Avinash B. Kumar
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Dialogue Without Limits: Constant-Sized KV Caches for Extended Responses in LLMs Open
Autoregressive Transformers rely on Key-Value (KV) caching to accelerate inference. However, the linear growth of the KV cache with context length leads to excessive memory consumption and bandwidth constraints. This bottleneck is particul…
View article: Balanced Crystalloid versus Saline in Adults with Traumatic Brain Injury: Secondary Analysis of a Clinical Trial
Balanced Crystalloid versus Saline in Adults with Traumatic Brain Injury: Secondary Analysis of a Clinical Trial Open
Balanced crystalloids may improve outcomes compared with saline for some critically ill adults. Lower tonicity of balanced crystalloids could worsen cerebral edema in patients with intracranial pathology. The effect of balanced crystalloid…
Percutaneous coronary intervention of anomalous right coronary artery arising from the left sinus of Valsalva with the novel use of Ikari left guide catheter- A case series Open
Percutaneous coronary intervention for anomalous right coronary artery arising from the left sinus of Valsalva poses technical challenges in cannulation due to its unusual location, non-circular orifice and course. We describe a series of …
Misinterpretation of Section 304A IPC vis-a-vis 304IPC in medical Negligence cases – Deliberate or Inadvertent? Open
Negligence is specific tort and in any given circumstances is the failure to exercise that care which the circumstances demand. What amounts to negligence depends on the facts of each particular case. The degree of care required in a parti…
MEDICAL NEGLIGENCE: CURRENT SCENARIO IN INDIA Open
Medical profession, one of the noblest professions, but not immune to negligence due to lack of reasonable degree of care and skill or willful negligence, which causes injury or death of the patient. There is no proper guideline in India t…
Cerebral Venous Sinus Thrombosis in Mid-South USA Open
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The risks of long-term use of proton pump inhibitors: a critical review Open
Proton pump inhibitors (PPIs) are among the most frequently prescribed medications. Their use is likely even higher than estimated due to an increase in the number of PPIs available without a prescription. Appropriate indications for PPI u…
Balanced Crystalloids versus Saline in Critically Ill Adults Open
In ihrer Arbeit untersuchten Matthew Semler und Kollegen 15802 Erwachsene, die auf 5 Intensivstationen einer amerikanischen Universitätsklinik in einer cluster-randomisierten, nicht verblindeten multiple-crossover Studie entweder kristallo…
View article: Balanced Crystalloids versus Saline in Critically Ill Adults
Balanced Crystalloids versus Saline in Critically Ill Adults Open
Among critically ill adults, the use of balanced crystalloids for intravenous fluid administration resulted in a lower rate of the composite outcome of death from any cause, new renal-replacement therapy, or persistent renal dysfunction th…
The State of Neurocritical Care Fellowship Training and Attitudes toward Accreditation and Certification: A Survey of Neurocritical Care Fellowship Program Directors Open
Neurocritical care as a recognized and distinct subspecialty of critical care has grown remarkably since its inception in the 1980s. As of 2016, there were 61 fellowship training programs accredited by the United Council for Neurologic Sub…
ECMO in major burn patients: feasibility and considerations when multiple modes of mechanical ventilation fail Open
Background We report two cases of acute respiratory distress syndrome in burn patients who were successfully managed with good outcomes with extra corporeal membrane oxygenation (ECMO) after failing multiple conventional modes of ventilati…
Balanced crystalloids versus saline in the intensive care unit: study protocol for a cluster-randomized, multiple-crossover trial Open
For logistical reasons, SMART was prospectively registered separately for the medical ICU (SMART-MED; ClinicalTrials.gov identifier: NCT02444988 ; registered on 11 May 2015; date of first patient enrollment: 1 June 2015) and the nonmedical…
Predictive Role of Proteinuria in Urinary Tract Infection Open
Introduction: Urine culture is considered as holy grail in diagnosis of Urinary Tract Infection (UTI). However, the significance of preliminary urinalysis cannot be neglected. Aim: To evaluate proteinuria as a predictor of UTI. Materials a…
Risk of ionizing radiation exposure from CT scans in the Neuro ICU - a patient safety blind spot? Open
Introduction: The exposure to ionizing radiation has increased significantly with the wide availability of computed tomography (CT) scans and portable imaging technology. We examine the pattern of use of inpatient diagnostic imaging and ra…
Profound Autonomic Instability Complicated by Multiple Episodes of Cardiac Asystole and Refractory Bradycardia in a Patient with Anti-NMDA Encephalitis Open
Anti- N -methyl- D -aspartate receptor encephalitis (anti-NMDARE) is autoimmune encephalitis primarily affecting young adults and children. First described about a decade ago, it frequently manifests as a syndrome that includes progressive…