Siyaram hospital khatipura jaipur

28/10/2025

27/10/2025

COPD (Chronic Obstructive Pulmonary Disease) ke patient ko ICU me treat karne ke liye kuch standard guidelines follow ki jati hain — jaise GOLD (Global Initiative for Chronic Obstructive Lung Disease) aur Indian Society of Critical Care Medicine (ISCCM) ke protocols.
Niche brief me step-by-step explain kiya gaya hai 👇

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🩺 1. Initial Assessment

Airway, Breathing, Circulation (ABC) check karen.

Arterial Blood Gas (ABG) – CO₂ retention aur hypoxemia assess karen.

Chest X-ray / CT: Pneumonia, pneumothorax, or heart failure rule out karen.

Infection suspicion par CBC, CRP, procalcitonin test karein.

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💨 2. Oxygen Therapy

Goal: SpO₂ 88–92% (zyada oxygen se CO₂ retention badhta hai).

Start with Venturi mask (24–28%).

ABG monitoring zaroori hai.

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🧯 3. Ventilatory Support

A. Non-Invasive Ventilation (NIV / BiPAP)

First-line treatment for COPD with acute hypercapnic respiratory failure.

Indications:

pH < 7.35, PaCO₂ > 45 mmHg,

Respiratory distress (RR > 24/min).

Benefits: Intubation ki need kam hoti hai, mortality reduce hoti hai.

B. Invasive Ventilation (Intubation)

Agar NIV fail ho jaye (worsening acidosis, mental confusion, or exhaustion).

Lung-protective strategy:

Low tidal volume (6 mL/kg ideal body weight),

Avoid high PEEP (auto-PEEP se bachayein).

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💊 4. Pharmacologic Treatment

a. Bronchodilators:

Nebulized Salbutamol + Ipratropium bromide (every 4–6 hrs).

b. Corticosteroids:

IV Methylprednisolone 40 mg/day (short course, 5–7 days).

c. Antibiotics:

Agar infection suspected hai (fever, sputum purulence, pneumonia).

Empirical therapy: e.g. ceftriaxone + azithromycin OR levofloxacin.

d. Theophylline:

Rarely used; only if bronchodilators ineffective.

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💧 5. Supportive Management

IV fluids: Overload se bachayein (fluid restriction).

Nutrition: High-calorie, low-carb diet (CO₂ production kam hota hai).

DVT prophylaxis: Heparin / LMWH.

Ulcer prophylaxis: PPI / H2 blocker.

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🧠 6. Monitor & Prevent Complications
Continuous pulse oximetry.
Serial ABG every 4–6 hrs initially.
Watch for:
Barotrauma, pneumothorax, arrhythmias, sepsis.
🫁 7. Long-term Planning (after stabilization)

Smoking cessation.

Vaccination (Influenza, Pneumococcal).

Pulmonary rehabilitation.

Inhaler optimization (LABA, LAMA, ICS).

27/10/2025

Indian Youth and the Rise of Cardiac Diseases

In recent years, India has witnessed a worrying increase in heart diseases among young adults, especially those between 25 and 40 years of age. What was once considered a problem of old age is now affecting the youth — mainly due to modern lifestyle patterns and stress.

Causes

1. Unhealthy Lifestyle: Sedentary habits, long screen time, and lack of exercise reduce heart fitness.

2. Poor Diet: Fast food, processed snacks, and excessive sugar or fried foods increase cholesterol and fat in the body.

3. Stress and Lack of Sleep: High work pressure, irregular routines, and anxiety disturb the body’s hormonal balance, raising heart risk.

4. Smoking and Alcohol: These directly damage heart muscles and blood vessels.

5. Genetic and Environmental Factors: Indians are genetically more prone to heart disease, and pollution worsens the risk.

How to Improve / Prevent

1. Regular Exercise: At least 30–45 minutes of physical activity daily (walking, running, cycling, or yoga).

2. Healthy Eating: Include fruits, vegetables, whole grains, and avoid trans fats and processed food.

3. Avoid Smoking & Limit Alcohol: Quitting smoking and moderating alcohol intake can significantly reduce risk.

4. Regular Health Check-ups: Blood pressure, cholesterol, and sugar tests should be done once a year.

5. Stress Management: Meditation, hobbies, and enough sleep (7–8 hours) keep the heart healthy.

6. Public Awareness: Schools, colleges, and workplaces should promote heart health programs.

17/10/2025

सियाराम हास्पिटल के निदेशक Dr. shekhar sekhawat की और से हार्दिक बधाई

23/05/2025

Best ICU care available at Siyaram Hospitals Khatipura Jaipur

04/02/2025