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 · Oct 2010
Selection of acute blood purification therapy according to severity score and blood lactic acid value in patients with septic shock.
As an alternative method for acute blood purification therapy, continuous venovenous hemodiafiltration (CVVHDF) has been reported as an effective clinical treatment for critically ill patients, but the optimal column for performing CVVHDF remains controversial. ⋯ Our study suggests that the PMX column might be effective during the early phase of septic shock, before a high level of lactic acid is present. Furthermore, a PMMA column might be the most useful column for performing CVVHDF after DHP-PMX treatment, as suggested by the blood lactic acid value.
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Indian J Crit Care Med · Oct 2010
Evaluation of a protocol for hypertonic saline administration in acute euvolemic symptomatic hyponatremia: A prospective observational trial.
Acute symptomatic hyponatremia is a frequent yet poorly studied clinical problem. ⋯ The non-weight based protocol with monitoring for water diuresis is reasonably an effective strategy in the treatment of acute euvolemic symptomatic hyponatremia.
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Indian J Crit Care Med · Oct 2010
The impact of packed red blood cell transfusion on clinical outcomes in patients with septic shock treated with early goal directed therapy.
The optimal hemoglobin level and transfusion threshold in patients with septic shock treated with an early, goal oriented approach to resuscitation remains unknown. ⋯ In this retrospective cohort study, transfusion of PRBCs was associated with worsened clinical outcomes in patients with septic shock treated with EGDT. Further studies are needed to determine the impact of transfusion of PRBC within the context of early resuscitation of patients with septic shock, as the beneficial effects gained by an early and goal oriented approach to resuscitation may be lost by the negative effects associated with PRBC transfusion.
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Indian J Crit Care Med · Jul 2010
Acute kidney injury after trauma: Prevalence, clinical characteristics and RIFLE classification.
Acute kidney injury (AKI) is an uncommon but serious complication after trauma. The objective of this study was to evaluate the prevalence, clinical characteristics and outcome of AKI after trauma. ⋯ AKI is a fatal complication after trauma, which presented with a high mortality in the studied population. A better comprehension of factors associated with death in trauma-associated AKI is important, and more effective measures of prevention and treatment of AKI in this population are urgently needed.
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Indian J Crit Care Med · Apr 2010
Can we predict intensive care relatives at risk for posttraumatic stress disorder?
To identify the relatives of the intensive care unit (ICU) patients at risk for developing symptoms of posttraumatic stress disorders. ⋯ HAD score greater than 11 was the only factor at admission which could statistically predict a higher PTSD score on follow-up. Adequate counseling of this group of relatives may prevent lasting psychological sequelae of an ICU admission in the relatives of critically ill.