Citations 2
Cardiovascular Complications of Obstructive Sleep Apnea in the Intensive Care Unit and Beyond
Jain, Nitesh , Surani, Salim , Mushtaq, Hisham, Mir, Mikael, Jama, Abbas B, Rauf, Ibtisam , Jain, Shikha , Korsapati, Aishwarya Reddy, Chandramouli, Mantravadi Srinivasa, Boike, Sydney , Attallah, Noura , Hassan, Esraa, Chand, Mool, Bawaadam, Hasnain , Khan, Syed Anjum , Jain, Nitesh Kumar , Surani, Salim , Jama, Abbas Bashir, Boike, Sydney , Khan, Syed Anjum , Wahab, Abdul , Chowdhury, Arnab Roy , Khedr, Anwar
Medicina | October 9, 2022 | Volume: 58 | Issue: 10 | Pages: 1390
Obstructive sleep apnea (OSA) is a common disease with a high degree of association with and possible etiological factor for several cardiovascular diseases. Patients who are admitted to the Intensive Care Unit (ICU) are incredibly sick, have multiple co-morbidities, and are at substantial risk for mortality. A study of cardiovascular manifestations and disease processes in patients with OSA admitted to the ICU is very intriguing, and its impact is likely significant. Although much is known about these cardiovascular complications associated with OSA, there is still a paucity of high-quality evidence trying to establish causality between the two. Studies exploring the potential impact of therapeutic interventions, such as positive airway pressure therapy (PAP), on cardiovascular complications in ICU patients are also needed and should be encouraged. This study reviewed the literature currently available on this topic and potential future research directions of this clinically significant relationship between OSA and cardiovascular disease processes in the ICU and beyond.
Idiopathic Systemic Capillary Leak Syndrome: A Rare Cause of Refractory Shock Following Influenza B Infection
Mushtaq, Hisham, Jama, Abbas B, Rauf, Ibtisam , Mir, Mikael, Jain, Shikha , Garces, Juan Pablo Domecq , Bartlett, Brian , Jain, Nitesh , Khan, Syed Anjum , Zec, Simon , Mushtaq, Hisham A, Khedr, Anwar , Jama, Abbas Bashir, Koritala, Thoyaja , Domecq Garces, Juan P, Jain, Nitesh K, Domecq Graces, Juan Pablo , Mir, Mikael, Bartlett, Brian
Journal of Community Hospital Internal Medicine Perspectives | July 9, 2022 | Volume: 12 | Issue: 4 | Pages: 122-126
A 68-year-old man presented to the Emergency Department with undifferentiated shock. During the three days prior, he experienced a non-specific viral-like illness. On examination his blood pressure was 70/40 mm Hg with cool, clammy, and mottled extremities and flat neck veins. Laboratory investigations revealed a positive influenza B screen alongside elevated hemoglobin and hematocrit. Following aggressive fluid resuscitation his blood pressure had marginally improved and he was transferred to the intensive care unit (ICU). Vasopressor support with cautious fluid resuscitation continued and at 7- and 10-hours following presentation, serum albumin levels were extremely low. Idiopathic systemic capillary leak syndrome triggered by influenza B infection was diagnosed. Following a 9-day ICU stay the patient made a complete recovery and remains stable on intravenous immunoglobulin therapy. This case highlights the importance judicious fluid resuscitation and serum albumin levels when confronted with refractory shock.