Vivek Nangia
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View article: NCCP-ICS joint consensus-based clinical practice guidelines on medical thoracoscopy
NCCP-ICS joint consensus-based clinical practice guidelines on medical thoracoscopy Open
Medical Thoracoscopy (MT) is commonly performed by respiratory physicians for diagnostic as well as therapeutic purposes. The aim of the study was to provide evidence-based information regarding all aspects of MT, both as a diagnostic tool…
View article: The rising tsunami of poor muscle health and sarcopenia in Asia-Pacific: Time for focused attention and targeted interventions
The rising tsunami of poor muscle health and sarcopenia in Asia-Pacific: Time for focused attention and targeted interventions Open
View article: Guidelines for endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA): Joint Indian Chest Society (ICS)/Indian Association for Bronchology (IAB) recommendations
Guidelines for endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA): Joint Indian Chest Society (ICS)/Indian Association for Bronchology (IAB) recommendations Open
Over the past decade, endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become an indispensable tool in the diagnostic armamentarium of the pulmonologist. As the expertise with EBUS-TBNA has evolved and sever…
View article: Insomnia: An Under-recognized Mental Health Catastrophe during the COVID-19 Era
Insomnia: An Under-recognized Mental Health Catastrophe during the COVID-19 Era Open
Introduction:The coronavirus pandemic (COVID-19) has affected individuals globally in varied manners.It has also affected the psychosocial well-being, particularly of persons residing in the countries that were worst affected.In India, com…
View article: Consensus Statement for the Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis in Resource Constrained Settings
Consensus Statement for the Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis in Resource Constrained Settings Open
Background.Idiopathic pulmonary fibrosis (IPF) is a specific type of chronic fibrosing interstitial lung disease (ILD) that is progressive in course.Although evidence-based guidelines for IPF are available, these are difficult to interpret…
View article: COVID-19 Risk Stratification and Mortality Prediction in Hospitalized Indian Patients: Harnessing clinical data for public health benefits
COVID-19 Risk Stratification and Mortality Prediction in Hospitalized Indian Patients: Harnessing clinical data for public health benefits Open
The variability of clinical course and prognosis of COVID-19 highlights the necessity of patient sub-group risk stratification based on clinical data. In this study, clinical data from a cohort of Indian COVID-19 hospitalized patients is u…
View article: Secondary infections modify the overall course of hospitalized patients with COVID-19: a retrospective study from a network of hospitals across North India
Secondary infections modify the overall course of hospitalized patients with COVID-19: a retrospective study from a network of hospitals across North India Open
View article: Secondary infections modify the overall course of hospitalized COVID-19 patients: A retrospective study from a network of hospitals across North India
Secondary infections modify the overall course of hospitalized COVID-19 patients: A retrospective study from a network of hospitals across North India Open
Introduction SARS-CoV-2 infection increases the risk of secondary bacterial and fungal infections and contributes to adverse outcomes. The present study was undertaken to get better insights into the extent of secondary bacterial and funga…
View article: Outcome of ventilation in patients with hypercapnic respiratory failure in IPF patients: A prospective study
Outcome of ventilation in patients with hypercapnic respiratory failure in IPF patients: A prospective study Open
Background: Diffuse parenchymal lung disease (DPLD) is the inflammation and fibrosis of lung interstitium, resulting in respiratory failure. The rate of hypoxic respiratory failure is high as the disease progresses. In idiopathic pulmonary…
View article: Profile of Mucormycosis Cases from a Network of Hospitals in North India Amidst COVID-19 Pandemic
Profile of Mucormycosis Cases from a Network of Hospitals in North India Amidst COVID-19 Pandemic Open
Incidence of mucormycosis suddenly surged in India after the second wave of COVID-19. This is a crippling disease and needs to be studied in detail to understand the disease, its course, and the outcomes. Between 1 st March and 15 th July …
View article: Differentials in the characteristics of COVID-19 cases in Wave-1 and Wave-2 admitted to a network of hospitals in North India
Differentials in the characteristics of COVID-19 cases in Wave-1 and Wave-2 admitted to a network of hospitals in North India Open
Second wave of COVID-19 pandemic in India came with unexpected quick speed and intensity, creating an acute shortage of beds, ventilators, and oxygen at the peak of occurrence. This may have been partly caused by emergence of new variant d…
View article: Respiratory Co-Infections: Modulators of SARS-CoV-2 Patients’ Clinical Sub-Phenotype
Respiratory Co-Infections: Modulators of SARS-CoV-2 Patients’ Clinical Sub-Phenotype Open
Co-infection with ancillary pathogens is a significant modulator of morbidity and mortality in infectious diseases. There have been limited reports of co-infections accompanying SARS-CoV-2 infections, albeit lacking India specific study. T…
