International Journal of

Critical Care and Emergency MedicineISSN: 2474-3674


 Open Access DOI:10.23937/2474-3674/1510132

Lung Recruitment Guided by Ultrasonography in Unilateral Lung Injury

Roosevelt Santos Nunes, Larissa Christina Pires Barrientto, Viviane Barbosa Silva, Kamila da Grazia Iazzetta, Taiana Bertacini Almas de Jesus and Gil Cezar Teixeira Alkmin

Article Type: Case Report | First Published: December 18, 2021

Atelectasis is a common problem in the critical care setting and when it causes acute life-threatening hypoxemia it is necessary its re-expansion. Ultrasonography is capable to diagnose atelectasis at the bedside and accurately assesses lung aeration changes after reexpansion maneuver. We describe a case in which a male patient receiving mechanical ventilation developed acute hypoxemia due atelectasis, being applied recruitment maneuver guided by ultrasonography combined with lateral decubitus p...

 Open Access DOI:10.23937/2474-3674/1510131

Acute Delirium and Difficult Sedation Weaning in ICU Thiamine Deficiency Maybe a Possible not Uncommon Cause

Magdy Khames Aly, Ms

Article Type: Case Report | First Published: December 10, 2021

This is a case of 54-years-old critically ill H1N1 ARDS patient with prolonged ventilation and sedation and difficult weaning from sedation and mechanical ventilation. The case gives spotlight on not uncommon cause of delirium and failure of weaning in critically ill patients which is Vitamin B1 deficiency and how it is underestimated and should be put in mind while management those patients. Thiamine is a water-soluble vitamin that is absorbed in the jejunum by 2 processes. When the thiamine le...

 Open Access DOI:10.23937/2474-3674/1510130

Acupuncture Induced Multiorgan Failure

Nageswar Bandla, Andreea Mihai and Stephen Lord

Article Type: Case Report | First Published: December 10, 2021

Dating back to 100 BC, acupuncture has been performed safely for centuries for a wide range of medical conditions. Although a technically invasive procedure, reports of adverse incidents in the medical literature are thankfully very rare. We present a case of acupuncture induced multisensitive Staphylococcus aureus (MSSA) bacteraemia and septic shock, resulting in multiorgan failure and a prolonged intensive care stay. This case report serves to remind clinicians that although the overall risk o...

 Open Access DOI:10.23937/2474-3674/1510128

Dexamethasone versus Methylprednisolone in Hospitalized COVID-19 Patients: A Systematic Review and Meta-Analysis

Divyansh Bajaj, MD, Ankit Agrawal, MD, Manasvi Gupta, MD, Gaurav Manek, MD, Kurt Hu, MD and Umesha Boregowda, MD

Article Type: Original Research | First Published: November 18, 2021

The COVID-19 pandemic has led to millions of deaths throughout the world. Several randomized controlled trials have demonstrated that steroids reduce mortality in severe COVID-19 infection. The Center for Disease Control and Prevention has recommended dexamethasone as the first line of treatment. However, methylprednisolone is being used as the steroid of choice in many countries worldwide. We sought to perform a systematic review and metaanalysis to compare the outcomes with the use of these tw...

 Open Access DOI:10.23937/2474-3674/1510129

Post-Intensive Care Syndrome in Newborns from a Nutritional and Neuromotor Perspective

Júnea Regina Pires Drews, Janaina Aparecida Campos, Polianna de Brito Guimarães, Romilda Maria Vidigal Trandafilov and Natascha Savernini

Article Type: Original Research | First Published: November 20, 2021

Premature newborns who need prolonged hospital stays may develop Post-Intensive Care Syndrome, which, as the term itself suggests, is characterized by post-hospital changes that manifest themselves in the physical, cognitive and/or nutritional fields. The advance of care in recent decades has provided greater survival for the newborns, thus allowing initial studies to characterize signs and symptoms which may indicate, in the future, the risk of developing PICS. Given the above, the aim of this ...

Volume 7
Issue 4