Пікірлер

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  @dr.s.m.sureshbabu86994 күн бұрын

  Can we get the ppt sir thanks in advance.

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  @youngindiaintensivist77094 күн бұрын

  @sureshbabu...we are not able to provide ppt ,sorry

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  @dr.samirtawshikar92325 күн бұрын

  Nice

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  @97798045453345 күн бұрын

  Thanks

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  @youngindiaintensivist77095 күн бұрын

  @dr shashank many thanks for buying superthanks and helping with our monthly expenses . 💯❤💥💕We will go on improving the content and audiovisuals as we get more funds . If u need any academic help just send me a mail ✨🥰

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  @sahanaveeraraghavan64606 күн бұрын

  Thanks

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  @youngindiaintensivist77095 күн бұрын

  @sahanaveer- thank you for your monetary contribution by buying superthanks 💯 💕❤, this helps in meeting our running expenses . And we shall improve the content and audio visual viewing experience as we get more contributions from viewers like you, if any academic help is needed just drop me a mail🌟🥰👍🙏

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  @babydoll71758 күн бұрын

  Excellent way of teaching.. Sir I need slides of this lecture?

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  @youngindiaintensivist77097 күн бұрын

  @baby ..we do not provide slides

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  @ashachaudhary259610 күн бұрын

  Pt came and USG was not done and straight way doctor ordered CT abdomen,this is not good for teaching students as they ll think that CT to be ordered , pl follow protocol when teaching so that right teaching takes place .

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  @youngindiaintensivist770910 күн бұрын

  @Asha..ur point is well taken however . It's not necessary US hss to be done before CT all the time..moreover case is only to demonstrate CONTRAST - nephropathy Not a diagnostic or management algorithm

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  @hiteshwadhwani597211 күн бұрын

  Really appreciate your effort Sir.. Your lectures, International faculty webinars, Case discussion & last but not the least the way Playlists are organized & updated is helpful. Every week it encourages & guides to improve & update. Thanks for all your effort.

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  @youngindiaintensivist770911 күн бұрын

  @hitesh - THANK YOU FOR YOUR KIND WORDS🙏💕 AND EQUALLY THANKFUL FOR BUYING SUPERTHANKS AND SUPPORTING OUR MONTHLY EXPENSES BY THIS MONETARY CONTRIBUTION 💯❤❤❤💥👍. We will go on improving the content and audiovisuals as we get more funds . If u need any academic help just send me a mail ✨🥰

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  @hiteshwadhwani597211 күн бұрын

  @@youngindiaintensivist7709 Thanks Sir...🙂

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  @divaanshugupta12 күн бұрын

  Thanks

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  @youngindiaintensivist770911 күн бұрын

  @divaanshu I AM THANKFUL TO YOU FOR BUYING SUPERTHANKS AND SUPPORTING OUR MONTHLY EXPENSES BY THIS MONETARY CONTRIBUTION 💯❤❤❤💥 As we get more funds we shall go on improving content and your viewing experience 🙏🌟💕, if any academic help is needed just send me a mail🥰🥰

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  @youngindiaintensivist770911 күн бұрын

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  @thought4u59812 күн бұрын

  Thank you sir

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  @youngindiaintensivist770912 күн бұрын

  ❤👍

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  @prashantverma2212 күн бұрын

  Thanks

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  @youngindiaintensivist770912 күн бұрын

  @PRASHANT - thanks so much , u r our first super thanks buyer, its these monetary contributions from people like you which will keep our channel going since every channel needs some funds for sustenance and growth. if u need any academic help just send a mail ❤❤❤🙏

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  @prashantverma229 күн бұрын

  @@youngindiaintensivist7709 I've learned a lot from this channel sir ...Thanks for all your efforts sir...

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  @himsacoustic16 күн бұрын

  Thank u Vinod sir☺️🙏

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  @youngindiaintensivist770914 күн бұрын

  ❤👍

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  @rajivmohan406924 күн бұрын

  such a great presentation sir, hopefully u keep continuing this.

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  @youngindiaintensivist770924 күн бұрын

  👍❤

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  @sujaysahu199826 күн бұрын

  Why lactate level elevated in septic shock pts ?

