Within the 2023 second issue of the Indian Journal of Critical Care Medicine, volume 27, articles were featured on pages 127 to 131.
Singh D, Singh A, Salhotra R, Bajaj M, Saxena AK, Sharma SK, et al. The impact of a hands-on training session in oxygen therapy for COVID-19 on the knowledge and practical application of healthcare workers. 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. Outcomes experience a negative impact due to the varying global prevalence. Systematic assessments of delirium in Indian studies are surprisingly scarce.
An observational study, conducted prospectively, will explore the incidence, subtypes, risk factors, complications, and ultimate outcomes of delirium in Indian intensive care units (ICUs).
Following screening of 1198 adult patients between December 2019 and September 2021, 936 participants were selected for the study. The Confusion Assessment Method-Intensive Care Unit (CAM-ICU) and Richmond Agitation-Sedation Scale (RASS) were used to evaluate delirium, with additional confirmation by a consulting psychiatrist or neurologist. A comparative analysis of risk factors and associated complications was performed using a control group as a reference.
A notable percentage of critically ill patients, specifically 22.11%, experienced delirium. In terms of prevalence, the hypoactive subtype accounted for 449 percent of the observed cases. Risk factors identified included advanced age, an elevated APACHE-II score, hyperuricemia, elevated creatinine, hypoalbuminemia, hyperbilirubinemia, a history of alcohol consumption, and smoking. Significant factors that contributed to the situation included patients on non-cubicle beds, their close positioning to the nursing station, their requirement for ventilation, and the concurrent usage of sedatives, steroids, anticonvulsants, and vasopressors. Unintentional catheter removal (357%), aspiration (198%), reintubation (106%), decubitus ulcer formation (184%), and a significantly elevated mortality rate (213% versus 5%) were among the complications noted in the delirium group.
In Indian intensive care units, delirium is a prevalent condition, potentially influencing length of stay and mortality rates. For the prevention of this significant cognitive impairment in the ICU, the identification of incidence, subtype, and risk factors constitutes the initial and fundamental measure.
The names of the individuals contributing to the study are A.M. Tiwari, K.G. Zirpe, A.Z. Khan, S.K. Gurav, A.M. Deshmukh, and P.B. Suryawanshi.
The study, a prospective observational investigation from an Indian intensive care unit, examined the incidence, subtypes, risk factors, and outcome of delirium. XL765 The second issue, 2023, of volume 27 of the Indian Journal of Critical Care Medicine comprises research articles, detailed on pages 111 to 118.
A study involved the collaborative efforts of Tiwari AM, Zirpe KG, Khan AZ, Gurav SK, Deshmukh AM, Suryawanshi PB, and their colleagues. A prospective observational study of delirium incidence, subtypes, risk factors, and outcomes in Indian intensive care units. Volume 27, issue 2 of the Indian Journal of Critical Care Medicine, published in 2023, offers detailed insights from pages 111 to 118.

The HACOR score, a metric comprising modified heart rate, acidosis, consciousness, oxygenation, and respiratory rate, assesses factors like pneumonia, cardiogenic pulmonary edema, ARDS, immunosuppression, septic shock, and the SOFA score's impact on non-invasive ventilation (NIV) success in emergency department patients. To replicate a similar distribution of baseline characteristics, propensity score matching could have been a viable strategy. Intubation for respiratory failure hinges on the presence of particular, measurable and objective criteria.
A. Jindal and K. Pratyusha's paper focuses on foreseeing and mitigating challenges encountered with non-invasive ventilation. XL765 Indian Journal of Critical Care Medicine, issue 2, volume 27, 2023, page 149.
K. Pratyusha and A. Jindal's work, 'Non-invasive Ventilation Failure – Predict and Protect,' presents a comprehensive analysis of the subject. In the 27th volume, second issue of the Indian Journal of Critical Care Medicine, 2023, page 149.

