#icutalk

Does high ADA levels in pleural fluid always means tuberculosis??
#adalevel
This above video has tried to address and explain the following things:
1. ada levels in pleural fluid
2. adenosine deaminase level in pleural fluid interpretation in critical care
3. false positive reports of ada in pleural fluid, csf and ascites.
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We hope that this small effort of ours will be of help to healthcare professionals working in ICU and emergency department and ultimately will improve the care of critically ill patients. #theicuchannel
Thank you.
Dr. Ankur, Intensivist.
Founder President, ESBICM
Keep learning!
drankur [at] esbicm.org
Disclaimer: esbicm.com/disclaimer/

[@TheICUChannel]

Do let us know in comments your thoughts about this new video series #icutalk. Thank you.

[@sagar5267]

Nice topic.. but ADA 2 is more specific for TB

[@dantheman3407]

Being medicine resident
Your video's save us from humiliation during rounds....thank you sir😊

[@dr_amulya8381]

Same😂

[@Snow3028]

Thank you sir for your efforts....Great initiative...your dedication is truly appreciated👍

[@snehalkumarpatil8264]

Great sir.... we very much like this initiative taken by you

[@mohitgothwal6504]

Clinically relevant but definitely a less discussed topic, great initiative sir ,all the best

[@alkeshmenon5664]

Very useful series sir as u explained so casually still highlighting important points to be kept in mind

[@doctoranand8244]

Another great initiative.. thank you.. let's all learn

[@avinabd4501]

Just suberb Sir..highly indebted to you and your efforts😊

[@jackvirusadi]

Thank u for the initiative, sir

[@amitpower9455]

Sir please keep sharing such nuggets 🙏🏼👍🏼👍🏼

[@iambharathchandra]

Very good initiative sir 👏
You talked abt a really imp topic 👍

[@Lina-rc9hx]

Thank you.

[@Chetan00010]

Very nice coincise video. Please comment on ADA cut off value in CSF.

[@mohamedabdinur391]

You never disappoint

[@vishalgourh]

Good initiative sir
Your information backed by scientific data .. In many places icu run by ayush drs they mostly know what to do in particular situation but most of them lack scientific reasoning behind that.... Your endeavor help all of them to understand scientific background

[@user-uq3hh4zi9y]

Excellent. I like this format the best

[@TheICUChannel]

Thanks , that’s so assuring.

[@ahmadbahrami1085]

The first icu talk was very interesting topic, great initiative. I'm waiting for continuing.

[@TheICUChannel]

15 min , 2nd is getting uploaded 😇

[@farhanjameel4471]

Very informative sir ❤

[@narmadaskinclinic6750]

Excellent

[@hakeemabdullah]

Sir please make a dedicated video on Renal Calculus, PCNL, URSL etc. What’s the best approach in diagnois/ treatment/surgery. As we are seeing these cases in young adults.

[@kstbhkakade]

Please discuss upon the basics of settings of haemodialysis. Thanks in-advance

[@blackparade140]

very helpful

[@kanchannene]

Thank you sir🎉 Very informative

[@TheICUChannel]

glad you liked it

[@shilpadesai9962]

Nice initiative Ankur
Looking forward for more videos

[@TheICUChannel]

Thank u madam for your wishes 🙏🏼

[@dr.deepakgore1079]

Excellent first ICU talk, nicely chosen about common topic and clinically relevant 🎉❤

[@TheICUChannel]

Glad u liked it

[@dr.deepakgore1079]

@@TheICUChannel your channel best ,i follow you and update myself , Medicine is googly subject

[@TheICUChannel]

@@dr.deepakgore1079 thanks for your kind words... will continue to do the same... thanks again

[@GauravKumar-st1cd]

Superb sir. ADA even pulmonologist don't talk with such clarity. In Pediatrics also it has very poor sensitivity and specificity for ExPTB.

[@sagar5267]

ADA 2 is more specific for TB

[@aliakrabi8321]

please may you describe for us on eTCO2 and its importance in critical patient monitoring?

[@dr.aniketawasthi9309]

great info sir❤

[@TheICUChannel]

Thank you

[@ankuraryan8951]

Good

[@arpitguglani6204]

Great initiative sir❤

[@TheICUChannel]

thanks and welcome

[@kalpeshoswal6285]

Sir how to differentiate between koch Or ca in any fluids like ascitic fluid or pleural fluid

[@drbratinshankar5141]

Good afternoon sir. I had applied for the membership of esbicm several days back. Would u kindly go through it ?

[@TheICUChannel]

Write to academic committee esbicm.com/contact-us-esbicm/

[@dineshsaraswat7595]

What if ADA 20 and LDH 585

[@divaanshugupta]

Sir what is the difference between urea and uric acid and its importance in renal function test

[@dr.shadmbbsdphmasco]

Urea is the end product from protein breakdown and uric acid comes from purines

[@THEANESTHESIST]

Hello sir , nice explanation, i have a patient whose ADA levels after pleural tap is 23 in one lab test and just to confirm because he is showing a clinical picture of TB i ran it again from other lab which is showing ADA levels of 30, what could be the DD here?

[@TheICUChannel]

Don’t just look just Ada , look the whole pleural R/m and clinical picture of patient

[@THEANESTHESIST]

Sir clinical picture (history of weight loss,low grade fever on and off since 2 months) and radiological evidence and cytology is suggestive of TB but ADA having a 90% sensitivity is inconclusive.

[@THEANESTHESIST]

@@TheICUChannelbut there is no cough with sputum so didn’t do AFB and CBNAAT.

[@brucellaabortus]

Why consider ADA in pleural fluid for TB when Xpert MTB-RIF test is easily available

[@TheICUChannel]

So that when someone asks or comes up with ADA report, we have the clarity.

[@brucellaabortus]

@@TheICUChannel Ultimately Xpert MTB-RIF assay is necessary as MDR TB is common in our country so before starting TB treatment we have to rule out MDR TB by Xpert MTB-RIF test or culture.

[@TheICUChannel]

@@brucellaabortus 👍🏼