Warning signs and IV fluids management in dengue fever - ESBICM Weekly Classes (unedited) | Dr. Abhi

SdĂ­let
VloĆŸit
  • čas pƙidĂĄn 20. 10. 2021
  • Warning signs and IV fluids management of dengue fever - ESBICM Weekly Classes
    #warinngsignsindengue #fluidmanagementindengue
    The above video focus on the warning signs of dengue and the IV fluids management in dengue fever .
    📰 If you have any doubt regarding any video or topic, you can post in comment section or discuss on ESBICM forums esbicm.com/forums/index.php đŸ–±
    To make it simple, we have divided the content on the channel into 10 playlists as follows. You can browse them at your comfort and need.
    đŸ“Č Playlists on RegularCrisis-ESBICM channel:
    ▶ 1. Mechanical Ventilation and ABGs ‱ Master basics of invas...
    ▶ 2. Lectures and Classes for ICU and ER ‱ How one single step ‘m...
    ▶ 3. Clinical Cases from ICU and ER ‱ Case 1, RegularCrisis ...
    ▶ 4. Lab Investigations of ICU and ER ‱ How to read an ECG in ...
    ▶ 5. Commonly used drugs in ICU and ER ‱ What is the difference...
    ▶ 6. Interesting observations in ICU and ER ‱ Is your ICD tube at th...
    ▶ 7. A special Quick-Tips section for ICU & ER ‱ Playlist
    ▶ 8. A dedicated playlist for ICU & ER Nursing ‱ Intensive / Critical C...
    ▶ 9. Q/A sessions of regularcrisis-ESBICM members ‱ Playlist
    ▶ 10. ESBICM Weekly Classes ‱ Playlist
    💡 If you want to suggest a video topic, fill the video request form
    forms.gle/87Ya5UFveTrJePzj8
    🆔 About ESBICM and regularcrisis
    #esbicm
    Educational Society of Bedside Intensive Care Medicine (ESBICM) - is an organisation with the mission to provide free bedside intensive care education to everyone involved for the better outcome of critically ill patients.
    Its vision is to strengthen the bedside intensive care even in the smallest and most remote ICU of the world.
    You can view more details on esbicm.com
    #regularcrisis
    regularcrisis.com is a video platform which is dedicated to doctors and nurses who regularly manage crisis like situations in Intensive Care (ICU) & Emergency (ER) departments. regularcrisis.com
    Update:
    Regularcrisis.com is now also affiliated with Educational Society of Bedside Intensive Care Medicine (ESBICM) for creating educational videos for health care professionals specially working in ICU and ER.
    Inspiration behind the project:
    Intensive care unit and emergency department are the backbones of any hospital where all critical situations are managed. Everyday is a crisis like situation there and with time the team working there get used to it with. With time, their skill gets more sharpen with which they manage these situations more and more efficiently each time.
    But most importantly, the experience which they accumulate is invaluable; their experiences teach them things which at times are not mentioned in the regular textbooks. What if this experience is shared with the doctors and nurses who are newly joined in ICU and ER!
    Regularcrisis.com and ESBICM serves this purpose only. We share educational material (mainly videos and forums discussion) which is a blend of latest guidelines and rich experience of ICU and ER teams.
    đŸ€ We hope that this small effort of ours will be of some help to those working in ICU and ER.
    Note: regularcrisis is founded by Dr. Ankur Gupta, an Intensivist, who is also the founder President of ESBICM. #drankurgupta
    ✉ For business enquires, contact us on ankur@regularcrisis.com

Komentáƙe • 37

  • @anume1119
    @anume1119 Pƙed rokem

    Thank u sir.

  • @photon77
    @photon77 Pƙed rokem +1

    Still helpful 👍👍

  • @rakshith6848
    @rakshith6848 Pƙed rokem

    Very useful sir. Thankyou

  • @mithidas4295
    @mithidas4295 Pƙed rokem +2

    Enriched with the practical knowledge.Thanks a lot.

  • @1185mj
    @1185mj Pƙed 2 lety +3

    sir good morning
    pls sir explain in dengue fever role of blood product according to APTT /PT-INR OR PLATELETS

    • @TheICUChannel
      @TheICUChannel  Pƙed 2 lety

      If no active bleeding , only transfuse if platelets below 10k 
 for aptt /Pt-inr FFP will help not platelets. If any procedure planned in patients or active bleeding , then transfuse early

    • @1185mj
      @1185mj Pƙed 2 lety

      @@TheICUChannel sir but if aptt deranged then can we give ffp

    • @TheICUChannel
      @TheICUChannel  Pƙed 2 lety

      Yes , that’s what 
 and if in dengue aptt deranged , it’s a very bad sign

    • @devanshsingh6627
      @devanshsingh6627 Pƙed rokem +1

      sir please tell the reference of slide at 04:43, i need the reference very badly
      i had put in my seminar and they are now asking for reference.
      sir please tell

    • @TheICUChannel
      @TheICUChannel  Pƙed rokem

      Who 2009 classification, www.who.int/publications/i/item/9789241547871

  • @chandrashekharrawat1870
    @chandrashekharrawat1870 Pƙed 2 lety +1

    Nobdy even in Icu's with low patient load gives IV fluids following these protocols.

