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Your search keyword '"Hisham Salah Mohamed Khedr"' showing total 3 results
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3 results on '"Hisham Salah Mohamed Khedr"'

1. Degree of cervical mobility differs or not when using alternative way of intubation: Intubating laryngeal mask or classic laryngoscope

Author

Hisham Salah Mohamed Khedr, Gomaa Zahry Hussein, Nesrine Essam Eldin Abd Elsalam, and Magda Saleh Rezk

Subjects
Intubation, Cervical spine, Airway difficulty, Intubating laryngeal mask, Anesthesiology, RD78.3-87.3
Abstract

Background: Spine surgery needs a special consideration as regards minimizing the movement during intubation to avoid the hazards to spinal cord. The present study aims to highlight the preferable technique for cervical intubation. The Intubating Laryngeal Mask Airway (ILMA, Fastrach™ laryngeal mask company, Henle-on-Thomes, U.K.) is a supraglottic device specially designed to be an effective ventilator device and blind intubation guide in patient with normal and abnormal airways. Methods: 40 patients were involved and randomly assigned to two equal groups according to the used technique of endotracheal intubation: (Group 1): Intubating Laryngeal Mask technique and (Group 2): Direct laryngoscopy technique. Anesthesia was induced using a combination of 1 μg/kg fentanyl, 5 mg/kg thiopental sodium (sleeping dose) and atracurium 0.5 mg/kg (Intubating laryngeal Mask or the Macintosh blade) was used to secure the airway according to the patient group. Meanwhile a continuous videofluoroscopy was recorded. The radiographs were analyzed for movements in the cervical segments C1/2 and C2/3. A reference line was drawn following the dorsal alignment of C2. Another two lines, one connecting the anterior and posterior arch of C1, and one through the basal plate of C3, were drawn to transect the above mentioned reference line. Results: The mean cervical spine extension at C1/C2 was 77.2 ± 3.5 before intubation, 74.8 ± 4.3 during intubation, and 75.9 ± 4.2 after intubation for group 1, while it was 74.95 ± 4 before, 65.9 ± 4.4 during, and 68.75 ± 3.9 after intubation for group 2 there was statistically significant difference between LMA group (group 1) and direct laryngoscopy group (group 2) in the motion of cervical spine extension at C1/C2 during and after intubation where the p-value was

Published
2016
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2. Application of conventional blood glucose control strategy in surgical ICU in developing countries: Is it beneficial?

Author

Ahmed M. Zaghloul, Waleed Hamimy, Tarek Rushdi, Ahmed Abdel Aal, Hisham Salah Mohamed Khedr, and Mostafa Hosni

Subjects
medicine.medical_specialty, Conventional, medicine.medical_treatment, Developing country, 030204 cardiovascular system & hematology, Hypoglycemia, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Control, medicine, 030212 general & internal medicine, Intensive care medicine, Glycemic, medicine.diagnostic_test, business.industry, Incidence (epidemiology), Mortality rate, Insulin, Tight, medicine.disease, Anesthesiology and Pain Medicine, Anesthesia, Emergency medicine, business, Liver function tests
Abstract

BackgroundHyperglycemia is common among critically ill patients and is associated with increased morbidity and mortality and there is no clear answer to the question: which to apply tight or conventional glycemic control?ObjectiveEvaluation and comparison of the effects of tight versus conventional glycemic control on critically ill patients in our surgical intensive care unit (ICU).DesignProspective randomized controlled trial.Methods120 Patients were divided into two groups: group (I) received intensive insulin therapy targeting blood glucose level between 80 and 110mg/dl, who referred to as intensive treatment group, and group (II) received conventional insulin therapy targeting blood glucose level between 150 and 200mg/dl, and referred to as conventional treatment group.Results120 Patients were enrolled in the study, the incidence of hypoglycemia (blood glucose

Published
2016
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3. Effect of magnesium on rotational thromboelastometry (ROTEM) and total blood products requirement in patients undergoing liver transplantation

Author

Mohamed A. Hammouda, Mohamed A. Alrabiey, Hisham Salah Mohamed Khedr, Ahmed M. AbdEl-Azim, and Ahmed M. AbdEl-Hamid

Subjects
ROTEM, Coagulation, business.industry, medicine.medical_treatment, Liver transplantation, Placebo, medicine.disease, Thromboelastometry, Liver disease, Tissue factor, Anesthesiology and Pain Medicine, Clotting time, Anesthesia, Medicine, Magnesium, business, Saline
Abstract

Aim This study aimed to assess the effect of Mg2+ therapy in improving ROTEM and total blood products requirement during liver transplantation. Patients and method The study includes 30 patients suffering from end-stage liver disease with MELD (model for end-stage liver disease) classification ranging from 15 to 24. The patients were divided into two equal groups: Group I: The patients were given placebo (100 mL) normal saline (NS). Group II: The patients were given 2 g Mg in 100 mL NS. Results In group II significant decrease in CT (clotting time) in EXTEM (which evaluates the extrinsic pathway after addition of tissue factor), INTEM (which evaluates the intrinsic pathway after contact activation), APTEM (assess fibrinolytic pathway) and FIBTEM (assess fibrinogen level after tissue factor activation), decrease in clot formation time (CFT) in EXTEM, increase α-angel (the angle determined from the reaction time to the inflection point of the amplitude of the forming clot), in INTEM and FIBTEM and increase A10 (clot strength after 10 min) EXTEM, FIBTEM and APTEM in comparison with group I. Conclusions (1) The ROTEM analysis shows the effect of Mg ions in coagulation that can be assessed by laboratories not clinically. (2) Mg improved coagulation in patients about to undergo liver transplantation who showed ROTEM evidence of hypocoagulability.

Published
2012
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