Notes

A great Infundibular Unidentified Thing (IUO): a fresh pituitary stalk gun?
Immunological problems within people along with early-onset ataxia together with ocular engine apraxia as well as hypoalbuminemia.

COVID-19 has been declared a pandemic by the World Health Organization (WHO). Many of the COVID-19 patients develop acute respiratory distress syndrome (ARDS) and require ventilatory support based on their severity for which conventional strategies are being used along with few newer strategies. We conducted this multicenter survey to know the physician's current ventilation strategies adopted for the care of COVID-19 patients.

The survey was conducted after taking the ethical committee clearance. The web-based multicenter, cross-sectional questionnaire study was sent to physicians, who were involved in the management of COVID-19 patients. The questionnaire was segregated into three parts part one consisted of general information and consent form, part two was concerned regarding demographic characteristics, and part three was concerned about their practices and strategies for ventilation of COVID-19 patients.

A total of 223 responders replied for the questionnaire; 190 participated in the study saying
Maddani SS, Deepa HC, Rao S, Chaudhuri S. A Multicenter Cross-sectional Questionnaire-based Study to know the Practices and Strategies of Ventilatory Management of COVID-19 Patients among the Treating Physicians. Indian J Crit Care Med 2020;24(8)643-648.The coronavirus disease (COVID-19) pandemic has affected nearly all nations globally. The highly contagious nature of the disease puts the healthcare workers at high risk of acquiring infection, especially while handling airway and performing aerosol-generating procedures. The Indian Society of Critical Care Medicine, through this position paper, aims to provide guidance for safe airway management to all healthcare workers dealing with airway in COVID-19 patients.
Praveen Kumar G, Kulkarni AP, Govil D, Dixit SB, Chaudhry D, Samavedam S,
Airway Management and Related Procedures in Critically Ill COVID-19 Patients Position Statement of the Indian Society of Critical Care Medicine. Indian J Crit Care Med 2020;24(8)630-642.
Praveen Kumar G, Kulkarni AP, Govil D, Dixit SB, Chaudhry D, Samavedam S, et al. Airway Management and Related Procedures in Critically Ill COVID-19 Patients Position Statement of the Indian Society of Critical Care Medicine. Indian J Crit Care Med 2020;24(8)630-642.Scoring systems in intensive care units allow assessment of the severity of disease and predicting mortality. They also help in allocation of resources and benchmarking performance when compared to other units and hence to development of skills within a unit. Their use needs to go beyond just mortality prediction and unit statistics. The data collected are useful for resource allocation, unit audits, comparison with local units as well as for quality improvement programs and education.
Udani S. A Good Workman Never Blames His Tools Appropriate Use of Severity of Illness Scoring Systems Determines Their Utility! Indian J Crit Care Med 2020;24(8)628-629.
Udani S. A Good Workman Never Blames His Tools Appropriate Use of Severity of Illness Scoring Systems Determines Their Utility! Indian J Crit Care Med 2020;24(8)628-629.How to cite this article Clerk AM. Attempting a Change in Human Behavior in ICU in COVID Era Handle with Care! Indian J Crit Care Med 2020;24(8)626-627.Recent trials have failed to show a survival benefit from the early initiation of dialytic therapies in acute kidney injury (AKI), but the problem has not been studied in pregnancy-related AKI. While the KDIGO criteria have not been validated in pregnancy-related acute kidney injury (PRAKI), additionally both fetal and maternal outcomes require to be studied. The short observational study by Banerjee et al. contains some interesting observations.
Lobo VA. Renal Replacement Therapy in Pregnancy-related Acute Kidney Injury Getting the Timing Right. Indian J Crit Care Med 2020;24(8)624-625.
Lobo VA. Renal Replacement Therapy in Pregnancy-related Acute Kidney Injury Getting the Timing Right. Selleck L-Mimosine Indian J Crit Care Med 2020;24(8)624-625.How to cite this article Kapadia F, Fonseca AJ. Vitamin C, Thiamine and Steroids Ménage à Trois or Medical Masala. Indian J Crit Care Med 2020;24(8)619-623.The interesting study by Mitra et al. in this issue explores this newly developed pain assessment tool- Behavior pain assessment tool (BPAT) for critical patients who cannot communicate. The authors explored the tool in a prospective survey in 400 adults, noncomatose intensive care unit (ICU) patients. Selleck L-Mimosine BPAT scoring was done within 2-3 hours of admission in ICU, followed by every day in the morning, and also before and after ICU procedures associated with pain. The BPAT scoring was done by untrained senior residents independent of each other. Majority of the patients had BPAT score of ≤3 (initial score in 83.5% and baseline score in 74.5% patients). In all, 56.5% patients had a postprocedure pain score of ≤3, highlighting the role of institutional sedation-analgesia protocol, as all patients received either morphine or fentanyl infusion along with midazolam infusion. Grimace was the most liked behavior (67%) by the observers, whereas closed eyes was the least liked (59%). Closed eyes behavior was felt to have n BPAT, behavioral pain scale (BPS), and critical-care pain observation tool (CPOT) would be very interesting.
Pande RK. Behavioral Pain Assessment Tool Yet Another Attempt to Measure Pain in Sedated and Ventilated Patients!. Indian J Crit Care Med 2020;24(8)617-618.
Pande RK. Behavioral Pain Assessment Tool Yet Another Attempt to Measure Pain in Sedated and Ventilated Patients!. Indian J Crit Care Med 2020;24(8)617-618.How to cite this article Das S, Ray S. Mottling, Lactate, and the Microcirculation in Sepsis Are We Back to Bedside Clinical Assessment after the Honeymoon with Technology? Indian J Crit Care Med 2020;24(8)615-616.How to cite this article Suresh Ramasubban. COVID Collateral "Don't Forget the Diligent Healthcare Worker". Indian J Crit Care Med 2020;24(8)613-614.How to cite this article Ravikumar N, Nallasamy K. Nasal End-tidal Carbon Dioxide Monitoring during Procedural Sedation Is it time for Wider Adoption? Indian J Crit Care Med 2020;24(8)611-612.
Read More: https://www.selleckchem.com/products/l-mimosine.html