Second Edition
Editors
Subhash Todi MD MRCP
Director Department of Critical Care Advanced Medicare Research Institute Kolkata, West Bengal, India
Subhal Bhalchandra Dixit MD IDCCM FICCM FICP FCCM
Consultant and Director ICU Department of Critical Care Sanjeevan and MJM Hospitals Pune, Maharashtra, India
Dhruva Chaudhry MD (Medicine) DNB DM (Pulmonary and Critical Care Medicine)
Professor and Head Department of Pulmonary and Critical Care Medicine Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences Rohtak, Haryana, India
Yatin Mehta MD MNAMS FRCA FAMS FIACTA FICCM FTEE
Chairman Institute of Critical Care and Anesthesia Medanta—The Medicity Gurugram, Haryana, India
Foreword
Subhal Bhalchandra Dixit
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Critical Care Update 2020
First Edition: 2019
Second Edition: 2020
9789389776881
Printed at
fm_5Contributors
- Aakanksha Chawla Jain MD IDCCM
- Attending Consultant
- Department of Respiratory
- Critical Care and Sleep Medicine
- Indraprastha Apollo Hospitals
- New Delhi, India
- Aanchal Singh DNB (Pulmonary Medicine)
- General Practitioner
- Department of Critical Care Medicine
- NMC Specialty Hospital
- Al Nahada 2, Dubai, UAE
- Abdul Ansari MD Anesthesiology FNB Critical Care
- Director
- Department of Critical Care
- Nanawati Superspecialty Hospital
- Mumbai, Maharashtra, India
- Abhinav Gupta MD DNB FNB EDIC
- Consultant
- Intensive Care Unit
- Homerton University Hospital
- London, UK
- Aditya Nath Shukla MD (Anesthesia)
- Consultant
- Department of Critical Care Medicine
- Regency Hospital
- Kanpur, Uttar Pradesh, India
- Afzal Azim MD (Anesthesiology)
- Professor
- Department of Critical Care Medicine
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, Uttar Pradesh, India
- Ajeet Singh MD IDCCM FNB EDIC
- Consultant
- Department of Critical Care Medicine
- Manipal Hospital
- New Delhi, India
- Akhil Taneja MD IDCCM IFCCM EDIC Fellow-IDSA/SHEA Fellow-ECMO (TSS)
- Principal Consultant
- Department of Critical Care Medicine
- Max Super Speciality Hospital
- New Delhi, India
- Alok K Sahoo MD IDCC
- Assistant Professor
- Department of Anesthesia and
- Intensive Care
- All India Institute of Medical Sciences
- Bhubaneswar, Odisha, India
- AM Bhagwati MD (Medicine) FICP FICA FISCCM ADHA
- (Hosp Admn)
- Honorary Consulting Physician and Honorary Academic Director
- Department of Intensive
- Care Medicine
- Amod Tilak MD (Pharmacology)
- Medical Advisor, ThromBI
- Boehringer Ingelheim India Pvt Ltd
- Mumbai, Maharashtra, India
- Anish Gupta MD FNB EDIC
- Associate Consultant
- Institute of Critical Care Medicine
- Max Super Speciality Hospital
- New Delhi, India
- Anshul Sood MSc
- PhD Scholar
- Department of Medical Microbiology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Anuj M Clerk MD (Internal Medicine) IDCCM EDIC FNB FIECMO
- Head
- Department of Intensive Care
- Sunshine Global Hospital
- Surat, Gujarat, India
- Anup Jyoti Dutta DA IDCCM
- Arghya Majumdar MD DNB MRCP
- Director and Head
- Department of Nephrology
- AMRI Hospitals
- Kolkata, West Bengal, India
- Arindam Kar MD DNB FNB EDICM FCCP FICCM FCCM
- Director and Head
- CK Birla Hospitals ICMRI Institute of
- Critical Care
- Kolkata, West Bengal, India
- National General Secretary
- Elect, 2020–2021, Indian Society of Critical Care Medicine
- Arindam Mukherjee DM (Pulmonology and Critical Care Medicine)
- Ruby General Hospital
- Kolkata, West Bengal, India
- Armin Ahmed MD PDCC
- Assistant Professor
- Department of Critical Care Medicine
- King George's Medical University
- Lucknow, Uttar Pradesh, India
- Arpit Saha
- Arti Singh MS DNB
- Consultant Gynecologist
- Regency Hospital
- Kanpur, Uttar Pradesh, India
- Arun K Baranwal MD PG Diploma-Critical Care (UK) MAMS FICCM FIAP FRCPCH
- Professor
- Division of Pediatric Critical Care
- Incharge, Pediatric Cardiac Care Unit
- Advanced Pediatrics Center
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Arun Raja DM
- Fellow
- Department of Pulmonary Critical Care and Sleep Medicine
- All India Institute of Medical Sciences
- New Delhi, India
- Arunaloke Chakrabarti MD
- Professor and Head
- Department of Medical Microbiology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Arup Roy MD
- Fellow
- Department of Clinical Microbiology
- Tata Medical Center
- Kolkata, West Bengal, India
- Arvind Kumar Baronia MD (Anesthesiology)
- Professor and Head
- Department of Critical Care Medicine
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, Uttar Pradesh, India
- Ashish Bhalla MD FICCM
- Additional Professor
- Department of Internal Medicine
