Publications by authors named "Shiva K Narayan"

Introduction: The COVID-19 infection is an ongoing public health crisis causing millions of deaths worldwide. COVID-19 patients admitted to the intensive care unit (ICU) are more vulnerable to acquire secondary bloodstream infections (sBSIs) which cause a significant morbidity and mortality. Thus, we aim to assess the risk factors of sBSIs and outcomes in COVID-19 ICU patients.

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Background Thrombotic thrombocytopenic purpura (TTP) is a multisystem disorder characterized by widespread microthrombosis that can predispose to multiple organ failure. The literature is sparse on the outcomes of critically ill patients with TTP managed in intensive care units (ICUs). We aimed to determine the mortality of ICU patients admitted with TTP and evaluate the predictors of survival.

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Article Synopsis
  • The use of ultrasound in medical settings has surged due to its user-friendliness, portability, and ability to provide immediate imaging without invasive procedures.
  • Bedside ultrasonography is particularly effective in diagnosing various lung issues and acute circulatory failures, outperforming traditional chest x-rays in identifying conditions like pulmonary congestion and pleural effusions.
  • This review outlines important ultrasonographic techniques and protocols that help evaluate cardiopulmonary failure, especially in emergency room situations, and offers guidance on predicting patient fluid needs.
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Background: The incidence of acute kidney injury (AKI) is greater than 50% among coronavirus disease-2019 (COVID-19) patients admitted to the intensive care unit (ICU). However, the literature on predictors and kinetics of renal recovery remains unclear.

Patients And Methods: This observational study was conducted in a 30-bedded mixed ICU of a tertiary care center from May 2020 to July 2021.

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Narayan SK, Gudivada KK, Krishna B. Assessment of Nutritional Status in the Critically Ill. Indian J Crit Care Med 2020;24(Suppl 4):S152-S156.

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