Category: Critical Care

Septic Shock Fluid Therapy – Bedside Metrics

A male patient in the hospital.

A 49 year old male patient was brought to Aster Hospital on 26th November 2017 upon feeling uneasy and passing loose stools.

Comorbids were – Hypertensive on Tab Bisoprolol 2.5 mg OD, Dyslipidemia on Tab Atorva 20 mg HS. Continue reading “Septic Shock Fluid Therapy – Bedside Metrics”


Minimally Invasive Single port Pancreatic Necrosectomy

Pancreatic Necrosectomy

Minimally Invasive Single port Pancreatic Necrosectomy in a Patient with Severe Pancreatitis and Infected Pancreatic Necrosis.

A 36-year-old male patient was admitted to Aster Hospital, Mankhool 2 months ago with severe pancreatitis. His clinical course was further complicated by development of pancreatic necrosis within the first 2 weeks of hospitalization. He developed severe sepsis leading to renal dysfunction and acute lung injury secondary to MRSA bacteremia. The source of MRSA was localized to the necrotic areas of the pancreas and peri-pancreatic tissues as detected on a positive culture on an aspirate from the necrotic areas. The patient was managed using a multi-disciplinary approach under the specialties of Gastroenterology, Intensive Care, Hepatology and Surgery. Continue reading “Minimally Invasive Single port Pancreatic Necrosectomy”


Adrenal Crisis

Adrenal Crisis

On 2nd December 2017, Aster Hospital’s Critical Care Department encountered a 30 year old male patient who experienced vomiting multiple times, had profuse sweating and general uneasiness with myalgia. The patient was brought to the ER, and was found to have tachycardia and hypotension. He was diagnosed with;

  • Adrenal insufficiency (shock)/Septic shock
  • Acute kidney injury – Ischemic Acute Tubular Necrosis.
  • Acromegaly with panhypopituitarism on replacement therapy

Continue reading “Adrenal Crisis”