Textbook of CRITICAL CARE
Textbook of CRITICAL CARE Including Trauma and Emergency Care
Second Edition
Editor-in-Chief Yatin Mehta MD MNAMS FRCA FAMS FICCM FIACTA FTEE
Chairman, Medanta Institute of Critical Care and Anesthesiology
Adjunct Professor, NBE
President, Sepsis Forum of India, The Simulation Society (TSS)
Past President, ISCCM, IACTA, RSACP, SWAC ELSO Medanta–The Medicity
Gurugram, Haryana, India
Editors Jeetendra Sharma MD IDCCM IFCCM FICCM
Chief, Critical Care Medicine and Chief, Medical Quality Artemis Hospital
Gurugram, Haryana, India
Chitra Mehta MBBS DNB (Resp Med) FNB (Crit Care Med)
Director Medanta Institute of Critical Care and Anesthesiology Medanta–The Medicity
Gurugram, Haryana, India
Forewords
Dr Jean-Louis Vincent
Dr Harsh Vardhan
Jaypee Brothers Medical Publishers (P) Ltd.
Headquarters
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23-B
Ansari Road, Daryaganj
New Delhi 110 002, India
Landline: +91-11-23272143, +91-11-23272703
+91-11-23282021, +91-11-23245672
Email: jaypee@jaypeebrothers.com
Corporate Office
Jaypee Brothers Medical Publishers (P) Ltd
4838/24, Ansari Road, Daryaganj
New Delhi 110 002, India
Phone: +91-11-43574357
Fax: +91-11-43574314
Email: jaypee@jaypeebrothers.com
Overseas Office
JP Medical Ltd
83 Victoria Street, London
SW1H 0HW (UK)
Phone: +44 20 3170 8910
Fax: +44 (0)20 3008 6180
Email: info@jpmedpub.com
Website: www.jaypeebrothers.com
Website: www.jaypeedigital.com
© 2022, Jaypee Brothers Medical Publishers
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.
All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. The CD/DVD-ROM (if any) provided in the sealed envelope with this book is complimentary and free of cost. Not meant for sale.
Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com
Textbook of Critical Care
First Edition: 2016
Second Edition: 2022
9789390595655
Printed at
This book is dedicated to COVID warriors, critical care physicians, anesthesiologists and other doctors, nurses and paramedic staff who fought relentlessly against COVID-19 pandemic without expecting anything in return, risking their lives during these difficult times.
Contributors
- Aakanksha Chawla Jain MD IDCCM
- Attending Consultant
- Department of Respiratory
- Critical Care and Sleep Medicine Indraprastha Apollo Hospitals
- New Delhi, India
- Aarathi Vijayashankar
- Fellow
- Liver Transplant and Biliary Sciences, Max Hospital
- New Delhi, India
- Abdul Samad Ansari
- MBBS MD IDCCM FNB (Critical Care)
- Director Critical Care Services Nanavati Superspecialty Hospital Mumbai, Maharashtra, India
- Ajay Kumar MD DM MAMS FRCP (Glasgow)
- Chairman BLK Liver and Digestive Diseases Institute
- Past President, Society of GI Endoscopy of India President, Indian society of Gastroenterology New Delhi, India
- Ajeet Singh MD FNB EDIC
- Consultant
- Department of Critical Care Medicine
- Manipal Hospital
- New Delhi, India
- Ajmer Singh MD (Anesthesiology)
- Director
- Department of Cardiac Anesthesia
- Medanta–The Medicity
- Gurugram, Haryana, India
- Alex Jude Fonseca MD
- Associate Consultant in Intensive Care
- Department of Intensive Care
- Hinduja Hospital Mumbai, Maharastra, India
- Ali Zamir Khan
- MS FRCS (CTH) FRCS (Glasgow)
- Associate Director
- Minimal Invasive and Robotic Thoracic Surgery
- Medanta–The Medicity
- Gurugram, Haryana, India
- Amandeep Singh
- MD (Internal Medicine) IDCCM Consultant
- Department of Critical Care Medicine
- Fortis-Escorts Hospital
- Faridabad, Haryana, India
- Ambrish Mithal MD DM
- Chairman
- Division of Endocrinology and Diabetes
- Medanta–The Medicity
- Gurugram, Haryana, India
- Amir Shamshirsaz MD
- Assistant Professor
- Division of Maternal Fetal Medicine Division of Surgical Critical Care Baylor College of Medicine
- Houston, Texas, USA
- Amit K Gupta DNB Cardiology (Final year)
- Fortis Escorts Heart Institute
- New Delhi, India
- Amit Mahapatra
- MBBS MD Med (BHU) DM Nephrology (SGPGI Lko)
- Consultant
- Department of Nephrology and Renal Transplant Medicine
- Medanta–The Medicity
- Gurugram, Haryana, India
- Amol Kothekar MD IDCC
- Assistant Professor
- Department of Anesthesia
- Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Amrish Sahney DM Hepatology (ILBS)
- Consultant
- Institute of Digestive and Liver diseases
- BLK Superspecialty Hospital
- New Delhi, India
- Anand Sharma
- MD FRCA PG Dip (Med Ed)
- Associate Director
- Department of General Anesthesia Medanta Institute of Critical Care and Anesthesiology, Medanta–The Medicity Gurugram, Haryana, India
- Aniket Rali MD
- Critical Care Medicine Fellow
- Baylor College of Medicine
- Houston, Texas, USA
- Anil Bhan
- MBBS MS (Gen Surg) MCh (CTVS)
- Senior Director, Cardiac Surgery
- Medanta Heart Institute
- Medanta–The Medicity
- Gurugram, Haryana, India
- Anirban Deep Banerji
- MBBS MCh (Neurosurgery)
- Senior Consultant, Institute of Neurosciences
- Medanta–The Medicity
- Gurugram, Haryana. India
- Anirban Hom Chaudhary
- MD FICCM PGDMLE FIAMLE
- Director Professor
- Department of Anesthesiology and Intensive Care
- GB Pant Institute of Postgraduate Medical Education and Research
- New Delhi, India
- Aniruddha More DM (Neurology)
- Consultant
- Department of Neurology
- Jupiter Hospital
- Thane, Maharashtra, India
- Anjan Trikha DA MD FICA MAMS FAMS
- Professor, Department of Anesthesiology and Intensive Care
- All India Institute of Medical Sciences
- New Delhi, India
- Anshul Bhatia
- MBBS MD (Anesthesiology) PDCC (Neuroanesth)
- Senior Consultant, Neuroanesthesia Medanta Institute of Critical Care and Anesthesiology, Medanta–The Medicity Gurugram, Haryana, India
- Anubhav Vindal
- MS DNB MNAMS MRCS (Edin) FAIS FCLS FACS FRCS (Glas) FRCS (Edin)
- Professor
- Department of Surgery
- Maulana Azad Medical College
- New Delhi, India
- Anusha Singh MBBS DNB FNIC
- Attending Consultant
- Clinical and Preventive Cardiology
- Medanta Heart Institute
- Medanta—The Medicity
- Gurugram, Haryana, India
- Aparna Pande
- Senior Resident
- Department of Anesthesiology, Pain Medicine and Critical Care
- All India Institute of Medical Sciences
- New Delhi, India
- Arun Garg MD (Gen Med) DM (Neuro)
- Director Medanta Institute of Neurosciences Medanta–The Medicity
- Gurugram, Haryana, India
- Arun K Kakar MS (Surgery)
- Former Director-Professor
- Department of Surgery
- Maulana Azad Medical College
- New Delhi, India
- Ashish Nandwani
- MD DNB (Nephrology) FASN
- Consultant
- Division of Nephrology and Renal Transplant Medicine
- Manipal Hospital
- New Delhi, India
- Ashit Hegde MD MRCP
- Consultant, Department of Medicine and Critical Care
