Egyptian Journal of Critical Care Medicine最新文献_第2页

Towards the design and implementation of a human circulatory system for Extracorporeal Membrane Oxygenation simulation 面向体外膜氧合模拟人体循环系统的设计与实现

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.017

Uzair Khurshid , Abdulrahman Mahmoud , Aiman Abducarim , Sakib Mahmud , Omrane Abdallah , Elshaikh Mohamed , Faycal Bensaali , Abbes Amira , Abdullah Alsalemi , Ali Ait Hssain , Guillaume Alinier , Ibrahim Hassan

{"title":"Towards the design and implementation of a human circulatory system for Extracorporeal Membrane Oxygenation simulation","authors":"Uzair Khurshid , Abdulrahman Mahmoud , Aiman Abducarim , Sakib Mahmud , Omrane Abdallah , Elshaikh Mohamed , Faycal Bensaali , Abbes Amira , Abdullah Alsalemi , Ali Ait Hssain , Guillaume Alinier , Ibrahim Hassan","doi":"10.1016/j.ejccm.2018.12.017","DOIUrl":"10.1016/j.ejccm.2018.12.017","url":null,"abstract":"<div><p>Extracorporeal 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 professional needs to watch over fifty variables and rapidly intervene to assess and resolve any given emergency. Hence hands on training is very important for ECMO professionals to develop rapid and correct actions upon different scenarios. Simulation based training (SBT) offers ECMO practitioners an opportunity to develop the skills needed for the initiation of the ECMO procedure and the care of ECMO patients without exposing patients to undue risks (Al Disi et al., 2018). For ECMO to work, cannulation is required to reroute the blood flow to the machine rather than the lung and/or heart. Cannulation is the insertion of a cannula through the blood vessels. In collaboration with Hamad Medical Corporation (HMC), the main healthcare provider in Qatar, the aim of this project is to develop an effective, economical realistic, user-friendly, low-cost, and a multi-functional high-fidelity cannulation simulation mannequin.</p></div>","PeriodicalId":31233,"journal":{"name":"Egyptian Journal of Critical Care Medicine","volume":"6 3","pages":"Pages 87-89"},"PeriodicalIF":0.3,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejccm.2018.12.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129807499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Extracorporeal membrane oxygenation (ECMO) – A lifesaving modality for treatment of pheochromocytoma-induced inverted Takotsubo-like cardiomyopathy 体外膜氧合(ECMO) -治疗嗜铬细胞瘤诱导的倒置takotsubo样心肌病的一种挽救生命的方式

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.001

Tarek Abdel Aziz , Mohamed Fayaz Khazi , Yehia Karaly , Kamal Al Tahmody , Fariborz Bagheri , Ahmed Khalaf , Yasir Amin , Ashraf El Houfi , Rashid Nadeem , Hassan Hotait , Obaid Al Jasim

引用次数: 2

Welcome Letter from The guest editor 来自客座编辑的欢迎信

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.023

Akram Abdelbary (President of SWAAC ELSO 2019)

引用次数: 0

Late recovery from total lung injury after ECMO support ECMO支持后全肺损伤晚期恢复

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.11.001

Robert H. Bartlett

引用次数: 2

ECMO support for late presenting arterial switch operation; case report and review of literature 晚期动脉切换手术的ECMO支持病例报告及文献复习

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.005

Mohamed Salim Kabbani , Hussam K. Hamadah

{"title":"ECMO support for late presenting arterial switch operation; case report and review of literature","authors":"Mohamed Salim Kabbani , Hussam K. Hamadah","doi":"10.1016/j.ejccm.2018.12.005","DOIUrl":"10.1016/j.ejccm.2018.12.005","url":null,"abstract":"<div><p>Infants presenting for late arterial switch operation are at risk of myocardial depression and cardiac arrest due left ventricle deconditioning. In this report we present a female infant diagnosed to have transposition of great arteries (TGA) with intact septum who presented at 3 months of age for late arterial switch operation. Prior to surgery, the left ventricle size and mass index appeared to be satisfactory in term of muscular size and function. She underwent late arterial switch operation (ASO). Soon after surgery, the infant developed myocardial depression with hemodynamic instability and high left atrial pressure associated with left atrial dilatation. ECMO was deployed and patient stayed 10 days on ECMO until left cardiac function recovered. The infant was decannulated successfully and was subsequently discharged home with acceptable cardiac function.</p><p>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.</p></div>","PeriodicalId":31233,"journal":{"name":"Egyptian Journal of Critical Care Medicine","volume":"6 3","pages":"Pages 141-143"},"PeriodicalIF":0.3,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejccm.2018.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130073774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Role of ECMO in life threatening intoxication ECMO在危及生命的中毒中的作用

