{"title":"High protein intake and physical exercise during critical illness to maintain muscle mass in ICU patient","authors":"Asmaa Badr Eldin Opoda, Taysser Mahmoud Abdulrahim, Mona Blough El Mourad Fayad, Sohair Moustafa Soliman, Nadia Hassan Fattouh","doi":"10.33545/26643766.2024.v7.i3a.484","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.484","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33545/26643766.2024.v7.i3a.479
Walaa Adel Elbialy, Sabry Mohamed Ameen, Ahmed Ali Abdel Hafez, Alaa Mohammed Abo Hagar
Background: Sepsis is a severe inflammatory reaction throughout the body triggered by an infection, which may result in life-threatening malfunction of several organs. This study aims to assess the effectiveness of the neutrophil lymphocyte ratio (NLR) and lactate albumin ratio (L/A) as predictive markers for illness progression and death in patients diagnosed with sepsis and septic shock. Methods: A cohort research was undertaken on a sample of 50 septic patients, ranging in age from 18 to 60 years, including both males and females, who were thought to be infected. The patients were classified into two groups: those who did not survive and those who survived. The NLR, lactate-to-albumin ratio, and SOFA score were assessed in all patients. Results: The group of individuals who did not survive had markedly greater NLR and LA ratio. The L/A ratio, NLR and the Sequential Organ Failure Assessment Score (SOFA) exhibited strong correlation upon admission ( p <0.05). An L/A ratio>0.58 is a reliable indicator of death. The sensitivity of the test is 88.46%, meaning it correctly identifies 88.46% of the true positive cases. The study demonstrated that NLR, L/A ratio, and SOFA score were significant independent predictors of death in patients with sepsis and septic shock. Conclusions: NLR and L/A ratio were independent significant predictors for mortality in sepsis and septic shock. But lactate/albumin ratio is more accurate than neutrophil/lymphocyte (AUC=0.885).
{"title":"Neutrophil-lymphocyte ratio versus lactate-albumin ratio as a predictor of morbidity and mortality in patients with sepsis and septic shock","authors":"Walaa Adel Elbialy, Sabry Mohamed Ameen, Ahmed Ali Abdel Hafez, Alaa Mohammed Abo Hagar","doi":"10.33545/26643766.2024.v7.i3a.479","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.479","url":null,"abstract":"Background: Sepsis is a severe inflammatory reaction throughout the body triggered by an infection, which may result in life-threatening malfunction of several organs. This study aims to assess the effectiveness of the neutrophil lymphocyte ratio (NLR) and lactate albumin ratio (L/A) as predictive markers for illness progression and death in patients diagnosed with sepsis and septic shock. Methods: A cohort research was undertaken on a sample of 50 septic patients, ranging in age from 18 to 60 years, including both males and females, who were thought to be infected. The patients were classified into two groups: those who did not survive and those who survived. The NLR, lactate-to-albumin ratio, and SOFA score were assessed in all patients. Results: The group of individuals who did not survive had markedly greater NLR and LA ratio. The L/A ratio, NLR and the Sequential Organ Failure Assessment Score (SOFA) exhibited strong correlation upon admission ( p <0.05). An L/A ratio>0.58 is a reliable indicator of death. The sensitivity of the test is 88.46%, meaning it correctly identifies 88.46% of the true positive cases. The study demonstrated that NLR, L/A ratio, and SOFA score were significant independent predictors of death in patients with sepsis and septic shock. Conclusions: NLR and L/A ratio were independent significant predictors for mortality in sepsis and septic shock. But lactate/albumin ratio is more accurate than neutrophil/lymphocyte (AUC=0.885).","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33545/26643766.2024.v7.i3a.481
M. M. A. Siddick, M. M. Pandian, Shakila
With the increasing incidence of trauma and the financial implications thereon, the necessity for early debridement, early fixation of fractures and early discharge needs to be underlined. High velocity road traffic accidents lead to lot of compound fractures, contaminated crush injuries and simple fractures as well
{"title":"Efficacy of ultrasound guided nerve block versus intravenous tramadol injection for pain relief in patients with fresh lower limb fractures: A hospital based study in Puducherry","authors":"M. M. A. Siddick, M. M. Pandian, Shakila","doi":"10.33545/26643766.2024.v7.i3a.481","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.481","url":null,"abstract":"With the increasing incidence of trauma and the financial implications thereon, the necessity for early debridement, early fixation of fractures and early discharge needs to be underlined. High velocity road traffic accidents lead to lot of compound fractures, contaminated crush injuries and simple fractures as well","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33545/26643766.2024.v7.i3a.478
Mostafa Mahmoud Shehab, M. Afandy, Ahmed Ali Abd El Hafez, Abdelaziz Hamed Elbadawy, Abdelraheem Mostafa Dowidar
{"title":"Prediction of spinal anesthesia-induced hypotension in cesarian section with focus on carotid doppler ultrasound and cardiometry","authors":"Mostafa Mahmoud Shehab, M. Afandy, Ahmed Ali Abd El Hafez, Abdelaziz Hamed Elbadawy, Abdelraheem Mostafa Dowidar","doi":"10.33545/26643766.2024.v7.i3a.478","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.478","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33545/26643766.2024.v7.i3a.485