- PD Hinduja National Hospital
- Mumbai, Maharashtra, India
- Ashok Rajgopal MBBS MS (Ortho) MCh FRCS
- Chairman
- Medanta Bone and Joint Institute
- Medanta–The Medicity
- Gurugram, Haryana, India
- Ashok Vaid MD DM
- Chairman
- Division of Medical Oncology and Hematology
- Medanta–The Medicity
- Medanta Cancer Institute
- Gurugram, Haryana, India
- Atma Ram Bansal
- MD DM Certified Fellow in Epilepsy
- Associate Director
- Epilepsy Program
- Department of Neurology
- Institute of Neuroscience
- Medanta–The Medicity
- Gurugram, Haryana, India
- Atul Prabhkar Kulkarni
- MD PGDHHM FICCM
- Professor and Head
- Division of Critical Care Medicine
- Tata Memorial Hospital
- Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Avishek Bagchi MD DM
- Consultant
- Department of Cardiology
- Pushpawati Singhania Hospital and Research Institute
- New Delhi, India
- Balakrishnan KR
- MS (Gen Surg) MCh (Thoracic Surg)
- Chairman and Director
- Department of Cardiac Sciences and Institute of Heart and Lung Transplant and Mechanical Circulatory Support MGM HealthCare
- Chennai, Tamil Nadu, India
- Beena Bansal MD DM (Endocrinology)
- Founder and CEO
- Door-to-Care, An Endocrine and Diabetes Clinic Gurugram, Haryana, India
- Bhushan Dinkar Thombare
- DNB Thoracic Surgery FIAGES FMAS DNB General Surgery
- Consultant
- Max Institute of Cancer Care
- Max Hospital
- New Delhi, India
- Bhuvna Ahuja MD
- Senior Resident Department of Anesthesia and Intensive Care
- GB Pant Institute of Postgraduate Medical Education and Research
- New Delhi, India
- Biswajit Paul DM (Cardiol)
- Executive Director Departmentt of Noninvasive Cardiology
- Fortis Escorts Heart Institute
- New Delhi, India
- Camilla Rodrigues
- MD
- Consultant, Department of Microbiology
- PD Hinduja National Hospital and MRC
- Mumbai, Maharashtra, India
- Celina D Cepeda MD
- Resident Physician
- Department of Medicine
- University of California – San Diego Medical Centre
- San Diego, California, USA
- Chitra Mehta
- MBBS DNB (Resp Med) FNB (Crit Care Med)
- Director
- Medanta Institute of Critical Care and Anesthesiology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Christopher Howard MD FCCP
- Assistant Professor
- Pulmonary and Critical Care Medicine
- Baylor College of Medicine
- Houston, Texas, USA
- Daniel De Backer MD PhD
- Professor
- Intensive Care Department
- Chirec Hospitals
- Université Libre de Bruxelles
- Brussels, Belgium
- David M Muigai MBChB MMM
- Chief, Critical Care Medicine
- Texas Children's Hospital, Pavilion for Women, Houston
- Assistant Professor
- Department of Medicine, Section of Pulmonary, Critical Care Medicine and Sleep Baylor College of Medicine
- Houston, Texas, USA
- Davy Cheng MD MSc FRCPC FCAHS CCPE
- Distinguished University Professor and Chair/Chief
- Department of Anesthesia and Perioperative Medicine
- Professor, Division of Critical Care Medicine
- Department of Medicine
- University of Western Ontario
- London, Ontario, Canada
- Debasis Pradhan
- Consultant Anesthesiologist
- Motherland Hospital
- Noida, Uttar Pradesh, India
- Deeksha Singh Tomar
- DA IDCCM IFCCM EDIC
- Consultant
- Department of Critical Care
- Narayana Superspecialty Hospital
- Gurugram, Haryana, India
- Deepak Govil MD EDIC FICCM FCCM
- Director
- Institute of Critical Care and Anesthesia
- Medanta–The Medicity
- Gurugram, Haryana, India
- Deven Juneja MD
- Senior Intensivist
- Department of Critical Care and
- Emergency Medicine
- Sri Balaji Action Medical Institute
- New Delhi, India
- Dharani Narendra MD FCCP Assistant Professor Division of Pulmonary Critical Care and Sleep Medicine Baylor College of Medicine Houston, Texas, USA
- Dhaval Tanna MD (Med) DNB Resident
- Department of Rheumatology and Clinical Immunology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Dhruva Chaudhry
- MD (Med) DNB (Med) DM (Pulm and Crit Care Med) FICCM FICP
- Senior Professor and Head
- Department of Pulmonary Medicine and Critical Care
- Pt BD Sharma Postgraduate Institute of Medical Sciences and
- Rohtak, Haryana, India
- Dhvani Mehta
- Senior Resident
- Fellow
- Vidhi Centre for Legal Policy
- New Delhi, India
- Diksha Tyagi
- Assistant Professor
- Department of Pulmonary Medicine and Critical Care
- Pt BD Sharma Postgraduate Institute of Medical Sciences and
- Rohtak, Haryana, India
- Dilip R Karnad
- MD FACP FRCP (Glasg)
- Senior Consultant
- Department of Critical Care
- Jupiter Hospital
- Thane, Maharashtra, India
- Dipak Bhattacharya DTCD MD
- Senior Consultant Chest Physician
- Department of Pulmonary Critical Care and Sleep Medicine
- Vardhman Mahavir Medical College and
- Safdarjung Hospital
- New Delhi, India
- Divya Pal MD (Anesthesiol) IDCCM FNB
- Consultant
- Department of Critical Care Medicine
- Medanta–The Medicity
- Gurugram, Haryana, India
- DK Singh MD FICCM
- Professor and In-Charge Trauma Centre and Intensive Care Unit
- IMS Banaras Hindu University
- Varanasi, Uttar Pradesh, India
- E Wesley Ely MD MPH
- Professor of Medicine
- Pulmonary and Critical Care Medicine and Health Services Research
- Associate Director, Aging Research for the Veteran's Affairs
- Tennessee Valley Geriatric Research Education and
- Clinical Center (GRECC)
- Vanderbilt University School of Medicine
- Nashville, Tennessee, USA
- Farhad Kapadia MD FRCP
- Consultant Physician and Intensivist
- Department of Intensive Care
- Hinduja Hospital Mumbai, Maharashtra, India
- Farokh Udwadia
- MD FRCP (Lon & Edin) FCCP FAMS FCPS DSc
- Emeritus Professor of Medicine
- Grant Medical College and JJ Group of Hospitals
- Consultant Physician and Director-in-Charge of ICU
- Breach Candy Hospital
- Consultant Physician, Parsee General Hospital
- Mumbai, Maharashtra, India
- Gagan Gunjan MD (Medicine)
- Assistant Professor
- Department of Medicine
- Rajendra Institute of Medical Sciences Ranchi, Jharkhand, India
- Gaurav Kakkar
- MBBS (AFMC) FCARCSI CCT (UK)
- Associate Director
- Neuroanesthesia
- Medanta Institute of Critical Care and Anesthesiology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Gaurav Kochhar DA IDCCM IFCCM
- Senior Consultant Critical Care Medanta—The Medicity Gurugram, Haryana, India
- Gauri Saroj MD IDCCM
- Senior Consultant
- Department of Critical Care
- Jupiter Hospital
- Thane, Maharashtra, India
- George Prashanth Kurian MBBS DA MD
- Assistant Professor
- Surgical ICU, Christian Medical College
- Vellore, Tamil Nadu, India
- Ghansham Biyani MD DNB EDAIC
- Clinical Fellow in Regional Anesthesia
- Addenbrooke's Hospital
- Cambridge University Hospitals NHS Trust
- Cambridge, UK
- Gopi C Khilnani
