Case-based Review in Critical Care Medicine A Comprehensive Preparatory Book for the Examinee
Case-based Review in Critical Care Medicine A Comprehensive Preparatory Book for the Examinee
Editors Atul Prabhakar Kulkarni MD (Anesthesiology) PGDHHM FISCCM FICCM
Professor and Head Division of Critical Care Medicine Tata Memorial Hospital, Homi Bhabha National Institute Mumbai, Maharashtra, India Secretary General Asia Pacific Association of Critical Care Medicine (APACCM)
Rahul Anil Pandit MD FCICM FJFICM EDIC FCCP FICCM DA
Director (Critical Care) Fortis Hospital Mumbai, Maharashtra, India
Subhal Bhalchandra Dixit MD (Medicine) IDCCM FCCM FICCM
Director Intensive Care Unit Sanjeevan and MJM Hospitals Pune, Maharashtra, India President Indian Society of Critical Care Medicine (ISCCM)
Kapil Gangadhar Zirpe MBBS MD (Chest) FICCM FCCM
Director Neurotrauma Critical Care Unit Ruby Hall Clinic Grant Medical Foundation Pune, Maharashtra, India
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Case-based Review in Critical Care Medicine: A Comprehensive Preparatory Book for the Examinee
First Edition: 2019
9789388958554
Printed at
All the hardworking, caring and sincere residents in the field of critical care medicine, with grounded feet and stars in their eyes, who provide compassionate care to the critically ill.
- Amit Madhukar Narkhede MD DNB DM (Critical Care Medicine)
- Specialist Senior Registrar
- Division of Critical Care Medicine
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Amol Kothekar MD IDCC
- Associate Professor
- Division of Critical Care Medicine
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Anand M Tiwari
- MBBS DA DNB (Anes) IDCCM FNB (Critical Care Medicine)
- Chief Intensivist
- Department of Critical Care
- IMH, Pune, Maharashtra, India
- Ashit Hegde MD MRCP
- Consultant in Medicine and Critical Care
- PD Hinduja Hospital and Medical Research Centre
- Mumbai, Maharashtra, India
- Atul Prabhakar Kulkarni
- MD (Anesthesiology) PGDHHM FISCCM FICCM
- Professor and Head
- Division of Critical Care Medicine
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Secretary General
- Asia Pacific Association of Critical Care Medicine (APACCM)
- Babu K Abraham
- MD (General Medicine) MRCP (UK) Fellowship in Critical Care Medicine (University of Toronto) FICCM
- Senior Consultant
- Department of Critical Care Medicine
- Apollo Hospitals
- Chennai, Tamil Nadu, India
- Balkrishna D Nimavat
- MD DNB (Anes) IDCCM FNB (Critical Care) EDIC EDAIC
- Intensivist
- Department of Critical Care
- Apollo Hospital
- Navi Mumbai, Maharashtra, India
- Binila Chacko MD DNB FCICM
- Consultant Intensivist
- Medical Intensive Care Unit
- Christian Medical College
- Vellore, Tamil Nadu, India
- Carol Shayne Dsilva
- MD (Anesthesiology) FNB (Critical Care Medicine)
- Assistant Professor
- Department of Critical Care Medicine
- St John's Medical College Hospital
- Bengaluru, Karnataka, India
- Cuckoo Sarah Kuruvilla
- MD DNB IDCCM EDIC
- Consultant Intensivist
- Department of Critical Care
- Medical Trust Hospital
- Kochi, Kerala, India
- Deepak Govil MD EDIC FCCM
- Director
- Critical Care Medicine
- Medanta—The Medicity
- Gurugram, Haryana, India
- Dinesh Ekambaram MD (Anesthesiology) IDCCM
- Junior Consultant
- Department of Critical Care Medicine
- Apollo Hospitals
- Chennai, Tamil Nadu, India
- Harish MM
- MBBS MD DNB IDCCM DM (Critical Care Medicine) EDIC
- Consultant and Incharge
- Department of Critical Care Medicine
- Narayana Hrudayalaya
- Bengaluru, Karnataka, India
- Jacob George Pulinilkunnathil MD IDCCM FCCP EDIC
- Senior Resident
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Jagadeesh KN MBBS
- Associate Consultant
- Critical Care Medicine
- Medanta—The Medicity
- Gurugram, Haryana, India
- Jignesh Navinchandra Shah MD DNB EDIC IDCCM IFCCM
- Consultant (Intensive Care)
- Department of Critical Care Medicine
- Bharati Vidyapeeth Medical College
- Pune, Maharashtra, India
- Jitendra Choudhary
- MD (Anesthesia) IDCCM FNB (Critical Care) EDIC
- Consultant Critical Care
- Fortis Hospital
- Mumbai, Maharashtra, India
- JV Peter MD DNB MAMS FRACP FJFICM FCICM FICCM
- Professor of Critical Care
- Medical Intensive Care Unit
- Christian Medical College
- Vellore, Tamil Nadu, India
- Jigeeshu Vashisth Divatia MD FICCM FCCM
- Professor and Head
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Editor-in-Chief, Indian Journal of Anesthesia
