- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Hemodynamic Monitoring and Therapy
- Acute Kidney Injury Research
- Ultrasound in Clinical Applications
- Thermal Regulation in Medicine
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Intensive Care Unit Cognitive Disorders
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Thermoregulation and physiological responses
Alexandria University
2008-2023
Early recognition and appropriate treatment has shown to decrease morbidity mortality in patients with undifferentiated shock. There are many ultrasound protocols shock; each protocol combines core elements such as IVC cardiac assessment which includes detection of tamponade, left ventricular function right strain.Valvular is absent majority ultasound protocols, while lung included some them.In this study we investigated parameters used Echo - US help differentiate shock types.This cross...
Abstract Background Early diagnosis and appropriate management of shock aimed at prevention prolonged hypoperfusion has shown to decrease morbidity mortality in patients with undifferentiated shock. However, there is often a challenge emergency department (ED) – where mainly based on clinical signs standard monitoring parameters. use point care ultrasound could reduce the diagnostic time improve accuracy. Purpose The aim this study investigate accuracy echocardiography - protocol identify...
Background Acute kidney injury (AKI) complicates most cardiac surgery patients. This study assessed the accuracy of urine neutrophil gelatinase-associated lipocalin (uNGAL) and Renal Resistive Index (RRI) to early predict after cardiopulmonary bypass (CPB).Methods work enrolled 57 cases elective with CPB. Urinary NGAL RRI were measured preoperatively at 1, 6 24 h postoperatively. The primary outcome was AKI, defined by Kidney Injury Network Classification (AKIN) System. secondary aim assess...
Lumb, Philip D. MD1; Adler, Diane C. RN, PhD2; Al Rahma, Hussain MD3; Amin, Pravin MD4; Bakker, Jan PhD, MD5; Bhagwanjee, Satish MD6; Du, Bin MD7; Bryan-Brown, Christopher W. MD8; Dobb, Geoffrey MB, BS9; Gingles, Bruce AB10; Jacobi, Judith PharmD11; Koh, Younsuck MD12; Razek, Assem Abdel MD13; Peden, Carol Shrestha, Gentle S. MD14; Shukri, Khalid MD15; Singer, Mervyn MD16; Taylor, Phil JP17; Williams, Ged RN18Author Information
Background Acute kidney injury (AKI) after cardiac surgery remains an important and frequent complication in patients undergoing with CPB is associated a poor short-term long-term prognosis. The incidence of surgery-associated (CSA)-AKI according to Kidney Injury Network RIFLE criteria varies between 3 50%. CSA-AKI requiring temporary renal replacement therapy occurs 5–20% these high mortality rate.Objective aim the study was evaluate effect lowest O2 delivery (DO2) highest CO2 production...
Procalcitonin (PCT) is a diagnostic for identifying severe bacterial infections and reliably indicating complications secondary to systemic inflammation. PCT levels increase in cases of sepsis, septic shock inflammatory reactions. The early pathological features acute respiratory distress syndrome (ARDS) are generally described as diffuse alveolar damage, which can be diagnosed by cytological examination bronchoalveolar lavage fluid (BAL) [1]. aim this study was evaluate the value...