- MD FCCP FICCM FICP FNCCP MNAMS
- Chairman
- PSRI Institute of Pulmonary
- Critical Care and Sleep Medicine
- New Delhi, India
- Gunchan Paul MD IDCCM
- Associate Professor Department of Critical Care Medicine
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Guntas Gill MD DM (Cardiol)
- Associate Consultant
- Department of Interventional Cardiology
- Medanta Heart Institute
- Medanta—The Medicity
- Gurugram, Haryana, India
- H Sudarshan Ballal MD FRCP (London)
- Chairman, Manipal Health Enterprises Private Limited
- Manipal Institute of Nephro-Urology
- Manipal Hospital
- Bengaluru, Karnataka, India
- Hardeep Singh MBBS MS MCh
- Senior Consultant Department of Plastic, Aesthetic and Reconstructive Surgery
- Medanta–The Medicity
- Gurugram, Haryana, India
- Harish MD DM DNB IDCCM EDICM
- Consultant
- Critical Care Medicine
- Narayana Hrudayalaya
- Bengaluru, Karnataka, India
- Harsh Deora MS MCh DNB (Neurosurgery)
- Assistant Professor
- Department of Neurosurgery National Institute of Mental health and Neurosciences (NIMHANS)
- Bengaluru, Karnataka, India
- Harsh Sapra
- MBBS DA Fellowship (Neuro-Anesthesia) (UK)
- Director
- Department of Neuroanesthesia
- Medanta Institute of Critical Care and Anesthesiology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Hem Raj Paneru
- MD (Anesthesiology) DM (Critical Care Medicine)
- Lecturer
- Department of Anesthesiology
- Institute of Medicine, Tribhuvan University
- Kathmandu, Nepal
- HH Dash MD (Anesthesiology) Emeritus Professor
- Department of Neuroanesthesiology
- Fortis Memorial Research Institute
- Gurugram, Haryana, India
- Ishu Goyal
- Associate Consutlant
- Institute of Neurosciences, Artemis Hospital
- Gurugram, Haryana, India
- Jagdish Chander Suri MD DNB DTCD Director and Head
- Department of Pulmonary
- Critical Care and Sleep Medicine
- Fortis Flt. Lt. Rajan Dhall Hospital
- New Delhi, India
- Jaikumar Mulchandani MBBS DNB
- Chief Resident
- Department of Medicine
- Deenanath Mangeshkar Hospital and Research Center
- Pune, Maharashtra, India
- Janet Martin Pharm D MSc (HTA)
- Assistant Professor
- Department of Anesthesia and Perioperative Medicine
- Department of Epidemiology and Biostatistics
- University of Western Ontario
- London, Ontario, Canada
- Jasjeet Wasir MBBS MD
- Associate Director
- Division of Endocrinology and Diabetes
- Center for Advance Diabetes Technology and Therapeutics
- Medanta–The Medicity
- Gurugram, Haryana, India
- Jason Chui MD FANZCA
- Associate Professor
- Department of Anesthesia and Perioperative Medicine
- University of Western Ontario
- London, Ontario, Canada
- Jayastu Senapati
- MBBS MD (Int Med) MRCP DM (Clinical Hematology) Adult BMT Fellowship (Bristol, UK)
- Assistant Professor
- Department of Hematology
- All India Institute of Medical Sciences
- New Delhi, India
- Jeetendra Sharma
- MD IDCCM IFCCM FICCM
- Chief, Critical Care Medicine and Chief, Medical Quality
- Artemis Hospital
- Gurugram, Haryana, India
- Jigeeshu Vasishtha Divatia
- MD FICCM FCCM
- Professor and Head
- Department of Anesthesia
- Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Jitender Chauhan MD
- Senior Resident Department of Anesthesia and Intensive Care
- GB Pant Institute of Postgraduate Medical Education and Research
- New Delhi, India
- JP Sharma MD (Anesth)
- Assistant Professor
- Department of Anesthesiology
- All India Institute of Medical Sciences
- Bhopal, Madhya Pradesh, India
- K Sureshkumaran
- MD Post-Doctoral Fellowship in Cardiothoracic Anesthesia
- Consultant
- Institute of Heart and Lung Transplant and Mechanical Circulatory Support Services, Department of Cardiac Anesthesia and Cardiac Critical Care, MGM HealthCare Chennai, Tamil Nadu, India
- Kalpalatha Guntupalli
- MD FCCM Master FCCP MACP
- Professor and Chief
- Pulmonary, Critical Care and Sleep Medicine Section
- Department of Medicine
- Baylor College of Medicine
- Houston, Texas, USA
- Kanwalpreet Sodhi
- DA DNB IDCCM EDIC
- Director and Head Department of Critical Care
- Deep Hospital
- Ludhiana, Punjab, India
- Kapil Zirpe
- MBBS MD (Chest) FICCM FCCM FSNCC
- Head and Director
- Neurotrauma Unit
- Grant Medical Foundation
- Ruby Hall Clinic
- Pune, Maharashtra, India
- Kaushal Madan
- MBBS MD DNB DM Gastro (AIIMS)
- Consultant
- Department of Gastroenterology and Hepatology
- Max Smart Superspecialty Hospital
- New Delhi, India
- Khalid Ismail Khatib
- MD FICCM
- Professor
- Department of Medicine
- Smt Kashibai Navale Medical College
- Pune, Maharashtra, India
- Khusrav Bajan MBBS MD EDIC
- Consultant Intensivist and Head of Emergency Medicine
- Department of Critical Care and Emergency Medicine
- PD Hinduja National Hospital and
- Medical Research Center
- Mumbai, Maharashtra, India
- Kishore Babu S MD DCH DNB (Nephrology)
- Senior Consultant Department of Nephrology
- Manipal Hospital
- Bengaluru, Karnataka, India
- KK Talwar
- MBBS MD (Medicine) DM (Cardiol) DSc (Hon CAUSA) FAMS FNA FACC
- Chairman Department of Cardiology
- Max Superspecialty Hospital
- New Delhi, India
- Lavpreet Kaur MD
- Critical Illness, Brain Dysfunction,
- and Survivorship (CIBS) Center
- Vanderbilt University School of Medicine Nashville, Tennessee, USA
- Mahesh C Misra
- MBBS MS FRCS (Glasgow) FAMS FACS (USA) FCLS Hon. FRCS (Glasgow) DSc (Hon. Causa), Hon. FRCS (Edinburgh)
- Emeritus Professor
- JPN Apex Trauma Center
- All India Institute of Medical Sciences New Delhi, India
- Mahuya Bhattacharyya
- MD IDCCM FNB (Critical Care)
- Senior Consultant Department of Critical Care
- AMRI Hospitals
- Kolkata, West Bengal, India
- Maitree Pande MD (Anesthesiology)
- Director-Professor and Head
- Department of Anesthesiology
- Lady Hardinge Medical College
- New Delhi, India
- Manal M Khan MS MCh (Plast Surg)
- Assistant Professor
- Department of Burns and Plastic Surgery
- All India Institute of Medical Sciences
- Bhopal, Madhya Pradesh, India
- Manish Munjal MD FICCM FCCM
- Medical Director
- Manglam Medicity
- Jaipur, Rajasthan, India
- Manju Aggarwal MD DNB (Nephrology) MBA
- Chief Medical Services and Chairperson
- Department of Nephrology and Kidney Transplantation
- Artemis Hospitals
- Gurugram, Haryana, India
- Manjunath BG
- Assistant Professor
- Department of Pulmonary and Critical Care Medicine
- Pt BD Sharma Postgraduate
- Institute of Medical Sciences
- Rohtak, Haryana, India
- Mansi Kaushik MBBS PGDCC FNIC
- Consultant
- Clinical and Preventive Cardiology
- Medanta—The Medicity
- Gurugram, Haryana, India
- Mayuki Aibiki MD PhD President
- HITO Medical Center Emeritus Professor, Ehime University Ehime, Japan