The existing records concerning acute kidney injury (AKI), including cases of community-acquired (CA-AKI) and hospital-acquired (HA-AKI) AKI amongst non-COVID patients from intensive care units (ICU) throughout the COVID-19 pandemic are insufficient. We aimed to analyze the transformation in the patient type's profile in relation to the pre-pandemic norm.
A prospective observational study examining AKI outcomes and mortality predictors among non-COVID patients was conducted in four ICUs of a North Indian government hospital during the COVID-19 pandemic. An assessment of renal and patient survival outcomes at ICU transfer-out and hospital discharge was conducted, along with an evaluation of ICU and hospital length of stay, mortality risk factors, and the necessity of dialysis upon discharge. Exclusions from the study included individuals with a history of COVID-19 infection, previous episodes of acute kidney injury (AKI), chronic kidney disease (CKD), organ donation, or organ transplantation.
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. Severe sepsis, systemic infections, and post-surgical patients were the predominant causes of AKI, in that order. ICU admission, ongoing ICU stay, and periods exceeding 30 days in the ICU revealed dialysis requirements in 205, 475, and 65% of patients, respectively. 1241 cases of CA-AKI and HA-AKI were observed, whereas the number of cases necessitating dialysis for more than 30 days was 851. Within a month of the incident, 42 out of every 100 patients died. 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.
The presence of 0001 and anemia, a blood disorder, was observed.
Serum iron levels were low, and the result was 0003.
These factors proved to be key determinants of mortality in patients experiencing acute kidney injury.
In comparison to the pre-COVID-19 era, the COVID-19 pandemic, by limiting elective surgeries, resulted in a higher frequency of CA-AKI cases relative to HA-AKI cases. High SOFA scores, sepsis, acute kidney injury affecting multiple organs, hepatic dysfunction, and the elderly age bracket were all linked to undesirable consequences regarding renal health and overall patient prognosis.
From the group of individuals, we have Singh B., Dogra P.M., Sood V., Singh V., Katyal A., and Dhawan M.
Four intensive care units experienced a study on the spectrum of acute kidney injury (AKI) in non-COVID-19 patients during the COVID-19 pandemic, exploring mortality and patient outcomes. The Indian Journal of Critical Care Medicine, 2023, volume 27, issue 2, published research contained in pages 119 to 126.
Researchers B. Singh, P.M. Dogra, V. Sood, V. Singh, A. Katyal, and M. Dhawan, along with their colleagues, et al. Four intensive care units' data on non-COVID-19 patients during the COVID-19 pandemic reveals the spectrum of acute kidney injury, its association with mortality, and the resulting outcomes. XL765 Research findings published in the Indian Journal of Critical Care Medicine, volume 27, number 2 of 2023, are detailed on pages 119 through 126.

To determine the practicality, safety, and utility of the transesophageal echocardiographic screening approach, we examined patients with COVID-19 ARDS receiving mechanical ventilation in the prone position.
A prospective, observational study, conducted within an intensive care unit, investigated patients aged 18 years or more, diagnosed with ARDS, receiving invasive mechanical ventilation and situated within the post-procedural period (PP). The research included a total of eighty-seven patients.
It was not necessary to modify ventilator settings, hemodynamic support, or encounter any problems with inserting the ultrasonographic probe. The mean duration recorded for transesophageal echocardiography (TEE) was 20 minutes. The orotracheal tube remained stable, and no vomiting or gastrointestinal bleeding occurred. A frequent complication, nasogastric tube displacement, was observed in 41 (47%) patients. In a group of patients, 21 (24%) displayed severe right ventricular (RV) dysfunction and 36 (41%) presented with a diagnosis of acute cor pulmonale.
The impact of RV function assessment during severe respiratory distress, and the value of TEE for hemodynamic evaluation in PP, is clearly demonstrated by our findings.
From the FA, Wehit J, Merlo P, Matarrese A, Tort B, and Roberti JE.
Prone positioning in COVID-19 patients with severe respiratory distress: A feasibility study utilizing transesophageal echocardiographic assessment. The Indian Journal of Critical Care Medicine's second issue of 2023, volume 27, contained articles that can be found on pages 132-134.
Sosa FA, Wehit J, Merlo P, Matarrese A, Tort B, and Roberti JE, et al., are the authors of a significant research study. A study examining the feasibility of transesophageal echocardiography in the prone position for COVID-19 patients with severe respiratory distress. Pages 132 to 134 of the 2023, volume 27, issue 2 of the Indian Journal of Critical Care Medicine.

The use of videolaryngoscopes for endotracheal intubation in critically ill patients is on the rise, demanding significant expertise in handling these advanced tools to maintain airway patency. This study assesses the performance and clinical results of the King Vision video laryngoscope (KVVL) in intensive care units (ICUs), contrasted with the Macintosh direct laryngoscope (DL).