�ݺ�ߣshows by User: LokeshTiwari3

�ݺ�ߣshows by User: LokeshTiwari3 / http://www.slideshare.net/images/logo.gif �ݺ�ߣshows by User: LokeshTiwari3 / Mon, 25 May 2020 18:21:25 GMT �ݺ�ߣShare feed for �ݺ�ߣshows by User: LokeshTiwari3 Circulatory system, Management of shock, selection of vasoactive agents /slideshow/circulatory-system-management-of-shock-selection-of-vasoactive-agents/234559887 circulatorysystem-200525182125
Circulatory system, Management of shock, selection of vasoactive agents]]>
Circulatory system, Management of shock, selection of vasoactive agents]]> Mon, 25 May 2020 18:21:25 GMT /slideshow/circulatory-system-management-of-shock-selection-of-vasoactive-agents/234559887 LokeshTiwari3@slideshare.net(LokeshTiwari3) Circulatory system, Management of shock, selection of vasoactive agents LokeshTiwari3 Circulatory system, Management of shock, selection of vasoactive agents <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/circulatorysystem-200525182125-thumbnail.jpg?width=120&height=120&fit=bounds" /> Circulatory system, Management of shock, selection of vasoactive agents

Circulatory system, Management of shock, selection of vasoactive agents from Lokesh Tiwari

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0 Functional gastrointestinal disorders in children /slideshow/functional-gastrointestinal-disorders-in-children/148736901 functionalgastrointestinaldisordersinchildren-190603044452
Summary of diagnostic criteria, pathophysiology, clinical evaluation and management plan for FGID in children based on Rome IV guidelines ]]>
Summary of diagnostic criteria, pathophysiology, clinical evaluation and management plan for FGID in children based on Rome IV guidelines ]]> Mon, 03 Jun 2019 04:44:52 GMT /slideshow/functional-gastrointestinal-disorders-in-children/148736901 LokeshTiwari3@slideshare.net(LokeshTiwari3) Functional gastrointestinal disorders in children LokeshTiwari3 Summary of diagnostic criteria, pathophysiology, clinical evaluation and management plan for FGID in children based on Rome IV guidelines <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/functionalgastrointestinaldisordersinchildren-190603044452-thumbnail.jpg?width=120&height=120&fit=bounds" /> Summary of diagnostic criteria, pathophysiology, clinical evaluation and management plan for FGID in children based on Rome IV guidelines

Functional gastrointestinal disorders in children from Lokesh Tiwari

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0 Management of sepsis and septic shock /slideshow/management-of-sepsis-and-septic-shock-139862194/139862194 managementofsepsisandsepticshock-190406172931
Sepsis is leading cause of death in children. septic shock and multi organ dysfunction is final common pathway for death in various infections. We discuss here evidence based management of sepsis and septic shock in children.]]>
Sepsis is leading cause of death in children. septic shock and multi organ dysfunction is final common pathway for death in various infections. We discuss here evidence based management of sepsis and septic shock in children.]]> Sat, 06 Apr 2019 17:29:31 GMT /slideshow/management-of-sepsis-and-septic-shock-139862194/139862194 LokeshTiwari3@slideshare.net(LokeshTiwari3) Management of sepsis and septic shock LokeshTiwari3 Sepsis is leading cause of death in children. septic shock and multi organ dysfunction is final common pathway for death in various infections. We discuss here evidence based management of sepsis and septic shock in children. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/managementofsepsisandsepticshock-190406172931-thumbnail.jpg?width=120&height=120&fit=bounds" /> Sepsis is leading cause of death in children. septic shock and multi organ dysfunction is final common pathway for death in various infections. We discuss here evidence based management of sepsis and septic shock in children.

