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.

Clinical outcomes and safety of colistin in treatment of gram negative infections: A prospective observational study
Conclusion Colistin is effective in treatment of gram negative infections and its use should be reappraised. However since colistin is the last resort it is imperative to make its best use to ensure that it remains as a safe and effective mode of treatment when need be. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 9, 2016 Category: Intensive Care Source Type: research

Non invasive adjustment of fluid status in critically ill patients on renal replacement therapy. Role of Electrical Cardiometry
Conclusion: Electrical Cardiometry is an evolving noninvasive tool for adjusting fluid status of critically ill patient on RRT using thoracic fluid content as an indicator of fluid status that could be used to avoid hemodynamic instability and persistent volume overload and congestion during and after HD session. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 2, 2016 Category: Intensive Care Source Type: research

Early left ventricular dyssynchrony in acute ST elevation myocardial infarction: A gated single photon emission computed tomography study
Conclusion LV dyssynchrony may be acquired acutely very early in STEMI and may have a negative impact on LV ejection fraction. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - June 5, 2016 Category: Intensive Care Source Type: research

Usefulness of plasma B type natriuretic peptide as a predictor to identify responders following CRT
In conclusion, BNP monitoring is potentially a good prognostic indicator of LV functional recovery and reverse remodeling after CRT can accurately identify echocardiographic responders after CRT. Percentage change in plasma BNP levels from baseline to 3months was the strongest predictor of long-term response to CRT and may have potential to predict outcome. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - May 31, 2016 Category: Intensive Care Source Type: research

Contemporary retrospective analysis of acute coronary syndrome. An Egyptian study
Conclusion 1. Higher incidence of MACE was observed in the higher age group, higher levels of cardiac biomarkers, and higher Killip class. 2. Outcome was affected by early interventional treatment in all patient groups. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - May 26, 2016 Category: Intensive Care Source Type: research

Temporal changes of left ventricular synchronization parameters and outcomes of cardiac resynchronization therapy
Conclusion Responders of CRT showed improved LV dyssynchrony profiles. Utilizing Gated SPECT LV analysis could provide predictors for CRT non-response. Reverse LV remodeling is associated with temporal improvements in LV dyssynchrony parameters. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - April 26, 2016 Category: Intensive Care Source Type: research

Effect of admission glycometabolic state on clinical outcome in non diabetic subjects with acute st segment elevation myocardial infarction
Conclusion Abnormal glycometabolic state assessed by HbA1c at admission in non diabetic STEMI patients was associated with higher MACE incidence at 6months follow up. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - March 29, 2016 Category: Intensive Care Source Type: research

Urinary albumin/creatinine ratio as an early predictor of outcome in critically-ill septic patients
Publication date: Available online 26 March 2016 Source:The Egyptian Journal of Critical Care Medicine Author(s): Osama Tayeh, Khaled M. Taema, Mohamed I. Eldesouky, Adel A. Omara Several cumbersome scoring systems were developed for prognosis and outcome prediction in sepsis. We intended in this study to evaluate the urinary albumin/creatinine ratio (ACR) as a prognostic predictor in sepsis. We included 40 adult septic patients in a prospective observational study. We excluded patients with preexisting chronic kidney disease or diabetes mellitus. After clinical evaluation, urine spot samples were collected on ...
Source: The Egyptian Journal of Critical Care Medicine - March 25, 2016 Category: Intensive Care Source Type: research

The prognostic value of QT dispersion in patients with acute neurological events without known cardiac disease
Conclusion Prolonged QTD in the first 24h of acute neurological events is an independent predictor of short-term functional outcome and mortality following. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - March 21, 2016 Category: Intensive Care Source Type: research

Initial Egyptian ECMO experience
We describe our initial experience at the first ECMO center in Egypt. Methods Our adult ECMO program started in January 2014. Since then we supported eleven respiratory failure patients on ECMO indicated according to ELSO guidelines and one case of ECMO CPR. Respiratory failure patients were subjected to VV ECMO when lung injury score (LIS) was above 3 and PaO2/FiO2 <100 on protective lung strategy mechanical ventilation according to ARDS net protocol and or severe hypercapnia with pH<7.2 with trial of prone positioning in the indicated cases. Percutaneous cannulation was done in all patients using single l...
Source: The Egyptian Journal of Critical Care Medicine - March 13, 2016 Category: Intensive Care Source Type: research

Welcome Letter: From the Guest Editors
Publication date: April 2016 Source:The Egyptian Journal of Critical Care Medicine, Volume 4, Issue 1 Author(s): Malaika Mendonca, Akram Abdelbary (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - March 13, 2016 Category: Intensive Care Source Type: research

Initial Egyptian extracorporeal membrane oxygenation experience
We describe our initial experience at the first ECMO center in Egypt. Methods Our adult ECMO program started January 2014. Since then we supported eleven patients on ECMO in respiratory failure patients indicated according to ELSO guidelines and one case of ECMO CPR. Respiratory failure patients were subjected to VV ECMO when lung injury score (LIS) was above 3 and PaO2/fIO2 <100 on protective lung strategy mechanical ventilation according to ARDS net protocol and or severe hypercapnoea with pH<7.2 with trial of prone positioning in indicated cases. Percutaneous cannulation was done in all patients using si...
Source: The Egyptian Journal of Critical Care Medicine - March 3, 2016 Category: Intensive Care Source Type: research

Simulation for ECLS
Publication date: Available online 2 March 2016 Source:The Egyptian Journal of Critical Care Medicine Author(s): Malaika Mendonca The indication and usage for Extracorporeal Life Support (ECLS) has increased significantly over the last 10years, and more and more hospitals are now offering this service. Despite this trend, ECLS is a mature “daily business” in only a few centers. In this context, the importance of simulation in the field of ECLS must be strongly emphasized for the following reasons: • Infrequent use of the technology requires practicing of routine actions on ECLS, as necessary preparation for th...
Source: The Egyptian Journal of Critical Care Medicine - March 3, 2016 Category: Intensive Care Source Type: research

Unusual drug response and hemodynamics, VA – ECMO. A case report
Publication date: Available online 2 March 2016 Source:The Egyptian Journal of Critical Care Medicine Author(s): Fayaz Mohammed Khazi, Obaid AlJassim, Abdel AzizTarek, S. Robert, A. Elhoufi Maintaining higher sedation in patients undergoing ECMO therapy is crucial. Currently no definite sedation strategy has been proposed in the literature, as the pharmacokinetics of the medications in these patients is still not clear. We would like to report a case of a patient with uncontrollable diverse clinical response to medications during arteriovenous (AV) compared to venovenous (VV) ECMO. (Source: The Egyptian Journ...
Source: The Egyptian Journal of Critical Care Medicine - March 3, 2016 Category: Intensive Care Source Type: research

Veno-venous Extracorporeal Membrane Oxygenation in a case of organophosphorus poisoning
We present a case report of OP induced severe ARDS in which conventional lung protective ventilation failed to maintain adequate oxygenation that was accomplished by ECMO. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - February 29, 2016 Category: Intensive Care Source Type: research