Fulminant dengue myocarditis requiring VA ECMO support
Publication date: Available online 28 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Nanda Kishor Vuppali, Abhinav Pandey, Rushita Torkadi, Pallapotu Sandya, Ramadoss Nagarajan, Dharmapuram Anil Kumar, Sudeep VarmaAbstractDengue is endemic disease in India and tropical countries. It has a wide spectrum of presentation varying from asymptomatic to manifest as undifferentiated fever, dengue fever, dengue shock syndrome or dengue haemorrhagic fever. An increasing number of cases of dengue are being reported with atypical presentations such as dengue encephalitis, secondary bacterial infections, ...
Source: The Egyptian Journal of Critical Care Medicine - December 29, 2018 Category: Intensive Care Source Type: research

Role of ECMO in management of LVAD patient with infective endocarditis
Publication date: Available online 24 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Amr Farrag, Hatem Hosny, Mohamed Abdallah Alashat (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 25, 2018 Category: Intensive Care Source Type: research

Evaluation of coagulopathy on veno-arterial ECMO (VA) extracorporealmembraneoxygenation using platelet aggregometry and standard tests: A narrative review
Publication date: Available online 23 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Poonam Malhotra Kapoor, Ameya Karanjkar, Vandana BhardwajAbstractExtracorporeal membrane oxygenation (ECMO) is an established therapy for patients with cardiac failure, pulmonary failure or cardiopulmonary failure. To suppress the activation of the coagulation cascade, anticoagulation is necessary. Unfractionated heparin (UFH) is typically used for achieving the levels of therapeutic anticoagulation (ACT 180-220). Recently, viscoelastic tests of coagulation such as thrombo-elastrographyc (TEG) and ROTEM are i...
Source: The Egyptian Journal of Critical Care Medicine - December 24, 2018 Category: Intensive Care Source Type: research

ECCO2R case study
We report a patient with COPD exacerbation that failed NIV and placed on low flow ECCO2R. Low flow ECCO2R does not support oxygenation and only clears a proportion of the CO2 produced.Presentation of the case: a 64 y old women with severe COPD who failed NIV was placed on ECCO2R with the Hemolung system. The severe respiratory acidosis cleared and intubation was avoided. After a few days, she became more hypoxic, and the decision was made not to intubate this patient.There is increased CO2 production and decreased clearance of CO2 during COPD exacerbation. ECCO2R has been shown to improve mortality and decrease the need fo...
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

ECMO support for late presenting arterial switch operation; case report and review of literature
In conclusion, patients presenting for late arterial switch operation are at risk for left ventricular deconditioning and pulmonary hypertension. Deconditioned left ventricle may fail post repair with inability to handle systemic circulation. Among limited options for these challenging cases primary ASO with integrated ECMO support can be used to allow deconditioned left ventricle to recover its function and ability to handle systemic circulation. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

Role of ECMO in life threatening intoxication
Publication date: Available online 21 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Vivek Gupta, Rajiv Gupta, Gurpreet S. WanderAbstractAcute severe poisoning may lead to life threatening situation or death due to cardiovascular dysfunction or stunning, arrhythmia or cardiogenic shock. These substances include medications, substances used for addiction, house hold chemicals, industrial, plants and animal or vegetable toxicants. The poison profile varies in different parts of world; drugs with cardiotoxic potential are the common poisoning substances while pesticides and other house hold toxi...
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

Physiotherapy for ECMO patients
Publication date: Available online 21 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Marlice van DykAbstractPhysiotherapy is part of the overall care in an interdisciplinary intensive care unit. Patients on extracorporeal membrane oxygenation (ECMO) were previously deemed to be too unstable to mobilise. Safety is of paramount importance as these patients often have multiple large cannulas, monitoring and lines. Mobilisation protocols should be in place, and each team member must be aware of their role. Contra-indications for mobilisation should be adhered to, and patients should be monitored ...
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

A case of HITT in a child on extracorporeal Membrane Oxygenation
Publication date: Available online 21 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): S. Kalyan Kunchapudi, Greeshma Issac, Saravana Pandian, Indira Jayakumar (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

Comparison of ECMO run between H1N1 acute respiratory failure vs. non H1N1 acute respiratory failure
ConclusionsECMO is equally effective in Non H1N1 & H1N1 respiratory failure with much shorter ECMO run in Non H1N1 respiratory failure. Survival with ECMO in tropical infections like Malaria, Dengue & Leptospirosis is more than 60%. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run
ConclusionProlonged ECMO therapy poses its unique challenges. Multidisciplinary team management plays fundamental role during management of prolonged ECMO therapy. (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

Case report: Septic shock, addressing aspects of the organism and the resultant effects on the vasculature
Publication date: Available online 20 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Gerasimos Capatos (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

