Diaphragmatic Function Assessed By Bed Side Ultrasonography In Patients With Sepsis Or Septic Shock Admitted To Icu / (Record no. 172264)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 07141namaa22004451i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - أخر تعامل مع التسجيلة | |
| control field | 20250529105656.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 250521s2020 ua a|||fr|m|| 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloguing agency | EG-GICUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GICUC |
| Modifying agency | EG-GICUC |
| Description conventions | rda |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| Language code of summary or abstract | eng |
| -- | ara |
| 049 ## - Acquisition Source | |
| Acquisition Source | Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER | |
| Classification number | 616.028 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) | |
| Classification number | 616.028 |
| Edition number | 21 |
| 097 ## - Degree | |
| Degree | Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Local Call Number | Cai01.11.09.Ph.D.2020.Am.D. |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Authority record control number or standard number | Amal Zaki Selim Ahmed Zayan, |
| Preparation | preparation. |
| 245 10 - TITLE STATEMENT | |
| Title | Diaphragmatic Function Assessed By Bed Side Ultrasonography In Patients With Sepsis Or Septic Shock Admitted To Icu / |
| Statement of responsibility, etc. | Investigator Amal Zaki Selim Ahmed Zayan; Supervisors Prof. Dr. Helmy Hassan El Ghawaby, Prof. Dr. Mostafa Mahmoud Gad, Dr. Amira Mohamed Ismail, Dr. Amr Shafiq Nawar. |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | تقييم وظيفه الحجاب الحاجز بواسطه الأشعة التليفزيونية السريرية في حالات الإنتنان الحرجة بالعناية المركزة / |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Date of production, publication, distribution, manufacture, or copyright notice | 2020. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 138 pages : |
| Other physical details | illustrations ; |
| Dimensions | 25 cm. + |
| Accompanying material | CD. |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Source | rda content |
| 337 ## - MEDIA TYPE | |
| Media type term | Unmediated |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | volume |
| Source | rdacarrier |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (Ph.D)-Cairo University, 2020. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliography: pages 116-138. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | This is an observational prospective study that was conducted on thirty <br/>patients admitted to the Sahla hospital ICU from June 2019 till January 2020 <br/>and diagnosed with sepsis or septic shock on admission and through their ICU <br/>stay. <br/>On admission all patients underwent full history taking, complete clinical <br/>examination, full laboratory investigation and transthoracic echocardiography, <br/>Chest x-ray, Electrocardiogram (ECG). All patients will be managed according <br/>to Surviving Sepsis Campaign: International Guidelines for Management <br/>of Sepsis and Septic Shock: 2016, 2018.(15, 27) <br/>Both excursion and thickness of diaphragm (TDI %) will be measured by <br/>ultrasonography (US) on admission and every 48 hours during the patients’ <br/>ICU stay. <br/>The Diaphragmatic Excursion (DE): The diaphragm inspiratory <br/>amplitudes (excursions) will be measured from the M-mode sonography at the <br/>bedside The probe will be placed between the mid-clavicular and anterior <br/>axillary lines on the right side and directed medially, cranially, and dorsally. <br/>The diaphragmatic thickness fraction (TDI%): Will be performed with B-<br/>mode US device in the supine position with an average inclination of 45 degree; <br/>The position of the probe will be set to obtain the best view of the zone of <br/>apposition of the diaphragm, located between the mid axillary and the posterior <br/>axillary line in. Diaphragmatic thickness will be measured on the right side at <br/>end-inspiration and end expiration. The change in diaphragmatic thickness <br/>(ΔTdi) during spontaneous breathing from functional residual capacity (FRC) <br/>to Vt will be calculated as follows: <br/>Δ Tdi % = End-Inspiration thickness− End-Expiration thickness × 100<br/>End-Expiration thickness <br/>There were 10 males (33.3%) and 20 females (66.7%) With mean age<br/>71.87 ±17.42 years. <br/>The mean of CRP in our study on admission was 170.43 ± 78.10<br/>while its average through the whole ICU stay was 170.36 ± 78.75mg/L.