    • @TheICUChannel
      @TheICUChannel  Pƙed 2 lety +1

      We practice these and these should be followed . These are standard guidelines

    • @chandrashekharrawat1870
      @chandrashekharrawat1870 Pƙed 2 lety

      @@TheICUChannel I am still a student but I am not a novice. I am seeing whats happening, anyways big Thanks for uploading the video.

  • @nehalagarwal5209
    @nehalagarwal5209 Pƙed rokem +1

    Sir how fluids help in treating the dengue symptoms?

    • @TheICUChannel
      @TheICUChannel  Pƙed rokem +1

      Prevent shock and hypoperfusion to tissues by maintaining MAP .

  • @roshu4557
    @roshu4557 Pƙed 2 lety +2

    Sir if pt is complaining of severe joint pain nd headache nt relieved by pcm alone,wat other nsaid we can give
    If symptoms r of dengue fever nd dengue by card test is negative on wat day shd i send dengue elisa?

    • @TheICUChannel
      @TheICUChannel  Pƙed 2 lety +2

      Avoid nsaid , try tramadol along with anti-emetics 
 yes sending Elisa helps .

    • @roshu4557
      @roshu4557 Pƙed 2 lety

      @@TheICUChannel sir pt received tramadol 100mg tds bt still severe joint pain,so can we use indomethacin?or hcqs?

    • @TheICUChannel
      @TheICUChannel  Pƙed 2 lety

      Should avoid indomethacin as chances of renal failure increases . Some have used hcqs thinking the possibility of chikengunja type fever

    • @roshu4557
      @roshu4557 Pƙed 2 lety

      @@TheICUChannel thanks sir

    • @roshu4557
      @roshu4557 Pƙed 2 lety +1

      Sir one pt admitted with fever,joint pain his platelets on admission was 28000, we did dengue by card test came out to be negative,2days later we sent his dengue by elisa method dat also came out 2b negative,wat other investigations shd we send or can we give diagnosis as viral fever with thrombocytopenia
      Now his platelets count is 79000

  • @osamaqazi5301
    @osamaqazi5301 Pƙed rokem

    Sir I have requested the link for online classes multiple times but it is not being sent... I like your bedside teaching. Please help me in this regard

    • @TheICUChannel
      @TheICUChannel  Pƙed rokem

      weekly classes are closed as of now; we are working on it as the number of participants have increased beyond 100 per class. so thinking how to do that, ; in livestream its only chat box reply ; in zoom one to one interaction ... so trying to find a way to accommodate all. will announce soon.

  • @atulchetiwar9758
    @atulchetiwar9758 Pƙed rokem

    Ive a patient with hct 35 , hb 11 , platelets 55k
    What should I do give fluid or not
    When to suspect for internal bleeding as no evidence of patache or external bleeding is there

    • @TheICUChannel
      @TheICUChannel  Pƙed rokem

      Post and discuss on icu.in/forums

    • @lovelydubey2551
      @lovelydubey2551 Pƙed rokem

      @@TheICUChannel if hct is decreasing below normal then what should be d approach ?.... do we need to stop fluids??

  • @busjiolife8116
    @busjiolife8116 Pƙed rokem

    Sir ,if patient developed pleural effusion and anasarca in dengue.can we give diuretic?

    • @TheICUChannel
      @TheICUChannel  Pƙed rokem

      We prefer albumin plain without diuretics and if at all required (for respiratory compromise), small doses .

    • @busjiolife8116
      @busjiolife8116 Pƙed rokem

      @@TheICUChannel thank you sir,🙏

    • @akv41av
      @akv41av Pƙed rokem

      Should we start ionotropic support if pt. in fluid overload with shock.?and which ionotropic support should start?

  • @sanketbhadra2049
    @sanketbhadra2049 Pƙed rokem

    Sir can we get the pdf of latest dengue management?

    • @TheICUChannel
      @TheICUChannel  Pƙed rokem

      Didn’t have custome made , but u can search and download both Indian and WHO managment pdf . If not able to find , post on ESBICM forums or telegram group of ESBICM , we will provide

  • @tapentadol549
    @tapentadol549 Pƙed rokem

    Do you use 5 per cent or 20 per cent albumin sir??
    10 ml per hour enough??
    Usually how long it takes with albumin ? Like 24 hours or more??

    • @TheICUChannel
      @TheICUChannel  Pƙed rokem

      20% ... duration depends on the clinical condition... usually 24 hours in the beginning.