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Stroke volume variation compared with pulse pressure variation and cardiac index changes for prediction of fluid responsiveness in mechanically ventilated patients
Conclusions Baseline stroke volume variation ⩾8.15% predicted fluid responsiveness in mechanically ventilated patients with acute circulatory failure. The study also confirmed the ability of pulse pressure variation to predict fluid responsiveness. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - March 12, 2015 Category: Intensive Care Source Type: research

Aspirin resistance: Prevalence and clinical outcome in Egypt
Publication date: Available online 7 January 2015 Source:The Egyptian Journal of Critical Care Medicine Author(s): Ahmed Salah , Mohammed El-Desuky , Amal Rizk , Amr El-Hadidy Introduction The antiplatelet drug aspirin is considered as a cornerstone in medical treatment of patients with CV or cerebrovascular diseases. Despite its use, a significant number of patients had recurrent adverse ischemic events. Inter-individual variability of platelet aggregation in response to aspirin may be an explanation for some of these events. Multiple trials have linked aspirin resistance to these adverse events. Objectives The ...
Source: The Egyptian Journal of Critical Care Medicine - January 8, 2015 Category: Intensive Care Source Type: research

Atrial ejection force and brain natriuretic peptide as markers for mortality in sepsis
Conclusion Atrial ejection force on the first day of admission, unlike BNP level, might not be used as an independent predictor of mortality in patients with sepsis. BNP level correlates with the severity of sepsis. According to our study, AEF in the third day may be a good predictor for survival of patients presenting with sepsis. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 21, 2014 Category: Intensive Care Source Type: research

Applications of the international scoring system for Disseminated Intravascular Coagulopathy (DIC) and its interaction with Sequential Organ Failure Assessment Score (SOFA) in prediction of prognosis and final outcome in ICU
Conclusion A significant correlation exists between SOFA and DIC scores together in critically ill patients with APACHE II score ⩾25 as regards MODS and mortality. The combination of DIC and SOFA scores highly improves the prognostic performance of either score alone. It’s recommended to combine these scores together for better mortality prediction. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

The prognostic value of neuron specific enolase in head injury
Conclusion Neuron specific enclose can be used as a potentially useful marker for brain damage and can be considered to be a relevant parameter for assessing the prognosis of brain injury. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Reversible myocardial ischaemia in septic shock: Case series
Publication date: January 2013 Source:The Egyptian Journal of Critical Care Medicine, Volume 1, Issue 1 Author(s): Mohamed Mohamed Khaled , Ben Slater , Khaled Hussein , Hesham El-Aassar , Alia Abd El-Fattah , Mahesh Nirmalan (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Cardiac effects of positive pressure ventilation in ARDS assessed by NT-proBNP, Troponin T and Troponin I
Conclusions In patients with ARDS positive pressure ventilation may adversely affect the heart as reflected by elevations of NT-proBNP. High NT-proBNP level was correlated with high PEEP, low PH and low PaO2/FiO2 ratio while Trop T and Trop I did not show significant correlations with respiratory parameters. None of the cardiac markers NT-proBNP, Troponin I or Troponin T showed any significant correlation with lung mechanics parameters (Cdyn, RaW, Ceff, PIP, Pplat, Pmean, p >0.05) in ARDS patients with structurally normal hearts. Although the increase in cardiac markers are insignificant, yet they point to the poten...
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Tight Glycemic control in acute coronary syndromes: Prognostic implications
Conclusion Tight glycemic control in patients with acute coronary syndromes presenting with hyperglycemia on admission is beneficial. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Imaging in emergency department: Crowded with confusion!
Publication date: January 2013 Source:The Egyptian Journal of Critical Care Medicine, Volume 1, Issue 1 Author(s): Ami E. Iskandrian (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

A new marker for ischemic cerebrovascular stroke: Phosphorylated Neurofilament H
Conclusion Phosphorylated Neurofilament H can be used as a useful tool to assess patients with acute ischemic CVS. Levels of the neurofilament correlated with the degree of conscious level in such patients and with CT findings hence can be used to assess short term prognosis. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Radiofrequency ablation of regular narrow complex supraventricular tachycardia in elderly and pediatric
Conclusion We have concluded that catheter ablation of supraventricular tachycardia is a very good option for management of patients with drug resistant SVT in both young and old patients. The success rate was very high almost with no complications and very low recurrence rate in the elderly and no recurrence in the young during the 6months follow-up. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Role of tissue Doppler imaging in predicting left ventricular dysfunction after myocardial infarction
In conclusion, selected TDI parameters (e′-wave and E/e′ along the septal and lateral mitral annulus) could guide post-STEMI risk stratification, and thus predicting LV dysfunction. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Early expression of urinary neutrophil gelatinase-associated lipocalin biomarker predicts acute kidney injury complicating circulatory shock
Conclusions Urinary-NGAL seems to be a potential early and sensitive biomarker for AKI complicating circulatory shock. Its persistent increased level at day 2 also can predict mortality complicating AKI in those patients. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

Comparison between fractional excretion of sodium and fractional excretion of urea in differentiating prerenal from renal azotemia in circulatory shock
Conclusions FEurea is more sensitive, specific and less affected by the use of diuretics than FENa in differentiating renal from prerenal azotemia in patients with AKI complicating circulatory shock. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research

B-type natriuretic peptide in hypertensive crises: Diagnostic use in hypertensive urgencies and emergencies
Conclusion During hypertensive crises BNP blood level determination could have a role as a diagnostic tool for the screening of HE and its evaluation is very useful in patients admitted with acute and rapid elevation of BP to limit target organ damage. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - November 6, 2014 Category: Intensive Care Source Type: research