| 000 | 02962cam a2200349 a 4500 | ||
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| 003 | EG-GiCUC | ||
| 005 | 20250223031613.0 | ||
| 008 | 161114s2016 ua dh f m 000 0 eng d | ||
| 040 |
_aEG-GiCUC _beng _cEG-GiCUC |
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| 041 | 0 | _aeng | |
| 049 | _aDeposite | ||
| 097 | _aPh.D | ||
| 099 | _aCai01.11.09.Ph.D.2016.Al.N | ||
| 100 | 0 | _aAlsayed Rizk Rizk Saadah | |
| 245 | 1 | 0 |
_aNon invasive rapid accurate prediction of fluid responsiveness in critically Ill septic patient by echocardiography / _cAlsayed Rizk Rizk Saadah ; Supervised Mohamed Sherif Mukhtar , Suzy Fawzy Mighaeil , Mervat Mohamed Khalaf |
| 246 | 1 | 5 | _aالتوقع السريع الدقيق غير التداخلى لإستجابة مريض الصدمة الميكروبية للمحاليل الوريدية باستخدام الموجات الصوتية على القلب |
| 260 |
_aCairo : _bAlsayed Rizk Rizk Saadah , _c2016 |
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| 300 |
_a111 P. : _bcharts , facsimiles ; _c25cm |
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| 502 | _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine | ||
| 520 | _aAbstract Introduction: Static measures fail to accurately predict fluid responsiveness(FR) in critically ill patient and have been recently replaced by dynamic parameters. Non invasive transthoracic echocardiographic (TTE) measurement of subaortic velocity time integral variations(xVTI) and respiratory variations of inferior vena caval diameter(xIVCD) are two dynamic measures to predict FR. Aim of the work: is to test whether non invasive dynamic measurement of xVTI and xIVCD using TTE ,can predict fluid responsiveness after a mini fluid challenge. Methodology: 40 spontaneously breathing Pa-ents with acute circulatory failure secondary to sep-c shock admi.ed to ICU over 6 months period, TTE measures VTI by Doppler on a 5 chamber apical view, and IVCD in subcostal view in M-mode . Then 500 ml 6% Hydroxyethyl starch (HES) were infused via a speci{uFB01}c venous line, The {uFB01}rst 100 ml were regularly infused over 1 min. , the remaining 400 ml were infused at a constant rate over 14min.TTE reassessments were performed a8er the first minute and after completion of infusion. Results: Patients were Classified into two groups, responders or non responders according to FR, Fluid replacement remains the corner stone for resuscitation of patients with acute circulatory failure due to septic shock. Neverthless up to one half of patients of septic shock do not gain benefit from fluid therapy, moreover it can be counterproductive in many of them . | ||
| 530 | _aIssued also as CD | ||
| 653 | 4 | _aFluid responsiveness | |
| 653 | 4 | _aHeart | |
| 653 | 4 | _aSeptic shock | |
| 700 | 0 |
_aMervat Mohamed Khalaf , _eSupervisor |
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| 700 | 0 |
_aMohamed Sherif Mukhtar , _eSupervisor |
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| 700 | 0 |
_aSuzy Fawzy Mighaeil , _eSupervisor |
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| 856 | _uhttp://172.23.153.220/th.pdf | ||
| 905 |
_aNazla _eRevisor |
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| 905 |
_aSoheir _eCataloger |
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| 942 |
_2ddc _cTH |
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| 999 |
_c58606 _d58606 |
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