Within the 2023 second issue of the Indian Journal of Critical Care Medicine, volume 27, articles were featured on pages 127 to 131.
Singh D, Singh A, Salhotra R, Bajaj M, Saxena AK, Sharma SK, et al. Impact of a hands-on COVID-19 oxygen therapy training program on healthcare workers' ability to retain knowledge and successfully use the skills learned. The Indian Journal of Critical Care Medicine's 2023 second issue, volume 27, documents research on critical care medicine, spanning pages 127 through 131.

Critically ill patients frequently experience delirium, a condition that is both common and often unrecognized, and can prove fatal, involving an acute impairment of attention and cognition. Outcomes experience a negative impact due to the varying global prevalence. Indian studies focusing on a systematic analysis of delirium are noticeably absent in quantity.
To determine the frequency, types, contributing factors, difficulties, and results of delirium, a prospective observational study is being conducted in Indian intensive care units (ICUs).
Following screening of 1198 adult patients between December 2019 and September 2021, 936 participants were selected for the study. The Confusion Assessment Method-Intensive Care Unit (CAM-ICU) and Richmond Agitation-Sedation Scale (RASS) were applied in tandem, followed by a consultative confirmation of delirium from a psychiatrist or neurophysician. Risk factors' complications and their severity were juxtaposed against those seen in a comparable control group.
In a substantial portion of critically ill patients, delirium was observed, reaching a rate of 22.11%. The hypoactive subtype exhibited a prevalence of 449 percent within the sample. Recognized risk factors encompassed older age, elevated acute physiology and chronic health evaluation (APACHE-II) scores, hyperuricemia, elevated creatinine levels, hypoalbuminemia, hyperbilirubinemia, alcohol use, and tobacco use. The precipitating elements included patients housed in beds that were not cubicles, their location in close proximity to the nursing station, their requirement for ventilatory support, and the administration of sedatives, steroids, anticonvulsants, and vasopressors. Unintentional catheter removal (357%), aspiration (198%), reintubation (106%), decubitus ulcer formation (184%), and a significantly elevated mortality rate (213% versus 5%) were among the complications noted in the delirium group.
A significant concern in Indian ICUs is the presence of delirium, which could affect length of hospital stay and the risk of death. For the prevention of this significant cognitive impairment in the ICU, the identification of incidence, subtype, and risk factors constitutes the initial and fundamental measure.
The listed contributors to the research are A.M. Tiwari, K.G. Zirpe, A.Z. Khan, S.K. Gurav, A.M. Deshmukh, and P.B. Suryawanshi.
The incidence, subtypes, risk factors, and outcomes of delirium were examined in a prospective observational study within an Indian intensive care unit. find more In the 2023 second issue of the Indian Journal of Critical Care Medicine, insights on critical care medicine are contained within pages 111 to 118 of volume 27.
A collaborative research effort involved Tiwari AM, Zirpe KG, Khan AZ, Gurav SK, Deshmukh AM, Suryawanshi PB, and other researchers. Observational study from Indian intensive care units, exploring delirium's incidence, subtypes, risk factors, and outcomes prospectively. Critical care medicine insights, featured in the Indian Journal, are detailed on pages 111-118 of volume 27, issue 2, 2023.

Pneumonia, cardiogenic pulmonary edema, ARDS, immunosuppression, septic shock, and the SOFA score, all assessed prior to non-invasive ventilation (NIV), are considered by the HACOR score (modified heart rate, acidosis, consciousness, oxygenation, respiratory rate). This score's importance in predicting NIV success is well-recognized in emergency department presentations. Similar distributions of baseline characteristics could have been attained through the use of propensity score matching. Precise, objective standards are essential to determine when respiratory failure necessitates intubation.
Jindal A. and K. Pratyusha offer guidance on proactive measures for anticipating and averting non-invasive ventilation failures. find more Critical care medicine journal, 2023, volume 27, issue 2, page 149.
P. K. Pratyusha and A. Jindal's 'Predict and Protect' offers predictive strategies for non-invasive ventilation failure. In the 27th volume, second issue of the Indian Journal of Critical Care Medicine, 2023, page 149.