- Past-President, Indian Society of Critical Care Medicine
- Kapil Gangadhar Zirpe MBBS MD (Chest) FICCM FCCM
- Director
- Neurotrauma Critical Care Unit
- Ruby Hall Clinic
- Grant Medical Foundation
- Pune, Maharashtra, India
- Kapil Sharad Borawake MBBS DNB (MEDICINE) IDCCM
- Director
- Department of Medicine and ICU
- Vishwaraj Hospital and Research Institute
- Pune, Maharashtra, India
- Khalid Ismail Khatib MD IDCCM FICCM FCCM
- Professor
- Department of Medicine
- SKN Medical College
- Pune, Maharashtra, India
- Lalita Gouri Mitra DA MD DNB MNAMS
- Associate Professor
- Department of Critical Care
- Institute of Liver and Biliary Sciences
- New Delhi, India
- Martin Jose Thomas MBBS MD DNB (Anesthesiology)
- Registrar (CICM Trainee)
- Department of Intensive Care Medicine
- Tamworth Rural Referral Hospital
- Tamworth, NSW, Australia
- Meghena Mathew DNB (Pulmonology) IDCCM EDIC
- Associate Consultant
- Critical Care Unit
- Apollo First Med Hospitals
- Chennai, Tamil Nadu, India
- Natesh Prabu R
- MD DNB (Anesthesiology) DM (Critical Care Medicine) EDIC
- Assistant Professor
- Department of Critical Care Medicine
- St John's Medical College Hospital
- Bengaluru, Karnataka, India
- Naveen Salins
- MBBS MD Clin Dip Pall Med Clin Fellowship Pall Med
- Professor and Head
- Department of Palliative Medicine and Supportive Care
- Kasturba Medical College
- Manipal Academy of Higher Education
- Manipal, Karnataka, India
- Nishanth Baliga DM (Critical Care Medicine)
- Senior Resident
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Pradnya Atul Kulkarni DPB
- Blood Transfusion Officer
- KJ Somaiya Medical College and Research Center
- Mumbai, Maharashtra, India
- Prasad Padwal
- MD (Pulmonary Medicine) FNB (Critical Care Medicine)
- Associate Consultant Critical Care
- Fortis Hospital
- Mumbai, Maharashtra, India
- Praveen Kumar G
- MBBS MD FNB EDIC
- Attending Consultant
- Critical Care Medicine
- Medanta—The Medicity
- Gurugram, Haryana, India
- Rahul Anil Pandit MD FCICM FJFICM EDIC FCCP FICCM DA
- Director (Critical Care)
- Fortis Hospital
- Mumbai, Maharashtra, India
- Raymond Dominic Savio
- MD (Int Med) DM (Crit Care Med) EDIC
- Critical Care Consultant
- Department of Critical Care Medicine
- Apollo Hospitals
- Chennai, Tamil Nadu, India
- Ruchira Wasudeo Khasne MBBS DA DNB IDCCM EDAIC EDIC
- Consultant and Head
- Department of Critical Care
- Ashoka Medicover Hospital
- Nashik, Maharashtra, India
- Sangeeta Yelle MD FNB
- Consultant
- Department of Critical Care
- Virinchi Hospitals
- Hyderabad, Telangana, India
- Sheila Nainan Myatra MD FCCM FICCM
- Professor
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Shilpushp Bhosale
- DM (Crit Care Med) Fellowship Ped Crit Care (University of Toronto)
- Associate Professor
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Shrirang Nagorao Bamne MD
- Senior Registrar
- Division of Critical Care Medicine
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Srilekha Ammapalli MD (Anesthesiology) DM (Crit Care Med)
- Resident (Second Year)
- Diviaion of Critical Care Medicine
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Srinivas Samavedam
- MD DNB FRCP FNB EDIC FICCCM DMLE MHA
- Head
- Department of Critical Care
- Virinchi Hospitals
- Hyderabad, Telangana, India
- Subhal Bhalchandra Dixit
- MD (Medicine) IDCCM FCCM FICCM
- Director
- Intensive Care Unit
- Sanjeevan and MJM Hospitals
- Pune, Maharashtra, India
- President
- Indian Society of Critical Care Medicine (ISCCM)
- Suhail Sarwar Siddiqui MD Fellow (Critical Care) DM
- Assistant Professor
- Department of Critical Care Medicine
- King George's Medical University
- Lucknow, Uttar Pradesh, India
- Sunitha Binu Varghese DNB (Medicine) IDCCM EDIC
- Head
- Department of Critical Care
- Niramaya Hospital
- Pune, Maharashtra, India
- Suresh Ramasubban AB-Int-Medicine Pulmonary & CCM
- Senior Consultant
- Department of Critical care
- Apollo Gleneagles Hospital
- Kolkata, West Bengal, India
- Syed Nabeel Muzaffar
- MD PDCC DM EDIC
- Assistant Professor
- Department of Critical Care Medicine
- King George's Medical University
- Lucknow, Uttar Pradesh, India
- Vandana Agarwal MD (Anes) FRCA (London)
- Professor
- Department of Anesthesiology,
- Critical Care and Pain
- Tata Memorial Hospital,
- Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Vandana Saluja MD PDCC (Liver Transplant) Anesthesia
- Associate Professor
- Department of Critical Care
- Institute of Liver and Biliary Sciences