- Mayur Shah
- Junior Consultant
- Critical Care Services Nanavati Superspecialty Hospital Mumbai, Maharashtra, India
- Mithilesh Raut
- Senior Consultant
- Critical Care, Medicover Hospital
- Hyderabad, Telangana, India
- Mohit Bhagwati
- MBBS DNB (Gen Medicine) DNB (Cardiol) MNAMS
- Associate Consultant
- Department of Cardiology
- PSRI Heart Institute
- New Delhi, India
- Mrinal Sircar
- MBBS MD (Resp Med) DTCD DNB EDIC EDRM
- Director
- Department of Pulmonology and Critical Care
- Fortis Hospital
- Noida, Uttar Pradesh, India
- Narendra Rungta MD FISCCM FCCM FICCM
- President
- Jeevan Rekha Critical Care and Trauma Hospital
- Research and Training Institute
- Jaipur, Rajasthan, India
- Nayana Amin MD (Anesth)
- Professor
- Department of Anesthesiology
- Critical Care and Pain
- Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Neetu Jain DNB
- Consultant
- PSRI Institute of Pulmonary
- Critical Care and Sleep Medicine
- New Delhi, India
- Neha Gupta
- MD (Med) FNB (Infectious Diseases)
- Consultant Department of Internal Medicine and Infectious Diseases
- Medanta–The Medicity
- Gurugram, Haryana, India
- Nidhi Gupta DM (Neuroanesth)
- Associate Professor and Consultant Neuroanesthesiology
- Indraprastha Apollo Hospital
- New Delhi, India
- Nilay Chatterjee
- MD DM (Neuroanesthesia) EDAIC
- Consultant
- Department of Anesthesia and Intensive Care
- Yeovil District Hospital, NHS
- Somerset, UK
- Ninad Maniar MD
- Clinical Fellow
- Pulmonary Critical Care Medicine
- Baylor College of Medicine
- Houston, Texas, USA
- Nirmalyo Lodh
- 2nd year DM Critical Care Resident
- Department of Anesthesia
- Critical Care and Pain
- Tata Memorial Center Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Nishant S Yagnick MS MCh
- Consultant Neurosurgeon
- Department of Neurosurgery
- Paras Hospital
- Gurugram, Haryana, India
- Nishanth Baliga MD DM Critical Care Fellow
- Senior Resident
- Department of Anesthesiology
- Critical Care and Pain
- Tata Memorial Hospital
- Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Nitin Sood
- MBBS MD (Med) DNB MRCP (UK) FRCPath (UK) CCT (Hemato-Oncology)
- Associate Director
- Department of Oncology and Hematology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Om Shrivastav
- MBBS MD (Med) Fellowship in Infect Dis and Immunology (Australia)
- Director
- Department of Infectious Diseases
- Jaslok Hospital and Research Center
- Visiting Professor
- Department of Infectious Diseases
- DY Patil University
- Navi Mumbai, Maharashtra, India
- Omender Singh MD FCCM
- Senior Director
- Institute of Critical Care Medicine
- Max Superspecialty Hospital
- New Delhi, India
- Palepu B Gopal
- MD FRCA CCST FICCM FCCM
- Consultant and Head
- Department of Critical Care Medicine
- Continental Hospitals
- Hyderabad, Telangana, India
- Pawan Kumar Singh MD (Med) DM (PCCM)
- Assistant professor
- Pulmonary and Critical Care Medicine
- Pt BD Sharma Postgraduate Institute of Medical Sciences
- Rohtak, Haryana, India
- PL Gautam MD DNB FICCM MNAMS
- Professor and Head
- Department of Critical Care Medicine
- Liver Transplant Anesthesiologist
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Poonam Malhotra Kapoor
- MD DNB MNAMS FIACTA FTEE
- Professor
- Department of Cardiac Anesthesia
- Cardio-Thoracic Center
- All India Institute of Medical Sciences New Delhi, India
- Pradeep Kumar Bhatia MD FICCM FICA
- Professor and Head
- Department of Anesthesiology and Critical Care
- All India Institute of Medical Sciences Jodhpur, Rajasthan, India
- Pradeep Rangappa
- DNB (Int Med) FJFICM EDIC FCICM PGDipECHO MBA (HCS) FICCM PGDMLE (NLSUI)
- Organizing Secretary—GAPIO 2016
- Organizing Secretary—CRITICARE 2015
- Secretary—ISCCM, Bangalore chapter
- ISCCM South Zone Member—Elect
- Ex-Accreditation Secy—Indian College of Critical Care Medicine
- Revive Criticare Associates
- Consultant Intensive Care Physician
- Columbia Asia Hospitals
- Bengaluru, Karnataka, India
- Pradip Kumar Bhattacharya
- MD ACME FICCM FCCCM FCCM
- Professor and Head
- Department of Critical Care Medicine
- Rajendra Institute of Medical Sciences
- Ranchi, Jharkhand, India
- Prajeesh Nambiar
- MD (Anesthesiology) DNB (Anesthesiology) FIACTA FICCC FIAE
- Consultant
- Medanta Institute of Critical Care and Anesthesiology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Prakash Shastri MD FRCA FICCM
- Senior Consultant Department of Critical Care medicine
- Sir Ganga Ram Hospital
- New Delhi, India
- Pramesh Sunder Shrestha
- MD (Anesthesiology) DM (Critical Care Medicine)
- Associate Professor Critical Care Medicine Unit
- Institute of Medicine
- Tribhuvan University Kathmandu, Nepal
- Pratik Pandharipande MD MSc
- Professor of Anesthesiology and Surgery
- Division of Anesthesiology Critical Care Medicine Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center
- Vanderbilt University School of Medicine Nashville, Tennessee, USA
- Praveen Chandra
- MD DM FACC FESC FSCAI FAPSIC
- Chairman—National Interventional Council (NIC)
- Cardiological Society of India
- Chairman—Division of Interventional Cardiology Medanta–The Medicity
- Gurugram, Haryana, India
- Pravin Amin MD FCCM
- Physician and Intensivist
- Bombay Hospital Institute of Medical Sciences
- Mumbai, Maharashtra, India
- Preeti M Pillai
- MBBS DNB (Medicine) FNB (Infectious Diseases)
- Consultant
- Medicine and Infectious Diseases
- Jupiter Hospital and Bethany Hospital
- Thane, Maharashtra, India
- Prithwis Bhattacharyya
- MBBS MD PDCC
- Professor and Head
- Department of Anesthesiology and Critical Care
- North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
- Shillong, Meghalaya, India
- Ragesh Radhakrishnan Nair
- MD (Medicine) DM (Clinical Hematology) Consultant
- Department of Hemato-Oncology and Bone Marrow Transplant
- Artemis Hospitals
- Gurugram, Haryana, India
- Raghav Bansal MD DM
- Assistant Professor
- All India Institute of Medical Sciences
- New Delhi, India
- Raghavendra Kotal
- MD (Anesthesiology) IDCCM IFCCM
- Jr Consultant, Intensive Care
- Columbia Asia Referral Hospital
- Bengaluru, Karnataka, India
- Rahul Mehrotra
- MBBS (Gold Medalist) MD (Medicine) DNB (Cardiology)
- Director and Head
- Noninvasive Cardiology
- Max Superspecialty Hospital New Delhi, India
- Rahul Pandit
- FCICM FJFICM EDICM FCCP MD DA
- Director Department of Critical Care
- Fortis Hospital
- Mumbai, Maharashtra, India
- Raj Kumar Mani
- MD FRCP (London) FCCP FICCM
- Director, Clinical Services
- Pulmonology and Critical Care
- Yashoda Superspecialty Hospital, Kaushambi
- Ghaziabad, Uttar Pradesh, India
- Rajeev Shandil
