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Rational Use of Antibiotics in Critically ill Patients
The rational use of antibiotics in critically ill patients is paramount to combating infections while minimizing the risk of antimicrobial resistance. Clinicians must base antibiotic selection on a thorough understanding of the patient's clinical condition, local epidemiology, and potential pathogens. Tailoring therapy through de-escalation strategies and incorporating diagnostic tools like blood cultures ensures targeted treatment. Additionally, adherence to dosing regimens and regular reassessment of the patient's response are essential to optimize efficacy and prevent unnecessary antibiotic exposure. This judicious approach aligns with antimicrobial stewardship principles, promoting patient safety and preserving the effectiveness of antibiotics for future use in critical care settings.
About the Speaker
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Dr. Supradip Ghosh
Director and Head, Department of Critical Care Medicine, Fortis-Escorts Hospital, Faridabad
Dr. Supradip Ghosh, a highly accomplished intensivist, brings a wealth of experience and expertise to the field of critical care medicine. Currently serving as a Consultant Intensivist and Head of the Department of Critical Care Medicine at Fortis-Escorts Hospital in Faridabad, India, he has been contributing significantly to the healthcare landscape since November 2009. Dr. Ghosh's academic journey includes obtaining his MBBS from Manipur University, DNB in Internal Medicine from the National Board of Examinations, and MRCP (UK) from the Royal College of Physicians in Edinburgh. His commitment to advancing critical care is evident through his role as Director of the Multidisciplinary Adult Intensive Care Unit, where he oversees the management of a diverse range of critical cases. With a keen interest in resuscitation, antimicrobial stewardship, and non-invasive respiratory support, Dr. Ghosh is also recognized for his teaching and training contributions. He is an accredited teacher and examiner for various critical care programs, actively participating in teaching activities and workshops. Dr. Ghosh has authored numerous book chapters and articles, demonstrating his commitment to knowledge dissemination in the field. His ongoing research projects and leadership roles in committees underscore his dedication to improving the quality of critical care services. As a Fellow of the Indian College of Critical Care Medicine and a member of professional societies, Dr. Supradip Ghosh continues to play a pivotal role in shaping critical care practices in India. Dr. Supradip Ghosh, a highly accomplished intensivist, brings a wealth of experience and expertise to the field of critical care medicine. Currently serving as a Consultant Intensivist and Head of the Department of Critical Care Medicine at Fortis-Escorts Hospital in Faridabad, India, he has been contributing significantly to the healthcare landscape since November 2009. Dr. Ghosh's academic journey includes obtaining his MBBS from Manipur University, DNB in Internal Medicine from the National Board of Examinations, and MRCP (UK) from the Royal College of Physicians in Edinburgh. His commitment to advancing critical care is evident through his role as Director of the Multidisciplinary Adult Intensive Care Unit, where he oversees the management of a diverse range of critical cases. With a keen interest in resuscitation, antimicrobial stewardship, and non-invasive respiratory support, Dr. Ghosh is also recognized for his teaching and training contributions. He is an accredited teacher and examiner for various critical care programs, actively participating in teaching activities and workshops. Dr. Ghosh has authored numerous book chapters and articles, demonstrating his commitment to knowledge dissemination in the field. His ongoing research projects and leadership roles in committees underscore his dedication to improving the quality of critical care services. As a Fellow of the Indian College of Critical Care Medicine and a member of professional societies, Dr. Supradip Ghosh continues to play a pivotal role in shaping critical care practices in India.
Upcoming Case Discussions
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.