Management of sepsis and septic shock from Lokesh Tiwari

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0 Kumar m, tiwari l. snake bite a review jpcc 2018 /slideshow/kumar-m-tiwari-l-snake-bite-a-review-jpcc-2018/127300652 kumarmtiwaril-190104174228
Snake bite is a common but under-reported medical emergency accounting for 0.5% of all deaths with greater risk of fatal envenomation in children. In India, four species of venomous snake are most common but better classification of medically significant species is warranted. Snake venom is a mixture of peptides with enzymatic & toxic properties which mediate activation of cytokine cascades along with organ specific toxicities, manifesting into local and systemic symptoms. The syndromic approach of attributing a constellation of signs & symptoms to a particular family of venomous snake has clinical acceptance but overlaps exist. Management of snake bite victim starts with a first aid measures of reassurance, immobilization and quick transfer to hospital. Measures such as application of tourniquet, incision and suction are harmful & should not be done. On arrival at hospital, triage and stabilization of Airway, Breathing & Circulation (ABC) is done followed by a focused assessment to ascertain the severity of envenomation. Antivenom treatment is the mainstay of snake bite management. ASV should be started only when specific indications such as signs of neurotoxicity, coagulopathy, hypotension, hematuria are present. Indiscriminate use of ASV is strongly condemned.Currently 8-10 vials of ASV as initial dose with a maximum of 25 vials is recommended. There is no role of test dose of ASV. Measures to treat any ASV induced anaphylaxis should be ready prior to start of ASV treatment. Supportive treatment is as important in determining the final outcome of envenomation as ASV]]>
Snake bite is a common but under-reported medical emergency accounting for 0.5% of all deaths with greater risk of fatal envenomation in children. In India, four species of venomous snake are most common but better classification of medically significant species is warranted. Snake venom is a mixture of peptides with enzymatic & toxic properties which mediate activation of cytokine cascades along with organ specific toxicities, manifesting into local and systemic symptoms. The syndromic approach of attributing a constellation of signs & symptoms to a particular family of venomous snake has clinical acceptance but overlaps exist. Management of snake bite victim starts with a first aid measures of reassurance, immobilization and quick transfer to hospital. Measures such as application of tourniquet, incision and suction are harmful & should not be done. On arrival at hospital, triage and stabilization of Airway, Breathing & Circulation (ABC) is done followed by a focused assessment to ascertain the severity of envenomation. Antivenom treatment is the mainstay of snake bite management. ASV should be started only when specific indications such as signs of neurotoxicity, coagulopathy, hypotension, hematuria are present. Indiscriminate use of ASV is strongly condemned.Currently 8-10 vials of ASV as initial dose with a maximum of 25 vials is recommended. There is no role of test dose of ASV. Measures to treat any ASV induced anaphylaxis should be ready prior to start of ASV treatment. Supportive treatment is as important in determining the final outcome of envenomation as ASV]]> Fri, 04 Jan 2019 17:42:28 GMT /slideshow/kumar-m-tiwari-l-snake-bite-a-review-jpcc-2018/127300652 LokeshTiwari3@slideshare.net(LokeshTiwari3) Kumar m, tiwari l. snake bite a review jpcc 2018 LokeshTiwari3 Snake bite is a common but under-reported medical emergency accounting for 0.5% of all deaths with greater risk of fatal envenomation in children. In India, four species of venomous snake are most common but better classification of medically significant species is warranted. Snake venom is a mixture of peptides with enzymatic & toxic properties which mediate activation of cytokine cascades along with organ specific toxicities, manifesting into local and systemic symptoms. The syndromic approach of attributing a constellation of signs & symptoms to a particular family of venomous snake has clinical acceptance but overlaps exist. Management of snake bite victim starts with a first aid measures of reassurance, immobilization and quick transfer to hospital. Measures such as application of tourniquet, incision and suction are harmful & should not be done. On arrival at hospital, triage and stabilization of Airway, Breathing & Circulation (ABC) is done followed by a focused assessment to ascertain the severity of envenomation. Antivenom treatment is the mainstay of snake bite management. ASV should be started only when specific indications such as signs of neurotoxicity, coagulopathy, hypotension, hematuria are present. Indiscriminate use of ASV is strongly condemned.Currently 8-10 vials of ASV as initial dose with a maximum of 25 vials is recommended. There is no role of test dose of ASV. Measures to treat any ASV induced anaphylaxis should be ready prior to start of ASV treatment. Supportive treatment is as important in determining the final outcome of envenomation as ASV <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/kumarmtiwaril-190104174228-thumbnail.jpg?width=120&height=120&fit=bounds" /> Snake bite is a common but under-reported medical emergency accounting for 0.5% of all deaths with greater risk of fatal envenomation in children. In India, four species of venomous snake are most common but better classification of medically significant species is warranted. Snake venom is a mixture of peptides with enzymatic & toxic properties which mediate activation of cytokine cascades along with organ specific toxicities, manifesting into local and systemic symptoms. The syndromic approach of attributing a constellation of signs & symptoms to a particular family of venomous snake has clinical acceptance but overlaps exist. Management of snake bite victim starts with a first aid measures of reassurance, immobilization and quick transfer to hospital. Measures such as application of tourniquet, incision and suction are harmful & should not be done. On arrival at hospital, triage and stabilization of Airway, Breathing & Circulation (ABC) is done followed by a focused assessment to ascertain the severity of envenomation. Antivenom treatment is the mainstay of snake bite management. ASV should be started only when specific indications such as signs of neurotoxicity, coagulopathy, hypotension, hematuria are present. Indiscriminate use of ASV is strongly condemned.Currently 8-10 vials of ASV as initial dose with a maximum of 25 vials is recommended. There is no role of test dose of ASV. Measures to treat any ASV induced anaphylaxis should be ready prior to start of ASV treatment. Supportive treatment is as important in determining the final outcome of envenomation as ASV