View article: Management of serious infections caused by metallo β-lactamases with or without OXA-48-like expressing Enterobacterales with aztreonam and ceftazidime/avibactam combination: Dosing strategy for better clinical outcome
Management of serious infections caused by metallo β-lactamases with or without OXA-48-like expressing Enterobacterales with aztreonam and ceftazidime/avibactam combination: Dosing strategy for better clinical outcome Open
Serious infections caused by MBLs with or without OXA-48-like expressing Enterobacterales remain challenging to treat. Since aztreonam is stable to MBLs, it can be combined with ceftazidime/avibactam to protect against concurrently express…
View article: Conventional flexible bronchoscopy during the COVID pandemic
Conventional flexible bronchoscopy during the COVID pandemic Open
During the times of the ongoing COVID pandemic, aerosol-generating procedures such as bronchoscopy have the potential of transmission of severe acute respiratory syndrome coronavirus 2 to the healthcare workers. The decision to perform bro…
View article: Performance of cytology, acid-fast bacilli smear, gene Xpert and mycobacterial cultures in endobronchial ultrasound-transbronchial needle aspiration aspirate in diagnosing mediastinal tuberculous lymphadenitis
Performance of cytology, acid-fast bacilli smear, gene Xpert and mycobacterial cultures in endobronchial ultrasound-transbronchial needle aspiration aspirate in diagnosing mediastinal tuberculous lymphadenitis Open
Background: Diagnosis of isolated mediastinal tuberculosis (TB) can be challenging. Endobronchial ultrasound (EBUS) increases the diagnostic yield by direct sonographic visualization of mediastinal and hilar lymph nodes. With the advent of…
View article: COVID-19 Risk Stratification and Mortality Prediction in Hospitalized Indian Patients
COVID-19 Risk Stratification and Mortality Prediction in Hospitalized Indian Patients Open
The clinical course of coronavirus disease 2019 (COVID-19) infection is highly variable with the vast majority recovering uneventfully but a small fraction progressing to severe disease and death. Appropriate and timely supportive care can…
View article: Consensus statement on the management of invasive candidiasis in Indian scenario
Consensus statement on the management of invasive candidiasis in Indian scenario Open
Invasive fungal infections in critically ill patients are associated with increased morbidity and mortality. Candida species are among the most common causes of nosocomial bloodstream infections and of invasive infections in intensive care…
View article: 1676. Incidence and Outcomes of Pulmonary Involvement in Patients with Scrub Typhus: A Clinical Study from India
1676. Incidence and Outcomes of Pulmonary Involvement in Patients with Scrub Typhus: A Clinical Study from India Open
Background Scrub typhus is a tropical fever caused by orrientia tsutsugamushi and is probably the most under-recognized of all the febrile illnesses leading to hospitalization, especially in India. Although the most common presenting sympt…
View article: A Comparative Assessment of Clinical, Pharmacological and Antimicrobial Profile of Novel Anti-methicillin-resistant Staphylococcus aureus Agent Levonadifloxacin: Therapeutic Role in Nosocomial and Community Infections
A Comparative Assessment of Clinical, Pharmacological and Antimicrobial Profile of Novel Anti-methicillin-resistant Staphylococcus aureus Agent Levonadifloxacin: Therapeutic Role in Nosocomial and Community Infections Open
Staphylococcus aureus is of significant clinical concern in both community- and hospital-onset infections. The key to the success of S. aureus as a pathogen is its ability to swiftly develop antimicrobial resistance. Methicillin-resistant …
View article: Bronchoscopic lung cryobiopsy: An Indian association for bronchology position statement
Bronchoscopic lung cryobiopsy: An Indian association for bronchology position statement Open
This position statement is an attempt to provide practical recommendations for the performance of BLC in DPLDs.
View article: Recurrent heart failure in pulmonary tuberculosis patients on antitubercular therapy: A case of protector turning predator
Recurrent heart failure in pulmonary tuberculosis patients on antitubercular therapy: A case of protector turning predator Open
View article: Respiratory failure in a patient with treated thymoma: A blast from the past
Respiratory failure in a patient with treated thymoma: A blast from the past Open
View article: Bronchoscopy as a salvage therapy in a mechanically ventilated status asthmaticus patient: A case report
Bronchoscopy as a salvage therapy in a mechanically ventilated status asthmaticus patient: A case report Open
A 23-year-old male patient presented with acute exacerbation of asthma with type 2 respiratory failure. He was mechanically ventilated and started on intensive medical therapy including nebulization with β2 agonists and antimuscarinic drug…
View article: Convergence of Minds: For Better Patient Outcome in Intensive Care Unit Infections
Convergence of Minds: For Better Patient Outcome in Intensive Care Unit Infections Open
A close coordination between clinical microbiology and critical care medicine opens up avenues to improve antimicrobial prescription practices.
View article: Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection
Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection Open
We describe a middle aged previoulsy healthy female patient who presented with clinical features suggestive of acute heart failure. Investigations revealed very high NT pro-BNP, right heart enlargement, bilateral pulmonary alveolar edema a…