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ICU Management of Acute Severe Pancreatitis
The management of acute severe pancreatitis (ASP) in the ICU involves a multifaceted approach to stabilize the patient and prevent complications. Initial management focuses on aggressive fluid resuscitation with lactated Ringer's solution, hemodynamic monitoring, and the use of vasopressors if necessary. Respiratory support may include oxygen therapy or mechanical ventilation for cases of acute respiratory distress syndrome (ARDS). Pain control is primarily achieved with opioids, supplemented by non-opioid analgesics. Early enteral nutrition is preferred to maintain gut integrity, while parenteral nutrition is reserved for intolerant patients. Close monitoring for complications such as infected pancreatic necrosis and acute kidney injury is essential, with appropriate interventions as needed. A multidisciplinary team approach ensures comprehensive care and improves patient outcomes.
About the Speaker

Dr. Rishabh Kumar Mittal
Associate Director & Head Department of Critical Care Medicine Sarvodaya Healthcare, Faridabad
Dr Rishabh Kumar Mittal is a well known intensive care physician having more than 12 years ofexperience in the field of Critical Care Medicine. After completing his post graduation from prestigious S.M.S Medical College and attached group hospitals , Jaipur; he ventured in the field of Critical Care Medicine and completed F.N.B in Critical Care Medicine from Fortis Escorts Heart Institute, New Delhi. He is an astute clinician and academician and is a teacher & guide for DrNB,F.N.B, IDCCM, IFCCM and IDCCN courses in Critical Care Medicine. He has published many articles in indexed journals and has written many chapter in various critical care medicine books. He has delivered many talks in Critical Care and Anaesthesiology National and International conferences. His key areas of interest are Nutrition in Critically ill, Ventilation in ARDS patients , ECMO, Gastro Critical care, Post organ transplant care and antibiotic stewardship in Critical Care. Before joining Max Hospital , Dr Rishabh has served as academic coordinator and In-charge of Gastro Medical & Liver Transplant Intensive care units at Fortis Escorts Hospital, New Delhi.
Upcoming Case Discussions
Gynaecologist’s Guide to Ovarian Cancer
Join us for a special webinar on World Ovarian Cancer Day, titled "Gynaecologist’s Guide to Ovarian Cancer." This expert-led session will delve into the latest advancements in early diagnosis, risk stratification, and evidence-based management of ovarian cancer. Tailored for gynecologists and healthcare professionals, the session will also explore real-world case discussions and multidisciplinary treatment approaches. Let’s come together to raise awareness and empower clinicians in the fight against this silent but deadly disease
Massive Transfusion Protocol
Massive Transfusion Protocol (MTP) is a standardized medical procedure activated in cases of severe hemorrhage, typically involving the rapid administration of large volumes of blood products. The goal is to restore circulating volume, maintain hemostasis, and prevent the lethal triad of hypothermia, acidosis, and coagulopathy. MTP usually involves a balanced ratio of packed red blood cells, plasma, and platelets, often in a 1:1:1 ratio. Early activation and coordination among trauma teams, laboratory services, and blood banks are essential for its success.
Sleep Apnea and Daytime Fatigue
Sleep Disorder Breathing is a term for a group of conditions with abnormal breathing patterns during sleep. This affects everyday functioning and well being.There are few types of SDB which include upper airways resistance, hypopnea, apnea, catathrenia and heavy snoring. People suffering with SDB can have daytime symptoms that result in poor sleep also. There can also be sleepiness, depressed mood, irritability and cognitive dysfunction.