- DNB (Gastroenterology) Fellowship (EUS)
- Senior Consultant
- Department of Gastroenterology
- Moolchand Hospital
- New Delhi, India
- Rajeev Soman MD (Medicine) FIDSA
- Consultant
- Medicine and Infectious Diseases
- Jupiter Hospital
- Pune, Maharashtra, India
- Rajesh Chandra Mishra
- MBBS MD FNB EDIC FCCP FCCM FICCM FICP
- Hon Consultant Intensivist and Internist SAL Hospital, Sanjivani Hospital
- Ahmedabad, Gujarat, India
- Rajesh Chawla
- MD FCCM FCCP FICCM EDIC EDARM
- Senior Consultant
- Department of Respiratory, Critical Care and Sleep Medicine Indraprastha Apollo Hospital New Delhi, India
- Rajesh Pande MD PDCC FICCM FCCM (USA)
- Senior Director and Head
- BLK Max Center for Critical Care
- BLK Max Superspecialty Hospital
- New Delhi, India
- Rajesh Puri
- MBBS MD (Med) DNB (Gastro) MNAMS Senior Director
- Medanta Institute of Digestive and Hepatobiliary Sciences
- Medanta–The Medicity
- Gurugram, Haryana, India
- Rajiv Juneja MD
- Senior Director
- Medanta Institute of Critical Care and Anesthesiology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Rajiv Parakh MBBS MS FRCS
- Chairman
- Division of Peripheral Vascular and Endovascular Sciences
- Medanta–The Medicity
- Gurugram, Haryana, India
- Rajiva Gupta
- Senior Director and Head
- Rheumatology and Clinical Immunology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Rakesh Kumar Khazanchi MBBS MS MCh Director
- Department of Plastic, Reconstructive and Aesthetic Surgery
- Medanta–The Medicity
- Gurugram, Haryana, India
- Rakesh V Sondekoppam MD
- Clinical Associate Professor
- Department of Anesthesia
- University of Iowa Hospitals and Clinic
- Iowa City, Iowa, USA
- Ramasubramanian K
- MD PDCC (Cardiothoracic and Vascular Anesthesia)
- Consultant
- Cardiac Anesthesia and Critical Care
- MGM HealthCare
- Chennai, Tamil Nadu, India
- Ramkinkar Jha
- MS (Ortho) MRCS MBA (Hospital and Healthcare Management)
- Senior Consultant
- Institute of Musculoskeletal Disorders and Orthopedics
- Medanta–The Medicity
- Gurugram, Haryana, India
- Randeep Guleria
- MD DM (Pulmonary and Critical care)
- Director
- All India Institute of Medical Sciences
- New Delhi, India
- Randhir Sud
- MD (Medicine) DM (Gastroenterology) FIAMS FSGEI FASGE
- Chairman, Institute of Digestive and Hepatobiliary Sciences
- Medanta–The Medicity
- Gurugram, Haryana, India
- Ravi Bhushan
- MD (Infectious Diseases) Fellow Infectious Diseases Consultant
- Internal Medicine and Infectious Diseases
- Medanta–The Medicity
- Gurugram, Haryana, India
- Ravi Jain MBBS MD FNB
- Assistant Professor
- Department of Critical Care Medicine
- Mahatma Gandhi Medical College and Hospital
- Jaipur, Rajasthan, India
- Ravi Jangamani
- MD (General Medicine) DNB (Nephrology)
- Consultant Nephrologist
- Department of Nephrology
- Manipal Hospital
- Bengaluru, Karnataka, India
- Ravindra L Mehta MD FACP FASN FRCP
- Professor of Clinical Medicine
- Associate Chair for Clinical Research, Department of Medicine
- UCSD Medical Centre San Diego, California, USA
- Richa Bhargava MD MSc RRA DGO
- Consultant
- Artemis Hospital
- Gurugram, Haryana, India
- Rishabh Kedia MD MCh (Neurosurg)
- Consultant
- Medanta Institute of Neurosciences Medanta–The Medicity
- Gurugram, Haryana, India
- Rishi Dhawan
- MD MRCP DM
- Adult BMT Fellowship UHBristol NHS
- Assistant Professor
- Department of Hematology
- All India Institute of Medical Sciences
- New Delhi, India
- Renu Saxena MD (Pathology) Director of Pathology and Laboratory Medicine Head of Hematopathology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Rishi Kumar Badgurjar
- Junior Consultant Department of Intensive Care
- Hinduja Hospital Mumbai, Maharashtra, India
- Rohan Augustine
- MD (Med) DNB (Nephrology)
- Consultant
- Manipal Institute of Nephro-Urology
- Manipal Hospital Bengaluru, Karnataka, India
- Rohan Halder
- MD (Pediatrics) DM (Clinical Hematology)
- Associate Consultant
- Department of Hemato-Oncology and Bone Marrow Transplant Artemis Hospitals
- Gurugram, Haryana, India
- Rohit Yadav MBBS DA IDCCM IFCCM
- Senior consultant Department of Critical Care
- Bansal Hospital
- Bhopal, Madhya Pradesh, India
- Roop Kishen MD FRCA
- Consultant in Anesthesia and Intensive Care Medicine (Retired)
- Salford Royal NHS Foundation Trust, Salford Hon Lecturer (Retired)
- Translational Medicine and Neurosciences
- University of Manchester
- Manchester, UK
- Roop Kumar Gursahani MD DM FAAN
- Consultant Neurologist and Epileptologist
- PD Hinduja National Hospital
- Hinduja Clinic
- Mumbai, Maharashtra, India
- RR Kasliwal
- MBBS MD DM
- Chairman
- Clinical and Preventive Cardiology
- Division of Clinical and Preventive Cardiology
- Medanta Heart Institute
- Medanta–The Medicity
- Gurugram, Haryana, India
- Ruchira Khasne
- MBBS DA DNB IDCCM EDAIC EDIC
- Consultant Intensivist and Head
- Department of Critical Care Medicine Ashoka Medicover Hospital Nashik, Maharashtra, India
- Ruparna Khurana MD
- Senior Resident in Palliative Medicine Department of Onco-Anesthesia and Palliative Medicine
- Dr BRA Institute Rotary Cancer Hospital
- All India Institute of Medical Sciences
- New Delhi, India
- Sachin Gupta
- MD IDCCM IFCCM EDIC FCCM FICCM
- Head
- Department of Critical Care Narayana Superspecialty Hospital
- Gurugram, Haryana, India
- Sadik Mohammed MD
- Associate Professor
- Department of Anesthesiology and Critical Care
- All India Institute of Medical Sciences Jodhpur, Rajasthan, India
- Saketh Guntupalli
- Associate Professor and Division Director
- Department of Gynecologic Oncology
- University of Colorado
- Denver, Colorado, USA
- Samaresh Das MD EDAIC
- Consultant, Anesthesia and Intensive Care Department of Anesthetics
- Yeovil District Hospital, NHS Somerset, UK
- Sameer Jog
- MD (Int Med) EDIC (European Diploma in Intensive Care Medicine) IDCCM (Indian Diploma in Critical Care Medicine)
- Consultant Intensivist
- Deenanath Mangeshkar Hospital and Research Center, Pune
- Associate Editor
- Indian Journal of Critical Care Medicine (IJCCM)
- Honorary Life Member—ESICM (European Society of Intensive Care Medicine)
- Member—Scientific Advisory Committee ISICEM Brussels
- Sameer Shrivastav
- MBBS MD (General Medicine) DM (Cardiology)
- Director and Head
- Department of Noninvasive Cardiology
- Fortis Escorts Heart Institute
- New Delhi, India
- Sangeeta Khanna MD
- Director
- Department of General Anesthesia
- Medanta Institute of Critical Care and Anesthesiology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Sanjay Mahendru MBBS MS MCh DNB
- Associate Director
- Department of Plastic