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  @youngindiaintensivist770926 күн бұрын

  bcz 1, tissue hypoxia so anerobic glycolysis occurs which elevates lactate 2 cytokine mediated glycolytic pathways which increases lactate, 3. liver and renal dysfunction which are responsible for lactate clearance, 4. thiamine deficiency

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  @rajkiran3379Ай бұрын

  Excellent discussion 😊 The role of hemoglobin in hypoxia is not discussed sir Though out the pt history his hemoglobin is <10gm How can we co relate hemoglobin level and its role in critical situation like sepsis. Is there any use of keeping a HB target of 10???? Thank you

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  @youngindiaintensivist7709Ай бұрын

  HB and hyoxia are brothers. If hb is low u get hyoxia So what is role of hb,we hv to ask. To supply o2 to tissue Along with CO and Saturation O2 delivery = hb×CO ×sat So as long as o2 delivery is Ok we don't need to correct till hb is ~7. At this level we start getting tachy and stress onheart ,so u need to keep it there if less by BT But if more than 7 and 02 delivery is good as assesedby various parameters then no need for BT KEEP HB 7 except as mentioned above and in acute coronary iscemia In red is also we keep at 7,but it cold low or satr ate low with or o2 delivery then test transfer blood and bring up the hb

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  @ranjithkumar-rm8zwАй бұрын

  Sir how long can we keep cvp line in icu patient and can we keep subclavian for more days as infection is comparatively low in subclavian cvp ?

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  @youngindiaintensivist7709Ай бұрын

  @ranjith ..there is no defined cut off for removal, if u need the line and there is no infn u can keep it . however the longer its there greater the chance of infn. each icu has its own time period in which the infection occurs. in our icu the line used to get infected at around 2 weeks so we used to change it before that. also if u do not need it remove it. Subclavian can be kept a little longer as it gets less infected .

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  @Haywire91Ай бұрын

  In the beginning of the lecture around 3:00 time stamp, pin point constricted pupils diff diagnosis, someone said antipsychotics. How does antipsychotics give pinpoint pupils when they usually have anticholinergic actions on the side?

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  @youngindiaintensivist7709Ай бұрын

  @haywire ...Many antipsychotics, particularly the older typical antipsychotics, have anticholinergic properties.. While anticholinergic effects more commonly cause mydriasis (pupil dilation), in some cases, they can paradoxically result in miosis. This is due to the complex interactions of neurotransmitters in the central nervous system. Alpha-Adrenergic Blockade Some antipsychotics, such as chlorpromazine and thioridazine, also block alpha-adrenergic receptors. The blockade of alpha-1 adrenergic receptors can lead to miosis. This occurs because alpha-1 receptors normally mediate the contraction of the dilator pupillae muscle (which dilates the pupil). When these receptors are blocked, the constrictor pupillae muscle, which is controlled by the parasympathetic nervous system, predominates, resulting in pupil constriction. it depends on which antipsychotic is in use

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  @divaanshuguptaАй бұрын

  Superb sir excellent description of the PE sir kindly make video on how to read culture reports and on how to diffenciate esbl, mbl, ampc 🙏🙏

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  @youngindiaintensivist7709Ай бұрын

  @divaanshu ..Pl go thru the videos on antibiotics ..there are many..U wl find ur answer in them. What u r asking for is covered. If u hv any querries after going thru Pl put them I wl answer

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  @akkulathilakaАй бұрын

  Mam what is that book you have already told in early part of the lecture ?

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  @youngindiaintensivist7709Ай бұрын

  #akkula, book is on COMA by POSNER

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  @kamaldalmia6085Ай бұрын

  High feritin iwith high crp and low hb in acute infection condition can iv iron leads to like put ghee in fire? If we transfuse iron in case of emegencies and non availaility of blood products.

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  @youngindiaintensivist7709Ай бұрын

  @dr kamal.. there is no adverse effects noted with Iv iron transfusion . In the oft quoted Iron man study in critically ill transfusion of iron did not lead to decrease in BT rest but d/c Hb was higher.. 10vs 10.8. U Wl still need to transfuse blood.doi.org/10.1007/s00134-016-4465-6

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  @den01231Ай бұрын

  Hi! How to asses fluid status in cld patient with ascites in spontaneously breathing patient?

