Rajay Jain - Academia.edu (original) (raw)

Papers by Rajay Jain

Research paper thumbnail of Use of Therapeutic Plasma Exchange and ECMO Support with Impella for LV Vent as Treatment for Cardiogenic Shock in Acute Thyrotoxicosis/Thyroid Storm

Journal of Cardiac Failure, Aug 1, 2018

Research paper thumbnail of Measuring CVP: Potential Impact on Fluid Resuscitation

Critical Care Medicine, Dec 1, 2006

Research paper thumbnail of Variability in Central Venous Pressure Measurements and the Potential Impact on Fluid Management

Shock, Mar 1, 2010

In the intensive care unit (ICU) of our tertiary care university medical center, central venous p... more In the intensive care unit (ICU) of our tertiary care university medical center, central venous pressure (CVP) measurements derived from bedside monitors differ considerably from measurements by trained intensivists using paper tracings. To quantify these differences, printed CVP tracings and concurrent respiratory waveforms were collected from 100 consecutive critically ill patients along with the corresponding monitor-displayed CVP. Four blinded intensivists interpreted the tracings. The mean difference between the intensivists and the monitor was j0.26 mmHg (95% confidence interval, +7.19 to j7.71 mmHg). Seventy-six percent of the paired measurements were within 2 mmHg, whereas 7% differed by more than 5 mmHg. To determine the potential clinical impact of these differences, we used the original Surviving Sepsis Campaign Guidelines for fluid administration based upon the measurement of CVP. For individual physicians, protocol-driven fluid management strategy would have differed in 19.2% to 25.3% of cases, dependent upon which measured value was chosen. Although protocol-driven strategies to direct fluid infusion therapy may improve outcomes, these interventions in a specific patient are dependent upon the method by which the CVP is measured.

Research paper thumbnail of Correlates of Six-Minute Walk Test in Idiopathic Pulmonary Fibrosis

Chest, Oct 1, 2004

... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28... more ... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28% Hispanic, and 4% of other races), mean age 6016 years, in a university cardiology or general medicine clinic the prevalence of adequate BP control. ...

Research paper thumbnail of CT Guided Transthoracic Needle Biopsy Complicated By Air Embolism And Stroke

Research paper thumbnail of Diabetic autonomic neuropathy causing gall bladder dysfunction

The Journal of the Association of Physicians of India, 2000

The objective of the study was to study gall bladder volume in fasting and 45 minutes post-prandi... more The objective of the study was to study gall bladder volume in fasting and 45 minutes post-prandial, by real time ultrasound in healthy controls and diabetic patients with and without autonomic neuropathy and to compare them. Age, Sex and body mass index (BMI) matched 50 healthy subjects and 10 patients with insulin dependent diabetes mellitus and 40 patients with noninsulin dependent diabetes mellitus were evaluated according to National diabetes Data Group of National Institute of Health (1979) criteria: 1. Fasting (overnight) venous plasma glucose concentration of > 140 mg/dl on two separate occasions. 2. Following ingestion of 75 gms of glucose, venous plasma glucose concentration of > 200 mg/dl at second hour and at one other occasion during two hour test. Autonomic neuropathy was assessed by the presence of symptoms like dysphagia, abdominal fullness, nausea, vomiting, diarrhea +/- nocturnal, faecal incontinence or constipation, dysuria, urinary incontinence, the gustato...

Research paper thumbnail of Catheter-directed Thrombolysis Combined with Anticoagulation for Acute Extensive Portal Vein Thrombosis: Our Experience

Journal of digestive diseases, Jan 24, 2018

The hepatic portal vein originates from the confluence of the splenic vein and superior mesenteri... more The hepatic portal vein originates from the confluence of the splenic vein and superior mesenteric vein and provides 75% of the total blood flow to the liver[1]. Acute portal vein thrombosis (PVT) is sudden obstruction of the portal vein by blood clot. This article is protected by copyright. All rights reserved.