- Aesthetic and Reconstructive Surgery
- Medanta–The Medicity
- Gurugram, Haryana, India
- Satish Chandra Alavala DM Fellow
- Department of Pulmonary and Critical Care Medicine
- Pt BD Sharma Postgraduate Institute of Medical Sciences
- Rohtak, Haryana, India
- Saud Ahmed MD FNB (Critical Care Medicine)
- Consultant Department of Critical Care Medicine
- Continental Hospitals
- Hyderabad, Telangana, India
- Saurabh Mehra MD IDCCM FNB EDIC
- Consultant
- Department of Pulmonology and Critical Care, Fortis Hospital
- Noida, Uttar Pradesh, India
- Saurabh Saigal
- MD (Anesthesiology) IDCC PDCC and EDIC (European Diploma in Intensive Care)
- Additional Professor
- Department of Anesthesiology and Critical Care
- All India Institute of Medical Sciences
- Bhopal, Madhya Pradesh, India
- Saurabh Taneja MD DNB
- Consultant
- Department of Critical Care medicine
- Sir Gangaram Hospital
- New Delhi, India
- Sauren Panja
- MD (Internal Medicine) FNBE (Critical Care) EDIC
- Senior Consultant, Critical Care
- Head
- Department of Internal Medicine
- Medica Superspecialty Hospital
- Kolkata, West Bengal, India
- Selvam Velmurugan MD DM
- Associate Consultant
- Department of Critical Care Medicine
- Manipal Hospital
- New Delhi, India
- Shaleen Agarwal
- MS (General Surgery Residency)
- MCh (Fellowship in Surgical Gastroenterology)
- Director
- Liver Transplant and Biliary Sciences
- Max Hospital New Delhi, India
- Sharmila Chatterjee MBBS DNB
- Research Associate
- Department of Academic and Research AMRI Hospitals
- Kolkata, West Bengal, India
- Shashank Bhansali
- MD (Med) DNB (Gastro) Fellow
- Medanta Institute of Digestive and Hepatobiliary Sciences
- Medanta–The Medicity
- Gurugram, Haryana, India
- Shashank MR
- Fellow Department of Critical Care Critical Care Services Nanavati Superspecialty Hospital Mumbai, Maharashtra, India
- Sheila Nainan Myatra MD FCCM
- Professor
- Department of Anesthesiology
- Critical Care and Pain
- Tata Memorial Hospital
- Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Shikha Sahi
- MD (Anesthesiology) IDCCM IFCCM
- Consultant, Department of Critical Care Medicine
- Artemis Hospital
- Gurugram, Haryana, India
- Shiv Kumar Iyer PMD DNB EDIC FICCM
- Past President ISCCM
- Professor, Critical Care Medicine
- Department of Medicine
- Bharati Vidyapeeth
- Pune, Maharashtra, India
- Shivangi Khanna
- MD (Anesthesiology) FNB (Critical Care Medicine)
- Attending Consultant
- Department of Critical Care Medicine
- Eternal Heart Care Hospital
- Jaipur, Rajasthan, India
- Shruti Bajad
- MD DNB MRCP (UK) FACR (US) FRCP (Glasgow) FRCP (Edinburg)
- Associate Consultant
- Rheumatology and Clinical Immunology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Shyam Bihari Bansal
- DM FISN FASN (US) FRCP (London)
- Director, Nephrology and Kidney Transplantation
- Executive Member, Indian Society of Nephrology
- Secretary, Delhi Nephrology Society
- Medanta–The Medicity
- Gurugram, Haryana, India
- Siddharth R MD IDCCM
- Junior Consultant
- Department of Critical Care Medicine
- Narayana Hrudayalaya
- Bengaluru, Karnataka, India
- Siddini Vishwanath
- DNB (Peds) MNAMS DNB (Nephro)
- Head, Department of Nephrology
- Manipal Hospital
- Bengaluru, Karnataka, India
- Smruti Ranjan Mishra
- MD (Medicine) DM (Gastroenterology)
- Associate Director Institute of Digestive and Hepatobiliary Sciences
- Medanta–The Medicity
- Gurugram, Haryana, India
- Srinagesh Simha
- MS (Gen Surg) MSc Pall Med FRCP Lon (Hon)
- Medical Director, Karunashraya
- Bengaluru, Karnataka, India
- Srinivas Samavedam
- MD DNB FRCP FNB EDIC FICCM Dip (Health Care Quality Management) Dip (Medical Law and Ethics) MBA (Hosp Admin)
- Head
- Department of Critical Care
- Medical Director
- Virinchi Hospitals
- Hyderabad, Telangana, India
- Srinivasan Shrikanth
- MD DNB FNB EDIC FICCM
- Consultant and Head
- Department of Critical Care Medicine
- Manipal Hospital
- New Delhi, India
- Subhal Bhalchandra Dixit
- MD IDCCM FICCM FICP FCCM
- Consultant Department of Critical Care Director, Intensive Care Unit
- Sanjeevan and MJM Hospitals
- Pune, Maharashtra, India
- Subhash Gupta
- MS FRCSEd FRCS (Glasglow)
- Chairman, Center for Liver and Biliary Sciences
- Liver Transplant and Biliary Sciences
- Max Hospital New Delhi, India
- Subhash Prasad Acharya
- MD FACC FECMO
- Professor and Head Department of Critical Care Medicine Institute of Medicine
- Tribhuvan University
- Kathmandu, Nepal
- Subhash Todi MD MRCP
- Director
- Department of Critical Care
- AMRI Hospital
- Kolkata, West Bengal, India
- Subrat K Acharya
- MD DM DSc FNA
- Pro-Chancellor
- KIIT University
- Bhubaneswar, Odisha, India
- Executive Director Gastroenterology
- Fortis Escorts Digestive and Liver Institute New Delhi, India
- Sudakshina Mullick
- MD (General Medicine) IDCCM FNB (Critical Care) EDIC
- Consultant, Critical Care Medicine
- NH-RN Tagore Hospital (RTIICS)
- Kolkata, West Bengal, India
- Sudhir Khunteta MD FCCM FICCM
- Director, Shubh Hospital
- General Secretary
- Transport Medicine Society India
- Jaipur, Rajasthan, India
- Sumit Ray MD FICCM
- Senior Consultant and Head
- Department of Critical Care
- Holy Family Hospital
- New Delhi, India
- Sumit Sengupta MD
- Department of Critical Care
- AMRI Hospitals
- Kolkata, West Bengal, India
- Sumit Singh MD
- Chief
- Department of Neurology
- AGRIM Institute of Neurosciences
- Artemis Hospital Gurugram, Haryana, India
- Sumit Sinha MS DNB MCh
- Minimally Invasive and Endoscopic Neurosurgeon
- Spine Surgeon and Peripheral Nerve Surgeon
- Director, Neurosurgery and Spine Services
- Paras Hospital
- Gurugram, Haryana, India
- Sunil Karanth
- MD (Internal Medicine) FNB (Critical Care Medicine) EDIC FCICM
- Chairman
- Head and Consultant
- Critical Care Medicine
- Manipal Hospitals
- Bengaluru, Karnataka, India
- Sunny Virdhi
- MD (Med) DM (PCCM)
- Consultant, Pulmonary and Critical Care Medicine
- Ojas Hospital
- Panchkula, Haryana, India
- Supradip Ghosh
- MBBS DNB (Internal Medicine) MRCP MNAMS EDIC FICCM Director and Head
- Department of Critical Care Medicine
- Fortis-Escorts Hospital
- Faridabad, Haryana, India
- Suresh Ramasubban
- MBBS FACP FCCP
- American Board Certified in Critical Care Pulmonology Internal Medicine
- Critical Care Specialist
- Apollo Gleneagles Hospital
- Kolkata, West Bengal, India
- Suresh Rao KG MD
- Co-Director
- Institute of Heart and Lung Transplant and Mechanical Circulatory Support Services
- Department of Cardiac Anesthesia and Cardiac Critical Care
- MGM HealthCare
- Chennai, Tamil Nadu, India
- Sushma Bhatnagar MD
