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Wyszukujesz frazę "Kumari, Poonam" wg kryterium: Autor


Wyświetlanie 1-4 z 4
Tytuł:
Physiological mechanism of resistant hypoxemia during dialysis of COVID 19 patient: a case report.
Autorzy:
Kumar, Amarjeet
Kumar, Ajeet
Kumar, Abhyuday
Sinha, Chandni
Kumari, Poonam
Kumar Singh, Prabhat
Powiązania:
https://bibliotekanauki.pl/articles/1918249.pdf
Data publikacji:
2021-09-30
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
COVID-19
chronic kidney disease
haemodialysis
non-invasive ventilation
case report
Opis:
Chronic kidney disease (CKD) is characterized by loss of kidney function and generally it is associated with several alterations in pulmonary functions, including restriction, obstruction, and impaired diffusion capacity. It became challenging to maintain oxygenation in a CKD patient associated with COVID 19 on non-invasive ventilation (NIV). In patients with end stage renal disease (ESRD), several factors likes, fluid overload, anaemia, immune suppression, extraosseous calcification, malnutrition, electrolyte imbalance, and acid-base disorder affecting the lungs indirectly. Here we are reporting NIV failure in two COVID 19 patients during dialysis. Both patients were stable on NIV before starting dialysis and underwent oxygen desaturation and shifted to invasive mechanical ventilation during hemodialysis. The possible mechanism of the oxygen desaturation is alveolar hypoventilation in the absence of hypercapnia, which may be due to the removal of CO2 from the body by some route (dialysate) other than the lungs.
Źródło:
Critical Care Innovations; 2021, 4, 3; 15-19
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
On the onset of thermal instability of a porous medium layer saturating a Jeffrey nanofluid
Autorzy:
Rana, Gian C.
Gautam, Poonam Kumari
Powiązania:
https://bibliotekanauki.pl/articles/38883772.pdf
Data publikacji:
2022
Wydawca:
Instytut Podstawowych Problemów Techniki PAN
Tematy:
nanofluid
Jeffrey model
Rayleigh number
porous medium
convection
Opis:
The onset of stationary convection in thermal instability of porous layer saturating a Jeffrey nanofluid is studied. The behaviour of nanofluid is described by a Jeffrey fluid model and the porous layer is assumed to follow Darcy’s law. Due to the presence of the Jeffrey parameter and nanoparticles, the momentum-balance equation of fluid is modified. The linear stability analysis and normal modes analysis method are utilised to derive the dispersion relation for the Rayleigh number in terms of various parameters for free-free boundaries. The effects of the Jeffrey parameter, Lewis number, modified diffusivity ratio, nanoparticles’ Rayleigh number and medium porosity on the physical system are discussed analytically and graphically.
Źródło:
Engineering Transactions; 2022, 70, 2; 123-139
0867-888X
Pojawia się w:
Engineering Transactions
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Monitoring and evaluation of muscle atrophy: a much needed step in critically ill COVID-19 patients
Autorzy:
Kumar, Amarjeet
Kumar, Abhyuday
Kumar, Neeraj
Kumar, Ajeet
Sinha, Chandni
Kumari, Poonam
Singh, Veena
Powiązania:
https://bibliotekanauki.pl/articles/29432087.pdf
Data publikacji:
2021-03
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
COVID-ARDS
elderly
immobilization
muscle atrophy
noninvasive ventilation
Opis:
INTRODUCTION: Elderly COVID-19 patients admitted to the intensive care unit (ICU) are at high risk of an inflammatory syndrome, hypercatabolic reaction, malnutrition, and physical immobilization. This may result in loss of muscle mass and pulmonary infection leading to prolonged ventilatory support. Factors responsible for muscle mass loss in ICU are (1) microcirculatory disturbances, (2) presence of systemic inflammatory response syndrome (SIRS), (3) sepsis (4) drugs (corticoids, neuromuscular blockers) having inhibitory activity on the nervous system, neuromuscular junction and muscle itself. Mechanism of muscle atrophy in critically ill elderly patients include an imbalance between protein synthesis and degradation. Interventions to manage muscle atrophy for the patients admitted to ICU is also extrapolated to mechanically ventilated COVID-ARDS patients. PURPOSE: Early recognition of factors contributing to intensive care unit acquired weakness (ICUAW) in COVID-19 patients, inflammation, high catabolic phase, steroid use, and paralysis. The potential interventions to target these specific mechanisms and ameliorate muscle dysfunction in COVID-19 patients. CONCLUSIONS:Intensive care unit acquired weakness (ICUAW) in critically ill COVID-19 patients is due to severity of illness, co-morbidities, muscle unloading, or ICU treatments, a systemic reaction circulating within the body, or combinations therein. Furthermore, the availability of a culture model of ICUAW could facilitate in expediting the diagnosis of ICUAW and fast track the discovery of putative treatments. We recommend NIV or HFNC ventilation or early weaning from invasive mechanical ventilation in critically ill COVID-19 elderly patients.
Źródło:
Critical Care Innovations; 2021, 4, 1; 30-43
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Extreme hypernatremia in a critically ill patient with feeding-jejunostomy: a case report
Autorzy:
Kumar, Amarjeet
Singh, Kunal
Kumari, Poonam
Dara, Haasith
Sagdeo, Gayatri
Powiązania:
https://bibliotekanauki.pl/articles/29432055.pdf
Data publikacji:
2023
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Hypernatremia
jejunostomy
critically ill
Opis:
Hypernatremia is a frequent and potentially life-threatening condition in hospitalized patients. It is a disorder of water metabolism and is usually defined as a plasma sodium concentration above 145 mEq/L. The treatment of severe cases of hypernatremia might be challenging in patient with feeding jejunostomy. The average person’s GI tract secretes and reabsorbs around 7 L of gastrointestinal fluid (including 3-5 L originating above the pylorus alone). These 7 L of gastrointestinal fluid will significantly dilute whatever we consume or infuse. However, this dilution of enteral feed may be bypassed in by feeding jejunostomy. There are very few cases reported on extreme hypernatremia. We present a case of severe hypernatremia in patient with feeding-jejunostomy, managed successfully with the recommended correction.
Źródło:
Critical Care Innovations; 2023, 6, 1; 36-40
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-4 z 4

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