000 02408cam a2200349 a 4500
003 EG-GiCUC
005 20250223031231.0
008 150526s2014 ua f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.01.Ph.D.2014.Ah.U
100 0 _aAhmed Mohamed Lotfy Mostafa
245 1 4 _aThe use of new ultrasound indices to evaluate volume status and fluid responsiveness in septic shock patients /
_cAhmed Mohamed Lotfy Mostafa ; Supervised Iman Riad Mohamed Abdelaal , Jihan Aly Elkholy , Ahmed Mohamed Ibrahim Hasanain
246 1 5 _aاستخدام الموجات فوق الصوتية لتحديد الحاله الحجمية و الاستجابه للمحاليل فى مرضى الصدمه التسممية
260 _aCairo :
_bAhmed Mohamed Lotfy Mostafa ,
_c2014
300 _a108 Leaves ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia
520 _aThis study was conducted in surgical ICU in cairo university hospitals to detect the accuracy of new ultrasound indices (IVC caval index, IJV / CCA cross sectional area and IJV aspect ratio) to guide fluid therapy and predict fluid responsiveness (assessed by trans-thoracic echocardiography) in severe sepsis and septic shock spontaneously breathing patients in comparison to traditional CVP measurement. The results of this study showed that the minimum IVC diameter, caval index, IJV area and the ratio IJV/CCA are good predictors of fluid responsiveness. These parameters were significantly different between the two groups of fluid responders and non -responders. A minimum IVC diameter of 0.9cm predicted fluid responsiveness with a sensitivity of 100% and specificity of 70%. A caval index of 35% had 92% sensitivity and 86% specificity. An IJV area of 0.9 cm2 and IJV/CCA ratio of 1.7 had a sensitivity of 85% in predicting fluid responders and a specificity of 70% and 62% respectively
530 _aIssued also as CD
653 4 _aAUROC
653 4 _aCVP
653 4 _aIJV / CCA
700 0 _aAhmed Mohamed Ibrahim Hasanain ,
_eSupervisor
700 0 _aIman Riad Mohamed Abdelaal ,
_eSupervisor
700 0 _aJihan Aly Elkholy ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c51040
_d51040