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Case Discussion on Hyperglycemic Emergencies
Patients with both type 1 and type 2 diabetes mellitus may experience acute metabolic consequences such as diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS). Effective management, thorough clinical and biochemical examination, and prompt diagnosis are essential for the successful treatment of DKA and HHS. Coordinating fluid resuscitation, insulin therapy, electrolyte replacement, and constant patient monitoring while using the available laboratory tests to forecast the resolution of the hyperglycemic crisis are essential parts of managing hyperglycemic crises. To lower the risks of complications, it's critical to comprehend and promptly recognise potential unusual scenarios including DKA or HHS presentation in the comatose state, the potential for mixed acid-base disorders to obscure the diagnosis of DKA, and the risk of cerebral edema during therapy.
About the Speaker
Dr. Aklesh Tandekar
CRITICAL CARE SPECIALIST MD, EDIC, IDCCM, FIMSA, DA, FCPS, FISCCM
ICU Delirium Management & Prophylaxis
Dr Akhlesh Tandelkarr is Senior Registrar in Tata Memorial Hospital,Mumbai. He was Associate Consultant, P.D Hinduja National Hospital, Mumbai, Assistant Professor in Anesthesia and Critical Care, LTMMC and LTMGH, Sion Mumbai, and as Chief Intensivist, Nanavati Super Speciality hospital. He was certified in Honor in Anatomy,Physiology, Medicine and Surgery,and was also awarded for Appreciation for Approach to patient. Has also received an Award for Service to Humanity by Brihanmumbai Corporation of Greater Mumbai. He has also published a Case report on Anesthesia for cases of complicated Hemophilia with Orthopedic emergency.
Case Discussion on Respiratory Failure and Ventilation
The illness known as respiratory failure occurs when either one or both of the respiratory system's two gas exchange processes—oxygenation and carbon dioxide elimination—fail. It can be categorized as either hypoxemic or hypercapnic in real life. When arterial carbon dioxide tension is normal or low and arterial oxygen tension (PaO2) is less than 60 mm Hg, hypoxemic respiratory failure (type I) is present (PaCO2). The most prevalent type of respiratory failure, which is characterized by the fluid filling or collapse of alveolar units, is connected to almost all acute lung illnesses.
Case Discussion on Management of ECMO
ECMO is a form of life support that uses a machine to oxygenate the blood outside of the body used for patients with severe respiratory or cardiac failure who are not responding to conventional treatment. ECMO can be used in both adult and pediatric patients. Hemodynamic parameters such as heart rate, blood pressure, and oxygen saturation are closely monitored during ECMO management. The goal of ECMO management is to provide temporary support for the patient until their own cardiac or respiratory function can be restored.
ICU Psychosis: A Critical overview
Long stays in ICUs increase the risk of developing ICU psychosis. It is a mental disorder that affects people admitted to intensive care units which typically resolves within a few days to weeks after discharge from the ICU. It is characterized by confusion, disorientation, and delusions. Early recognition and treatment of ICU psychosis can help improve patient outcomes and reduce the risk of long-term complications. Treatment may include reducing the use of sedatives and other medications, providing a calming environment, and using antipsychotic medication.
Case based discussion of Non Invasive Ventilation
Non-invasive ventilation refers to the administration of ventilatory support without using an invasive artificial airway. It has been used as a replacement for invasive ventilation, and its flexibility also allows it to be a valuable complement in patient management. Join us in this interactive discussion with Dr Hazem Lashin Consultant in Critical Care Medicine at NHS, who will be discussing the significant role of Non-Invasive Ventilation and its uses with a deep dive understanding.