Saudi Critical Care Journal最新文献

{"title":"Troubleshooting venous valve during internal jugular cannulation under ultrasound guidance","authors":"U. Hariharan, Akash Kanojia, Mohandeep Kaur","doi":"10.4103/sccj.sccj_28_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_28_20","url":null,"abstract":"","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"288 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123447810","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}

{"title":"A middle adulthood arabic female suffering from Anton–Babinski syndrome","authors":"Alfateh Mohammed Noor, R. Alshaya, A. Alharthy, A. Madi, W. Aletreby, D. Karakitsos","doi":"10.4103/sccj.sccj_26_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_26_20","url":null,"abstract":"Anton–Babinski (AB) syndrome is a form of cortical blindness in which patients are unaware of their blindness despite the definite signs of vision loss. Moreover, patients insist on their ability to see, repeatedly denying their vision loss. This denial of vision loss is a form of visual anosognosia and a hallmark of this syndrome. Although rare, AB syndrome has been well described in literature; however, to our knowledge, there have been no published case reports of patients with AB syndrome in the Middle East. This could be because of the rarity of the diseases or simply because of underdiagnosis of the condition. Here, we report the case of an Arabic female with AB syndrome in order to highlight the importance of physical examination skills in intensive care unit settings where sophisticated observation technology abounds. This case demonstrates how a thorough clinical history and neurological examination are essential in detecting this critical diagnosis early in the course of disease.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129143233","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}

{"title":"Spectrum of postoperative admissions in the intensive care unit of a tertiary care hospital: An Indian update","authors":"Vijay Singh, R. Datta, S. Sasidharan, Lalit Tomar","doi":"10.4103/sccj.sccj_24_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_24_20","url":null,"abstract":"Background: The allocation of intensive care unit (ICU) beds for postoperative patients is a difficult task because of expensive and limited resources. Hence, it is imperative that it requires stratification of patients who most deserve ICU admission. With this background, this study was conducted to do a prospective evaluation of postoperative admissions in the ICU over a period of 1 year to analyze the postoperative admissions to the ICU and to formulate recommendations based on limited resources. Aim: To analyze the postoperative admissions to the ICU and to formulate recommendations based on limited resources. Settings and Design: The study was done in a tertiary level teaching hospital in India, over a period of 1 year. All patients meeting the inclusion criteria admitted to the surgical ICU were analyzed in the study as per method designed. Materials and Methods: Postoperative patients were admitted to ICU into three groups: (1) planned, (2) unplanned, and (3) emergency. The study analyzed American Society of Anesthesiologists (ASA) status, preplanned postoperative ventilation, not reversed due to intraoperative complications (which included those patients who developed intraoperative complications and admitted to ICU for postoperative ventilation), postoperative observation (which included those patients who were admitted to ICU only for monitoring and didn't experience any anticipated perioperative complications) and others causes group. Statistical Analysis: All the statistical analyses were performed using SPSS version 20. Results: In 1 year, total patients operated were 18157 and 261 patients were admitted to ICU. In planned group, maximum patients were ASA III and in unplanned/emergency admissions ASA II. The common cause of postoperative ICU admission in the planned group was postoperative observation (58.80%; 124/211) and in unplanned/emergency group, it was other causes. Maximum patients admitted to ICU were of ASA III (59.40%; 155/261) and for postoperative observation 54.80% (85/155). Conclusions: The authors have a valuable consideration into our standards of anesthetic practice to improve the process of allocating ICU beds for postoperative patient.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122439265","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}

