Saudi Critical Care Journal最新文献_第4页

Emergent airway management in intensive care unit without peripheral intravenous access 无外周静脉通路的重症监护病房的紧急气道管理

Saudi Critical Care Journal Pub Date : 2021-01-01 DOI: 10.4103/sccj.sccj_68_20

Tariq Janjua, Otto Villa, L. Moscote-Salazar

引用次数: 0

Tracheoinnominate fistula due to high-riding innominate artery: A rare but potentially life-threatening complication following long-term tracheostomy 由高位无名动脉引起的气管无名瘘:长期气管切开术后罕见但可能危及生命的并发症

Saudi Critical Care Journal Pub Date : 2021-01-01 DOI: 10.4103/sccj.sccj_58_20

B. Wankhade, A. Abdel Hadi, Z. Alrais, Gopala Kumar Naidu, H. Eid

{"title":"Tracheoinnominate fistula due to high-riding innominate artery: A rare but potentially life-threatening complication following long-term tracheostomy","authors":"B. Wankhade, A. Abdel Hadi, Z. Alrais, Gopala Kumar Naidu, H. Eid","doi":"10.4103/sccj.sccj_58_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_58_20","url":null,"abstract":"Tracheoinnominate fistula (TIF) is a rare but potentially life-threatening complication after tracheostomy. TIF was mostly observed within 7–21 days after tracheostomy but can present even years after tracheostomy. The risk factors for TIF are high cuff pressure, mucosal trauma from malpositioned cannula tip, low tracheal incision, excessive neck movement (hyperextension), radiotherapy, prolonged intubation, and high-riding innominate artery (HRIA). HRIA is also a rare anatomical variation of the innominate artery (IA) whereas IA bifurcates above the sternoclavicular joint. We report a rare case of TIF in a patient with HRIA, who presented with airway bleeding 2 months after percutaneous tracheostomy (PT) and was successfully managed with aggressive resuscitation and midline sternotomy. Knowledge of anatomical variation of the aortic arch and its major branches is essential for the physician who is routinely performing or managing tracheostomy. All the health-care workers involved in the management of tracheostomy should bear this complication in mind while dealing with any airway bleed. We recommend the routine use of bedside neck ultrasonography before all PTs to locate any aberrant vessel within the vicinity of tracheostoma to prevent this complication.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"209 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132675622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of unexpected cardiac arrest among intensive care unit patients in national guard hospitals in Jeddah, Riyadh, and Al Ahsa 吉达、利雅得和阿赫萨国民警卫队医院重症监护病房患者意外心脏骤停发生率

Saudi Critical Care Journal Pub Date : 2021-01-01 DOI: 10.4103/sccj.sccj_4_21

A. Alharbi, A. Alghamdi, Rashid Albakistani, M. Alshehri

{"title":"Incidence of unexpected cardiac arrest among intensive care unit patients in national guard hospitals in Jeddah, Riyadh, and Al Ahsa","authors":"A. Alharbi, A. Alghamdi, Rashid Albakistani, M. Alshehri","doi":"10.4103/sccj.sccj_4_21","DOIUrl":"https://doi.org/10.4103/sccj.sccj_4_21","url":null,"abstract":"Background: Cardiac arrest (CA) is a sudden collapse of cardiac mechanical function as evidenced by the absence of detectable pulse and the absence or gasping of breath, which all combined with a loss of consciousness. Although researches on resuscitation efforts have been increasing significantly recently, little investigations have been done on the incidence of unexpected CA among intensive care unit (ICU) patients, in particular, in Saudi Arabia. Aim: The main goal of this research is to explore the rate and patient characteristics of unexpected CA among in ICU patients in the National Guard Health Affairs hospitals in Jeddah, Riyadh, and Al Ahsa. Materials and Methods: This study was a retrospective analysis of ICU patients who experienced unexpected CA. Settings: The study was conducted at the ICUs of three National Guard hospitals in Saudi Arabia. Results: Findings showed that only 11% of the ICU patients who received cardiopulmonary resuscitation (CPR) had a successful return of spontaneous circulation and the overall mortality rate was 89%. The most common cause of unexpected CA is sepsis, found in 348 out of 1233 patients (28%). The most common medical history accompanied by the ICU patients' medical history is a multi-organ dysfunction, found in 184 out of 1233 (14.9%) patients. We found a weak negative relationship between patients' gender and the causes of unexpected CA (relative risk = −0.069 and P < 0.05). Conclusion: The findings are in line with prior studies confirming that mortality increases when unexpected CA occurs on patients with sepsis. There was no significant relationship seen between patients' age and CPR outcomes.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125474686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Reengineering Workflow in the Intensive Care Units during COVID-19 Pandemic COVID-19大流行期间重症监护病房的工作流程再造