- Postgraduate Institute of Medical Education and Research
- Ashit Hegde
- Ashok K Pannu
- Ashok Kumar Singh MD (Chest) DNB (Respiratory Med) MNAMS European Diploma (Respiratory Medicine)
- Director and Academic Course Coordinator
- Department of Pulmonary and
- Critical Care Medicine
- Regency Hospital
- Kanpur, Uttar Pradesh, India
- Ashutosh Kumar Garg MD IDCCM Fellow-ECMO (TSS)
- Principal Consultant
- Department of Critical Care Medicine
- Max Super Speciality Hospital
- New Delhi, India
- Asif Ahmed MBBS DNB (Anesthesiology, Gold Medal) IDCCM
- Senior Consultant and Head
- Department of Critical Care Medicine
- Tata Main Hospital
- Jamshedpur, Jharkhand, India
- Atul Prabhakar Kulkarni MD (Anesthesiology) FISCCM PGDHHM FICCM
- Professor and Head
- Division of Critical Care Medicine
- Department of Anesthesiology, Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Babu K Abraham MD MRCP (UK) Fellowship in Critical Care Medicine (University of Toronto) FICCM
- Senior Consultant
- Department of Critical Care Medicine
- Apollo Hospitals
- Chennai, Tamil Nadu, India
- Balasubramanian S MBBS MD (Pediatrics) MRCPCH (UK)
- Associate Consultant
- Pediatric Intensive Therapy Unit
- Narayana Institute of Cardiac Sciences
- Bengaluru, Karnataka, India
- Banambar Ray MD FICCM
- Chief Consultant
- Department of Critical Care
- Apollo Hospitals
- Bhubaneswar, Odisha, India
- Bhanuprakash Bhaskar MD
- Senior Resident (DM 3rd Year)
- Department of Critical Care Medicine
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, Uttar Pradesh, India
- Bharat G Jagiasi MD IDCCM
- Head
- Department of Critical Care
- Suasth Healthcare India Ltd
- Navi Mumbai, Maharashtra, India
- Bharat Purandare MD ID Fellowship
- Consultant Infectious Diseases (ID) Physician
- DM Hospital
- Bharati Vidyapeeth (Deemed to be University) Medical College
- Pune, Maharashtra, India
- Bikram Gupta
- Camilla Rodrigues MD
- Consultant Microbiologist
- Department of Microbiology
- PD Hinduja National Hospital and Medical Research Center
- Mumbai, Maharashtra, India
- Chandrashish Chakravarty MD (AIIMS) MRCP (UK) SCE-Resp Med (UK) EDIC MNAMS Fellow in CCM (USA)
- Consultant
- Department of Critical Care Medicine
- Apollo Hospitals
- Kolkata, West Bengal, India
- Debasish Panda MD FNB IDCCM
- Associate Consultant
- Department of Critical Care Medicine
- Medanta Hospital
- Ranchi, Jharkhand, India
- Deeksha Singh Tomar DA IDCCM IFCCM EDIC
- Consultant
- Department of Critical Care
- Narayana Superspeciality Hospital
- Gurugram, Haryana, India
- Deepak Govil MD EDIC FCCM
- Director
- Department of Critical Care
- Medanta—The Medicity
- Gurugram, Haryana, India
- Deepak Jeswani MD DNB (Internal Medicine) IDCCM EDIC (Critical Care)
- Medical Director
- Department of Medicine and ICU
- Criticare Hospital and Research Institute
- Nagpur, Maharashtra, India
- Deven Juneja DNB FNB EDIC FCCM
- Associate Director
- Institute of Critical Care Medicine
- Max Super Speciality Hospital
- New Delhi, India
- Devi Prasad Samaddar MD FICCM FICA
- Director Medical Affairs
- Critical Care Academics and Quality
- Ruby General Hospital
- Kolkata, West Bengal, India
- Dhruva Chaudhry MD (Medicine) DNB DM (Pulmonary and Critical Care Medicine)
- Professor and Head
- Department of Pulmonary and Critical Care Medicine
- Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
- Rohtak, Haryana, India
- Dibyadip Mukhopadhyay MD PDCC
- Consultant
- Department of Critical Care
- Ruby General Hospital
- Kolkata, West Bengal, India
- Diptimala Agarwal DA DNB FCCM
- Head
- Department of Anesthesia and
- Critical Care
- Pushpanjali Hospital
- Agra, Uttar Pradesh, India
- Divija Sannapareddy MD IDCCM
- Consultant Intensivist
- Medicover Hospital
- Hyderabad, Telangana, India
- DK Singh MD FICCM
- Director
- Department of Anesthesiology
- Rajendra Institute of Medical Sciences
- Ranchi, Jharkhand, India
- Farhad Kapadia MD FRCP DA (UK) EDIC FICCM
- Consultant Physician and Intensivist
- Department of Medicine and ICU
- PD Hinduja National Hospital and Medical Research Center
- Mumbai, Maharashtra, India
- FL Barra MD
- Department of Anesthesia and Intensive Care Medicine
- Humanitas Clinical and Research Center—IRCCS
- Milan, Italy
- Gagana Badunalli DNB Fellow
- Fortis Hospital
- Mumbai, Maharashtra, India
- Ganshyam Jagathkar MD FNB
- Head
- Department of Intensive Care
- Medicover Hospital
- Gaurav Kochhar MD
- Senior Consultant
- Institute of Critical Care and Anesthesia
- Gurugram, Haryana, India
- Girish Agrawal DNB IDCCM
- Senior Consultant