- New Delhi, India
- Vijaya Patil MBBS DA MD
- Professor and Head
- Division of Anesthesiology
- Department of Clinical Anesthesia, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Vikas Bhagat MD IDCCM DO DM (CCM)
- Specialist Registrar
- Division of Critical Care Medicine
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital, Homi Bhabha National Institute
- Mumbai, Maharashtra, India
There are two parents (as the nature dictates) to the idea of this book. The Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India, published a book, titled Objective Anesthesia Review for examinees in Anesthesiology, many years back (and newer editions are continuing). This book became hugely popular and became one of essential reading companion to all examinees. The second parent was a discussion amongst us; i.e. Atul Prabhakar Kulkarni, Rahul Anil Pandit, Subhal Bhalchandra Dixit, and Kapil Gangadhar Zirpe; regarding the lack of a concise book for the examinees in Critical Care Medicine.
There are many books in the field of Critical Care Medicine, some excellent, some very good and so on. None of them is specifically oriented towards helping the exam-going student, who is forced to read from multiple sources, just before the practical examination. This leads to haphazard study, making the stress levels increase even further. On top of all of this, they are expected to know the latest literature, which is ever changing and makes the life of the trainees more difficult. There are many review courses, but even there our boys and girls are made to work hard, to take down notes, and nowadays take snaps of the slides on their proud possession, the smartphone. This distracts them from understanding what is being discussed. Therefore this book! We have made an attempt to cover all the cases the examinee is likely to come across in most examinations, in the form of case vignettes. The book follows a question and answer format, as close to the real life as we can get, in the examination. The latest evidence is included in all answers throughout the book and the references quoted can be looked up for further information by examinees.
As a bonus, there are 100 OSCEs (The Objective Structured Clinical Examination) for practice in the book, which will be extremely helpful to all.
Does this mean the examinees should read only this book? Not at all, this book is a distilled essence of all that is there in the standard textbooks, which are a must read for all of us. There is added fragrance of updated knowledge and we can proudly say that these references are updated.
We wish that this book proves an enviable successor to its older brother, Objective Anesthesia Review, and helps you in your exit examinations. We wish you all the very best for your examinations, and hope, in future some of you will be contributing the book itself when we are writing the future editions of the book.
Atul Prabhakar Kulkarni
Rahul Anil Pandit
Subhal Bhalchandra Dixit
Kapil Gangadhar Zirpe
Acknowledgments
I wish to thank all my co-editors and contributors from all over India, for their efforts in contributing the chapters to the first ever book published for the exam-going students in the field of critical care medicine. This book would not have been possible without their hard work, put in, in spite of their busy clinical schedule. I must acknowledge the fact that they have been amicable to me (and continue to be so) in spite of persistent, irritating pestering, throughout all the stages of the book being shaped.
Special acknowledgement is due to a group of people, such as Jacob George Pulinilkunnathil, Ruchira Wasudeo Khasne, Nishanth Baliga, Amit Madhukar Narkhede, Harish MM, Natesh Prabu R and Suhail Sarwar Siddiqui, whom I have repeatedly bugged to meet deadlines, add new things, look-up references and to do the bulk of the writing and corrections. Some of the ideas in fact came from them, you should also be grateful to them as I am. The fact that they tolerated all this manfully (and womanfully) makes them special for me.
I would also like to extend our appreciation to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Ms Chetna Malhotra Vohra (Associate Director–Content Strategy), Ms Pooja Bhandari (Production Head), Ms Prerna Bajaj (Development Editor), and all the staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their efforts and input enabling timely publication of the book.
Atul Prabhakar Kulkarni