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)
Publication date: Available online 20 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Fayaz Mohammed Khazi, Ashraf Mahmoud Elhoufi, Tarek Ahmed AbdelAziz, Nayyer R Siddiqui, Bassil Al-Zamkan, Suresh Babu Robert, Pradeep Kumar Pillai, Obaid AljassimAbstractObjectiveThe management of Heparin resistance in patients undergoing ECMO is still uncertain. We sought to assess the efficacy and safety of Fresh frozen plasma to optimize the anticoagulation in these patients.MethodsWe studied 42 adults undergoing VA-ECMO. Heparin infusion was increased incrementally to achieve target ACT in HG group and pl...
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

Short-term effect of percutaneous coronary intervention on ischemic mitral regurgitation
Publication date: Available online 29 September 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Hazem El-Akabawy, Hamdy Abdul Azeem, EL-Shazly Abdul KhalekAbstractBackgroundThe effect of revascularization by PCI for acute coronary syndrome (ACS) on the severity of ischemic mitral regurge (IMR) is still unclear.ObjectiveTo evaluate the effect of successful total revascularization by PCI for ACS on the degree of IMR.MethodsA total of 240 patients presenting with ACS for the first time were studied by this an open-label, multicenter, prospective clinical trial between July 2015 to February 2017. All patie...
Source: The Egyptian Journal of Critical Care Medicine - October 5, 2018 Category: Intensive Care Source Type: research

The first reported case of acute ischemic stroke treated with tissue plasminogen activator at Mansoura University, Egypt
We report on the first case of acute ischemic stroke to be treated with rTPA at our University hospitals. She received rTPA 4 h and 20 min after the onset of symptoms despite the occurrence of stroke inside the hospital and the availability of rTPA. The patient showed partial improvement after 3 months. We hope that public and medical staff awareness as well as our developing experience relative to treatment of acute ischemic stroke would improve over time allowing for avoidance of long-term suffering of these patients. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Editorial Board
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Mortality association factors in hematologic cancer patients requiring mechanical ventilation for more than one day in a developing country. A prospective cohort study
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): Enas Abd El motlb, Alaa El-DeebAbstractBackgroundThe potential benefit of intensive care unit (ICU) admission of hematologic cancer patient requiring mechanical ventilation (MV) still controversial especially with increased cost of needed life support measures.ObjectiveTo seek clinical predictors of ICU mortality in hematologic cancer patients requiring (MV) during the first day of admission to the ICU.Design, Setting, Participants: 448 patients were included in this prospective observational cohort study, bet...
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Laryngeal ultrasound versus cuff leak test in prediction of post-extubation stridor
ConclusionBoth CLT and laryngeal US might have low sensitivity and PPV in predicting PES and should be used with caution in prediction of PES. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Pre versus post application of a 0.12% chlorhexidine based oral hygiene protocol in an Egyptian pediatric intensive care unit: Practice and effects
ConclusionsAdoption of a 0.12% chlorhexidine based oral hygiene regime was associated with improved outcome in pediatric intensive care unit. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Short term outcome of patients with hyperglycemia and acute stroke
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): Ahmed Al-Weshahy, Rania El-Sherif, Khaled Abd Al-Wahhab Selim, Ayman HeikalAbstractBackgroundPreexisting hyperglycemia worsens the clinical outcome of acute stroke. Do non-diabetic patients with stress hyperglycemia have a similar outcome to those with diabetes mellitus (DM)?We aimed to assess the glycemic status after acute stroke and its role on stroke outcome.Methods61 consecutive patients with acute stroke were included. 41 had hyperglycemia (20 diabetics and 21 non diabetics) and 20 were control. Admissio...
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Test the antiarrhythmic effect of intravenous nitroglycerine on ischemic Premature Ventricular Contractions Bigeminy
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): Yasser Mohammed Hassanain ElsayedAbstractPremature Ventricular Contractions is one of the manifestations of ischemic heart disease. Moreover, nitroglycerin is a standard anti-ischemic agent. So why don’t use it as anti-arrhythmic in like our case? (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Evaluation of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in critical care patients with synthetic cannabinoid (bonzai) intoxication
Publication date: April 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 1Author(s): Mustafa Kaplan, Alpaslan Tanoglu, Tolga Duzenli, Muhammet Yildirim, Yusuf Serdar Sakin, Musa Salmanoglu, Yalçin ÖnemAbstractObjectiveSynthetic cannabinoid drug abuse has been dramatically increasing among young individuals in many countries. There have been reports of serious side effects with SC abuse in these patients. Previous researches have exhibited that neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are associated with mortality and morbidity in many chronic disease...
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Editorial Board
Publication date: April 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 1Author(s): (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Evolution of the concept of coronary care and the emergent role of critical care
Publication date: April 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 1Author(s): Sherif MokhtarAbstractThe landscape of the CCU today, however, has changed vastly from that of the 1960s. It is no longer simply an observation unit for patients with acute MI, but rather it has become a dynamic and diverse arena of patient care. Dedicated CCU's that were developed in the 1960's have been transformed into combined units including CCU and ICU or CCU and cardiology ward with very few dedicated CCUs remaining.The CCU has changed dramatically since its initial inception, and with it has changed the r...
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