Kumar m, tiwari l. snake bite a review jpcc 2018 from Lokesh Tiwari

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0 Myocardial dysfunction in sepsis jpcc jul aug 2018 /slideshow/myocardial-dysfunction-in-sepsis-jpcc-jul-aug-2018/112979516 myocardialdysfunctioninsepsisjpccjul-aug2018-180904183525
Septic shock is a major cause of mortality in children. Myocardial dysfunction in severe sepsis and septic shock is well recognized but its pathogenesis could be multifactorial. As a result of complex interplay of various factors, hemodynamic changes observed in pediatric age group may be different from those observed in adult. Sepsis induced myocardial dysfunction (SIMD) is a known consequence of severe sepsis and septic shock. Although there is no universally accepted defi nition of this entity, it can be best defi ned as reversible intrinsic myocardial systolic and diastolic dysfunction of both the left and right sides of the heart induced by sepsis. In this review we discuss the pathogenesis, pathophysiology of clinical manifestations, diagnosis and management of SIMD in children. Key words: Sepsis induced myocardial dysfunction (SIMD), Severe Sepsis, Septic Shock]]>
Septic shock is a major cause of mortality in children. Myocardial dysfunction in severe sepsis and septic shock is well recognized but its pathogenesis could be multifactorial. As a result of complex interplay of various factors, hemodynamic changes observed in pediatric age group may be different from those observed in adult. Sepsis induced myocardial dysfunction (SIMD) is a known consequence of severe sepsis and septic shock. Although there is no universally accepted defi nition of this entity, it can be best defi ned as reversible intrinsic myocardial systolic and diastolic dysfunction of both the left and right sides of the heart induced by sepsis. In this review we discuss the pathogenesis, pathophysiology of clinical manifestations, diagnosis and management of SIMD in children. Key words: Sepsis induced myocardial dysfunction (SIMD), Severe Sepsis, Septic Shock]]> Tue, 04 Sep 2018 18:35:24 GMT /slideshow/myocardial-dysfunction-in-sepsis-jpcc-jul-aug-2018/112979516 LokeshTiwari3@slideshare.net(LokeshTiwari3) Myocardial dysfunction in sepsis jpcc jul aug 2018 LokeshTiwari3 Septic shock is a major cause of mortality in children. Myocardial dysfunction in severe sepsis and septic shock is well recognized but its pathogenesis could be multifactorial. As a result of complex interplay of various factors, hemodynamic changes observed in pediatric age group may be different from those observed in adult. Sepsis induced myocardial dysfunction (SIMD) is a known consequence of severe sepsis and septic shock. Although there is no universally accepted defi nition of this entity, it can be best defi ned as reversible intrinsic myocardial systolic and diastolic dysfunction of both the left and right sides of the heart induced by sepsis. In this review we discuss the pathogenesis, pathophysiology of clinical manifestations, diagnosis and management of SIMD in children. Key words: Sepsis induced myocardial dysfunction (SIMD), Severe Sepsis, Septic Shock <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/myocardialdysfunctioninsepsisjpccjul-aug2018-180904183525-thumbnail.jpg?width=120&height=120&fit=bounds" /> Septic shock is a major cause of mortality in children. Myocardial dysfunction in severe sepsis and septic shock is well recognized but its pathogenesis could be multifactorial. As a result of complex interplay of various factors, hemodynamic changes observed in pediatric age group may be different from those observed in adult. Sepsis induced myocardial dysfunction (SIMD) is a known consequence of severe sepsis and septic shock. Although there is no universally accepted defi nition of this entity, it can be best defi ned as reversible intrinsic myocardial systolic and diastolic dysfunction of both the left and right sides of the heart induced by sepsis. In this review we discuss the pathogenesis, pathophysiology of clinical manifestations, diagnosis and management of SIMD in children. Key words: Sepsis induced myocardial dysfunction (SIMD), Severe Sepsis, Septic Shock