- Department of Pulmonology Critical Care and Sleep Medicine
- Ramkrishna Care Hospital
- Raipur, Chhattisgarh, India
- Goverdhan D Puri MD PhD FAMS
- Professor and Head
- Department of Anesthesia and
- Intensive Care
- Sub-Dean (Research)
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Harish MM MD DM (Critical Care Medicine, TMH) DNB IDCCM EDIC (Dublin) MBA (Health Care Management)
- Consultant-Incharge
- Department of Critical Care Medicine
- Narayana Hrudayalaya
- Bengaluru, Karnataka, India
- Harjit Dumra MD
- Consultant and Head
- Department of Critical Care Medicine
- Sterling Hospital
- Ahmedabad, Gujarat, India
- Harsh Sapra
- Inderpaul Singh Sehgal MD DM
- Assistant Professor
- Department of Pulmonary Medicine
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Ipe Jacob PFDM CTCCM IDCCM
- Medical Officer
- Department of Intensive Care
- Columbia Asia Referral Hospital
- Bengaluru, Karnataka, India
- Jacob George Pulinilkunnathil MBBS MD (Respiratory Medicine) DM (Critical Care) IDCCM IFCCM EDIC FCCP
- Consultant
- Department of Critical Care
- Mar Sleeva Medicity Palai
- Kerala, India
- Janmejay Nayak MBBS PMCC IDCCM
- Junior Consultant
- Department of Critical Care
- Apollo Hospitals
- Bhubaneswar, Odisha, India
- Jayant Shelgaonkar MBBS DA MD FRCA FICCM
- Head
- Department of Critical Care
- Jupiter Hospital
- Pune, Maharashtra, India
- Jayashree M MD FIAP FICCM
- Professor and Incharge
- Department of Pediatric Critical Care
- Advanced Pediatrics Center
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Jayesh Timane MBBS DNB (Internal Medicine) EDIC
- Critical Care Physician
- KRIMS Hospital, Nagpur
- Chairman
- Society of Critical Care Medicine (SCCM)
- Nagpur, Maharashtra, India
- Jhuma Sankar MD
- Associate Professor
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Jigeeshu Vasistha Divatia MD FICCM FCCM
- Professor and Head
- Department of Anesthesia
- Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- John Victor Peter MD DNB MAMS FRACP FJFICM FCICM FICCM MPhil
- Professor and Director
- Department of Critical Care
- Christian Medical College
- Vellore, Tamil Nadu, India
- Jose Chacko MD DNB EDIC MBA
- Consultant
- Department of Critical Care Medicine
- Narayana Hrudayalaya Multispecialty Hospital
- Bengaluru, Karnataka, India
- Kanwalpreet Sodhi DA DNB (Anesthesiology) IDCCM EDIC
- Director and Head
- Department of Critical Care
- Deep Hospital
- Ludhiana, Punjab, India
- Kapil Zirpe MBBS MD (Chest) FICCM FCCM
- Director
- Neurotrauma Unit
- Ruby Hall Clinic
- Pune, Maharashtra, India
- Karuna Tiwari MD
- Associate Consultant Microbiologist
- Department of Microbiology
- PD Hinduja National Hospital and Medical Research Center
- Mumbai, Maharashtra, India
- Kayanoosh Kadapatti MD NB (Medicine) IDCCM EDIC
- Consultant and Head
- Department of Critical Care Medicine
- Jehangir Hospital
- Pune, Maharashtra, India
- Khalid Ismail Khatib MD FICCM
- Professor
- Department of Medicine
- Smt Kashibai Navale Medical College
- Pune, Maharashtra, India
- Khusrav Bajan MD EDIC
- Consultant
- Department of Critical Care
- PD Hinduja National Hospital and Medical Research Center
- Mumbai, Maharashtra, India
- Kiran Bada Revappa MD DNB FNB
- Trainee
- Department of Intensive Care
- Columbia Asia Referral Hospital
- Bengaluru, Karnataka, India
- Krunal J Patel MD (Anesthesia) IDCCM FIECMO
- Consultant Intensivist
- Department of Intensive Care
- Sunshine Global Hospital
- Surat, Gujarat, India
- L Carenzo MD EDIC
- Department of Anesthesia and Intensive Care Medicine
- Humanitas Clinical and Research Center—IRCCS
- Milan, Italy
- M Ceccon MD FRCA FFICM MD (Res)
- Department of Anesthesia and
- Intensive Care Medicine
- Humanitas Clinical and Research Center—IRCCS, Milany
- Humanitas University
- Department of Biomedical Sciences
- Milan, Italy
- Madhur Arora Associate Consultant
- Department of Critical Care Medicine
- Division of Extracorporeal Life Support
- Fortis Memorial Research Institute
- Mahajyoti Chakravorty MBBS DNB (Anesthesiology)
- Associate Specialist
- Department of Critical Care Medicine
- Tata Main Hospital
- Jamshedpur, Jharkhand, India
- Maitree Pandey Director-Professor
- Department of Anesthesiology and
- Critical Care
- Lady Hardinge Medical College
- New Delhi, India
- Manali Patel MBBS DA FCCCM
- Consultant
- Department of Critical Care Medicine
- Manipal Hospital, New Delhi, India
- Manazir Athar MD DNB MNAMS
- Assistant Professor
- Department of Anesthesiology and
- Critical Care
- Jawaharlal Nehru Medical College
- Aligarh Muslim University
- Aligarh, Uttar Pradesh, India