Research paper thumbnail of CT Guided Transthoracic Needle Biopsy Complicated By Air Embolism And Stroke

D32. CASE REPORTS: CLINICAL PROBLEMS IN CRITICAL CARE MEDICINE, 2011

Research paper thumbnail of Measuring CVP: Potential Impact on Fluid Resuscitation

Critical Care Medicine, 2006

Research paper thumbnail of Correlates of Six-Minute Walk Test in Idiopathic Pulmonary Fibrosis

CHEST Journal, 2004

... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28... more ... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28% Hispanic, and 4% of other races), mean age 6016 years, in a university cardiology or general medicine clinic the prevalence of adequate BP control. ...

Research paper thumbnail of Use of Therapeutic Plasma Exchange and ECMO Support with Impella for LV Vent as Treatment for Cardiogenic Shock in Acute Thyrotoxicosis/Thyroid Storm

Journal of Cardiac Failure, 2018

Research paper thumbnail of Variability in Central Venous Pressure Measurements and the Potential Impact on Fluid Management

Shock, 2010

In the intensive care unit (ICU) of our tertiary care university medical center, central venous p... more In the intensive care unit (ICU) of our tertiary care university medical center, central venous pressure (CVP) measurements derived from bedside monitors differ considerably from measurements by trained intensivists using paper tracings. To quantify these differences, printed CVP tracings and concurrent respiratory waveforms were collected from 100 consecutive critically ill patients along with the corresponding monitor-displayed CVP. Four blinded intensivists interpreted the tracings. The mean difference between the intensivists and the monitor was j0.26 mmHg (95% confidence interval, +7.19 to j7.71 mmHg). Seventy-six percent of the paired measurements were within 2 mmHg, whereas 7% differed by more than 5 mmHg. To determine the potential clinical impact of these differences, we used the original Surviving Sepsis Campaign Guidelines for fluid administration based upon the measurement of CVP. For individual physicians, protocol-driven fluid management strategy would have differed in 19.2% to 25.3% of cases, dependent upon which measured value was chosen. Although protocol-driven strategies to direct fluid infusion therapy may improve outcomes, these interventions in a specific patient are dependent upon the method by which the CVP is measured.

Research paper thumbnail of Use of Therapeutic Plasma Exchange and ECMO Support with Impella for LV Vent as Treatment for Cardiogenic Shock in Acute Thyrotoxicosis/Thyroid Storm

Journal of Cardiac Failure, Aug 1, 2018

Research paper thumbnail of Measuring CVP: Potential Impact on Fluid Resuscitation

Critical Care Medicine, Dec 1, 2006

Research paper thumbnail of Variability in Central Venous Pressure Measurements and the Potential Impact on Fluid Management

Shock, Mar 1, 2010

In the intensive care unit (ICU) of our tertiary care university medical center, central venous p... more In the intensive care unit (ICU) of our tertiary care university medical center, central venous pressure (CVP) measurements derived from bedside monitors differ considerably from measurements by trained intensivists using paper tracings. To quantify these differences, printed CVP tracings and concurrent respiratory waveforms were collected from 100 consecutive critically ill patients along with the corresponding monitor-displayed CVP. Four blinded intensivists interpreted the tracings. The mean difference between the intensivists and the monitor was j0.26 mmHg (95% confidence interval, +7.19 to j7.71 mmHg). Seventy-six percent of the paired measurements were within 2 mmHg, whereas 7% differed by more than 5 mmHg. To determine the potential clinical impact of these differences, we used the original Surviving Sepsis Campaign Guidelines for fluid administration based upon the measurement of CVP. For individual physicians, protocol-driven fluid management strategy would have differed in 19.2% to 25.3% of cases, dependent upon which measured value was chosen. Although protocol-driven strategies to direct fluid infusion therapy may improve outcomes, these interventions in a specific patient are dependent upon the method by which the CVP is measured.

Research paper thumbnail of Correlates of Six-Minute Walk Test in Idiopathic Pulmonary Fibrosis

Chest, Oct 1, 2004

... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28... more ... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28% Hispanic, and 4% of other races), mean age 6016 years, in a university cardiology or general medicine clinic the prevalence of adequate BP control. ...

