Transcranial doppler assessment of cerebral perfusion in patients with severe sepsis & septic shock in pediatric ICU / (Record no. 65246)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03446cam a2200349 a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | EG-GiCUC |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250223031937.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 180303s2017 ua dh f m 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | EG-GiCUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GiCUC |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| 049 ## - LOCAL HOLDINGS (OCLC) | |
| Holding library | Deposite |
| 097 ## - Thesis Degree | |
| Thesis Level | Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Classification number | Cai01.11.28.Ph.D.2017.Ah.T |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Ahmed Galal Mohamed |
| 245 10 - TITLE STATEMENT | |
| Title | Transcranial doppler assessment of cerebral perfusion in patients with severe sepsis & septic shock in pediatric ICU / |
| Statement of responsibility, etc. | Ahmed Galal Mohamed ; Supervised Ahmed Saadeldin Elbeleidy , Seham Awad Elsherbini , Rania Hachim Hamdi |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | إستخدام جهاز الدوبلر علي الشرايين المخية لتقييم التغذية الدموية للمخ قي الاطفال المصابين بتسمم الدم و الصدمة البكتيرية في الرعاية المركزة |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Cairo : |
| Name of publisher, distributor, etc. | Ahmed Galal Mohamed , |
| Date of publication, distribution, etc. | 2017 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 122 P. : |
| Other physical details | charts , facsimiles ; |
| Dimensions | 25cm |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Background:Sepsis-associated encephalopathy (SAE) is one of the most common causes of delirium in intensive care units. Its pathophysiology is complex and related to numerous processes and pathways.Alterations of the cerebral blood flow (CBF) may represent a key component for the development of SAE which may be caused by cerebral vasoconstriction. Transcranial Doppler (TCD) allows real-time accurate detection of CBF. Objectives:to assess changes in cerebral hemodynamic characteristics in pediatric septic encephalopathy patients Methodology: a prospective case control study including 75 critically ill children; 45 patients were diagnosed as severe sepsis or septic shock with encephalopathy, while the other 30 critically ill patients who were neither septic nor encephalopathic served as control.Patients were examined using the TCD on the middle cerebral artery.Pulsatility (PI) and resistive (RI) indices were measured to assess the cerebrovascular resistance (CVR). Results:cerebrovascular resistance (CVR) was higher in the septic group. This is evidenced by significantly higher PI and RI in the septic encephalopathic group than controlone (P<0.01). CO2 reactivity was impaired as there was positive statistically significant correlation between both PI and RI, and PaCO2 (r=0.4, P<0.01 and r=0.374, P=0.01 respectively). The level of consciousness of the patients was assessed by FOUR score; PI was negatively correlated to FOUR score with high significance (r = -0.357, and P=0.016). This means that pulsatility index increased with the more deepening of coma. PI and RI were significantly higher in the non-survivor cases than the survivor ones (P<0.01). By using a regression analysis method; PI was an independent risk of mortality with (O.R= 257, 95%CI= 6.1-108, P<0.01) Conclusion:in pediatric patients with SAE; CVR is higher with decreased cerebral blood flow and CO2 reactivity is impaired |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Additional physical form available note | Issued also as CD |
| 653 #4 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Pulsatility index |
| 653 #4 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Sepsis associated encephalopathy |
| 653 #4 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Transcranial Doppler |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ahmed Saadeldin Elbeleidy , |
| Relator term | |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Rania Hachim Hamdi , |
| Relator term | |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Seham Awad Elsherbini , |
| Relator term | |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://172.23.153.220/th.pdf">http://172.23.153.220/th.pdf</a> |
| 905 ## - LOCAL DATA ELEMENT E, LDE (RLIN) | |
| Cataloger | Nazla |
| Reviser | Revisor |
| 905 ## - LOCAL DATA ELEMENT E, LDE (RLIN) | |
| Cataloger | Shimaa |
| Reviser | Cataloger |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Source of classification or shelving scheme | Not for loan | Home library | Current library | Date acquired | Full call number | Barcode | Date last seen | Koha item type | Copy number |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 11.02.2024 | Cai01.11.28.Ph.D.2017.Ah.T | 01010110074525000 | 22.09.2023 | Thesis | ||
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | مخـــزن الرســائل الجـــامعية - البدروم | 11.02.2024 | Cai01.11.28.Ph.D.2017.Ah.T | 01020110074525000 | 22.09.2023 | CD - Rom | 74525.CD |