- Manidipam Chatterjee DA DNB IDCCM FNB
- Trainee, Intensive Care Unit
- Bombay Hospital and Medical Research Center
- Mumbai, Maharashtra, India
- Manish Munjal MD FICCM FCCM
- Chairman
- Jigyasa Foundation
- Jaipur, Rajasthan, India
- Manjunath BG MD (Pulmonary Medicine) DM (Pulmonary and Critical Care Medicine)
- Assistant Professor
- Department of Pulmonary and Critical Care Medicine
- Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
- Rohtak, Haryana, India
- Manmohan Borse DNB CTCCM
- Attending Consultant
- Department of Critical Care Medicine
- Medanta Hospital
- Ranchi, Jharkhand, India
- Manoj K Goel MD FCCP FIAB FICCM FIAB FICM (Belgium) FISM (Australia) DIP (France)
- Director and Head
- Department of Pulmonology
- Critical Care and Sleep Medicine
- Fortis Memorial Research Institute
- Gurugram, Haryana, India
- Manoj K Singh MD DNB (Chest) FNB EDIC
- Consultant (Chest and Critical Care)
- Department of Critical Care
- Apollo Hospital International Ltd
- Ahmedabad, Gujarat, India
- Mansi Dandnaik MD IDCCM EDICM
- Consultant Critical Care Specialist
- Sterling Hospital
- Ahmedabad, Gujarat, India
- Mansi Gupta MD (Pulmonary Medicine) DNB DM (Pulmonary and Critical Care Medicine)
- Assistant Professor
- Department of Pulmonary Medicine
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, Uttar Pradesh, India
- Manu Varma MK MD DM (Critical Care Medicine) PDCC
- Assistant Professor
- Department of Critical Care Medicine
- St John's Medical College and Hospital
- Bengaluru, Karnataka, India
- Meena Sonone MBBS DTCD IDCCM
- Junior Consultant
- Department of Critical Care
- Ashoka Medicover Hospital
- Nashik, Maharashtra, India
- Megha Sharma MD (Microbiology) Dip NB (Microbiology)
- Pool Officer, CSIR
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Meghena Mathew DNB (Pulmonary Medicine) IDCCM EDIC
- Consultant
- Department of Critical Care
- Apollo First Med Hospitals
- Chennai, Tamil Nadu, India
- Mehul Solanki MD (Medicine) IDCCM FNB (Critical Care) EDIC
- Head
- Department of Critical Care Medicine
- BAPS Yogiji Maharaj Hospital
- Ahmedabad, Gujarat, India
- Milan C Patel DNB (Family Medicine) CTCCM
- ICU Lecturer
- Department of Critical Care
- Jehangir Hospital
- Pune, Maharashtra, India
- Mohan Gurjar MD PDCC
- Additional Professor
- Department of Critical Care Medicine
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, Uttar Pradesh, India
- Mohit Kharbanda MBBS MD (Medicine) IDCCM FNB (Critical Care) PDCR
- Director (Critical Care)
- Desun Hospital
- Kolkata, West Bengal, India
- Munish Chauhan MD FNB EDIC
- Consultant
- Department of Critical Care Medicine
- Division of Extracorporeal Life Support
- Fortis Memorial Research Institute
- Gurugram, Haryana, India
- Nagarajan Ramakrishnan AB (Int Med) AB (Crit Care) AB (Sleep Med) MMM FACP FACP FCCM FICCM FISDA
- American Board Certified in Internal Medicine
- Critical Care Medicine and Sleep Medicine
- Master's Degree in Medical
- Management (MMM)
- Senior Consultant and Director
- Department of Critical Care Services
- Apollo Hospitals
- Chennai, Tamil Nadu, India
- Nandhakishore Jampala DA IDCCM EDIC
- Consultant Intensivist
- Medicover Hospital
- Hyderabad, Telangana, India
- Narendra Rungta MD FCCM FICCM FISCCM
- Chairman and Managing Trustee
- Critical Care Foundation, Jaipur
- Director Emergency and Critical Care Medicine
- MJ Rajasthan Hospitals Limited
- Jaipur, Rajasthan, India
- Past President
- Indian Society of Critical Care Medicine
- Founder President, Association of SAARC Countries Critical Care Societies
- Past Chairman
- Intensive Care Chapter (IAP)
- 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
- Nikhil Balankhe MD (Internal Medicine)
- Director
- Department of Critical Care Medicine
- Orange City Hospital
- Nagpur, Maharashtra, India
- Nikhil Kothari MD PhD MAMS
- Additional Professor
- Department of Anesthesiology and
- Critical Care
- All India Institute of Medical Sciences
- Jodhpur, Rajasthan, India
- Nirmalyo Lodh MBBS MD DM
- Critical Care Medicine Fellow
- Department of Anesthesiology
- Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Nithya CA
- Omender Singh MD FCCM
- Director
- Institute of Critical Care Medicine
- Max Super Speciality Hospital
- New Delhi, India
- Palepu B Gopal MD FRCA CCST FICCM FCCM
- Head
- Department of Critical Care Medicine
- Continental Hospitals
- Hyderabad, Telangana, India
- Pallab Ray MD (Microbiology) Dip NB (Microbiology)
- Professor
- Department of Medical Microbiology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Pandurang Tekawade BSc (Physics)
