Smitesh Gutta
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smiteshgutta.bsky.social
Smitesh Gutta
@smiteshgutta.bsky.social
Internist 🩺 with a heart for meaningful pragmatic medical research🧐 National Scholar(NTSE), CMC Vellore Alumnus (MBBS + MD), LSHTM Alumnus (DTMH)
Finally It’s published 😊

Our study on modified ROX indices for early prediction of outcomes among patients initiated on post-extubation HFNC therapy.

eurjmedres.biomedcentral.com/articles/10....
Comparison of ROX index with modified indices incorporating heart rate, flow rate, and PaO2/FiO2 ratio for early prediction of outcomes among patients initiated on post-extubation high-flow nasal cann...
Background Incorporation of heart rate, flow rate, and PaO2/FIO2 (PF) ratio to ROX index has been postulated to better predict high-flow nasal cannula (HFNC) usage outcomes in post-extubation setting....
eurjmedres.biomedcentral.com
March 15, 2025 at 12:08 AM
This is indeed a real game changer. It will be in timely pick up of seizures especially during out of office hours.

Can anybody tell what is cost involved for a 24 hour monitoring leads and the cost of the monitor ?
IMO, point-of-care AI-powered seizure diagnosis is a game changer.

In a few years it’s gonna be hard to explain the bad old days of having to get a tech to come in to glue electrodes to the head, then wake up an epileptologist to read it, then peal the electrodes off for an MRI.
November 28, 2024 at 6:24 AM
Thanks @kidneyboy.bsky.social for sharing this.
This is the meta-analysis I have been waiting for.
If one looks at the evidence behind the commonly recommended Na correction (<8mEq/L per day) for Hyponatremia, the evidence is quite poor.
Honey, stop what you're doing, new hyponatremia research just dropped!

What's it say?

It looks like slow correction is associated with worse outcomes, like death and length of stay!

Was it just a small study?

No, it was a meta-analysis of almost 12,000 patients!

jamanetwork.com/journals/jam...
Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia
This systematic review and meta-analysis evaluates the association of sodium correction rates with mortality among hospitalized adults with severe hyponatremia.
jamanetwork.com
November 23, 2024 at 5:23 AM