Saudi Critical Care Journal Pub Date : 2020-12-01 DOI: 10.4103/sccj.sccj_39_20

H. Al-Dorzi, A. A. Al bshabshe, H. Sakkijha

{"title":"Reengineering Workflow in the Intensive Care Units during COVID-19 Pandemic","authors":"H. Al-Dorzi, A. A. Al bshabshe, H. Sakkijha","doi":"10.4103/sccj.sccj_39_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_39_20","url":null,"abstract":"Coronavirus disease-2019 (COVID-19) has led to a pandemic that pushed many intensive care units (ICUs) worldwide beyond their limits. To maintain efficient critical care services and to protect critical care staff, reengineering the ICU workflow became a necessity. The care of COVID-19 patients occurred in designated ICUs. High-efficiency particulate air filters were installed in rooms that did not have negative pressure. Non-ICU wards were used for care of critically ill patients. Handover between physicians, multidisciplinary rounds, and entry into the ICU were changed to avoid large gathering inside the units. Tiered staffing approach was used to maintain an adequate nurse-to-patient ratio. The care of non-COVID-19 patients took place in clean ICUs by a dedicated medical team to avoid cross contamination. As visitation was prohibited during the pandemic, communication with families of patients was done via advanced telecommunication methods such as videoconferencing. To protect ICU staff, appropriate donning and doffing of personal protective equipment were monitored and corrected by qualified personnel. Reuse or extended use of such equipment was carried out due to supply shortage.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124738990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A National Initiative: Training Nonintensivists in Critical Care, an Educational Response to the COVID-19 Pandemic 一项国家倡议:培训非重症监护人员，应对COVID-19大流行的教育措施

Saudi Critical Care Journal Pub Date : 2020-12-01 DOI: 10.4103/sccj.sccj_50_20

S. Alsolamy, Ameera A. Cluntun, S. Aldekhyl, A. Sabbagh, Tariq S. Alshehri, S. Yousif, W. Abuznadah, Salman Alharthi, A. Alshamrani, M. Bodrick

{"title":"A National Initiative: Training Nonintensivists in Critical Care, an Educational Response to the COVID-19 Pandemic","authors":"S. Alsolamy, Ameera A. Cluntun, S. Aldekhyl, A. Sabbagh, Tariq S. Alshehri, S. Yousif, W. Abuznadah, Salman Alharthi, A. Alshamrani, M. Bodrick","doi":"10.4103/sccj.sccj_50_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_50_20","url":null,"abstract":"The World Health Organization declared COVID-19 a pandemic in March 2020. It is accepted that the associated severe acute respiratory syndrome requires intensive care unit (ICU) management. Therefore, considering the rapid spread of the disease, a specific educational response in the form of a critical care course was designed for non-ICU physicians. The course involved purpose-driven learning that used backward education design, the six-step curriculum process, and blended learning. The course included critical care essentials, COVID-19 infection prevention and control, nontechnical skills, and physician wellness. The course was implemented in two parts: A self-directed online knowledge-focused component and a practical hands-on approach to ensure non-ICU physicians gained the necessary critical care skills. The practical simulation-based part was implemented combined with infection control measures. The central coordination team provided on-going scientific, organizational, and logistical support for this non-ICU physician course that would directly address the identified need for surge capacity planning.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131274012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Critical Care Surge Capacity in Saudi Arabia in Response to COVID-19 Pandemic 沙特阿拉伯应对COVID-19大流行的重症监护激增能力

Saudi Critical Care Journal Pub Date : 2020-12-01 DOI: 10.4103/sccj.sccj_51_20

Z. A. Al Aseri, T. Alaama, W. Alhazzani, Faisal A. Al-Suwaidan, Y. Arabi

引用次数: 1

Saudi Critical Care Research from Middle East Respiratory Syndrome to COVID-19 从中东呼吸综合征到COVID-19的沙特重症监护研究

Saudi Critical Care Journal Pub Date : 2020-12-01 DOI: 10.4103/sccj.sccj_64_20

Y. Arabi

引用次数: 0

How the COVID-19 Pandemic Affected the Care of the Surgical Patients in the Intensive Care Unit COVID-19大流行如何影响重症监护病房外科患者的护理

Saudi Critical Care Journal Pub Date : 2020-12-01 DOI: 10.4103/sccj.sccj_48_20

M. Bawazeer, T. Nouh, A. Alburakan, Wail Tashkandi

引用次数: 2

Clinical Pharmacy Service in the Intensive Care Unit during COVID-19 Pandemic COVID-19大流行期间重症监护病房的临床药学服务

Saudi Critical Care Journal Pub Date : 2020-12-01 DOI: 10.4103/sccj.sccj_46_20

J. Gramish, M. Abuzaid, M. Khobrani

引用次数: 0

Challenges and Opportunities to Critical Care Training Programs during COVID-19 Pandemic COVID-19大流行期间重症监护培训计划的挑战和机遇

Saudi Critical Care Journal Pub Date : 2020-12-01 DOI: 10.4103/sccj.sccj_54_20

Farhan Alenez, M. Algamdi

引用次数: 0