- Respiratory Technician
- Department of ICU
- PD Hinduja National Hospital and
- Medical Research Center
- Mumbai, Maharashtra, India
- Parshotam Lal Gautam MD DNB FICCM MNAMS
- Professor and Head
- Department of Critical Care Medicine
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Pavan Kumar Reddy N MD FNB (Critical Care Medicine) EDIC MBA (Hosp Admin)
- Senior Consultant Intensivist
- Department of Critical Care Medicine
- CARE Hospitals
- Hyderabad, Telangana, India
- Pradeep Rangappa DNB (Int Med) FJFICM EDIC FCICM PGDip ECHO MBA (HCS) FICCM PGDMLE (NISIU)
- Specialist
- Department of Intensive Care
- Columbia Asia Referral Hospital
- Bengaluru, Karnataka, India
- Prakash Shastri MD FRCA FICCM
- Senior Consultant and Vice Chairman
- Department of Critical Care and Emergency Medicine
- Sir Gangaram Hospital
- New Delhi, India
- Prasad Rajhans MD FICCM
- Chief Intensivist
- Department of Critical Care and Emergency Medicine
- Deenanath Mangeshkar Hospital
- Pune, Maharashtra, India
- Prashant Nasa MD IDCCM FNB (Critical Care) FCCP FICCM EDIC
- Senior Consultant
- Department of Respiratory and
- Critical Care Medicine
- NMC Medical Center
- Dubai, UAE
- Prasoon Gupta
- Consultant
- Department of Critical Care and Emergency Medicine
- Sir Gangaram Hospital
- New Delhi, India
- Praveen Kumar G MD FNB EDIC
- Associate Consultant
- Department of Critical Care
- Medanta—The Medicity
- Gurugram, Haryana, India
- Pravin Amin MD FCCM FNCS
- Physician and Intensivist
- Bombay Hospital Institute of
- Medical Sciences
- Mumbai, Maharashtra, India
- Preeti Bhadauria
- Prithwish Bhattacharya
- Purushotham G DNB MNAMS
- Senior Registrar
- Department of Critical Care and Emergency Medicine
- Deenanath Mangeshkar Hospital
- Pune, Maharashtra, India
- Rahul Pandit Director
- Department of Critical Care
- Fortis Hospital
- Mumbai, Maharashtra, India
- Rajalakshmi Iyer MD DM
- Fellow
- Department of Pediatric Critical Care
- Advanced Pediatrics Center
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Rajan Barokar MD (Internal Medicine) EDIC (European Diploma in Intensive Care)
- Director
- Department of Critical and
- Emergency Care
- Kingsway Hospital
- Nagpur, Maharashtra, India
- Rajarajan Ganesan MD DM (Cardiac Anesthesia)
- Assistant Professor
- Department of Anesthesia and
- Intensive Care
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Rajeev Soman MD FIDSA
- Consultant ID Physician
- Jupiter Hospital, Thane
- Deenanath Mangeshkar Hospital, Pune
- BVDUMC, Pune
- PD Hinduja National Hospital and
- Medical Research Center
- Mumbai, Maharashtra, India
- Rajesh Chandra Mishra MB MD (Med) FNBCCM EDICM FCCP FCCM FICCM FICP
- Honorary Consultant Intensivist and Internist
- General Secretary ISCCM 2019–2020
- Ahmedabad, Gujarat, India
- Rajesh Chawla MD FCCM (USA) FCCP EDIC EDARM
- Senior Consultant
- Department of Respiratory
- Critical Care and Sleep Medicine
- Indraprastha Apollo Hospitals
- New Delhi, India
- Rajesh Kumar Phulara DA DNB (Anesthesiology) FNB (Critical Care Medicine)
- Specialist
- Department of Critical Care Medicine
- NMC Specialty Hospital
- Al Nahada 2, Dubai, UAE
- Rajesh Pande MD PDCC FICCM FCCM
- Director
- BLK Center of Excellence for Critical Care
- BLK Superspeciality Hospital
- Raman Sardana MD FIMSA
- Head, Infection Prevention and Control
- Chairperson, HICC
- Academic Advisor, Laboratory Services
- Senior Consultant and Head
- Department of Microbiology
- Indraprastha Apollo Hospitals
- New Delhi, India
- Ramesh Venkatraman
- Rameshwar Bhagaji Hudekar MBBS DNB MNAMS
- Intensivist
- Department of Critical Care
- Jupiter Hospital
- Pune, Maharashtra, India
- Ramya BM
- Ravi Jain MD FNB
- Consultant
- Department of Surgical Critical Care
- Nayati Medicity
- Mathura, Uttar Pradesh, India
- Rinkesh K Bansal MD (Med) DNB (Gastro)
- Consultant
- Department of Gastroenterology and Hepatobiliary Science
- Fortis Memorial Research Institute
- Gurugram, Haryana, India
- Ripenmeet Salhotra MD (Anesthesiology) IFCCM EDIC
- Consultant
- Department of Critical Care Medicine
- Fortis-Escorts Hospital
- Faridabad, Haryana, India
- Ritesh Agarwal MD DM
- Professor
- Department of Pulmonary Medicine
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Riyan S Shetty MD (Anesthesiology)
- Consultant
- Pediatric Intensive Therapy Unit
- Head, Extracorporeal Life Support
- Narayana Institute of Cardiac Sciences
- Bengaluru, Karnataka, India
- Rohit Yadav Dip (Anesthesia) IDCCM
- Senior Consultant
- Department of Critical Care
- Nayati Medicity
- Mathura, Uttar Pradesh, India