Mai M Abdelaziz, Tarek Abdel Hay Mostafa, Laila Elahwal, Shiamaa El Said Shaban
{"title":"The effect of ultrasound-guided bilateral single shot pecto-intercostal plane block on recovery after on-pump coronary bypass graft surgery, randomized controlled trial","authors":"Mai M Abdelaziz, Tarek Abdel Hay Mostafa, Laila Elahwal, Shiamaa El Said Shaban","doi":"10.33545/26643766.2024.v7.i3a.485","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.485","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33545/26643766.2024.v7.i3a.483
Dr. Juhi Rathod, Dr. Charmi Bhimbha, Dr. Rupal Shah
Introduction: The study contrasts peripheral nerve stimulator-guided and ultrasound-guided techniques for supraclavicular brachial plexus block in upper limb surgeries. Ultrasound guidance offers real-time nerve visualization and precise needle placement, reducing complications. Conversely, peripheral nerve stimulator methods may carry higher risks and lower success rates. By assessing success rates, complications, and patient satisfaction, the research aims to offer evidence-based recommendations for anesthesia practice. These findings contribute to refining techniques, enhancing patient safety
{"title":"Comparative study of nerve stimulator versus USG guided supraclavicular brachial plexus block: A randamized control trial","authors":"Dr. Juhi Rathod, Dr. Charmi Bhimbha, Dr. Rupal Shah","doi":"10.33545/26643766.2024.v7.i3a.483","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.483","url":null,"abstract":"Introduction: The study contrasts peripheral nerve stimulator-guided and ultrasound-guided techniques for supraclavicular brachial plexus block in upper limb surgeries. Ultrasound guidance offers real-time nerve visualization and precise needle placement, reducing complications. Conversely, peripheral nerve stimulator methods may carry higher risks and lower success rates. By assessing success rates, complications, and patient satisfaction, the research aims to offer evidence-based recommendations for anesthesia practice. These findings contribute to refining techniques, enhancing patient safety","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33545/26643766.2024.v7.i3a.482
Ayman Abdelmaksoud Yousef, G. Eid, W. E. Messbah, Eman Ahmed Azzam
Introduction: Pain can be intense after orthopedic surgeries. To improve analgesia and facilitate early mobilization, regional anaesthesia in the form of interscalene brachial plexus block is often used along with general anaesthesia for arthroscopic shoulder surgeries. Here we have studied postoperative analgesic effect of ultrasound guided interscalene block with Inj. Levobupivacaine, duration of action of said block (sensory and motor) as well as the overall analgesic consumption in the first 24 hours of postoperative period after addition of dexamethasone
{"title":"to study the effectiveness of dexamethasone as an adjuvant with levobupivacaine 0.5% in USG guided interscalene brachial plexus block for shoulder surgeries","authors":"Ayman Abdelmaksoud Yousef, G. Eid, W. E. Messbah, Eman Ahmed Azzam","doi":"10.33545/26643766.2024.v7.i3a.482","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.482","url":null,"abstract":"Introduction: Pain can be intense after orthopedic surgeries. To improve analgesia and facilitate early mobilization, regional anaesthesia in the form of interscalene brachial plexus block is often used along with general anaesthesia for arthroscopic shoulder surgeries. Here we have studied postoperative analgesic effect of ultrasound guided interscalene block with Inj. Levobupivacaine, duration of action of said block (sensory and motor) as well as the overall analgesic consumption in the first 24 hours of postoperative period after addition of dexamethasone","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.33545/26643766.2024.v7.i3a.480
D. Nr
{"title":"Retrospective study: The impact of BUHE positioning and video laryngoscopy on intubation success rates in the emergency department","authors":"D. Nr","doi":"10.33545/26643766.2024.v7.i3a.480","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i3a.480","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.33545/26643766.2024.v7.i2a.456
Dr. Bhumi Chokshi, Dr. Rupal J Shah
{"title":"Comparative study of bupivacaine plus (lignocaine + adrenaline) with dexmedetomidine as an adjuvant versus bupivacaine plus (lignocaine + adrenaline) alone in ultrasound-guided supraclavicular brachial plexus block","authors":"Dr. Bhumi Chokshi, Dr. Rupal J Shah","doi":"10.33545/26643766.2024.v7.i2a.456","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i2a.456","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.33545/26643766.2024.v7.i1a.441
Kareem Elsayed Ageeba, Hesham Ebrahim Eltatawy, Reda Sobhi Salama, Yasser Mohammed Amr, Lobna Mohammed AboAlnasr
{"title":"Effect of sedation with midazolam versus dexmedetomidine on gastric emptying assessed by gastric ultrasound in mechanically ventilated patients: A randomized control study","authors":"Kareem Elsayed Ageeba, Hesham Ebrahim Eltatawy, Reda Sobhi Salama, Yasser Mohammed Amr, Lobna Mohammed AboAlnasr","doi":"10.33545/26643766.2024.v7.i1a.441","DOIUrl":"https://doi.org/10.33545/26643766.2024.v7.i1a.441","url":null,"abstract":"","PeriodicalId":14146,"journal":{"name":"International Journal of Medical Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139639823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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