Myocardial dysfunction in sepsis jpcc jul aug 2018 from Lokesh Tiwari

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0 Basic modes of mechanical ventilation /slideshow/basic-modes-of-mechanical-ventilation/57151484 basicmodesofmechanicalventilation-160117181821
understand evolution and principles of Basic modes of mechanical ventilation in children ]]>
understand evolution and principles of Basic modes of mechanical ventilation in children ]]> Sun, 17 Jan 2016 18:18:21 GMT /slideshow/basic-modes-of-mechanical-ventilation/57151484 LokeshTiwari3@slideshare.net(LokeshTiwari3) Basic modes of mechanical ventilation LokeshTiwari3 understand evolution and principles of Basic modes of mechanical ventilation in children <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/basicmodesofmechanicalventilation-160117181821-thumbnail.jpg?width=120&height=120&fit=bounds" /> understand evolution and principles of Basic modes of mechanical ventilation in children

Basic modes of mechanical ventilation from Lokesh Tiwari

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0 Should Holliday Segar formula be challenged /slideshow/should-holliday-segar-formula-be-challenged/57151226 shouldhollidaysegarformulabechallengedfinal-160117180537
Holliday Segar formula is time tested formula for calculating fluid requirement in children. Understand what makes us revisit it again?]]>
Holliday Segar formula is time tested formula for calculating fluid requirement in children. Understand what makes us revisit it again?]]> Sun, 17 Jan 2016 18:05:37 GMT /slideshow/should-holliday-segar-formula-be-challenged/57151226 LokeshTiwari3@slideshare.net(LokeshTiwari3) Should Holliday Segar formula be challenged LokeshTiwari3 Holliday Segar formula is time tested formula for calculating fluid requirement in children. Understand what makes us revisit it again? <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/shouldhollidaysegarformulabechallengedfinal-160117180537-thumbnail.jpg?width=120&height=120&fit=bounds" /> Holliday Segar formula is time tested formula for calculating fluid requirement in children. Understand what makes us revisit it again?

Should Holliday Segar formula be challenged from Lokesh Tiwari

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0 Ventilation adjustments in Bronchial asthma in children /LokeshTiwari3/ventilation-adjustments-in-bronchial-asthma-in-children bronchialasthmaventadjustments-160117175629
Few cases of acute severe Asthma may need mechanical ventilation. Understanding finer adjustments makes a difference in outcome.]]>
Few cases of acute severe Asthma may need mechanical ventilation. Understanding finer adjustments makes a difference in outcome.]]> Sun, 17 Jan 2016 17:56:28 GMT /LokeshTiwari3/ventilation-adjustments-in-bronchial-asthma-in-children LokeshTiwari3@slideshare.net(LokeshTiwari3) Ventilation adjustments in Bronchial asthma in children LokeshTiwari3 Few cases of acute severe Asthma may need mechanical ventilation. Understanding finer adjustments makes a difference in outcome. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/bronchialasthmaventadjustments-160117175629-thumbnail.jpg?width=120&height=120&fit=bounds" /> Few cases of acute severe Asthma may need mechanical ventilation. Understanding finer adjustments makes a difference in outcome.

Ventilation adjustments in Bronchial asthma in children from Lokesh Tiwari

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0 Acute severe asthma picu management /LokeshTiwari3/acute-severe-asthma-picu-management acutesevereasthmapicumanagement-150809163311-lva1-app6892
ICU management of acute severe asthma in children]]>
ICU management of acute severe asthma in children]]> Sun, 09 Aug 2015 16:33:11 GMT /LokeshTiwari3/acute-severe-asthma-picu-management LokeshTiwari3@slideshare.net(LokeshTiwari3) Acute severe asthma picu management LokeshTiwari3 ICU management of acute severe asthma in children <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/acutesevereasthmapicumanagement-150809163311-lva1-app6892-thumbnail.jpg?width=120&height=120&fit=bounds" /> ICU management of acute severe asthma in children

Acute severe asthma picu management from Lokesh Tiwari

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0 https://cdn.slidesharecdn.com/profile-photo-LokeshTiwari3-48x48.jpg?cb=1726137822 https://cdn.slidesharecdn.com/ss_thumbnails/circulatorysystem-200525182125-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/circulatory-system-management-of-shock-selection-of-vasoactive-agents/234559887 Circulatory system, Ma... https://cdn.slidesharecdn.com/ss_thumbnails/functionalgastrointestinaldisordersinchildren-190603044452-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/functional-gastrointestinal-disorders-in-children/148736901 Functional gastrointes... https://cdn.slidesharecdn.com/ss_thumbnails/managementofsepsisandsepticshock-190406172931-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/management-of-sepsis-and-septic-shock-139862194/139862194 Management of sepsis a...