- Ruchira Khasne MBBS DA DNB IDCCM EDAIC & EDIC
- Consultant and Head
- Department of Critical Care
- Ashoka Medicover Hospital
- Nashik, Maharashtra, India
- Rupak Kundu MD FNB (CCM) EDIC
- Associate Consultant
- Department of Neurocritical Care
- AMRI Hospital
- Kolkata, West Bengal, India
- S Goswami MD (Medicine)
- Sachin Gupta MD IDCCM IFCCM EDIC FCCM FICCM
- Head
- Department of Critical Care
- Narayana Superspeciality Hospital
- Gurugram, Haryana, India
- Sahajal Dhooria MD DM
- Assistant Professor
- Department of Pulmonary Medicine
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
- Sai Saran PV MD (Anesthesiology) DM (Critical Care Medicine)
- Assistant Professor
- Department of Critical Care Medicine
- Super Speciality Cancer Institute and Hospital
- Lucknow, Uttar Pradesh, India
- Sameer Jog MD EDIC IDCCM
- Consultant Intensivist
- Deenanath Mangeshkar Hospital
- Pune, Maharashtra, India
- Samir Sahu MD FICCM
- Director
- Department of Critical Care and Pulmonology
- AMRI Hospitals
- Bhubaneswar, Odisha, India
- Sandeep Anehosur MD IDCCM
- Consultant
- Department of Critical Care
- Suasth Hospital
- Navi Mumbai, Maharashtra, India
- Sandeep Dewan DA DNB IDCC
- Director and Head
- Department of Critical Care Medicine
- Division of Extracorporeal Life Support
- Fortis Memorial Research Institute
- Gurugram, Haryana, India
- Sandesh Kumar MD FNB EDIC
- Consultant Intensivist
- Department of Critical Care
- Cloudphysician Healthcare
- Bengaluru, Karnataka, India
- Sanjay Bhattacharya MD DNB DipRCPath FRCPath CCT (UK)
- Consultant Microbiologist
- Department of Clinical Microbiology
- Tata Medical Center
- Kolkata, West Bengal, India
- Santanu Bagchi
- Consultant
- Department of Critical Care
- Apollo Gleneagles Hospital
- Kolkata, West Bengal, India
- Santosh Kumar Paiaulla MD FNB
- Consultant
- Department of Critical Care Medicine
- Continental Hospitals
- Hyderabad, Telangana, India
- Sasidaran K MD DM (Pediatric Critical Care)
- Consultant Pediatric Intensivist and Head
- Advanced Pediatric Critical Care Center
- Mehta Multispecialty Hospitals
- Chennai, Tamil Nadu, India
- Saswati Sinha MD (Medicine) IDCCM EDIC
- Consultant
- Department of Critical Care
- AMRI Hospitals, Kolkata, West Bengal, India
- Saumen Meur Senior Consultant Pediatric Intensivist
- AMRI Hospitals, Kolkata, West Bengal, India
- Saurabh Kumar Das MD PDCC IFCCM EDIC
- Senior Consultant
- Department of Critical Care Medicine
- Artemis Hospital
- Gurugram, Haryana, New Delhi, India
- Saurabh Kumar MD DNB FGIR
- Consultant
- Department of Interventional Radiology
- Fortis Memorial Research Institute
- Gurugram, Haryana, India
- Savita Kumari
- Shakil A Chohan MD MRCP (Lon) FRCP (Edin) CCT (UK): Stroke/Geriatric/GIM
- Consultant Geriatrician
- Changi General Hospital, Singapore
- Adjunct Assistant Professor
- YLL School of Medicine, Singapore
- Core Faculty—Singhealth Residency (Geriatrics)
- Sheila Nainan Myatra MD FCCM FICCM
- Professor
- Department of Anesthesiology
- Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Shiva Rubini Tambirajoo MRCPCH (UK)
- Clinical Assistant
- Pediatric Intensive Therapy Unit
- Narayana Institute of Cardiac Sciences
- Shivakumar Iyer MD DNB EDIC FICCM
- Professor and Head
- Department of Critical Care Medicine
- Bharati Vidyapeeth (Deemed to be University) Medical College
- Pune, Maharashtra, India
- Shivaprakash M Rudramurthy MD
- Professor
- Department of Medical Microbiology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Shreyas Bhor MD DNB (Anesthesiology)
- Fellow 2nd Year
- National Board CCM (Critical Care Medicine)
- Department of Critical Care and Emergency Medicine
- Deenanath Mangeshkar Hospital
- Pune, Maharashtra, India
- Shrikanth Srinivasan MD DNB FNB EDIC FICCM
- Consultant and Head
- Department of Critical Care Medicine
- Manipal Hospital
- New Delhi, India
- Shrirang N Bamne MBBS MD FNB EDIC DM (Critical Care Medicine)
- Consultant
- Department of Neurotrauma ICU
- Ruby Hall clinic
- Pune, Maharashtra, India
- Srinivas Jakkinaboina MD DM EDIC
- Senior Consultant and Head
- Department of Critical Care Medicine
- Citizens Specialty Hospitals
- Hyderabad, Telangana, India
- Srinivas Samavedam MD DNB FRCP FNB EDIC FICCM
- Diploma in Health Care Quality Management
- Diploma in Medical Law and Ethics, MBA (Hosp Admin)
- Head
- Department of Critical Care
- Medical Director
- Virinchi Hospitals
- Hyderabad, Telangana, India
- Subhal Bhalchandra Dixit MD IDCCM FICCM FICP FCCM
- Consultant and Director ICU
- Department of Critical Care
- Sanjeevan and MJM Hospitals
- Pune, Maharashtra, India
