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003 EG-GiCUC
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008 190507s2018 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.09.Ph.D.2018.Mo.N
100 0 _aMohamed Youssef AbdElhamed Mohamed Youssef
245 1 0 _aNoninvasive assessment of weaning failure from mechanical ventilation in critically Ill patients /
_cMohamed Youssef AbdElhamed Mohamed Youssef ; Supervised Waheed Ahmed Radwan , Mervat Mohamed Eldamrawy , Rania Mostafa Elhusseiny
246 1 5 _aالتقييم غير النافذ لفشل الفطام من التنفس الاصطناعى فى مرضى الحالات الحرجة
260 _aCairo :
_bMohamed Youssef AbdElhamed Mohamed Youssef ,
_c2018
300 _a134 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520 _aBackground: Increased time on mechanical ventilation is associated with higher mortality rates. Weaning predictors were studied in an attempt to evaluate the outcome of removing ventilatory support .weaning predictors were studied in an attempt to evaluate the outcome of removing ventilatory support. The Aim of present study was to evaluate role of the following parameters. NT-proBNP, weaning indices (RSBI, Cst and IWI) and echocardiography with use of tissue Doppler imaging (left and right ventricular function was assessed by LVEF, grade of mitral regurge if any, E/A, DT, E{u2019}, E/E{u2019}, TAPSE and RVFAC) as predictor tools of weaning failure in critically ill patients from mechanical ventilation. Patients who failed SBT showed (before SBT),: significantly longer MV duration , significant decrease in PaO2, SaO2 and PaO2/FiO2, and significant increase in RSBI ,significant decrease in IWI and significant decrease in Cst. Results: Patients who failed SBT showed (After SBT),: Significant increase in MAP, pulse and RR, Significant increase in NT-proBNP levels, significant increase CO , no difference incidence of systolic dysfunction
530 _aIssued also as CD
653 4 _aEchocardiography
653 4 _aMechanical ventilation
653 4 _aWeaning
700 0 _aMervat Mohamed Eldamrawy ,
_eSupervisor
700 0 _aRania Mostafa Elhusseiny ,
_eSupervisor
700 0 _aWaheed Ahmed Radwan ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c71847
_d71847