018
Profile of Patients with Active Tuberculosis Admitted to a Respiratory Intensive Care Unit in a Tertiary Care Center of North India.
There is a paucity of literature regarding outcome of critically ill patients with tuberculosis (TB) from India. Herein, we describe our experience of patients with active TB admitted to a Respiratory Intensive Care Unit (RICU) of a tertiary care hospital. ⋯ TB was an uncommon cause of ICU admission even in a high TB burden country. Critically ill patients with TB had high mortality. A higher APACHE II score and delta SOFA were independent predictors of ICU mortality.
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The objective of this study was to conduct an audit of Surgical Intensive Care Unit (SICU) for identifying the admission risk factors and evaluating the outcomes of postoperative surgical patients. ⋯ The need for postoperative critical care is significantly higher in males, elderly, patients with poor preoperative risk stratification scores, preexisting medical illness, major intraoperative hemorrhage, hypotension requiring inotropic support, perioperative respiratory problems and patients undergoing abdominal, trauma, and emergent surgeries. A larger study inclusive of other surgical subspecialties would aid in optimal decision-making for admissions to the SICU.