Tag: Critical Care

SAFEPAC Survey among anaesthesiologists

Dr.Girijanandan D (Critical Care, anaesthesia, )

SAFE PAC Survey Hi Kindly join this survey on airway assessment and recommend to anaesthetists by clicking on the google forms link given below. Thank you in advance. Dr.DGMenon https://forms.gle/hcCCUWYvNWgsmaXC8

SAFEPAC Survey among anaesthesiologists

Dr.Girijanandan D (Critical Care, anaesthesia, )

SAFE PAC Survey Hi Kindly join this survey on airway assessment and recommend to anaesthetists by clicking on the google forms link given below. Thank you in advance. Dr.DGMenon https://forms.gle/hcCCUWYvNWgsmaXC8

RT-PCR negative COVID19,A Cochin Experience

Dr.Fathahudeen (Pulmonary, )

In our experience at Government Medical College Ernakulam, we have come across patients with typical radiological features of COVID-19 but the RTPCR is negative. They have classical CT chest findings, clinical features and viral blood picture. Therefore, just as we make a diagnosis of Smear negative pulmonary Tuberculosis, we should be aware of the entity RTPCR negative COVID-19. RTPCR could be negative due to many reasons. If we fail to acknowledge this entity, we might miss the diagnosis on several cases of SARS-CoV-2 infection. Prof. A. Fathahudeen, Head of Pulmonology, GMC Ernakulam

Post Corona Recovery Syndrome

Dr.Fathahudeen (Pulmonary, )

The following protracted symptoms were observed in COVID19 patients after their RTPCR test became negative and after their so-called test-recovery. Anosmia, abdominal symptoms including diarrhoea for a couple of weeks, chronic fatigue and anxiety were reported. The recovery period, viral clearance and the time taken to convert to negative varied from person to person, averaging between 2 weeks to 50 days. It is proposed that all these symptoms constitute the post Corona recovery syndrome. Prof.A. Fathahudeen, Head of Pulmonology, GMC Ernakulam

Advances in sepsis: Lecture summary Dr Abby Cyriac

Dr.Rajeev (Gastroenterology, General Practice / Family Medicine, )

The concept of sepsis has changed considerably over the years. Newer methods of diagnosis and prognostic markers are discussed in this lecture by Dr Abby Cyriac focusing on sepsis especially in the cirrhotic patient. Click on images for highlights. This is part of Cochin IMA’s lecture summary series that will help other doctors enjoy the content of CME programs.

Conference Summary: National Pulmonology conference NAPCON

Dr.Rajeev (Gastroenterology, General Practice / Family Medicine, )

As part of Cochin IMA’s academic initiative, the summary of medical conferences will be published on JCP-IMA. As the abstract exceeds 600 characters, it is being published as an image. This abstract is from NAPCON 2019, the recently concluded National Pulmonology Conference Cochin. Click on images to view the summary.

Conference summary series: Liver transplant updates 2019

Dr.Rajeev (Gastroenterology, General Practice / Family Medicine, )

Several high-quality academic conferences are being held. However, the benefits are largely restricted to those who attend. The general public and other doctors rarely receive the scientific updates presented at the conference. To rectify this knowledge gap, IMA Cochin has taken the initiative to obtain a plain English summary for each academic conference. This will be circulated among doctors. See attached images.

Easily set Dexmed infusion

Dr.Girijanandan D (Critical Care, anaesthesia, )

Dexmedetomidine is an IV sedative that does not cause respiratory depression. The following is an easy way to titrate the right dose. The infusion rates for the loading dose at 1mcg/kg (in mls/hour) of a 4mcg/ml solution is always 1.5 times the body weight. Similarly the infusion rate for the maintenance dose could be easily begun at 0.4 mcg/kg/hour dosage by calculating the maintenance rate (in mls/hour) by the equation, 1/10th of the body weight. The drug could be titrated from this infusion rate for a particular setting extending from 0.2 to 0.7 mcg/kg/hour.