- Professor and Head Department of Onco-Anesthesia and Palliative Medicine
- Dr BRA Institute Rotary Cancer Hospital
- All India Institute of Medical Sciences
- New Delhi, India
- Sushma Gaurav
- MBBS DNB (Anesthesiology) IDCCM FICCM
- Senior Consultant and In-Charge Neurotrauma Unit, Grant Medical Foundation Ruby Hall Clinic
- Pune, Maharashtra, India
- Susruta Bandyopadhyay
- MD DIP (Cardio)
- Intensivist and Cardiologist
- Director
- Department of Critical Care
- AMRI Hospitals
- Kolkata, West Bengal, India
- Swapna Chitra Vijayakumaran
- MD DM Critical Care Fellow
- Department of Anesthesiology
- Critical Care and Pain
- Tata Memorial Hospital
- Homi Bhabha National Institute
- Mumbai, Maharashtra, India
- Swarnika Srivastava
- MCh (Cardiothoracic Vascular Surgery) MS (Surgery)
- Associate Consultant
- Department of Cardiac Surgery
- Medanta–The Medicity
- Gurugram, Haryana, India
- Tapish Sahu
- MBBS DNB (General Surgery) DNB (Peripheral Vascular and Endovascular Surgery) MNAMS FVES Consultant
- Division of Peripheral Vascular and Endovascular Sciences
- Medanta–The Medicity
- Gurugram, Haryana, India
- Tarannum Bano
- DNB (Endocrinology) MD (Medicine)
- Associate Consultant Division of Endocrinology and Diabetes
- Medanta–The Medicity
- Gurugram, Haryana, India
- Tejasvini Vaid MD
- Senior Resident
- Department of Clinical Hematology
- All India Institute of Medical Science
- New Delhi, India
- Usha K Baveja
- MD MNAMS FISCD FRSTMH FIMSA
- Professor and Senior Consultant Department of Microbiology
- Medanta—The Medicity
- Gurugram, Haryana, India
- Varun Mittal
- MBBS MS (General Surgery) MCh (Urology)
- Senior Consultant Department of Urology and Kidney Transplant
- Fortis Memorial Hospital
- Gurugram, Haryana, India
- Vijay Hadda MD
- Associate Professor
- Department of Pulmonary
- Sleep and Critical Care Medicine
- All India Institute of Medical Sciences
- New Delhi, India
- Vijay Kher
- MD (Med) DM (Nephrology) FAMS FRCPE
- Chairman
- Medanta Kidney and Urology Institute
- Medanta–The Medicity
- Gurugram, Haryana, India
- Vijaya Patil MD (Anesth) DHA
- Professor
- Department of Anesthesiology
- Critical Care and Pain Tata Memorial Hospital
- Mumbai, Maharashtra, India
- Vinayak Agrawal
- MD DNB (Cardiology) FACC FASE FAHA
- Director and Head
- Department of Noninvasive Cardiology
- Fortis Memorial Research Institute Gurugram, Haryana, India
- VP Singh
- MCh (Neurosurgery) DNB (Neurosurgery)
- Chairman
- Institute of Neurosciences
- Medanta–The Medicity
- Gurugram, Haryana, India
- Yash Javeri IDCCM FICCM
- Head
- Department of Critical Care and Emergency Medicine
- Regency Hospital
- Lucknow, Uttar Pradesh, India
- Yashika Gupta MS (General Surgery) Senior Resident
- Department of Surgery
- Maulana Azad Medical College
- New Delhi, India
- Yatin Mehta
- MD MNAMS FRCA FAMS FICCM FIACTA FTEE
- Chairman
- Medanta Institute of Critical Care and Anesthesiology
- Medanta–The Medicity
- Gurugram, Haryana, India
- Yatindra Kumar Batra MD FAMS
- Director and Head
- Department of Anesthesia and Intensive Care
- MAX Hospital Mohali, Punjab, India
- Zubin Dev Sharma
- MD (Medicine) DNB (Gastroenterology) MBA (Health Systems)
- Consultant Institute of Digestive and Hepatobiliary Sciences
- Medanta–The Medicity
- Gurugram, Haryana, India
The Textbook of Critical Care, edited by Dr Yatin Mehta, draws together 124 chapters on all aspects of critical care starting from the definition and recognition of critical illness and finishing with important issues of ethics and organization. The book is helpfully divided into 14 sections, covering the different organ systems, aspects associated with infections, trauma, and postoperative critical care among others. There is also an interesting section on toxicology and environmental injuries, such as drowning, electrocution, and snakebite, subjects that less often covered in critical care textbooks.
The field of critical care medicine is advancing rapidly as new technological developments become available and results of studies provide evidence for and against established and new therapies, interventions and processes of care. Textbooks such as this therefore need to be updated on a regular basis, and this 2nd edition does just that. In addition, to bringing the original chapters up to date, 10 completely new chapters have been added on extracorporeal therapies, noninvasive ventilation, gastrointestinal emergencies, COVID-19, stem cell transplantation, shock and multiple organ dysfunction, new antimicrobial agents, sepsis immunology, obese and elderly critically ill patients, and medicolegal issues.
Written by a panel of about 250 experts in their individual fields, this comprehensive new edition of the textbook will provide practicing and trainee intensivists and all involved in the management of critically ill patients with up-to-date evidence and guidance on all aspects of critical care pathophysiology, diagnosis and management.
I was honored to write the foreword for the successful 1st edition of this Textbook of Critical Care and it is a privilege for me to be able to congratulate Dr Mehta once again for this updated, 2nd edition.
Dr Jean-Louis Vincent MD PhD
Professor of Intensive Care Medicine
Université Libre de Bruxelles, Brussels, Belgium
Consultant, Department of Intensive Care
Erasme University Hospital, Brussels, Belgium
Foreword
I am delighted to know that the 2nd edition of the book titled Textbook of Critical Care is going to be published.
Critical Care is one of the most important medical specialties as it deals with critically ill patients who are at a risk of, or are recovering from conditions that may be life threatening. Today in time of COVID-19, this medical specialty of Critical Care has become all the more important.
The significance of Critical Care can be gauged from the fact that a team of Intensive/Critical Care professionals is normally multidisciplinary comprising of nurses, therapists, doctors, pharmacists, etc., so that an all pervasive care can be given to the patients.
This book gives a detailed description of various clinical disorders, current best practices, therapeutics and monitoring, drugs and fluids apart from general management philosophies. It comprises of 124 chapters with contributions from approximately 250 authors from India as well as abroad, in clinically oriented sections.
This book, I am sure, will serve the requirements and needs of Consultants and Junior Doctors and will provide them solutions to commonly encountered problems in critically ill patients, particularly in these difficult times.
