000			02769cam a2200349 a 4500
003			EG-GiCUC
005			20250223031355.0
008			151219s2015 ua h f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.01.M.Sc.2015.Is.E
100	0		_aIslam Rasmy Abdelfattah
245	1	4	_aThe evaluation of perfusion index as a predictor of vasopressor requirement in patients with severe sepsis and septic shock / _cIslam Rasmy Abdelfattah ; Supervised Nashwa Nabil , Ahmed Mohamed Mukhtar , Hossam Mohamed Elazizi
246	1	5	_aتقييم منسب التروية كمتنبئ باحتياج المريض الإنتان الحاد و الصدمة الإنتانية لروافع التوتر الوعائى
260			_aCairo : _bIslam Rasmy Abdelfattah , _c2015
300			_a61 Leaves : _bfacsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia
520			_aThe high mortality rate observed in sepsis is not only related to the quality of management but it{u2019}s also related to the complex nature of the disease. Loss of autoregulation and altered regional and microvascular blood flow jeopardize both central and peripheral tissue perfusion in septic shock. The perfusion index (PI) is derived from the photoelectric plethysmographic signal of the pulse oximeter and has shown to be a reliable monitor of peripheral perfusion in critically ill patients. These findings raise an important question: Is there any tool that can predict the requirement of vasopressor therapy in patients with severe sepsis? all consecutive patients who were clinically suspected of having severe sepsis defined by the criteria of the American college of chest physicians / society of critical care medicine consensus conference; were included. Upon admission to intensive care unit (ICU), hemodynamic, central and peripheral perfusion variables were simultaneously recorded at baseline. Perfusion variables included; PI, blood lactate level, central venous oxygen saturation (ScVO2), and the difference between central venous carbon dioxide (PcvCO2) and arterial carbon dioxide (PaCO2) pressures (Pv-a CO2). The primary was the use of vasopressor which was defined as any administration of vasopressor medications within 24 hours after admission to ICU
530			_aIssued also as CD
653		4	_aRoc
653		4	_aScvO2
653		4	_aSet
700	0		_aAhmed Mohamed Mukhtar , _eSupervisor
700	0		_aHossam Mohamed Elazizi , _eSupervisor
700	0		_aNashwa Nabil , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c53996 _d53996