The Egyptian Journal of Critical Care Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

The ECMO specialist’s role in troubleshooting ECMO emergencies
Publication date: Available online 20 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Arzak Hamed, Guillaume Alinier, Ibrahim Fawzy HassanAbstractWhether a patient still has native lung function or not, respiratory extracorporeal membrane oxygenation (ECMO) complications need an immediate response from the ECMO team assigned to the patient. Methodological troubleshooting can be a key aspect to responding to an ECMO emergency if the cause of the issue is not clearly identifiable. To decrease the incidence of ECMO emergencies clear procedures must be in place and the ECMO team must be continuous...
Source: The Egyptian Journal of Critical Care Medicine - December 21, 2018 Category: Intensive Care Source Type: research

Fresh frozen plasma: A solution to heparin resistance during extracorporeal membrane oxygenation (ECMO)
ConclusionsThe heparin requirement was high in patients treated with heparin alone. Fresh frozen plasma effectively increased ACT to therapeutic target in HR patients. There was no difference in the heparin dose, significantly higher bleeding complications were recorded in HR patients. Clinically, survival was better in Non-heparin resistance and plasma treated patients that was not found to be statistically significant. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 21, 2018 Category: Intensive Care Source Type: research

Stress induced cardiomyopathy complicated by cardiogenic shock: A non-survivor case
We present a case of female patient presented with cardiogenic shock after rupture globe operation, patient presented on mega doses of vasopressors and inotropes, peripheral percutaneous VA ECMO was instituted, IABP was put to deload leftventricle, 2 days later patient was shifted to VAV ECMO. After 4 days of ECMO run patient recovered left ventricular function and patient was weaned from all mechanical support devices. But patient developed septic shock refractory to vasopressors therapy and patient died. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 21, 2018 Category: Intensive Care Source Type: research

Late recovery from total lung injury after ECMO support
Publication date: Available online 21 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Robert H. BartlettAbstractECMO supports life in the total absence of lung function. Some patients with apparently irreversible lung injury recover completely after months of ECMO support. New research is intended to determine why this occurs, how often it occurs, and how to predict and initiate lung recovery. This is a new era in lung regenerative biology. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 21, 2018 Category: Intensive Care Source Type: research

Anticoagulation and monitoring in pediatric extracorporeal membrane oxygenation
Publication date: Available online 19 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Jamie Weller, Lakshmi Raman, Ali McMichaelAbstractAnticoagulation during extracorporeal membrane oxygenation (ECMO) is necessary to prevent catastrophic circuit clotting, but hemorrhagic and thrombotic complications continue to contribute to significant morbidity and mortality for patients. Anticoagulation for pediatric patients on ECMO can be particularly challenging due to their immature hemostasis and the inflammatory response that ensues from the extracorporeal circuit. This review article gives an overvi...
Source: The Egyptian Journal of Critical Care Medicine - December 20, 2018 Category: Intensive Care Source Type: research

ECMO in tropical diseases
Publication date: Available online 17 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Suneel Kumar PooboniAbstractDiseases prevalent in tropics present with varied manifestations compared to diseases that occur commonly in the temperate climate (the West). Tropical diseases contribute to significant mortality and morbidity. If diagnosed at the right time, tropical diseases have good prognosis too. Utilizing the useful function of supporting the cardio-pulmonary status in these critically ill disease states would be very useful to save thousands of lives each year. As these diseases are not fre...
Source: The Egyptian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Source Type: research

Towards the design and implementation of a human circulatory system for Extracorporeal Membrane Oxygenation simulation
Publication date: Available online 17 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Uzair Khurshid, Abdulrahman Mahmoud, Aiman Abducarim, Sakib Mahmud, Omrane Abdallah, Elshaikh Mohamed, Faycal Bensaali, Abbes Amira, Abdullah Alsalemi, Ali Ait Hssain, Guillaume Alinier, Ibrahim HassanAbstractExtracorporeal Membrane Oxygenation (ECMO) is a lifesaving procedure developed for the care of patients with short-term respiratory and/or cardiac issues (MacLaren et al., 2011). ECMO patients must be monitored twenty-four hours a day by an ECMO-trained multidisciplinary team. The trained healthcare prof...
Source: The Egyptian Journal of Critical Care Medicine - December 18, 2018 Category: Intensive Care Source Type: research

The use of CRRT in ECMO patients
Publication date: Available online 15 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Marlice Van DykAbstractExtracorporeal life support (ECLS) is an effective therapy used for patients who are severely hypoxic as well as those with cardiogenic shock. Many of these patients require continuous renal replacement therapy (CRRT) as they are too unstable for intermittent haemodialysis. Prognosis of patients who are on ECMO tends to do worse if they develop acute renal failure during the ECMO run resulting in the requirement for dialysis. According to the ELSO registry, the mortality of patients req...
Source: The Egyptian Journal of Critical Care Medicine - December 16, 2018 Category: Intensive Care Source Type: research

ECMO is in the air: Long distance air/ground transport of a child on extra corporeal membrane oxygenation
ConclusionWith an experienced team, and the proper equipment, on-ECMO air transport of critical patients over thousands of kilometers is today safely feasible. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 15, 2018 Category: Intensive Care Source Type: research

Post refractory CPR due to STMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)?
Publication date: Available online 8 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): A.A. Rabie, S. Alasmari, A. Asiri, M. Alsherbini, W. Alqassem, M. Rajab, E. Alenazi, J. ThomasAbstractHigh-risk percutaneous coronary intervention (PCI) remains a viable revascularization strategy for complex coronary arteries diseases. Selective PCI supported by extracorporeal membrane oxygenation (ECMO) is also a viable alternative for patients those are at very high risk for coronary artery bypass grafting (CABG). Extracorporeal membrane oxygenation (ECMO) can direct blood flow from the body to membrane oxy...
Source: The Egyptian Journal of Critical Care Medicine - December 9, 2018 Category: Intensive Care Source Type: research

Extracorporeal membrane oxygenation (ECMO) – A lifesaving modality for treatment of pheochromocytoma-induced inverted Takotsubo-like cardiomyopathy
We report a case of pheochromocytoma-induced inverted Takotsubo-like cardiomyopathy leading to cardiogenic shock successfully managed with veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) as a bridge to pharmacological control and subsequent curative laparoscopic adrenalectomy. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 6, 2018 Category: Intensive Care Source Type: research

Editorial Board
Publication date: August 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 2Author(s): (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - October 13, 2018 Category: Intensive Care Source Type: research

Prognostic value of early hemodynamic improvement in patients with acute kidney injury and hemodynamic instability treated with continuous renal replacement therapy
ConclusionEarly hemodynamic improvement after CRRT is strong predictor of short term mortality. Of all scoring systems , post CRRT SOFA score is the most accurate prognostic indicator for mortality. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - October 13, 2018 Category: Intensive Care Source Type: research

Feasibility of left ventricular endocardial lead pacing for cardiac resynchronization therapy
We described that LV endocardial pacing is an alternative to CS pacing and needs a long-term follow up. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - October 13, 2018 Category: Intensive Care Source Type: research

Right and left ventricular functions during proportional assist ventilation in patients ready for weaning from mechanical ventilation
Publication date: Available online 4 October 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Mohamed Gamal Lotfy Elansary, Hossam Mowafy, Ahmed Yehia Zakarya, Randa Aly Soliman, Yasser Sadek Nassar (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - October 5, 2018 Category: Intensive Care Source Type: research