{"title":"Management of gestational hypertension disorders in Saudi Arabia by primary care nurses","authors":"Maha Alrowaili, Nazik A. Zakari, H. Hamadi, S. Moawed","doi":"10.4103/sccj.sccj_32_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_32_20","url":null,"abstract":"Objective: Failure of health-care providers to have sufficient knowledge and prevention measures of gestational hypertension leads to an increased rate of complications during pregnancy that may lead to the loss of the fetus. The study aims to determine the level of the nurses' knowledge working in primary health-care (PHC) centers regarding gestational hypertension disorders in Riyadh city. Subjects and Methods: A descriptive correlational, nonexperimental study design was conducted at 6 PHC centers using a self-administered questionnaire for nurses (n = 257). Results: Nurses had inadequate knowledge about the essential key items of gestational hypertension disorders. Almost half of the nurses (44%) lacked knowledge about how to assess the fetal condition in case of gestational hypertension, and 57.98% of the sample had difficulty in identifying the signs and symptoms of mild preeclampsia. The majority of the sample (70.42%) had unsatisfactory knowledge about essential drugs for the treatment of preeclampsia; 54.08% of the nurses experienced insufficient knowledge about their role before the administration of magnesium sulfate drugs. In addition, study results show that there was a lack of knowledge on the appropriate management of preeclampsia among the majority study participants (98.83%) with a total knowledge mean score (19.09, 63.63%). Conclusion: Primary care nurses lacked the needed knowledge to identify and provide preventive care to women experiencing gestational hypertension. Furthermore, there was a lack of knowledge in regard to identifying the complications of preeclampsia. The nurses are accountable for the quality of maternity care, and a maternity training program must be considered.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"17 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130124660","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}

{"title":"Delayed hydrocephalus secondary to cervical spinal tumor surgery","authors":"I. Ghosh, S. Guha, G. Vijay Kumar, Nikhil Singh","doi":"10.4103/sccj.sccj_23_19","DOIUrl":"https://doi.org/10.4103/sccj.sccj_23_19","url":null,"abstract":"Cerebrospinal fluid (CSF) leakage is a common complication after spinal tumor resection that resolves naturally in many cases. Hydrocephalus with CSF leakage as a complication after spinal surgery is rare. Here, we report a rare case of delayed hydrocephalus due to CSF leakage after cervical cord tumor surgery.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131815592","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}

{"title":"Fall assessment in older adult","authors":"Sarah AlGhadeer, Q. AlJabr","doi":"10.4103/sccj.sccj_5_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_5_20","url":null,"abstract":"Falls are caused by many factors. For an individual, the cause may be a complex interaction between these factors. For this case, fall assessment is mandatory because the patient has hypovitaminosis D, stroke, arthritis, urinary incontinence, cognitive impairment, “dementia,” and osteoporosis. This patient in the past 12 months, he experienced tow falls. The fall assessment was done; it showed gait instability. As the patient complained of back pain, lumbar X-ray was positive for L4 compression fracture; however, his DEXA-scan showed osteoporosis. Osteoporosis magnetic resonance imaging was done to the patient: The result showed normal pressure hydrocephalus and vascular component. lumbar puncture (LP) was done, after the LP, his motor function improved, so the final diagnosis of normal-pressure hydrocephalus was reached. As a clinical guideline, when we face a case of fall, we should perform “a multifactorial falls risk assessment by taking the history, doing the physical examination, some test, and review the medications.”","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122627992","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}

{"title":"Adjunctive continuous ketamine infusion to conventional sedation in mechanically ventilated patients: It is time for a randomized trial","authors":"M. Bawazeer, M. Amer, K. Maghrabi, Kamel Al-Sheikh, R. Amin, M. Rizwan, M. Shaban, M. Altewerki, F. Alkhaldi, S. Alenazi, Mehreen Bao, E. De Vol, M. Hijazi","doi":"10.4103/sccj.sccj_9_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_9_20","url":null,"abstract":"Managing sedative and analgesic medications is an essential part of critical care medicine. There is a shift toward favoring the use of nonbenzodiazepine agents because of their side effects. There is an increasing interest in using ketamine as an analgo-sedative in the intensive care unit because of its unique pharmacologic properties. A comprehensive literature search was performed to capture all the studies involving ketamine use in critical care. We searched PubMed, EMBASE, and Cochrane databases. We also extracted the references from major review articles and recent guidelines. In this review, we present the most up-to-date studies done on this topic. We also present the proposal for a future multicenter randomized trial through the Saudi Critical Care Trials Group.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"22 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125607194","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}

