Dr. Vikasdeep Intensivist

Home
Dr. Vikasdeep Intensivist

Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Dr. Vikasdeep Intensivist, Doctor, .

Consultant Intensivist dealing with all kind of critical cases and general medicine cases like

Ventilator cases
shock (unrecordable BP)
Brain Death
sepsis with Multi drug resistant organisms, Poisoning, Snake Bites
Complicated Dengue Malaria Typhoid

18/05/2022

My CCM (Critical Care Medicine) Fellowship. Thank you everyone who I came in touch with during pursuit.

02/05/2022

A complicated case of Organophosphate Poisoning

55 year old gentleman k/c/o Coronary Artery Disease referred after 5 days of OP Poisoning in altered sensorium, 1 episode of seizure, quadriparetic on tracheostomy requiring ventilatory suppport.

Initial examination showed altered sensorium, power 2/5, dehydrated, increased Heart rate with stable Blood Pressure. Patient was immediately shifted to ICU.

Initial labs showed LVEF of 35%, Deranged kidney function & very high Sodium (Na 179). Outside medications showed Furosemide & Mannitol. Patient was put on ventilatory support with aggressive ICU care & aggressively resuscitated (given fluids). A fine balance was tried to kept between demand and fluid overload. Patient was given aggressive physiotherapy, given high protein diet, rapidly mobilised. Large amounts of fluids were given without going into overload.

Upon the gradual return of limb power, patient was gradually weaned off ventilator and successful decannulated after passing swallowing test & attaining good cough reflex.

Lessons:

1. Urine inducing medications (Furosemide & Mannitol should not be given as “routine” in patients with altered sensorium, seizure and Reduced heart pumping.

2. Fluid judgement should be made clinically first before jumping onto device based assessments.

3. Atropine & 2-Pralidoxime should only be given & stopped when indicated.

4. A good nursing care is all that finally takes out a patient from such turbulent course.

Address

Telephone

+919872807398

Website

facebook.com

Alerts

Be the first to know and let us send you an email when Dr. Vikasdeep Intensivist posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Dr. Vikasdeep Intensivist:

Shortcuts

Want your practice to be the top-listed Clinic?

Country:

City: