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Dive into the research topics where Mangalore Amith Shenoy is active.

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Featured researches published by Mangalore Amith Shenoy.


American Journal of Infection Control | 2017

Successful strategy to decrease indwelling catheter utilization rates in an academic medical intensive care unit

Sushilkumar Satish Gupta; Pavan Irukulla; Mangalore Amith Shenoy; Vimbai Nyemba; Diana Yacoub; Yizhak Kupfer

HighlightsMultidisciplinary team approach reduces indwelling urinary catheter utilization ratio in a complex intensive care unit environment.Education of the health care providers and strict criteria to define appropriate indications for the use of indwelling urinary catheters in the intensive care unit are necessary to decrease the catheter‐associated urinary tract infection rate.Decreasing the indwelling urinary catheter utilization ratio is one of the most important determining factors to decrease the catheter‐associated urinary tract infection rate.Implementation of this kind of approach can decrease the incidence of catheter‐associated urinary tract infection. Background: Duration of indwelling urinary catheterization is an important risk factor for urinary tract infections. We devised a strategy to decrease the utilization of indwelling urinary catheters (IUCs). We also highlight the challenges of managing critically ill patients without IUCs and demonstrate some of the initiatives that we undertook to overcome these challenges. Methods: A retrospective observational outcomes review was performed in an adult medical intensive care unit (ICU) between January 2012 and December 2016. This period included a baseline and series of intervals, whereby different aspects of the strategies were implemented. IUC utilization ratio and catheter‐associated urinary tract infection (CAUTI) rates were calculated. Results: Our IUC utilization ratio had a statistically significant decrease from 0.92 (baseline) to 0.28 (after 3 interventions) (P < .0001). Similarly, CAUTI rates had a statistically significant decrease from 5.47 (baseline) to 1.08 (after 3 intervention) (P = .0134). These rates sustained a statistically significant difference over the 2‐year follow‐up period from the last intervention. Incontinence‐associated dermatitis (IAD) was identified as a potential complication of not using an IUC. There was no statistically significant change in the IAD rates during 2013‐2016. Conclusions: Our interventions demonstrated that aggressive and comprehensive IUC restriction protocol and provider training can lead to a successful decrease in IUC use, leading to a lower IUC utilization ratio and CAUTI rate in a large complex academic ICU setting.


Critical Care Medicine | 2016

1619: SEPSIS-INDUCED ISOLATED RIGHT VENTRICULAR STRESS CARDIOMYOPATHY MASQUERADING AS PULMONARY EMBOLISM.

Ishan Malhotra; Hatem Desoky; Mangalore Amith Shenoy; Shyam Shankar; Pavan Irukulla; Benhoor Shamian; Yizhak Kupfer; Richard Periut

Learning Objectives: Stress cardiomyopathy (SC) is a type of transient non-ischemic acute cardiomyopathy which is characterized by wall motion abnormalities of the heart in which intense physical or emotional stress can lead to sudden and severe heart muscle weakness. We present a rare case of sepsis/ respiratory distress induced stress cardiomyopathy with isolated right ventricle (RV) involvement, which was initially thought to be secondary to pulmonary embolism. Methods: A 84 year old woman with past medical history of chronic obstructive pulmonary disease (COPD) presented to the emergency room with shortness of breath and lethargy. The patient was started on anticoagulation for suspected pulmonary embolism (PE) and was admitted to the intensive care unit for hemodynamic instability requiring vasopressor support and respiratory failure. Echocardiogram (ECHO) showed severely decreased RV function, RV ballooning and normal left ventricular (LV) wall motion. Computed tomography angiography showed small chronic sub-segmental PE in the right upper lobe, which was not significant enough to cause the degree of hemodynamic instability in this patient. ECHO done two weeks prior to admission showed normal RV function. Electrocardiogram showed new V2-V4 “T” wave inversions with rising serum troponin levels. Coronary angiography showed clean coronary arteries. Cultures confirmed the diagnosis of urinary tract infection leading to sepsis and with appropriate treatment of sepsis and COPD exacerbation, patient showed clinical improvement and improved RV function on repeat ECHO. Results: SC most commonly involves the apical segment of the left ventricle. Isolated involvement of the RV has rarely been described in the literature, apart from few sporadic cases. To the best of our knowledge, this is the first case of isolated of RV stress cardiomyopathy masquerading as massive PE on initial presentation. This case makes it imperative to further study this new, emerging variant of SC in the future since it can be easily misdiagnosed as massive PE potentially leading to inappropriate thrombolytic therapy.


Chest | 2016

A Rare Case of Candida Brain Abscess Secondary to Metastatic Tongue Cancer on Initial Presentation

Shyam Shankar; Sushilkumar Satish Gupta; Ishan Malhotra; Mangalore Amith Shenoy; Hatem Desoky; Prarthna Chandar; William Pascal; Stephan Kamholz; Richard Periut; Chanaka Seneviratne; Yizhak Kupfer


Chest | 2014

An 18 Year Old Man Who Presented With Typical AV Nodal Reentrant Tachycardia and Pulmonary Embolus After Blunt Chest Trauma

Joy Victor; Mangalore Amith Shenoy; Sameer Chadha; Felix Yang; Gerald Hollander; Jacob Shani


Chest | 2018

SEVERE RHABDOMYOLYSIS AND ARDS SECONDARY TO ADENOVIRUS IN A MORBIDLY OBESE YOUNG PATIENT: A THERAPEUTIC DILEMMA

Animesh Gour; Anisha Kamath; Mangalore Amith Shenoy


Chest | 2017

Dabigatran: A Novel and Rare Cause of Diffuse Alveolar Hemorrhage (DAH)

Shyam Shankar; Prarthna Chandar; Hatem Desoky; Ishan Malhotra; Anand Kumar Rai; Mangalore Amith Shenoy; Benhoor Shamian; Pavel Gozenput; Roman Bernstein; Pavan Irukulla; Yizhak Kupfer


Chest | 2017

A Rare Case of Thymic Rebound Hyperplasia

Prarthna Chandar; Sakthidev Kulandaisamy; Mangalore Amith Shenoy; Shyam Shankar; Pavan Irukulla; Benhoor Shamian; Yizhak Kupfer; Kabu Chawla; Michael Bergman


Critical Care Medicine | 2016

1991: NOMINAL APHASIA

Shyam Shankar; Ishan Malhotra; Pavel Gozenput; Mangalore Amith Shenoy; Pavan Irukulla; Roman Bernstein; Yizhak Kupfer


Critical Care Medicine | 2016

1948: A RARE CASE OF BULLOUS PEMPHIGOID WITH ALVEOLAR INVOLVEMENT

Prarthna Chandar; Selma Demir; Yizhak Kupfer; Chanaka Seneviratne; Sakthidev Kulandaisamy; Pavan Irukulla; Mangalore Amith Shenoy; William Pascal


Chest | 2016

Altered Sensorium and ST Segment Elevation: Atypical Manifestations of Hypercalcemia in a Renal Transplant Patient With Mycobacterium Avium Intracellulare (MAI)

Shyam Shankar; Karan Wats; Hitesh Raheja; Ishan Malhotra; Nupur Uppal; Mangalore Amith Shenoy; Stephan Kamholz

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Dive into the Mangalore Amith Shenoy's collaboration.

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Pavan Irukulla

Maimonides Medical Center

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Yizhak Kupfer

Maimonides Medical Center

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Shyam Shankar

Maimonides Medical Center

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Ishan Malhotra

Maimonides Medical Center

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Pavan Gorukanti

Maimonides Medical Center

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William Pascal

Maimonides Medical Center

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Amit Agarwal

Sanjay Gandhi Post Graduate Institute of Medical Sciences

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Animesh Gour

Maimonides Medical Center

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