Research paper thumbnail of CT Guided Transthoracic Needle Biopsy Complicated By Air Embolism And Stroke

Research paper thumbnail of Diabetic autonomic neuropathy causing gall bladder dysfunction

The Journal of the Association of Physicians of India, 2000

The objective of the study was to study gall bladder volume in fasting and 45 minutes post-prandi... more The objective of the study was to study gall bladder volume in fasting and 45 minutes post-prandial, by real time ultrasound in healthy controls and diabetic patients with and without autonomic neuropathy and to compare them. Age, Sex and body mass index (BMI) matched 50 healthy subjects and 10 patients with insulin dependent diabetes mellitus and 40 patients with noninsulin dependent diabetes mellitus were evaluated according to National diabetes Data Group of National Institute of Health (1979) criteria: 1. Fasting (overnight) venous plasma glucose concentration of > 140 mg/dl on two separate occasions. 2. Following ingestion of 75 gms of glucose, venous plasma glucose concentration of > 200 mg/dl at second hour and at one other occasion during two hour test. Autonomic neuropathy was assessed by the presence of symptoms like dysphagia, abdominal fullness, nausea, vomiting, diarrhea +/- nocturnal, faecal incontinence or constipation, dysuria, urinary incontinence, the gustato...

Research paper thumbnail of Catheter-directed Thrombolysis Combined with Anticoagulation for Acute Extensive Portal Vein Thrombosis: Our Experience

Journal of digestive diseases, Jan 24, 2018

The hepatic portal vein originates from the confluence of the splenic vein and superior mesenteri... more The hepatic portal vein originates from the confluence of the splenic vein and superior mesenteric vein and provides 75% of the total blood flow to the liver[1]. Acute portal vein thrombosis (PVT) is sudden obstruction of the portal vein by blood clot. This article is protected by copyright. All rights reserved.

Research paper thumbnail of CT Guided Transthoracic Needle Biopsy Complicated By Air Embolism And Stroke

D32. CASE REPORTS: CLINICAL PROBLEMS IN CRITICAL CARE MEDICINE, 2011

Research paper thumbnail of Measuring CVP: Potential Impact on Fluid Resuscitation

Critical Care Medicine, 2006

Research paper thumbnail of Correlates of Six-Minute Walk Test in Idiopathic Pulmonary Fibrosis

CHEST Journal, 2004

... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28... more ... METHODS: We investigated in 344 women and 257 men with hypertension (27% white, 41% Black, 28% Hispanic, and 4% of other races), mean age 6016 years, in a university cardiology or general medicine clinic the prevalence of adequate BP control. ...

Research paper thumbnail of Use of Therapeutic Plasma Exchange and ECMO Support with Impella for LV Vent as Treatment for Cardiogenic Shock in Acute Thyrotoxicosis/Thyroid Storm

Journal of Cardiac Failure, 2018

Research paper thumbnail of Variability in Central Venous Pressure Measurements and the Potential Impact on Fluid Management

Shock, 2010

In the intensive care unit (ICU) of our tertiary care university medical center, central venous p... more In the intensive care unit (ICU) of our tertiary care university medical center, central venous pressure (CVP) measurements derived from bedside monitors differ considerably from measurements by trained intensivists using paper tracings. To quantify these differences, printed CVP tracings and concurrent respiratory waveforms were collected from 100 consecutive critically ill patients along with the corresponding monitor-displayed CVP. Four blinded intensivists interpreted the tracings. The mean difference between the intensivists and the monitor was j0.26 mmHg (95% confidence interval, +7.19 to j7.71 mmHg). Seventy-six percent of the paired measurements were within 2 mmHg, whereas 7% differed by more than 5 mmHg. To determine the potential clinical impact of these differences, we used the original Surviving Sepsis Campaign Guidelines for fluid administration based upon the measurement of CVP. For individual physicians, protocol-driven fluid management strategy would have differed in 19.2% to 25.3% of cases, dependent upon which measured value was chosen. Although protocol-driven strategies to direct fluid infusion therapy may improve outcomes, these interventions in a specific patient are dependent upon the method by which the CVP is measured.