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  @youngindiaintensivist7709Ай бұрын

  @den ..U can use plrt..it can be false neg but its true positivity is >90%.U can look at extreme values of ivc..U can use cvp/ echo ...lastly response of CO to fluid challenge A value of cvp < 4 is still s/o hypovolemia

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  @cardiologistmedicaldoctor7702Ай бұрын

  Great lecture...❤ I am also a consultant Cardiologist youtube.com/@cardiologistmedicaldoctor7702?si=sD0FXMzXqrHFfJIt

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  @rpsg1978Ай бұрын

  Thank you sir for sharing the knowledge

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  @youngindiaintensivist7709Ай бұрын

  😊👍❤

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  @ranjithkumar-rm8zwАй бұрын

  Sir why is mdr organism found only in hosp and not from community acquired infection??

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  @youngindiaintensivist7709Ай бұрын

  @ranjith -- MDR Is found in community as well now ,in fact there is 20-30% prevalance of cre in community in india . If u recall classical teaching for starting antibiotics in icu for community admissions was u should assess for risk factors for mdr and these were - treatment with abs recently, hospital stay, on mhd,etc. However now one gives antibiotics for community infection as per the antibiogram for these pts coming to icu because there is variation from region to region in prevalence of mdr in community as there is widespread mdr in hospitals this has spread to community. one decade ago there was lmtd mdr in community, now its widespread in india

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  @abhishekkharkwal1501Ай бұрын

  What to do in a patient with hematuria on anti platelets or anti coagulant. Should we give tranexa

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  @youngindiaintensivist7709Ай бұрын

  @abhishek--- tranexa is c/i in hematuria bcz it can lead to clot formation in urinary tract and hence obstruction. generally hematuria does not cause problems or significant blood loss by itself, but occurs with bleeding at other sites which can be dangerous. So one needs to correct that with vit k/ ffp . for antiplatelet u may sdp transfusion doi.org/10.1007/s00134-016-4465-6

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  @nathgoody5905Ай бұрын

  Awesome Madam!

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  @youngindiaintensivist7709Ай бұрын

  ❤👍

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  @rishanabhpal4321Ай бұрын

  Many thanks

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  @youngindiaintensivist7709Ай бұрын

  ❤👍

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  @dr.s.m.sureshbabu8699Ай бұрын

  Expert in every sense 👍👏

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  @youngindiaintensivist7709Ай бұрын

  👍❤

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  @salmanhussein29202 ай бұрын

  What about efficacy of sepsivac injection in gram negative sepsis??

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  @youngindiaintensivist77092 ай бұрын

  There is no efficacyproven Do u think if it worked the world would not be using it There is no proper trials on it

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  @salmanhussein29202 ай бұрын

  Thank you

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  @salmanhussein29202 ай бұрын

  Sir if there is a patient with sepsis associated encephalopathy with aggressive symptoms,why midazolam can not be used? Then what would be the ideal agent for the remission of aggressive symptoms??

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  @youngindiaintensivist77092 ай бұрын

  @salman ..What u describe is hyperactive delirium /agitation So no sedation is shown to improve outcome overall with sedation . Sedatives use lead to overall increased ICU stay And midazolam is the worst of all What is rx 1 non pharma means 2. DeX 3. Haloperidol Midazolam is recommended only for aws However small dose only of midaz can be given if necessary only USE OF SEDATIVES LEADS TO WORSE OUTCOME AS PER STUDIES however we have to control the pt and I have given u the rx Go thru this video kzread.info/dash/bejne/ZIGs08Glc6erm8Y.htmlsi=sNRsCXsvzqnryqjp

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  @salmanhussein29202 ай бұрын

  Thank u

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  @sahanaveeraraghavan64602 ай бұрын

  Much needed topic sir. Thank you sirs

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  @youngindiaintensivist77092 ай бұрын

  @sahana ..let me know any more good topics that are not covered ❤🙂

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  @caroverine20632 ай бұрын

  Excellent

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  @youngindiaintensivist77092 ай бұрын

  Thank you! Cheers!

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  @Fireboltdark2 ай бұрын

  I am from pakistan...this is amazing thank you all of you+

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  @youngindiaintensivist77092 ай бұрын

  #Firebolt..thank you for appreciation. Glad that u r finding the channel useful😊❤👍

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  @bipintiwari62492 ай бұрын

  Excellent Sir!

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  @youngindiaintensivist77092 ай бұрын

  ❤👍

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  @MehmetErenYuksel2 ай бұрын

  Thank you.

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  @youngindiaintensivist77092 ай бұрын

  👍❤