<br/>the APACHE II in our study had mean of 33.40 ± 9.66. <br/>In this study 22 patients (73.3%) were mechanically ventilated with<br/>5.33 ± 4.38 days and 8 of those patients (38.4%) were successfully weaned<br/>from Mechanical Ventilation (MV). <br/>In our study there was significant direct relation between the APACHE<br/>and the need of MV with p value 0.012*as mechanically ventilated patients<br/>had higher APACHE II with mean 36.0 ± 8.94. And there was significant<br/>reverse relation between the APACHE II and successful weaning from<br/>with p value 0.002* as the successfully weaned patients had lower APACHE<br/>with mean 28.88 ± 5.41. <br/>Regarding the DE measured by M mode ultrasonography in our study<br/>admission it had mean of 1.19 ± 0.68 cm and The DE average through the<br/>ICU stay had mean of 1.21 ± 0.58 cm. While the TDI% measured by B<br/>ultrasonography in our study on admission its mean was 34.47 ± 22.45%<br/>its average mean was 33.27 ± 15.37%. <br/>Regarding the DE there was statistically significant reverse relation<br/>between mortality and the DE on admission to ICU and average levels of<br/>with p value of 0.005*, of 0.003*respectively. The same was found between<br/>mortality and TDI% on admission to ICU with p value of 0.033* and<br/>average levels of TDI% with p value of 0.003*. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | في حين أن الإنتان والصدمة الإنتانية هما من مشاكل الرعاية الصحية الرئيسية ، التي تؤثر على ملايين الأشخاص حول العالم كل عام ، ويوجد هناك الكثير من القياسات و العلامات والدراسات لتقييم شدة المرض والتكهن بمصير المرضى اثناء تواجدهم بوحدة العناية المركزة.<br/>نمت مؤخرًا امكانيه قياس وظيفة الحجاب الحاجز لتصبح موضوعًا ذا أهمية كبيرة بسبب تأثيرها السريري السلبي على احتياج وضع المريض على جهاز تنفس صناعي وطول فتره التنفس الصناعي ونتائج الفطام من عليه ، والنتيجة طويلة المدى في مريض وحدة العناية المركزة. كما أتضح وجود صله كبيره بين اضطراب وظائف الحجاب الحاجز وتأثيرها على طول فتره اقامه المريض بالعناية المركزة.<br/>عد استخدام الموجات فوق الصوتية في وحدة العناية المركزة مجالًا يثير اهتمامًا متزايدًا نظرًا لقابلية حمله وسرعته وسلامته والنتائج المشجعة التي تم الحصول عليها وليس لديه خطر من الإشعاعات المؤذية, ويمكنه توفير الكثير من البيانات المورفولوجية والوظيفية حول الحجاب الحاجز ويسمح بتصوير الاعضاء فوق وأدنى الحجاب الحاجز.. وقد ثبت أن الموجات فوق الصوتية مماثلة في الدقة لمعظم طرائق التصوير الأخرى لتقييم الحجاب الحاجز.<br/> |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Issues CD | Issued also as CD |
| 546 ## - LANGUAGE NOTE | |
| Text Language | Text in English and abstract in Arabic & English. |
| 650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Critical Care Medicine |
| Source of heading or term | qrmak |
| 653 #0 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Sepsis |
| -- | Septic shock |
| -- | Diaphragmatic Function |
| -- | Ultrasound |
| -- | Bedside |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Helmy Hassan El Ghawaby |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mostafa Mahmoud Gad |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Amira Mohamed Ismail |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Amr Shafiq Nawar |
| Relator term | thesis advisor. |
| 900 ## - Thesis Information | |
| Grant date | 01-01-2020 |
| Supervisory body | Helmy Hassan El Ghawaby |
| -- | Mostafa Mahmoud Gad |
| -- | Amira Mohamed Ismail |
| -- | Amr Shafiq Nawar |
| Universities | Cairo University |
| Faculties | Faculty of Medicine |
| Department | Department of Critical Care Medicine |
| 905 ## - Cataloger and Reviser Names | |
| Cataloger Name | Eman El gebaly |
| Reviser Names | Eman Ghareb |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Edition | 21 |
| Suppress in OPAC | No |
| Source of classification or shelving scheme | Home library | Current library | Date acquired | Inventory number | Full call number | Barcode | Date last seen | Effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 21.05.2025 | 91159 | Cai01.11.09.Ph.D.2020.Am.D. | 01010110091159000 | 21.05.2025 | 21.05.2025 | Thesis |