{"title":"Point prevalence of delirium among critically ill patients in Saudi Arabia: A multicenter study","authors":"Nada S. Al-Qadheeb, Mai Hashhoush, K. Maghrabi, Asia Rugaan, F. Eltatar, H. Algethamy, A. Abudayah, N. Ismail, Almubarak, K. Alkhatib, Mohammed Amaani, Ala’a Ghabashi, M. Almaani, R. Amin, A. Alharthy, Nasir Nasim, Galal ElRakaiby, Farhan Alonazi, Israa Alnajdi, Mariam A. Alansari, M. al ahmed, Ahmed O Alenazi, Abdulrahman R. Alruwaili, O. Almuslim","doi":"10.4103/sccj.sccj_7_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_7_20","url":null,"abstract":"Delirium is commonly recognized among critically ill patients; previous work suggests that delirium prevalence is up to 80% in intensive care unit (ICU) patients and is associated with a variety of adverse outcomes. While several tools have been validated for the detection of ICU delirium, the confusion assessment method -ICU and the intensive care delirium screening checklist are the most widely studied and used. Several risk factors are known to influence delirium occurrence such as benzodiazepines use, drug-induced coma, sleep alterations, metabolic disturbances, and sepsis. In Saudi Arabia, few studies have discussed delirium burden and associated risk factors among critically ill patients. Therefore, the aim of this study is to determine the prevalence of ICU delirium and to study the risk factors associated with the development of delirium in patients in the intensive care setting in Saudi Arabia. This is a 1-day cross-sectional study performed on January 28, 2020, in the medical-surgical ICUs at 14 hospitals in Saudi Arabia. Patients are excluded from the study if they have traumatic brain injury, documented dementia in patient's medical chart, and the inability to conduct valid delirium assessment.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126564537","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}

{"title":"One-year progress oa a large-scale collaborative project for improving the care of mechanically ventilated patients","authors":"Y. Arabi, Z. A. Al Aseri, T. Alaama, Abdulrhman Alharthy, F. Al-Hameed, Y. Mandourah, A. Elhazmi, H. Sallam, G. Almekhlafi, A. Mady, K. Alghamdi, M. Alshahrani, Adnan Ghamdi, E. Al Qasim, Sheryl I Abdukahil, Abdullah A. Alzahrani, Mohammed Al Qarni, Basheer El-Rahman, Mufareh Alkatheri, A. Alsaawi, Asad Latif, S. Berenholtz","doi":"10.4103/sccj.sccj_11_20","DOIUrl":"https://doi.org/10.4103/sccj.sccj_11_20","url":null,"abstract":"","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131180785","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}

{"title":"Timing and dose of pharmacological thromboprophylaxis in adult trauma patients","authors":"M. Bawazeer, M. Amer, K. Maghrabi, R. Amin, E. De Vol, M. Hijazi","doi":"10.1101/2021.01.26.21250366","DOIUrl":"https://doi.org/10.1101/2021.01.26.21250366","url":null,"abstract":"Pharmacological venous thromboembolism prophylaxis in the trauma population is considered a real challenge. Issues like the ideal time to start therapy, type and dose of the medication, and how to monitor these patients are controversial. We searched PUBMED, EMBASE, and COCHRANE Databases. We also extracted the references from major review articles and recent guidelines. The timing to start thromboembolic prophylaxis in patients with traumatic brain injuries, Spinal Cord Injuries (SCI), and solid organ injuries is not very well defined in the literature. This is because of the associated bleeding risk. At the same time, the type of chemical prophylaxis and dose are not well defined as well. In this review, we present the most up to date studies done on this topic. We discuss the areas of controversy and the challenges behind starting chemical prophylaxis. We also discuss areas of future research potentials to do multicenter studies through the Saudi Critical Care Trials Group.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125985759","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}