000			03306cam a2200349 a 4500
003			EG-GiCUC
005			20250223031853.0
008			171209s2017 ua h f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.28.Ph.D.2017.Ah.B
100	0		_aAhmed Said Mohammed Behairy
245	1	0	_aBedside echocardiography aid in assessing children with fluid and inotrope resistant septic shock / _cAhmed Said Mohammed Behairy ; Supervised Faten Mohammed Abdelazeez , Reem Ismael Ibrahim , Seham Awad Elsherbeiny
246	1	5	_aاستخدام جهاز الموجات فوق الصوتية على عضلة القلب فى فحص الاطفال المصابين بالصدمة الإنتانية الغير مستجيبة للمحاليل و مقويات عضلة القلب
260			_aCairo : _bAhmed Said Mohammed Behairy , _c2017
300			_a148 P. : _bfacsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground: Assessment of patients with fluid resistant septic shock by echocardiography helps in accurate measurement of stroke volume index, cardiac index and systemic vascular resistance index which is crucial in hemodynamic monitoring. Aim: Goal directed management with proper choice of the vasoactive agent to fasten resuscitation and improve survival. Methodology: Fourty five children aging from two month to ten years were included, all the children fulfilled the criteria of fluid resistant septic shock, cases were recruited from the pediatric intensive care unit in Cairo university specialized pediatric hospital. Clinical examination was done in the form of assessment of vital signs, capillary refill time and central venous pressure, echocardiographic monitoring was done and data were obtained as time velocity integral, stroke volume index, cardiac index and systemic vascular resistance index, clinical and echocardiographic assessment were done at the time of PICU admission before inotropic support, 6 hours, 24 hours and then by the end of resuscitation of septic shock. Results: We found significant statistical increase in values of cardiac index (P value <0.001), stroke volume index (P value <0.001), TVI (P value<0.001) and MPI (P value<0.001) was found by the end of resuscitation. Significant negative correlation was found between cardiac index and systemic vascular resistance index at all time intervals (at admission: r= -0.652, P<0.001, by resuscitation: r= -0.717, P<0.001). Thirty three cases survived (73.3%) and twelve died (26.7%), The median resuscitation time of survivors was 33.6 hours, the cardiac output was found significantly higher in non-survivors compared to survivors (P: 0.021), SVRI was found significantly lower in non survivors compared to survivors P: 0.01
530			_aIssued also as CD
653		4	_aCardiac index
653		4	_aSeptic shock
653		4	_aStroke volume index
700	0		_aFaten Mohammed Abdelazeez , _eSupervisor
700	0		_aReem Ismael Ibrahim , _eSupervisor
700	0		_aSeham Awad Elsherbeiny , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c63890 _d63890