The Indian Journal of Critical Care Medicine, in its 2023 second issue, volume 27, published articles from pages 127 to 131.
Salhotra R, Singh A, Bajaj M, Saxena AK, Sharma SK, Singh D, et al. How well do healthcare workers retain and apply the practical skills learned in a hands-on COVID-19 oxygen therapy training session? Volume 27, number 2 of the Indian Journal of Critical Care Medicine, released in 2023, examines issues related to critical care in India, as presented on pages 127-131

In critically ill patients, delirium is a frequently encountered, often unrecognized, and frequently fatal condition, marked by a sudden disturbance of attention and cognitive function. A negative impact on outcomes is observed due to global prevalence variations. There is a shortage of Indian studies that have conducted comprehensive assessments of delirium.
This prospective observational research will investigate delirium, focusing on incidence, subtypes, risk factors, complications, and outcomes within Indian intensive care units (ICUs).
From the 1198 adult patients screened during the study period from December 2019 to September 2021, 936 were included in the subsequent analyses. A psychiatrist/neurophysician reviewed the patient, confirming delirium after employing both the Confusion Assessment Method-Intensive Care Unit (CAM-ICU) and the Richmond Agitation-Sedation Scale (RASS). Risk factors' complications and their severity were juxtaposed against those seen in a comparable control group.
Critically ill patients experienced delirium in a percentage as high as 22.11%. A substantial proportion, specifically 449 percent, of the collected cases displayed the hypoactive subtype. Among the identified risk factors were advanced age, a higher APACHE-II score, hyperuricemia, elevated creatinine levels, hypoalbuminemia, hyperbilirubinemia, a history of alcohol abuse, and a history of smoking. The situation's origins were multifaceted, including patients on non-cubicle beds, their proximity to the nursing station, their need for ventilation, and the use of sedatives, steroids, anticonvulsants, and vasopressors. The delirium group exhibited complications such as the unintentional removal of catheters (357%), aspiration (198%), the need for reintubation (106%), decubitus ulcer formation (184%), and a dramatically higher mortality rate (213% compared to 5%).
A significant concern in Indian ICUs is the presence of delirium, which could affect length of hospital stay and the risk of death. Pinpointing incidence, subtype, and risk factors is the foundational step in averting this significant cognitive dysfunction within the ICU setting.
A.M. Tiwari, K.G. Zirpe, A.Z. Khan, S.K. Gurav, A.M. Deshmukh, and P.B. Suryawanshi, a collective of researchers, contributed to the body of knowledge.
Within an Indian intensive care unit, a prospective observational study assessed the incidence, subtypes, risk factors, and outcomes of delirium. Volume 27, number 2, of the Indian Journal of Critical Care Medicine, 2023, showcases research findings detailed from page 111 to 118.
Tiwari AM, Zirpe KG, Khan AZ, Gurav SK, Deshmukh AM, Suryawanshi PB, and their collaborators engaged in a study. 5-Fluorouracil A prospective observational study from Indian intensive care units, analyzing the incidence, subtypes, risk factors, and outcomes of delirium. Pages 111-118 of the Indian Journal of Critical Care Medicine, volume 27, issue 2, 2023, contain significant content.

Presenting to the emergency department, patients requiring non-invasive mechanical ventilation (NIV) are evaluated with the HACOR score (modified heart rate, acidosis, consciousness, oxygenation, respiratory rate). This score factors in pneumonia, cardiogenic pulmonary edema, ARDS, immunosuppression, septic shock, and the SOFA score, all impacting NIV success. In order to obtain similar distributions of baseline characteristics, propensity score matching might have been an appropriate method. A precise set of objective criteria is needed to accurately diagnose respiratory failure requiring intubation.
P. K. Pratyusha and A. Jindal delve into the subject of non-invasive ventilation failure prediction and proactive protection strategies. Volume 27, number 2 of the Indian Journal of Critical Care Medicine, 2023, featured the article on page 149.
P. K. Pratyusha and A. Jindal's 'Predict and Protect' offers predictive strategies for non-invasive ventilation failure. Page 149 of the Indian Journal of Critical Care Medicine, 2023, volume 27, number 2.

