INCIDENCE OF PNEUMONIA IN CRITICALLY ILL PATIENTS ON VENTILATOR IN BASAVESHWAR TEACHING AND GENERAL HOSPITAL

Background: During period of critical illness, there are diverse alterations in the hypothalamus-pituitarythyroid (HPT) axis. This diversity in critically ill patients and the etiological relationship between underlying disease and non-thyroidal illness (NTI) is poorly understood. The aims of this study were to examine the features of NTI and outcomes in critically ill patients admitted in Critical Care Medicine (CCM) Department, BIRDEM General Hospital. Methods: A total of 86 patients admitted to CCM department, BIRDEM General Hospital during the period of July to December 2015 , having nonthyroidal illness, detected by thyroid function tests during ICU stay were enrolled in this study. All patients discharged from hospital were followed up for a period of 6 months. Patients with known thyroid diseases or taking medications that affect thyroid function were excluded. Condition at hospital discharge and mortality in the ICU or later at home after discharge within next 6 months was assessed as outcomes. Results: Mean age of the study subjects was 63.87(±13.5)years and 45(52.3%)of the study subjects were female. Most of the study subjects had diabetes (84.88%) and hypertension (82.55%).Mean (±SD) of FT3 (pmol/l), FT4(pmol/l), TSH (uIU/ml) were 2.85(±1.35),12.74(±8.17) and 2.81(±8.57)respectively. Among the total study subjects 44.18% patients died in ICU and 2.32% patients after shifting to ward. Among the patients having pneumonia, Myocardial Infarction(MI) /Arrhythmia, Stroke, Sepsis and Gastrointestinal disease, 50.94% 51.02%, 56.0%,53.85%,37.50% died in hospital (ICU or after shifting toward).The 46 patients ,who were discharged from hospital were followed up for next 6 months. Conclusion: NTI is a transient adaptive response affecting individuals with acute and chronic illness and is more common among patients admitted in intensive care unit (ICU). The prognosis of patients having NTI depends on severity of thyroid dysfunction. Birdem Med J 2021; 11(1): 47-51

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Electrolytes Profile of Critically Ill Patients Admitted To Pediatric Intensive Care Unit (PICU) Dr. Soetomo General Hospital

Indonesian Journal of Anesthesiology and Reanimation ◽

10.20473/ijar.v2i12020.1-7 ◽

2020 ◽

Vol 2 (1) ◽

pp. 1

Author(s):

Amalia Citra Octavia ◽

Arina Setyaningtyas ◽

Pesta Parulian Maurid Edwar

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

General Hospital ◽

Critically Ill ◽

Pediatric Intensive Care Unit ◽

Critically Ill Patients ◽

Pediatric Intensive Care ◽

Main Diagnosis ◽

Electrolyte Disorders ◽

Serum Chloride

Introduction: Fluid and electrolyte disorders can be affected by various conditions or diseases. Electrolyte disorders are often found in pediatric patients with critically ill conditions and are associated with increased morbidity also mortality that requires extra care in the Pediatric Intensive Care Unit (PICU). Objective: To describe the electrolyte profile of critically ill patients with electrolyte disorders admitted to the Pediatric Intensive Care Unit (PICU) Dr. Soetomo General Hospital. Materials and Methods: The study was conducted prospectively with a descriptive method in patients with electrolyte disorders aged 1 month – 18 years old admitted to PICU Dr. Soetomo General Hospital, Surabaya in a period from August to November 2018. Data on patient age, gender, electrolyte profile (sodium, potassium, calcium, chloride), and origin before PICU admission were recorded. Results and Discussion: From 37 patients with electrolyte disorders showed that patients were dominated by the male in 56.8% (n=21), in the age group of infants or 1-12 months old in 45.9% (n=17). Common main diagnosis in most patients were digestive system disorders in 27% (n=10), followed by central nervous system, respiratory system, kidney and cardiovascular disorders, and the origin before PICU admission were from Emergency Room (ER) in 62.2% (n=23). There were found 97 incidences of electrolyte disorders. Most frequent electrolyte disorders were hypocalcemia in 59.5% (n=22), hypokalemia in 54.1% (n=20), hyponatremia in 40.5% (n=15) and the least was hypochloremia in 35.1% (n=13). Mean serum sodium level was 138.18 ± 12.071, serum potassium level was 3.608 ± 1.2247, serum calcium level was 8.057 ± 1.9473 and serum chloride level was 101.45 ± 13.266. Conclusions: Critically ill patients admitted in PICU tend to experience low electrolyte levels.

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Does an open level 2 medical high-dependency unit improve outcomes for critically ill patients? Using the APACHE II scoring system in a district general hospital in the UK

Critical Care ◽

10.1186/cc9928 ◽

2011 ◽

Vol 15 (S1) ◽

Author(s):

V Hurley ◽

D Pandit

Keyword(s):

General Hospital ◽

Critically Ill ◽

Critically Ill Patients ◽

Scoring System ◽

District General Hospital ◽

Apache Ii ◽

High Dependency Unit ◽

High Dependency ◽

The Uk ◽

Level 2

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Antifungals patterns in critical patients with candidiasis in the intensive care units at Sanglah General Hospital 2019

Neurologico Spinale Medico Chirurgico ◽

10.36444/nsmc.v2i3.83 ◽

2019 ◽

Vol 2 (3) ◽

pp. 49-52

Author(s):

Komang Ady Widayana ◽

I Wayan Aryabiantara ◽

Tjokorda Gde Agung Senapathi ◽

I Wayan Suranadi ◽

I Gusti Ngurah Mahaalit Aribawa

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

General Hospital ◽

Critically Ill ◽

Antifungal Therapy ◽

Invasive Candidiasis ◽

Critically Ill Patients ◽

Empirical Antifungal Therapy ◽

Candida Score ◽

Critical Patients

Abstract Introduction: The prompt initiation of appropriate antifungal therapy is essential in controlling invasive candidiasis and improving the prognosis in critical patients undergoing treatment in the Intensive Care Unit. Candida Score can assess patients at risk of candidiasis and is expected to assist clinicians in starting antifungal therapy in patients suspected Candidiasis. The purpose of this study was to determine the pattern of antifungal administration in critically ill patients with candidiasis in the Intensive Care Unit at Sanglah General Hospital. Patients and Methods: The design of this study is a cross-sectional descriptive study involving critically ill patients who were under treatment in Intensive Care Unit of Sanglah General Hospital from Januari to June 2019. The patients included in this study were patients who were ≥ 18 years old and under treatment in ICU for at least 7 days. Results: There are 64 patients undergoing treatment in the Intensive Care Unit. From 64 patients, 6 pasien had CS = 0, 29 patients had CS = 1, 13 patients had CS = 2, 11 patients had CS = 3, 5 patients had CS = 4, and no patients had CS = 5. Eleven patients received empirical antifungal therapy. All empirical antifungal therapies use the Triazole group. Conclusion: In this study was found that 11 of 16 patients with a CS value of ≥ 2.5 were given empirical antifungal therapy, while 48 patients with a CS value of <2.5 were not given empirical antifungal therapy. Keywords: Invasive Candidiasis, Candida Score, Empirical Antifungal Therapy.

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