- Subhash Todi MD MRCP
- Director
- Department of Critical Care
- Advanced Medicare Research Institute
- Kolkata, West Bengal, India
- Subhendu Mishra DNB (Anesthesiology) IDCCM
- Specialist
- Department of Critical Care Medicine
- Tata Main Hospital
- Jamshedpur, Jharkhand, India
- Sujata Rege MD ID Fellowship
- I D Fellow
- Jupiter Hospital
- Pune, Maharashtra, India
- Sujay Samanta MBBS MD (Anesthesia) PDCC (Critical Care Medicine) EDIC DM (Critical Care Medicine)
- Consultant
- Department of Critical Care
- Desun Hospital
- Kolkata, West Bengal, India
- Sumit Ray MD FICCM
- Chairperson
- Department of Critical Care Medicine
- Artemis Hospital
- Gurugram, Haryana, New Delhi, India
- Sunil Karanth MD FNB EDIC FCICM (Aus/NZ)
- Chairman
- Department of Critical Care Medicine
- Manipal Health Enterprises (P) Ltd Bengaluru
- Senior Consultant
- Department of Critical Care Medicine
- Manipal Hospital, Bengaluru
- Adjunct Professor, Critical Care Medicine
- Manipal University
- Bengaluru, Karnataka, India
- Sunit Singhi MBBS MD FIAP FAMS FISCCM FICCM FCCM
- Chairman Pediatrics
- Medanta—The Medicity
- Gurugram, Haryana, India
- Professor Emeritus
- Department of Pediatrics and Advanced Pediatrics Center
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Sunitha Binu Varghese DNB (Medicine) IDCCM EDIC
- Head
- Department of Critical Care
- Niramaya Hospital
- Pune, Maharashtra, India
- Supradip Ghosh DNB (Internal Medicine) EDIC FICCM
- Director and Head
- Department of Critical Care Medicine
- Fortis Escorts Hospital
- Faridabad, Haryana, India
- Suresh Ramasubban MBBS AB-Int-Med (Pulmonary) CCM
- Senior Consultant
- Department of Pulmonary and
- Critical Care Medicine
- Apollo Gleneagles Hospital
- Kolkata, West Bengal, India
- Sushma Gurav MBBS DA DNB (Anesthesia) IDCCM Postgraduation (Medicolegal Concept)
- Consultant
- Department of Neurotrauma ICU
- Ruby Hall Clinic
- Pune, Maharashtra, India
- Susruta Bandyopadhyay MD Dip Card
- Director
- Department of Critical Care
- AMRI Hospitals Salt Lake
- Kolkata, West Bengal, India
- Swagata Tripathy MD DNB IDCC EDIC (Critical Care)
- Associate Professor
- Department of Anesthesia and
- Intensive Care
- All India Institute of Medical Sciences
- Bhubaneswar, Odisha, India
- Syed Moied Ahmed MD PhD FCCP FIMSA
- Professor and Chairman
- Department of Anesthesiology and
- Critical Care
- Jawaharlal Nehru Medical College
- Aligarh Muslim University
- Aligarh, Uttar Pradesh, India
- Tapas Kumar Sahoo MD FNB FCCP EDIC Canadian Critical Care Fellowship
- Senior Consultant and Head
- Department of Critical Care Medicine
- Medanta Hospital
- Ranchi, Jharkhand, India
- Trishala Singhvi MD EDIC
- Senior Consultant
- BLK Center of Excellence for Critical Care
- BLK Superspeciality Hospital
- New Delhi, India
- Tushar Kumar DA DNB PDCC
- Assistant Professor
- Department of Anesthesiology and
- Critical Care
- Rajendra Institute of Medical Sciences
- Ujwala Mhatre DNB Anesthesiology DA IDCCM IFCCM Consultant
- Department of Critical Care
- Nanawati Superspecialty Hospital Mumbai, Maharashtra, India
- Vandana Sinha MD (Anesthesiology)
- Director
- Department of Critical Care
- Jivagiri, South Sarania
- Guwahati, Assam, India
- Vel Murugan
- Venkat Raman Kola MD DNB IDCCM EDIC
- Head
- Department of Critical Care Medicine
- CARE Hospital
- Hyderabad, Telangana, India
- Vijai Williams MD DM
- Fellow
- Department of Pediatric Critical Care
- Advanced Pediatrics Center
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
- Vijay Hadda MD FCCP (USA) FISCCM
- Associate Professor
- Department of Pulmonary Critical Care and Sleep Medicine
- All India Institute of Medical Sciences
- New Delhi, India
- Vijaya Patil
- Professor and Head
- Division of Clinical Anesthesia
- Department of Anesthesia
- Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Vikas Suri MD
- Associate Professor
- Department of Internal Medicine
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Vinay Amin MBBS
- Registrar
- Department of Medicine
- Bombay Hospital Institute of
- Medical Sciences
- Mumbai, Maharashtra, India
- Vinitha Mary Joy MD
- Fellow
- Department of Clinical Microbiology
- Tata Medical Center
- Kolkata, West Bengal, India
- Vipul Chakurkar MD DNB (Nephrology)
- Junior Consultant Nephrologist
- KEM Hospital
- Pune, Maharashtra, India
- Vivek Badada DNB IDCCM
- Assistant Professor
- Department of Anesthesia and
- Critical Care
- FH Medical College
- Agra, Uttar Pradesh, India
- Yash Javeri DA IDCCM FICCM
- Head
- Department of Critical Care
- Trauma and Emergency
- Nayati Hospital
