Kalapalatha K. Guntupalli

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Acute Respiratory Distress Syndrome (ARDS) occurs in a wide range of adult and pediatric critical care settings. This article provides an overview of ARDS including the controversies in definition, a summary of pathophysiology, diagnosis, clinical presentation, and management options. The article also attempts to emphasize new management options in the(More)
India is a vast democracy of nearly one billion people. Before the British rule ended in 1947, the life span of an Indian was a mere 21 years. Within a short span of 50 years, it increased to an impressive 63 years, largely due to public health measures initiated by the government. This created a pool of more than 300 million middle class Indians who could(More)
Neurocritical care is a subspecialty of critical care medicine, dedicated to the care and the advancement of care of critically ill patients with neurosurgical or neurological diseases. Neurocritical care patients are heterogeneous, in both their disease process and the therapies they receive, however, several studies demonstrate that care of these patients(More)
OBJECTIVES To compare the effects of intermittent intravenous administration and continuous intravenous infusion of famotidine on gastric pH in critically ill patients. DESIGN A prospective, randomized, crossover study of continuous infusion and bolus administration of famotidine in critically ill patients. SETTING A 14-bed medical intensive care unit(More)
A b st ra ct Although asthma is a condition that is managed in the outpatient setting in most patients, the poorly control­ led and severe cases pose a major challenge to the health-care team. Recognition of the more common insidious and the less common rapid onset “acute asphyxic” asthma are important. The intensivist needs to be familiar with the factors(More)
The majority of clinicians will encounter patients with heat-related illness in one form or the other. Early recognition and management are important to prevent morbidity and mortality. In children and elderly, the clinical signs may be subtle and in such situations a sound knowledge of heat-related illnesses is crucial. Besides diagnosing and treating(More)
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