Critical Care Snippets

19/05/2026

Six ways I truly learned Critical Care Medicine during my DM superspeciality journey

Check the instagram post 👇🔗

https://www.instagram.com/p/DYhZex8gawU/?img_index=11&igsh=amZzMDAwb2VycGQ0

14/05/2026

Honored to be part of the 11th edition of HICS and excited to speak on a topic I am truly passionate about — “Neurosonography.”
I thank .samavedam sir and sir for the opportunity 🙏

*Click here to register now 👇*
🔗HICS Registration link: https://hics2026.globalhealthcareacademy.in

*Click here for Abstract Submission 👇*
🔗HICS Abstract Submission link: https://hics-abstracts.theonsitetech.org/index.php

13/05/2026

PACMAN bundle to prevent delayed air embolism after CVC removal! .landoni
https://pubmed.ncbi.nlm.nih.gov/42105486/

12/05/2026

CVP versus VExUS as markers of congestion!
Source
https://doi.org/10.1186/s13054-026-06016-7

28/04/2026

Non-invasive intracranial pressure estimation in the intensive care unit: narrative review of methods and clinical applications
https://doi.org/10.1007/s00134-026-08420-7

25/04/2026

UTI, Hyperammonemia & The Renal Connection 🚨

👩‍⚕️ Clinical vignette
A 50-year-old female presents with dysuria, frequency, and lower abdominal discomfort and altered sensorium. No prior liver disease.
👉 Labs reveal elevated ammonia: 159.7 µmol/L

📊 Key lab insights
• Normal bilirubin & transaminases
• Elevated ALP (208 U/L)
• Low albumin (2.7 g/dL)

🧠 What’s happening?
Certain urease-producing bacteria in UTIs break down urea → ammonia (NH₃) → ammonia enters systemic circulation leading to hyperammonemia

🦠 Common culprits
• Proteus mirabilis
• Klebsiella pneumoniae
• Morganella morganii
• Providencia stuartii
• Other urease-producing Gram-negative bacilli

⚠️ Why is ALP important here?
• May indicate renal tubular injury or sepsis-related cholestasis
• Normal LFTs + high ALP → think non-hepatic cause of hyperammonemia

💡 Take-home message
Not all hyperammonemia is hepatic!
👉 In UTI patients with altered sensorium, always think:
UTI → Urease → Ammonia → Encephalopathy

23/04/2026

Dear Critical Care Medicine Aspirants,

I’ve been in your position—not long ago—racing against time, navigating competition, and striving to cross that final hurdle. One thing experience has taught me is this: in these defining moments, success depends less on what you learn at the last minute and more on the confidence you place in what you’ve already built.

Trust your preparation. Trust your process.

For the day ahead, keep it simple—Revise, Relax, and Replenish. A calm mind, a clear focus, and a well-rested body will bring out your best performance when it matters the most.

If you feel the need to discuss anything or just want reassurance, don’t hesitate to reach out. And once it’s all done, I’d be glad to hear about your experience.

Wishing you clarity, composure, and success for upcoming INI-SS Critical Care Medicine exam.

Dr. Gudela Mohan Sai, DM (Critical Care Medicine)
Consultant - Critical Care
KIMS - Seethammadhara,
Visakhapatnam,
Andhra Pradesh, India

23/04/2026

A must read for clinicians on essentials of EOLC in ICU by Dr RK Mani sir 🙏
https://www.ijccm.org/abstractArticleContentBrowse/IJCCM/64/30/4/45133/abstractArticle/Article

23/04/2026

Stroke-point-of-care ultrasound: a new holistic approach to bedside evaluation in stroke patients using ultrasound
https://doi.org/10.1093/esj/aakag027

21/04/2026

20/04/2026

No more monday blues 🙌
Happy and excited to be part of the coveted Intensive care group and academic event - HICS.
Sincere thanks to Srinivas Samavedam sir and Ganshyam Jagathkar sir for the opportunity 🙏
Click the link to register 🔗
https://hics2026.globalhealthcareacademy.in