Volume 29
The role of electroencephalography (EEG) in patients admitted to your intensive care unit (ICU) after cardiac arrest has changed substantially in the last few years. In the old days, an EEG was advised in patients who did not wake up after clearance of sedative drugs following target temperature management. Then,…
Abstract All comatose patients after circulatory arrest initially have a severely abnormal disturbed electroencephalogram. The speed of normalisation is a robust contributor to prediction of outcome. Differences between patients with poor and good outcome are largest 50% suppression at ≥24 hours are invariably associated with poor outcome. This includes burst…
Abstract Takotsubo syndrome (TTS), previously called Takotsubo cardiomyopathy and stress cardiomyopathy, is an acute form of regional heart failure that usually mimics acute myocardial infarction. TTS is often precipitated by catecholamine release associated with an acute emotional and/or physical stressor such as critical illness. We describe a case of TTS…
Abstract Toxic shock syndrome and sepsis-induced cholestasis are the foremost common causes of jaundice in the intensive care unit. A rare cause of jaundice is autoimmune haemolytic anaemia (AIHA). We present a case in which recurrent Escherichia coli sepsis induced a Coombs-positive AIHA leading to jaundice. Although AIHA induced by…
Abstract Background The Nursing Activities Score (NAS) is widely used for measuring the workload of intensive care unit (ICU) nurses. However, the performance of the NAS to measure actual nursing time has not been comprehensively and externally validated. The aim of this study is to validate the NAS using time-and-motion…
Abstract We describe a patient with acute disseminated encephalomyelitis following leptospira infection. This case highlights the importance of complete investigation for diagnosis and early treatment, leading to a better prognosis and reduction in morbidity and mortality. Introduction Leptospirosis-induced acute disseminated encephalomyelitis (ADEM) has rarely been reported in the literature with…
Abstract Treacher Collins syndrome is an inherited and rare, autosomal dominant condition that presents several craniofacial deformities at different levels. The disorder is characterised by abnormalities of the auricular pinna, hypoplasia of facial bones, antimongoloid slanting palpebral fissures with coloboma of the lower eyelids and cleft palate. This condition affects…