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العنوان
The accuracy of Ultrasonograghy trans-hepatic approach for inferior vena cava examinations to predict fluid responsiveness in patients with abdominal sepsis ;
المؤلف
Nadia Karam AbdelAal,
هيئة الاعداد
باحث / Nadia Karam AbdelAal
مشرف / waleed Ibrahim Hamimy
مشرف / Ahmed Zaghloul
مشرف / Akram Shahat Eladawy
مشرف / Ahmed Mohamed lotfy
الموضوع
Anesthesia, Surgical Intensive Care and Pain management
تاريخ النشر
2022.
عدد الصفحات
74 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
التخدير و علاج الألم
تاريخ الإجازة
6/6/2022
مكان الإجازة
جامعة القاهرة - كلية الطب - anesthesia, surgical icu and pain management
الفهرس
Only 14 pages are availabe for public view

from 88

from 88

Abstract

Reasoning and foundation. A few strategies have been recommended to distinguish FR. A portion of these strategies rely upon heart-lung connections, be that as it may, these techniques are not substantial in patients with unconstrained breathing action. Different strategies rely upon preload challenge which enjoys the benefit of being legitimate in a more extensive scope of patients, it are suddenly breathing to incorporate the people who. Scaled down liquid test (MFC) with corresponding checking of stroke volume is perhaps the most vigorous technique for preload challenge . The primary foreshortening of MFC technique is the requirement for a constant frame cardiovascular result (CO) screen . we speculated that after MFC , TIVC_D Index may be an indicator of Fluid Responsiveness
Patients and strategies. The review will be led in every one of the patients with clinically presumed septic shock 30-bed injury and careful emergency unit, University Teaching Hospital . All patients will be observed with; painless and intrusive blood vessel pulse, five-lead electrocardiography (ECG), hourly urinary result, focal venous strain (CVP) and cardiovascular result (CO). CO will be gotten utilizing Echocardiography and LIDCO screen Upon ICU confirmation, as indicated by our institutional convention, FR with MFC test will be finished all patients withabdominal septic shock to decide the requirement for liquid treatment.
Results: We figured out that Increase of trans hepatic IVC-D >17 % after MFC test in patients with stomach sepsis has a high particularity and moderate awareness for anticipating FR in these patients.
Determination: IVC-D in trans hepatic methodology showed satisfactory precision to recognize liquid responsiveness in patients with stomach sepsis.