Acute kidney injury (AKI) data, specifically community-acquired AKI (CA-AKI) and hospital-acquired AKI (HA-AKI) occurrences among non-COVID-19 patients admitted to intensive care units (ICU) during the COVID-19 pandemic, are scarce. We intended to examine the shift in the characteristics of these patients, contrasting them with the pre-pandemic period.
The aim of a prospective observational study in four ICUs handling non-COVID patients at a North Indian government hospital, during the COVID-19 pandemic, was to assess AKI mortality predictors and associated outcomes. An assessment of renal and patient survival outcomes at ICU transfer-out and hospital discharge was conducted, along with an evaluation of ICU and hospital length of stay, mortality risk factors, and the necessity of dialysis upon discharge. Individuals with either active or past COVID-19 infections, prior acute kidney injury (AKI) or chronic kidney disease (CKD), or a history of organ donation or transplantation were excluded from this study.
In descending order of prevalence, the top comorbidities among the 200 non-COVID-19 acute kidney injury patients were diabetes mellitus, primary hypertension, and cardiovascular disease. Post-surgical patients, alongside systemic infections and severe sepsis, comprised the leading causes of AKI. The percentage of patients requiring dialysis during ICU admission, throughout their ICU stay, and more than 30 days after ICU admission was 205, 475, and 65%, respectively. The occurrence of CA-AKI and HA-AKI totaled 1241 cases, while the need for dialysis lasting over 30 days amounted to 851 cases. After 30 days, the mortality rate reached 42%. Patients exhibiting hepatic dysfunction (hazard ratio 3471), septicemia (hazard ratio 3342), an age exceeding 60 (hazard ratio 4000), or a higher sequential organ failure assessment (SOFA) score (hazard ratio 1107) faced elevated risks.
The presence of 0001 and anemia, a blood disorder, was observed.
A deficiency in serum iron was detected, evidenced by the laboratory result of 0003.
These factors emerged as critical indicators for mortality in patients with AKI.
A higher incidence of CA-AKI over HA-AKI was observed during the COVID-19 pandemic, attributable to the limitations placed on elective surgeries compared to the pre-pandemic environment. Predictors of unfavorable renal and patient outcomes included acute kidney injury with multi-organ involvement and hepatic dysfunction, advanced age characterized by a higher SOFA score, and sepsis.
Comprising the group are Singh B, Dogra P.M., Sood V, Singh V, Katyal A, and Dhawan M.
In four intensive care units during the COVID-19 pandemic, an investigation of mortality and outcomes related to acute kidney injury (AKI) in non-COVID-19 patients, examining the disease spectrum. The 2023 Indian Journal of Critical Care Medicine's second issue of volume 27 contains articles from page 119 to 126.
Among the contributors are B. Singh, P.M. Dogra, V. Sood, V. Singh, A. Katyal, M. Dhawan, and others. Mortality and outcomes linked to acute kidney injury in non-COVID patients during the COVID-19 pandemic, as observed in four intensive care units, with a focus on identifying key predictors. find more Significant research appeared in the second issue (27(2)) of the Indian Journal of Critical Care Medicine in 2023, from pages 119 to 126.

Implementing transesophageal echocardiographic screening in COVID-19 ARDS patients receiving mechanical ventilation and prone positioning was assessed for its feasibility, safety, and utility.
Patients aged 18 years and older, hospitalized in an intensive care unit with a diagnosis of acute respiratory distress syndrome (ARDS), undergoing invasive mechanical ventilation (MV), and within the post-procedure period (PP), were prospectively enrolled in an observational study. To complete the study, eighty-seven patients were recruited.
Regarding ventilator settings, hemodynamic support, and the ultrasonographic probe's insertion, everything ran smoothly and required no change. The average time spent on transesophageal echocardiography (TEE) was 20 minutes. The assessment showed no disruption to the placement of the orotracheal tube, no instances of vomiting, and no gastrointestinal hemorrhage. Among the patients, nasogastric tube displacement was a frequent complication affecting 41 (47%). Twenty-one (24%) patients exhibited severe right ventricular (RV) dysfunction, with 36 (41%) demonstrating the presence of acute cor pulmonale.
Our results emphasize the criticality of evaluating RV function during severe respiratory distress and the efficacy of TEE in assessing hemodynamics for patients experiencing PP.
The list includes the following: Sosa FA, Wehit J, Merlo P, Matarrese A, Tort B, and Roberti JE.
Investigating the feasibility of transesophageal echocardiography for assessing COVID-19 patients with severe respiratory distress when placed in the prone position. Within the pages 132-134 of the 27th volume, 2nd issue of the Indian Journal of Critical Care Medicine from 2023, relevant information is compiled.
Among the researchers, Sosa FA, Wehit J, Merlo P, Matarrese A, Tort B, Roberti JE, et al., contributed their expertise to the project. A study examining the feasibility of transesophageal echocardiography in the prone position for COVID-19 patients with severe respiratory distress. Within the pages 132 to 134 of the Indian Journal of Critical Care Medicine, 2023, volume 27, issue 2, relevant articles resided.

In the critical care setting, securing airway patency with endotracheal intubation using videolaryngoscopes is becoming standard practice, emphasizing the crucial role of expert technique. Our research project analyzes the performance and outcomes of the King Vision video laryngoscope (KVVL) in intensive care units (ICUs), in comparison with the Macintosh direct laryngoscope (DL).