- Mathura, Uttar Pradesh, India
- Chairman, ISCCM Delhi NCR
- Convener, Indian Sepsis Forum
- Yatin Mehta MD MNAMS FRCA FAMS FIACTA FICCM FTEE
- Chairman
- Institute of Critical Care and Anesthesia
- Medanta—The Medicity
- Gurugram, Haryana, India
- YP Singh MD FICCM FCCM (American Board)
- Senior Director and Head
- Department of Critical Care Medicine
- Max Super Speciality Hospital
- New Delhi, India
As the President of Indian Society of Critical Care Medicine (ISCCM), it is my proud privilege to introduce the book Critical Care Update 2020 to the critical care community. With the ever-expanding field of critical care, an endeavor to strengthen the academics and ICU practices across the country, the ISCCM has come up with this book to serve as a bedside reference guide.
Experts from across the country have come together through the book to share their wide evidence-based literature and knowledge in the field of critical care. All the contributors are renowned critical care experts from leading institutions across India and overseas.
This book with 101 chapters represents an invaluable resource for critical care professionals and covers the full spectrum of critical care from clinical management to ethics. Intensivists and postgraduates across the country will find the book as an invaluable reference text. I would like to congratulate Dr Subhash Todi and team on accomplishing the difficult task successfully.
I hope the book serves the purpose for the critical care community in saving lives!
Best wishes!!
Subhal Bhalchandra Dixit
MD IDCCM FICCM FCCM FICP
fm_15Preface to the Second Edition
In keeping with the Indian Society of Critical Care Medicine (ISCCM) tradition of maintaining academic excellence, Critical Care Update 2020 will be published on the occasion of ISCCM Annual Congress at Hyderabad, Telangana, India. This update will cover the breadth and depth of key scientific topics, which will be discussed during the congress. It has 101 chapters and covers all the major organ systems pertaining to critical care. Since its first publication in 2017, this review update has become popular among the postgraduates and critical care practitioners. The editors have carefully selected new topics which have not been covered in previous editions and have tried to keep them contemporary to current critical care practice globally. In order to make it locally relevant emphasis has been made to include topics which are applicable to resource limited settings. The authors have been carefully chosen to reflect their expertise in the area covered by their chapter which will impart evidence with experience in the manuscript. As ISCCM members are predominantly from a clinical background, the topics have been kept with this in mind. On the other hand to keep abreast of all the recent developments in the field, clinically relevant chapters on recent advances are introduced wherever relevant. It has been customary for ISCCM to include our pediatric intensivist colleague in the mainstream and a separate section has been assigned to pediatrics. We sincerely hope this edition of Critical Care Update 2020 will benefit the readers and will help them to take away practice points to be implemented at the bedside for the benefit of patients, the ultimate goal of this exercise.
Subhash Todi
Subhal Bhalchandra Dixit
Dhruva Chaudhry
fm_17Preface to the First Edition
Dear Friends,
New Year Greetings from the Editors of Critical Care Update 2019, the Annual Congress book of ISCCM. The latest edition of Critical Care Update will be released during the Silver Jubilee Conference of ISCCM to be held in Mumbai on 1st February 2019. Similar to previous two editions (2017, 2018) this edition comprises of 101 Chapters divided across 13 Sections with a coverage of all the major subspecialties of critical care. The ratio of chapter distribution is in keeping with the relative scientific work done in the respective field. ISCCM has allocated a substantial space to the Quality, Research and Organizational aspect keeping in mind the growing importance of these often neglected areas of critical care. Most of the chapter topics will be covered during the annual congress and will be a ready reckoner for the attendees. The topics have been carefully selected by the ISCCM National Scientific Committee and the contributors are mostly national and international faculty in the congress. Young talents in the field have been encouraged to contribute to the book and the trend will increase in future.
Best Wishes
Subhash Todi
Subhal Bhalchandra Dixit
Kapil Zirpe