Saudi Critical Care Journal最新文献_第9页

Delayed detection of esophageal intubation: Nasogastric tube was the cause? 食管插管延迟发现:鼻胃管是原因吗?

Saudi Critical Care Journal Pub Date : 2018-04-01 DOI: 10.4103/SCCJ.SCCJ_22_18

Neeraj Kumar, Amarjeet Kumar, P. Dubey, Sanjeev Kumar

引用次数: 1

Spontaneous rupture of the stomach in nonneonatal period 非新生儿期自发性胃破裂

Saudi Critical Care Journal Pub Date : 2018-01-01 DOI: 10.4103/SCCJ.SCCJ_17_18

V. Mišanović, E. Begić

引用次数: 0

Tetanus and its continuing menace in the developing world: Critical care management 破伤风及其在发展中国家的持续威胁:重症监护管理

Saudi Critical Care Journal Pub Date : 2018-01-01 DOI: 10.4103/SCCJ.SCCJ_4_18

U. Hariharan, Swaraj Jyoti Sonowal, Ranvinder Kaur, Lalita Chaudhary

引用次数: 0

Phosphate-induced hypocalcemia may have a role to play in a patient of recurrent cardiac arrest with severe hypophosphatemia 磷酸盐诱导的低钙血症可能在复发性心脏骤停伴严重低磷血症患者中起作用

Saudi Critical Care Journal Pub Date : 2018-01-01 DOI: 10.4103/SCCJ.SCCJ_12_18

M. Jabbar, A. Sardar

引用次数: 2

A rare case of common krait envenomation presented with locked-in syndrome masquerading as brain death 常见的krait中毒的一个罕见的情况下提出闭锁综合征伪装成脑死亡

Saudi Critical Care Journal Pub Date : 2018-01-01 DOI: 10.4103/sccj.sccj_15_18

Dhruvkumar M. Patel, Mukundkumar V. Patel, Rajesh Mishra, Greshaben R. Patel

引用次数: 3

Pressure ulcers in critically III patients in Saudi Arabia: An opportunity for collaborative research on an ugly disease 沙特阿拉伯III期重症患者的压疮:对一种丑陋疾病进行合作研究的机会

Saudi Critical Care Journal Pub Date : 2017-11-01 DOI: 10.4103/SCCJ.SCCJ_24_17

H. Al-Dorzi

引用次数: 2

The cuff leak test prior to extubation: A practice based on limited evidence 拔管前袖带泄漏试验:基于有限证据的实践

Saudi Critical Care Journal Pub Date : 2017-11-01 DOI: 10.4103/SCCJ.SCCJ_27_17

K. Lewis, W. Alhazzani

{"title":"The cuff leak test prior to extubation: A practice based on limited evidence","authors":"K. Lewis, W. Alhazzani","doi":"10.4103/SCCJ.SCCJ_27_17","DOIUrl":"https://doi.org/10.4103/SCCJ.SCCJ_27_17","url":null,"abstract":"Endotracheal intubation and mechanical ventilation are lifesaving interventions that are commonly performed in the intensive care unit (ICU). The trauma of endotracheal intubation itself, the prolongued pressure exerted by the endotracheal tube on the larynx, and miscellaneous factors such as fluid overload can result in laryngeal edema (LE). Extubation of a patient with undiagnosed LE can results in respiratory failure secondary to an upper airway obstruction and may require reintubation. Respiratory failure requiring reintubation is associated with morbidity and mortality. The cuff leak test (CLT) is the only method intensivists use to predict the presence of LE. Despite the CLT's first description in 1988, the correct way to interpret the results (either qualitatively or quantitatively) is unknown, and its diagnostic accuracy has been called into question. In fact, the CLT could be detrimental to patients if it has a high false positive rate (i.e. no air leak is detected indicating LE when none actually exists). Incorrectly diagnosing patients with LE may result in prolongued mechanical ventilation that predisposes patients to barotrauma, ventilator-associated infections, exposure to systemic steroids, and a prolongued stay in the ICU. Given the paucity of data, the Cuff Leak and Airway Obstruction in Mechanically Ventilated ICU Patients (COMIC) research group is conducting a survey to understand international practice surround the use of the CLT prior to extubation, as well as a randomized controlled trial that will capture the accuracy of the test and determine the bet method to measure cuff leak.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132898062","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: 4

The bacteremia antibiotic length actually needed for clinical effectiveness research program (balance.ccctg.ca) 临床有效性研究项目实际需要的菌血症抗生素长度(balance.ccctg.ca)

Saudi Critical Care Journal Pub Date : 2017-11-01 DOI: 10.4103/2543-1854.219135

N. Daneman, Asgar Rishu, R. Fowler

引用次数: 0

TAME cardiac arrest: A phase III multicenter randomized trial of targeted therapeutic mild hypercapnia after resuscitated cardiac arrest TAME心脏骤停:复苏心脏骤停后靶向治疗轻度高碳酸血症的III期多中心随机试验

Saudi Critical Care Journal Pub Date : 2017-11-01 DOI: 10.4103/SCCJ.SCCJ_23_17

G. Eastwood, A. Nichol, R. Bellomo, Y. Arabi

{"title":"TAME cardiac arrest: A phase III multicenter randomized trial of targeted therapeutic mild hypercapnia after resuscitated cardiac arrest","authors":"G. Eastwood, A. Nichol, R. Bellomo, Y. Arabi","doi":"10.4103/SCCJ.SCCJ_23_17","DOIUrl":"https://doi.org/10.4103/SCCJ.SCCJ_23_17","url":null,"abstract":"Cardiac arrest (CA) is a catastrophic world-wide health problem with substantial human and financial costs. Ongoing cerebral vasoconstriction and cerebral hypoxia during the early post-resuscitation period may contribute to the often poor neurological outcome in CA survivors. Arterial carbon dioxide (PaCO2) is the major determinant of cerebral blood flow and an increased PaCO2 (hypercapnia) markedly increases cerebral blood flow and oxygenation. This paper reports on the background and method of The TAME Cardiac Arrest trial (Clinicaltrials.gov (NCT03114033) which is a phase III multi-center, randomized, parallel-group, controlled trial. The trial will determine if targeted therapeutic mild hypercapnia (TTMH) (PaCO250-55mmHg) during mechanical ventilation improves neurological outcome at 6 months compared to targeted normocapnia (TN) (PaCO235-45 mmHg) in resuscitated CA patients. The intervention is cost-free and will be applied over the first 24-hours of ICU care. A total of 1700 adult resuscitated CA patients from ICUs around the world will be enrolled. When completed the TAME Cardiac Arrest trial will provide unprecedented insights that will transform the care of resuscitated CA patients admitted to the intensive care unit (ICU) around the world. Moreover, this therapy is cost free and, if shown to be effective, will improve thousands of lives, transform clinical practice, and yield major financial savings.","PeriodicalId":345799,"journal":{"name":"Saudi Critical Care Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115413295","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: 4

Prevalence and outcomes of colistin-resistant Acinetobacter infection in Saudi critical care units 沙特重症监护病房中耐粘菌素不动杆菌感染的患病率和结果

Saudi Critical Care Journal Pub Date : 2017-11-01 DOI: 10.4103/SCCJ.SCCJ_28_17

A. Kharaba

引用次数: 2