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Risk Factors for Prolonged Invasive Mechanical Ventilation in COVID-19 Acute Respiratory Distress Syndrome

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Background On February 21th 2020, SARS-CoV-2 outbreak erupted in Italy and, in the immediately subsequent period, all the Italian regional Health Systems had to face with an overwhelming increase of COVID-19 admissions requiring isolation, oxygen, ventilation and ICU beds. The COVID-19 related

Major Cations Targeted Fluid Therapy In Renal Transplantation.

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Material and methods Place of research the Department of Anesthesia and Surgical ICU, Urology and Nephrology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Total duration assumed to conduct the search over one year. Preoperative management Will be that - All transplantations in

Use of Lung Ultrasound to Diagnose the Etiology of Respiratory Failure in a PICU.

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Respiratory failure is one of the most common conditions requiring admission to the pediatric intensive care unit (PICU). As such, chest radiography has emerged as the most commonly utilized tool in the assessment of lung pathology despite evidence that it may not be the most accurate. Since the

Gravity- Versus Suction-driven Large Volume Thoracentesis

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Therapeutic thoracentesis aims to drain fluid from the pleural space to alleviate breathlessness. The amount of and speed with which the fluid can be safely drained in one setting is unclear, and likely depends on the physiology of the pleural effusion. The principle concern when draining a large

Entrainment-Based Mechanical Ventilation

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BACKGROUND AND SIGNIFICANCE All currently available mechanical ventilation modes assume that patient-ventilator interaction is necessarily a "master-slave" or controller-follower relationship. In controlled mechanical ventilation, the ventilator takes control of the ventilatory rhythm irrespective

Effects of Repetitive Hyperbaric Oxygen Therapy in Patients With Acute Ischaemic Stroke

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Study Methods: Study Population A 60 adult (aged >18 years) patients were included with a diagnosis of acute thromboembolic ischemic stroke within 48 hours after onset, according to clinical picture and imaging findings by brain computed tomography (CT) without evidence of hemorrhage, upon admission

Diaphragmatic Ultrasound in Acute Hypoxic - Hypercapnic Respiratory Failure (ARF)

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Inclusion criteria: respiratory failure resulting in respiratory acidosis to be treated with NIV, age> = 18 years Exclusion criteria: acute pulmonary edema, coexisting interstitial pathologies, neuromuscular pathologies, thoracic cage's deformity, previous diaphragmatic paralysis, hemodynamic

Safety & Tolerability of Hypertonic Saline Administration Via Intraosseous Access

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HTS is used to mitigate and temporize intracranial pressure (ICP) elevations and cerebral edema by creating an osmotic gradient across the cell wall. HTS is part of the elevated ICP algorithm in the emergency neurologic life support protocols HTS is superior to mannitol which is the alternate

Midazolam in Supraclavicular Brachial Plexus Block

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The day prior to surgery, all patients will undergo pre-anesthetic checkup including detailed history, thorough general, physical, systemic examination and weight of the patient. All patients will be kept nil by mouth for at least 6 hours. - Written consent, coagulation profile, intravenous line,

Lung Ultrasound in High Altitude Lung Edema

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High altitude pulmonary edema is a life-threatening condition that remains a concern for climbers and clinicians alike. It is defined as a non-cardiac pulmonary edema occurring at altitudes exceeding 3000m in non-acclimatised individuals. Within the last decade, studies have shown ultrasonography to

AFrican Resuscitation Ultrasound In Critically-ill Adults

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Methods: The training protocol and pilot study have been developed through a collaborative effort involving emergency medicine physicians at University of Michigan (UM) and KATH. Select resident physicians (approximately 1/3 of the emergency medicine resident physicians) at KATH will participate in

Impact of Pleural Manometry on Chest Discomfort After Therapeutic Thoracentesis

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PRIMARY OBJECTIVES: I. To study the impact of pleural manometry on the development of chest discomfort during therapeutic thoracentesis compared to conventional symptom-guided thoracentesis. OUTLINE: Patients are randomized to 1 of 2 treatment arms. ARM I: Patients undergo manometry-guided

Bed Side Thoracentesis Among Non-Ventilated Patients With Respiratory Instability

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The prevalence of pleural effusion is high among medical patients, reaching 62% among Medical ICU patients. Often clinicians are standing in front of a symptomatic respiratory patient with moderate or large pleural effusion. The clinical question whether TC will be beneficial for the patient with

Chest Ultrasound of ER Patients With Cough or SOB

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Acute dyspnea (shortness of breath) is a common complaint for patients presenting to the Emergency Department (ED). The chest radiograph (CXR) has been the mainstay in evaluating patients with shortness of breath and often provides the timely diagnosis of pneumonia, pneumothorax, pulmonary edema,

Screening of Postoperative Pulmonary Complications by Electrical Impedance Tomography

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- Study cycle: 1. Check of criteria of inclusion/exclusion 2. Informed consent 3. Recording preoperative data via paper case report form 4. Preoperative EIT measurement 5. Postoperative EIT measurement 6. Recording postoperative data via paper case report form Patients therapy and any diagnostic
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