I congratulate Dr Yatin Mehta for editing this book. I hope that this book will provide an effective learning experience to health professionals leading to an improved patient care.
Dr Harsh Vardhan
Former Union Minister for Health and Family Welfare
Preface to the 2nd Edition
It is a pleasure to write the preface of the 2nd edition of The Textbook of Critical Care which is coming after 5 years, of which at least 2 years went into its making!
The publisher, Jaypee Brother Medical Publishers (Mr Jitendar P Vij) asked me for the 2nd edition and it means that the 1st edition was well appreciated and did well! Critical care has evolved and grown many folds in the last 5 years and this new edition is a documentary evidence of that! Last 2 years of the whole world have gone into COVID-19 with its associated sweat, blood, tears and learning! That's why a new chapter has been added for the same. This time there are 124 chapters with more than 200 authors along with many national and international co-authors who have contributed to this humongous effort.
All the old chapters have been modified, the latest references incorporated, and due to the constraint of number of pages (voluminous nature of the book and our wanting to restrict it to one volume), the references are being given as a soft copy, which is the norm for many publications.
The book has many illustrations with excellent printing and image quality, which is the hallmark of the Jaypee Brothers Medical Publishers! Forewords are by Professor Jean-Louis Vincent and Dr Harsh Vardhan, the former Health Minister of India under whose leadership we fought the battle of COVID-19! I would like to thank Ms Chetna along with Mr Vij for their support and faith in me and for the superb final product! I would also like to thank Ms Poonam Anand without whose secretarial assistance this was not possible. I thank my family, particularly my wife whose time I stole for this book! I would also like to thank Dr Naresh Trehan, CMD, Medanta—The Medicity, for his continuous support. Last but not least, I am most grateful to my co-editors Dr Jeetendra Sharma and Dr Chitra Mehta and all the contributors for their effort and time. I hope this book remains a prized possession of all Critical Care Specialist, present and future, old and young and also of medical libraries.
Yatin Mehta
Preface to the 1st Edition
Critical care has been growing at a rapid pace all over the world, including underdeveloped and developing countries, as the HealthCare Industry itself is growing at a very fast rate despite the slump in the growth rate of all other industries. With early detection and diagnosis of life-threatening diseases with population explosion without supportive infrastructure, infectious diseases and severe sepsis are increasing in numbers, severity, and drug resistance with poor outcomes and prolonged ICU and hospital stay with substantial cost implications.
Critical care is relatively a new specialty in the medical world, although started in 1954 Polio Epidemic in Denmark where Dr Yatin Mehta had the good fortune to work 30 years back! Since then many postgraduate fellowships and diplomas, such as EDIC, FNB, IDCCM, have come up with standard training and exit examinations. With a surge of research, academics and trainings in critical care assisted by a strong support by technology, there is a need for supporting educational material, and hence this book took the present shape to furnish this requirement.
No one is a master of all aspects of critical care—the sea of knowledge is too vast—so first we decided to invite the best people as contributors in their respective fields irrespective of their geographical locations. Obviously, for some specific issues like tropical illnesses requiring intensive care, snakebite, and some poisonings, specific authors were approached. All authors are from around the globe, including US, Canada, UK, Australia, Hong Kong, Japan, India, Nepal, and so on. Knowledge has no boundaries, although resources do, but with private tertiary care hospitals coming up and an easy access to internet, these boundaries are also getting blurred. The book is a good example of this phenomenon, as “Critical Care” is uniting the Medical World! This is also proven by one of the best known leaders in critical care worldwide, Professor Jean-Louis Vincent who wrote Foreword for this book in this endeavor.
The book is divided into 111 chapters that are further separated by 14 sections for an easy comprehension of the subject.
(General Principles) deals with general principles of critical care, including severity scoring, and monitoring various aspects of ventilation, ECMO, sugar control, sedoanalgesia, delirium, etc.
(Cardiovascular System) deals with all aspects of acute cardiovascular pathology requiring ICU admission. With the early diagnosis and shorter door to balloon or needle time even in developing countries, ACS and aortic dissections are reaching to hospitals with subsequent admission in ICU. We have especially included the newer antiplatelets, antithrombotic agents as they are new arrivals in developing countries. (Respiratory System) presents critical care in cases of acute respiratory syndrome, respiratory failure, obstructive pulmonary diseases, severe asthma, pneumonia, hemoptysis, pleural effusion, and pneumothorax. (Renal System) is on acute kidney infection and renal replacement therapy. (Gastrointestinal Tract, Pancreas and Hepatobiliary System) also contains chapters on how to approach elevated live enzymes and portal hypertension, along with the common ICU issues related to GI, pancreas and liver.
(Neurology) starts with the approach to an unconscious patient and covers the common neurocritical problems like stroke, seizures, infections, and neuromuscular disorders requiring ICU admission. (Endocrine) covers the sugar control, DI and SIADH, thyroid and adrenals. (Post-surgical Critical Care) is a relatively new section for a critical care book where the chapters are jointly written by the surgeons and critical care specialists in that field and covers neuro, cardiac, vascular, thoracic, and transplants with the discussion on immunosuppression.
(Obstetric Critical Care) and (Hematology, Rheumatology and Oncology) are poorly recognized and poorly developed field in the underdeveloped and developing countries, so these two sections have special significance in the book. (Infections) deals with bacterial, viral, fungal, rickettsial infections, including community-acquired and nosocomial. Evaluation of fever in ICU and principles of antimicrobial therapy, including pharmacokinetics and pharmacodynamics are also discussed in this section.
(Toxicology and Environmental Injuries) contains chapters on poisoning, snakebites and environmental injuries needing critical care.
Trauma is becoming a major concern all over the developing countries. Factors like faster cars, bad roads, young blood and alcohol, etc. are responsible for an increasing flow to triage and subsequently to the critical care. (Trauma) deals separately with initial assessment followed by head, chest, spine, long bones and abdominal trauma with their complications like rhabdomyolysis and fat embolism.
Last but not least is the potpourri which includes brain death, end of life, ICU design and research. These are covered in (Miscellaneous).
We hope that the book contributes to the teaching and training of everyone involved in the care of critically ill patients, from the residents to the chiefs, from tertiary care modern hospitals in the metropolis to the peripheral hospitals in town with a few ICU beds.
Yatin Mehta
Jeetendra Sharma
Mukesh Kumar Gupta
Acknowledgments
This book is the second and updated edition of Textbook of Critical Care which was published in 2016. The making of this extensive yet comprehensive new edition was quite challenging as well as rewarding. I want to thank all those people who were instrumental in making it come through.
I am indebted to my family who put up with me throughout the arduous process of its execution. My greatest gratitude is to Dr Naresh Trehan and all the Medanta family for their contributions and advice. I would like to thank my co-editors Dr Jeetendra Sharma and Dr Chitra Mehta for their unfailing assistance. I am grateful to my own secretarial team Ms Poonam Anand for her dedicated efforts. I thank Drs Shirish Prayag, Dr Harsh Vardhan and Dr Jean-Louis Vincent for their forewords and support.
It would be difficult to find adequate words to convey my appreciation to all the authors for their prompt participation despite their busy schedules, especially in the tough times of COVID pandemic.
I am thankful to all those who contributed to the success of the physical creation to completion of this book. Special thanks to the ever-helping Publisher Shri Jitendar P Vij (Group Chairman) M/s Jaypee Brothers Medical Publishers, for his constant help. I would also like to thank Ms Chetna Malhotra Vohra and every member of Jaypee's amazing team for bringing this book out beautifully.
Jeetendra Sharma
Co-Editor
Yatin Mehta
Chief Editor
Chitra Mehta
Co-Editor