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Search Result For 'Mechanical Ventilation' , Result Number : 7

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Ayman Magdeldin Mohamed Sadek
- Faculty Research Area On Zu Site
- Faculty Research Area On Staff Site
Mechanical Ventilation
Halaa Ibrahim Abdelfatah
- Faculty Research Area On Zu Site
- Faculty Research Area On Staff Site
Weaning from Mechanical Ventilation in Denmark and Egypt – A qualitative study
Jasser Ali Ali Abdelmoaty
- Faculty Research Area On Zu Site
- Faculty Research Area On Staff Site
Abstract Background: Adequate pain control after cardiac surgery is essential. Paravertebral block is a simple technique and avoids the potential complications of epidural catheters. The objective of this study is to compare the effect of ultrasound-guided bilateral thoracic paravertebral block with thoracic epidural block on pain control after cardiac surgery. Materials and methods: Between March 2016 and 2017, 145 patients who had cardiac surgery through median sternotomy were randomized by stratified blocked randomization into two groups. Group I (n = 70 patients) had bilateral ultrasound-guided thoracic paravertebral block and Group II (n = 75 patients) had thoracic epidural analgesia. The primary end point was the postoperative visual analogue scale (VAS). The duration of mechanical ventilation, intensive care unit (ICU), and hospital stay were the secondary end points. The study design is a randomized parallel superiority clinical trial. Results: Both groups had similar preoperative and operative characteristics. No significant difference in VAS measured immediately after endotracheal extubation then after 12, 24, and 48 hours between groups (p = 0.45). Pain score significantly declined with the repeated measures (p < 0.001) and the decline was not related to the treatment group. Postoperative pain was significantly related to diabetes mellitus (p = 0.039). Six patients in group I (8.5%) required an additional dose of morphine versus three patients (4%) in group II (p = 0.30). Patients in group I had significantly shorter ICU stay (p = 0.005) and lower incidence of urinary retention (p = 0.04) and vomiting (p = 0.018). No difference was found in operative complications between groups. Conclusion: This randomized parallel controlled trial demonstrates that ultrasound-guided paravertebral block is safe and effective method for relieving post-cardiac surgery sternotomy pain compared with thoracic epidural analgesia but not superior to it.
Jasser Ali Ali Abdelmoaty
- Faculty Research Area On Zu Site
- Faculty Research Area On Staff Site
ABSTRACT This study aims to compare the effectiveness of endotracheal intubation with mechanical ventilation and noninvasive ventilation as the most in common methods used in management of ICU chest trauma patients. Sixty-eight patients with chest trauma aged 20–70 years were participated in this study for 2 years. The patients attended to cardiothoracic surgery department, Zagazig University Hospital. The Patients enrolled in this study were divided into 2 groups: the first one received endotracheal intubation with mechanical ventilation (MV group) (Group 1, n = 34) and the other received noninvasive ventilation (NV group) (Group 2, n = 34). All enrolled patients were monitored with clinical criteria including RR, HR, MAP and SpO2. The software SPSS was used for the statistical analysis. P value < 0.05 was considered as statistically significant. The present study resulted that the mean HH, HR, pO2, pCO2 and P/F ratio were improved in the MV group as well as in the NV group but this improvement was not significant. The use of noninvasive ventilation reduces mortality, damages, and complications as well as the length of stay in intensive care (ICU), which leads to low cost.
Dalia Abdelattef Abdelrahman
- Faculty Research Area On Zu Site
- Faculty Research Area On Staff Site
Diaphragm and Lung Ultrasound Indices in Prediction of Outcome of Weaning from Mechanical Ventilation in Pediatric Intensive Care Unit
Sherif Mohamed Said Ahmed Abdel Ghany Mowafy
- Faculty Research Area On Zu Site
- Faculty Research Area On Staff Site
mechanical ventilation
Mohamed Mohamed Tawfiq Mohammed Ghanem
- Faculty Research Area On Zu Site
- Faculty Research Area On Staff Site
Mechanical ventilation