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.007

Vivek Gupta , Rajiv Gupta , Gurpreet S. Wander

{"title":"Role of ECMO in life threatening intoxication","authors":"Vivek Gupta , Rajiv Gupta , Gurpreet S. Wander","doi":"10.1016/j.ejccm.2018.12.007","DOIUrl":"10.1016/j.ejccm.2018.12.007","url":null,"abstract":"<div><p>Acute 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 toxins are common in the other part of the world. Irrespective of the type of the poison, these patients are relatively young and usually healthy. Extracorporeal Life Support (ECLS) has become popular in the management of acute severe intoxication induced cardiogenic shock, arrhythmia or cardiac arrest as bridge therapy. The management of poisoning include further reduction of absorption or enhancing the elimination; antidote administration (if available); and supportive therapies including resuscitation. ECMO helps in maintaining adequate cardiac output and tissue perfusion and enhances the toxic substance metabolism. However most of the available literature is based on case reports, case series and retrospective cohort study. In spite of high mortality with severe poisoning and encouraging outcome with use of ECMO, it is underutilized modality across the world. The available literature shows a favourable outcome with ECMO in severely intoxicated patients with cardiovascular collapse, however, there are no clear guidelines for the time of initiation of ECMO on the basis of clinical, metabolic and echocardiographic parameters. Even prognostication prior to initiation of ECMO is difficult to predict. ELSO (Extracorporeal Life Support Organization) may support the global data collection on acute intoxication requiring ECMO, which may address some of these issues.</p></div>","PeriodicalId":31233,"journal":{"name":"Egyptian Journal of Critical Care Medicine","volume":"6 3","pages":"Pages 103-109"},"PeriodicalIF":0.3,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejccm.2018.12.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134369178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The use of CRRT in ECMO patients CRRT在ECMO患者中的应用

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.006

Marlice Van Dyk

引用次数: 2

Fulminant dengue myocarditis requiring VA ECMO support 需要VA ECMO支持的暴发性登革热心肌炎

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.022

Nanda Kishor Vuppali, Abhinav Pandey, Rushita Torkadi, Sandya Pallapotu, Nagarajan Ramadoss, Anil Kumar Dharmapuram, Sudeep Varma

{"title":"Fulminant dengue myocarditis requiring VA ECMO support","authors":"Nanda Kishor Vuppali, Abhinav Pandey, Rushita Torkadi, Sandya Pallapotu, Nagarajan Ramadoss, Anil Kumar Dharmapuram, Sudeep Varma","doi":"10.1016/j.ejccm.2018.12.022","DOIUrl":"10.1016/j.ejccm.2018.12.022","url":null,"abstract":"<div><p>Dengue 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, pericardial effusion, myocarditis, cardiac rhythm disturbances like supraventricular tachycardia, conduction block etc.</p><p>Dengue is caused by RNA virus of flaviviridae group and has four serotypes- DENV 1–4. Of these type, type 2 (DENV-2) is associated with unusual manifestations of dengue like myocarditis <span>[1]</span>, <span>[2]</span>. Early identification and prompt treatment of these uncommon presentations improves the outcome as these complications are temporary and reversible manifestations.</p><p>Here we report case of severe myocarditis in dengue with complete recovery following ECMO support.</p></div>","PeriodicalId":31233,"journal":{"name":"Egyptian Journal of Critical Care Medicine","volume":"6 3","pages":"Pages 155-156"},"PeriodicalIF":0.3,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejccm.2018.12.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114740020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

A case of HITT in a child on extracorporeal Membrane Oxygenation 经体外膜氧合治疗的儿童HITT 1例

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.009

S. Kalyan Kunchapudi, Greeshma Issac, Saravana Pandian, Indira Jayakumar

引用次数: 2

ECMO in tropical diseases ECMO在热带病中的应用

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Egyptian Journal of Critical Care Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.ejccm.2018.12.003

Suneel Kumar Pooboni

引用次数: 0