A three-day Zonal Meet-2013 of Central Zone on Critical Care, commenced here on Friday at the Chirayu Medical College and Hospital. Experts and teams with new technological advance equipments participated in the meet.
Dr RK Singh of Sanjay Gandhi Postgraduate Institute of Medical Sciences, lucknow, emphasised on the importance of fluids which should be maintained during the critical condition of a patient as excessive fluids in the body leads to swelling and would cause stress and strain in the vital organs.
Singh said that excessive fluid is dangerous in all the three stages of operation which are pre-operation, operation and post-operation due to which ‘Goal Directed Therapy’ which monitors the fluids after every 15 minutes is used.
Anaesthetic team decides on the issue of fluids at the pre-operational stage and takes care of the fluids in the next two stages. According to a study out of 4,000 patients around 1,100 patients were given high quantity of fluids who reported problems in all the three stages.
Arterial Blood Gas Analyzer is the best option in case of emergency which could detect the problem within a very less span of time. When a patient is rushed to a hospital without any information of other disorders, reports and diagnosis of problem faced at the moment would take time in that case this technique proves a boon for the patients, said Dr Praveen Jain, founder president of Indian Society of Critical Care Medicine.
HOD of Super Specialist Critical Care at Max hospital Delhi Dr VP Singh said that the stage when a patient gains conscious (through reverse anaesthesia) it is the most crucial phase as the mortality rate are higher in this stage and for proper care anaesthetic plays the pivotal role.
Dr Atul Ingle of Fortis Mumbai shared data of acute kidney disorders in which 50 per cent cases are reported with acute kidney disorder. The mortality rate is of 50-60 percent while 10-15 per cent has to rely on permanent dialysis. Ingle told that the irrational use of antibiotic has resulted in the increased number of cases and in that the maximum numbers of cases are reported from those who consume pain killers.