header
Image from OpenLibrary

The effect of net fluid balance on extravascular lung water assessed by lung ultrasound and electrical cardiometry / Mohamed Elsayed Abdelfatah Mohamed ; Supervised Ahmed Mohamed Mukhtar , Akram Shahat Eladawy , Mai Ahmed Ali

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Mohamed Elsayed Abdelfatah Mohamed , 2016Description: 57 P. : charts , facsimiles ; 25cmOther title:
  • تأثير اتزان السوائل علي المياه خارج الرئة مقيمة بواسطة الموجات فوق الصوتية علي الرئة و جهاز قياس قوة القلب الكهربائي [Added title page title]
Subject(s): Available additional physical forms:
  • Issued also as CD
Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia Summary: Background: It is well known that daily fluid balance is a predictor of outcome in critically ill patients. A positive fluid balance contributes to increased mortality both in medical and surgical patients. However, the reliability of fluid balance calculations is questioned. Lung ultrasound has been introduced to assess EVLW through detection of B line artifacts. Electrical cardiometry is a type of impedance cardiography, non-invasive and continuously applicable method to assess hemodynamic variables. Thoracic fluid content (TFC) is one of these variables that reflect both thoracic intravascular and extravascular fluids.Objectives: Our study aimed to correlate the three days cumulative fluid balance with extravascular lung water assessed by LUS and electrical cardiometry by the end of the third day, and to assess the diagnostic accuracy of electrical cardiometry in assessment of TFC in comparison to lung ultrasound.Methodology: In a prospective cohort study, 30 patients were assessed twice in the first and third day of inclusion for lung ultrasound score by lung ultrasound and TFC by electrical cardiometry to be correlated with 3 days cumulative balance.Results: There was no correlation between cumulative balance and both lung ultrasound score, TFC, and Ee' ratio (p = 0.57, 0.18, 0.99 respectively). There was significant correlation between TFC and LUS at day 1 and day 3(r= 0.610, p < 0.01), (r=0.4, p=0.05) respectively. There was no relationship between Ee' and both TFC and LUS at day 1, however, it became significant at day 3. The TFC correlated significantly with LUS in patients with negative fluid balance but not in those with positive fluid balance. By the same token, LUS was correlated significantly with Ee' in patients with negative balance only. However, no correlation was found between TFC and Ee' in patients with either negative or positive fluid balance
Tags from this library: No tags from this library for this title. Log in to add tags.
Star ratings
    Average rating: 0.0 (0 votes)
Holdings
Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.01.M.Sc.2016.Mo.E (Browse shelf(Opens below)) Not for loan 01010110070587000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.01.M.Sc.2016.Mo.E (Browse shelf(Opens below)) 70587.CD Not for loan 01020110070587000
Browsing المكتبة المركزبة الجديدة - جامعة القاهرة shelves Close shelf browser (Hides shelf browser)
No cover image available
No cover image available
No cover image available
No cover image available
No cover image available
No cover image available
No cover image available
Cai01.11.01.M.Sc.2016.Mo.C Comparative study between baska mask versus ambu aura laryngeal mask as a conduit for ventilation in low risk patients undergoing non-abdominal ambulatory surgery / Cai01.11.01.M.Sc.2016.Mo.C Comparative study between baska mask versus ambu aura laryngeal mask as a conduit for ventilation in low risk patients undergoing non-abdominal ambulatory surgery / Cai01.11.01.M.Sc.2016.Mo.E The effect of net fluid balance on extravascular lung water assessed by lung ultrasound and electrical cardiometry / Cai01.11.01.M.Sc.2016.Mo.E The effect of net fluid balance on extravascular lung water assessed by lung ultrasound and electrical cardiometry / Cai01.11.01.M.Sc.2016.Mo.R Role of anesthesia residents in refuting parturients fallacies toward spinal anesthesia and boosting maternal satisfaction at Kasr Al Ainy Hospital : A prospective cross sectional study / Cai01.11.01.M.Sc.2016.Mo.R Role of anesthesia residents in refuting parturients fallacies toward spinal anesthesia and boosting maternal satisfaction at Kasr Al Ainy Hospital : A prospective cross sectional study / Cai01.11.01.M.Sc.2016.Mu.C Comparing the analgesic efficacy of two different doses of dexmedetomidine as adjuvant to bupivacaine for pediatric patients undergoing supra-umbilical abdominal surgeries using caudal block randomized control trial /

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia

Background: It is well known that daily fluid balance is a predictor of outcome in critically ill patients. A positive fluid balance contributes to increased mortality both in medical and surgical patients. However, the reliability of fluid balance calculations is questioned. Lung ultrasound has been introduced to assess EVLW through detection of B line artifacts. Electrical cardiometry is a type of impedance cardiography, non-invasive and continuously applicable method to assess hemodynamic variables. Thoracic fluid content (TFC) is one of these variables that reflect both thoracic intravascular and extravascular fluids.Objectives: Our study aimed to correlate the three days cumulative fluid balance with extravascular lung water assessed by LUS and electrical cardiometry by the end of the third day, and to assess the diagnostic accuracy of electrical cardiometry in assessment of TFC in comparison to lung ultrasound.Methodology: In a prospective cohort study, 30 patients were assessed twice in the first and third day of inclusion for lung ultrasound score by lung ultrasound and TFC by electrical cardiometry to be correlated with 3 days cumulative balance.Results: There was no correlation between cumulative balance and both lung ultrasound score, TFC, and Ee' ratio (p = 0.57, 0.18, 0.99 respectively). There was significant correlation between TFC and LUS at day 1 and day 3(r= 0.610, p < 0.01), (r=0.4, p=0.05) respectively. There was no relationship between Ee' and both TFC and LUS at day 1, however, it became significant at day 3. The TFC correlated significantly with LUS in patients with negative fluid balance but not in those with positive fluid balance. By the same token, LUS was correlated significantly with Ee' in patients with negative balance only. However, no correlation was found between TFC and Ee' in patients with either negative or positive fluid balance

Issued also as CD

There are no comments on this title.

to post a comment.