The available data on acute kidney injury (AKI), particularly concerning community-acquired (CA-AKI) and hospital-acquired (HA-AKI) types in non-COVID intensive care unit (ICU) patients during the coronavirus disease-2019 (COVID-19) pandemic is scarce. Our plan involved investigating the alterations in the patient profile, juxtaposing it with the pre-pandemic baseline.
During the COVID-19 pandemic, four ICUs at a North Indian government hospital handling non-COVID patients conducted a prospective observational study to assess mortality predictors and outcomes associated with acute kidney injury (AKI). A study investigated renal and patient survival post-ICU transfer and hospital discharge, ICU and hospital duration of stay, mortality risk indicators, and dialysis requirements at the time of hospital departure. Participants with a history of COVID-19 infection, a past diagnosis of acute kidney injury (AKI) or chronic kidney disease (CKD), or those who had donated or received an organ transplant were excluded from this investigation.
Diabetes mellitus, primary hypertension, and cardiovascular diseases represented the predominant comorbidities, in descending order, among the 200 AKI patients who did not have COVID-19. The leading causes of AKI were severe sepsis, systemic infections, and then patients recovering from surgical procedures. 5-Fluorouracil Dialysis needs arose in 205, 475, and 65% of patients, respectively, during ICU admission, throughout their stay in the ICU, and beyond 30 days of ICU care. In terms of incidence, CA-AKI and HA-AKI cases numbered 1241, in contrast to the 851 instances that necessitated dialysis for over 30 days. Forty-two percent of patients experienced death within the 30-day period following the event. 5-Fluorouracil The hazards associated with hepatic dysfunction (HR 3471), septicemia (HR 3342), age above 60 (HR 4000), and a higher SOFA score (HR 1107) significantly contributed to the overall outcome.
Simultaneously, 0001, a medical code, and anemia, a blood-related condition, were documented.
The 0003 result indicated a critical shortage of serum iron.
In the context of acute kidney injury, these factors displayed a strong predictive power regarding mortality.
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. Adverse renal and patient outcomes were predicted by acute kidney injury with multi-organ involvement, hepatic dysfunction, elderly age, high SOFA scores, and sepsis.
Singh B., Dogra P.M., Sood V., Singh V., Katyal A., and Dhawan M.
During the COVID-19 pandemic, outcomes and mortality related to acute kidney injury (AKI) in non-COVID-19 patients within four intensive care units, investigating the spectrum of the illness. In 2023, the Indian Journal of Critical Care Medicine, issue 27(2), published an article spanning pages 119 through 126.
B. Singh, along with P.M. Dogra, V. Sood, V. Singh, A. Katyal, and M. Dhawan, and others. Analyzing outcomes and mortality from acute kidney injury among non-COVID-19 patients during the COVID-19 pandemic, using data from four intensive care units to determine various predictors and the spectrum of injury. Research findings published in the Indian Journal of Critical Care Medicine, volume 27, number 2 of 2023, are detailed on pages 119 through 126.

We sought to evaluate the practicality, safety, and usefulness of employing transesophageal echocardiography for screening in COVID-19 ARDS patients receiving mechanical ventilation and prone positioning.
A prospective observational study, undertaken in an intensive care unit, involved patients aged 18 and over presenting with ARDS, receiving invasive mechanical ventilation, and being within the post-procedure period (PP). Among the participants, eighty-seven patients were ultimately involved.
The ventilator settings, hemodynamic support, and the ultrasonographic probe insertion presented no difficulties or need for adjustments. A typical transesophageal echocardiography (TEE) session spanned 20 minutes on average. The assessment showed no disruption to the placement of the orotracheal tube, no instances of vomiting, and no gastrointestinal hemorrhage. Displacement of the nasogastric tube, a frequent complication, affected 41 (47%) patients. Of the total patients studied, 21 (24%) experienced severe right ventricular (RV) impairment, and acute cor pulmonale was diagnosed in 36 (41%).
The necessity of assessing RV function during severe respiratory distress, and the effectiveness of TEE in PP hemodynamic evaluation, is shown in our results.
Sosa FA, Wehit J, Merlo P, Matarrese A, Tort B, and Roberti JE.
Evaluating the feasibility of transesophageal echocardiography in the assessment of prone patients with severe COVID-19 respiratory distress. In 2023, the Indian Journal of Critical Care Medicine, issue 27(2), featured articles on pages 132-134.
Sosa FA, Wehit J, Merlo P, Matarrese A, Tort B, Roberti JE, and others are credited for the research study. Assessing the feasibility of transesophageal echocardiography in prone COVID-19 patients with severe respiratory distress: a study. Within the pages 132 to 134 of the Indian Journal of Critical Care Medicine, 2023, volume 27, issue 2, relevant articles resided.

The growing reliance on videolaryngoscopes for endotracheal intubation in critically ill patients underscores the importance of expert practitioners proficient in managing this technique. A comparative study of King Vision video laryngoscope (KVVL) and Macintosh direct laryngoscope (DL) performance and outcomes in the intensive care unit (ICU) is the focus of our research.