A comparative study of the risk stratification models for pediatric cardiac surgery
The objective of the study was to compare Risk Assessment for Congenital Heart Surgery (RACHS-1), Aristotle Basic Complexity (ABC) and Society of Thoracic Surgeons – European Association for Cardiothoracic Surgery (STS-EACTS) complexity scoring models for predicting outcome after surgery for congenital heart disease.MethodsThis retrospective study included children
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Screening general population for family history of sudden cardiac death unmasks high risk individuals as potential victims (pilot study)
This study underscores the importance of searching for positive family history of sudden cardiac death as a warning marker a red flag that makes familial evaluation strongly recommended. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

An electrocardiographic anxiety- induced quadrigeminy and re-assurance
Publication date: April 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 1Author(s): Yasser Mohammed Hassanain ElsayedAbstractQuadrigeminy means a cardiac arrhythmia in which every fourth beat is a premature ventricular contraction (extrasystole) or three sinus beats between extrasystoles. Premature ventricular contractions is one of the manifestations of sympathetic over activity due to anxiety. However, anxiety might induce electrocardiographic (ECG) changes in normal person with normal heart, as in this documented case. Patient re-assurance is a therapeutic option, without need for any other p...
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

Blunt chest trauma induced myocardial infarction with suggested coronary vasospasm
Publication date: Available online 5 May 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Yasser Mohammed Hassanain ElsayedAbstractIt is an extremely rare to find an Acute ST Elevation Myocardial Infarction after the chest trauma. My case was complicated advent of the chest trauma. Acute myocardial infarction had happened post sever punch to front of the chest. The case was presented with atypical symptoms like syncope, dizziness and burning pain in the chest. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 11, 2018 Category: Intensive Care Source Type: research

The first reported case of acute ischemic stroke treated with tissue plasminogen activator at Mansoura University, Egypt
We report on the first case of acute ischemic stroke to be treated with rTPA at our University hospitals. She received rTPA 4 h and 20 min after the onset of symptoms despite the occurrence of stroke inside the hospital and the availability of rTPA. The patient showed partial improvement after 3 months. We hope that public and medical staff awareness as well as our developing experience relative to treatment of acute ischemic stroke would improve over time allowing for avoidance of long-term suffering of these patients. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Editorial Board
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Mortality association factors in hematologic cancer patients requiring mechanical ventilation for more than one day in a developing country. A prospective cohort study
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): Enas Abd El motlb, Alaa El-DeebAbstractBackgroundThe potential benefit of intensive care unit (ICU) admission of hematologic cancer patient requiring mechanical ventilation (MV) still controversial especially with increased cost of needed life support measures.ObjectiveTo seek clinical predictors of ICU mortality in hematologic cancer patients requiring (MV) during the first day of admission to the ICU.Design, Setting, Participants: 448 patients were included in this prospective observational cohort study, bet...
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Laryngeal ultrasound versus cuff leak test in prediction of post-extubation stridor
ConclusionBoth CLT and laryngeal US might have low sensitivity and PPV in predicting PES and should be used with caution in prediction of PES. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Pre versus post application of a 0.12% chlorhexidine based oral hygiene protocol in an Egyptian pediatric intensive care unit: Practice and effects
ConclusionsAdoption of a 0.12% chlorhexidine based oral hygiene regime was associated with improved outcome in pediatric intensive care unit. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Short term outcome of patients with hyperglycemia and acute stroke
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): Ahmed Al-Weshahy, Rania El-Sherif, Khaled Abd Al-Wahhab Selim, Ayman HeikalAbstractBackgroundPreexisting hyperglycemia worsens the clinical outcome of acute stroke. Do non-diabetic patients with stress hyperglycemia have a similar outcome to those with diabetes mellitus (DM)?We aimed to assess the glycemic status after acute stroke and its role on stroke outcome.Methods61 consecutive patients with acute stroke were included. 41 had hyperglycemia (20 diabetics and 21 non diabetics) and 20 were control. Admissio...
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Test the antiarrhythmic effect of intravenous nitroglycerine on ischemic Premature Ventricular Contractions Bigeminy
Publication date: December 2017Source: The Egyptian Journal of Critical Care Medicine, Volume 5, Issue 3Author(s): Yasser Mohammed Hassanain ElsayedAbstractPremature Ventricular Contractions is one of the manifestations of ischemic heart disease. Moreover, nitroglycerin is a standard anti-ischemic agent. So why don’t use it as anti-arrhythmic in like our case? (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Evaluation of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in critical care patients with synthetic cannabinoid (bonzai) intoxication
Publication date: April 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 1Author(s): Mustafa Kaplan, Alpaslan Tanoglu, Tolga Duzenli, Muhammet Yildirim, Yusuf Serdar Sakin, Musa Salmanoglu, Yalçin ÖnemAbstractObjectiveSynthetic cannabinoid drug abuse has been dramatically increasing among young individuals in many countries. There have been reports of serious side effects with SC abuse in these patients. Previous researches have exhibited that neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are associated with mortality and morbidity in many chronic disease...
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research

Editorial Board
Publication date: April 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 1Author(s): (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - July 5, 2018 Category: Intensive Care Source Type: research