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Editorial Board
Publication date: December 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 3Author(s): (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - January 1, 2019 Category: Intensive Care Source Type: research

Welcome Letter from The guest editor
Publication date: December 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 3Author(s): Akram Abdelbary (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - January 1, 2019 Category: Intensive Care Source Type: research

Evaluation of coagulopathy on veno-arterial ECMO (VA) extracorporeal membrane oxygenation using platelet aggregometry and standard tests: A narrative review
Publication date: December 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 3Author(s): Poonam Malhotra Kapoor, Ameya Karanjkar, Vandana BhardwajAbstractExtracorporeal membrane oxygenation (ECMO) is an established therapy for patients with cardiac failure, pulmonary failure or cardiopulmonary failure. To suppress the activation of the coagulation cascade, anticoagulation is necessary. Unfractionated heparin (UFH) is typically used for achieving the levels of therapeutic anticoagulation (ACT 180-220). Recently, viscoelastic tests of coagulation such as thrombo-elastrographyc (TEG) and ROTEM are in...
Source: The Egyptian Journal of Critical Care Medicine - January 1, 2019 Category: Intensive Care Source Type: research

Post refractory CPR due to STEMI with three vessels disease complicated cardiac arrest, is it possible to recover the heart after revascularization by PCI post extracorporeal cardio pulmonary resuscitation (ECPR)?
Publication date: December 2018Source: The Egyptian Journal of Critical Care Medicine, Volume 6, Issue 3Author(s): A.A. Rabie, S. Alasmari, A. Asiri, M. Alsherbini, W. Alqassem, M. Rajab, E. Alenazi, J. ThomasAbstractHigh-risk percutaneous coronary intervention (PCI) remains a viable revascularization strategy for complex coronary arteries diseases. Selective PCI supported by extracorporeal membrane oxygenation (ECMO) is also a viable alternative for patients those are at very high risk for coronary artery bypass grafting (CABG). Extracorporeal membrane oxygenation (ECMO) can direct blood flow from the body to membrane oxy...
Source: The Egyptian Journal of Critical Care Medicine - January 1, 2019 Category: Intensive Care Source Type: research

Fulminant dengue myocarditis requiring VA ECMO support
Publication date: Available online 28 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Nanda Kishor Vuppali, Abhinav Pandey, Rushita Torkadi, Pallapotu Sandya, Ramadoss Nagarajan, Dharmapuram Anil Kumar, Sudeep VarmaAbstractDengue is endemic disease in India and tropical countries. It has a wide spectrum of presentation varying from asymptomatic to manifest as undifferentiated fever, dengue fever, dengue shock syndrome or dengue haemorrhagic fever. An increasing number of cases of dengue are being reported with atypical presentations such as dengue encephalitis, secondary bacterial infections, ...
Source: The Egyptian Journal of Critical Care Medicine - December 29, 2018 Category: Intensive Care Source Type: research

Role of ECMO in management of LVAD patient with infective endocarditis
Publication date: Available online 24 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Amr Farrag, Hatem Hosny, Mohamed Abdallah Alashat (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 25, 2018 Category: Intensive Care Source Type: research

Evaluation of coagulopathy on veno-arterial ECMO (VA) extracorporealmembraneoxygenation using platelet aggregometry and standard tests: A narrative review
Publication date: Available online 23 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Poonam Malhotra Kapoor, Ameya Karanjkar, Vandana BhardwajAbstractExtracorporeal membrane oxygenation (ECMO) is an established therapy for patients with cardiac failure, pulmonary failure or cardiopulmonary failure. To suppress the activation of the coagulation cascade, anticoagulation is necessary. Unfractionated heparin (UFH) is typically used for achieving the levels of therapeutic anticoagulation (ACT 180-220). Recently, viscoelastic tests of coagulation such as thrombo-elastrographyc (TEG) and ROTEM are i...
Source: The Egyptian Journal of Critical Care Medicine - December 24, 2018 Category: Intensive Care Source Type: research

ECCO2R case study
We report a patient with COPD exacerbation that failed NIV and placed on low flow ECCO2R. Low flow ECCO2R does not support oxygenation and only clears a proportion of the CO2 produced.Presentation of the case: a 64 y old women with severe COPD who failed NIV was placed on ECCO2R with the Hemolung system. The severe respiratory acidosis cleared and intubation was avoided. After a few days, she became more hypoxic, and the decision was made not to intubate this patient.There is increased CO2 production and decreased clearance of CO2 during COPD exacerbation. ECCO2R has been shown to improve mortality and decrease the need fo...
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

ECMO support for late presenting arterial switch operation; case report and review of literature
In conclusion, patients presenting for late arterial switch operation are at risk for left ventricular deconditioning and pulmonary hypertension. Deconditioned left ventricle may fail post repair with inability to handle systemic circulation. Among limited options for these challenging cases primary ASO with integrated ECMO support can be used to allow deconditioned left ventricle to recover its function and ability to handle systemic circulation. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

Role of ECMO in life threatening intoxication
Publication date: Available online 21 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Vivek Gupta, Rajiv Gupta, Gurpreet S. WanderAbstractAcute severe poisoning may lead to life threatening situation or death due to cardiovascular dysfunction or stunning, arrhythmia or cardiogenic shock. These substances include medications, substances used for addiction, house hold chemicals, industrial, plants and animal or vegetable toxicants. The poison profile varies in different parts of world; drugs with cardiotoxic potential are the common poisoning substances while pesticides and other house hold toxi...
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

Physiotherapy for ECMO patients
Publication date: Available online 21 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Marlice van DykAbstractPhysiotherapy is part of the overall care in an interdisciplinary intensive care unit. Patients on extracorporeal membrane oxygenation (ECMO) were previously deemed to be too unstable to mobilise. Safety is of paramount importance as these patients often have multiple large cannulas, monitoring and lines. Mobilisation protocols should be in place, and each team member must be aware of their role. Contra-indications for mobilisation should be adhered to, and patients should be monitored ...
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

A case of HITT in a child on extracorporeal Membrane Oxygenation
Publication date: Available online 21 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): S. Kalyan Kunchapudi, Greeshma Issac, Saravana Pandian, Indira Jayakumar (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

Comparison of ECMO run between H1N1 acute respiratory failure vs. non H1N1 acute respiratory failure
ConclusionsECMO is equally effective in Non H1N1 & H1N1 respiratory failure with much shorter ECMO run in Non H1N1 respiratory failure. Survival with ECMO in tropical infections like Malaria, Dengue & Leptospirosis is more than 60%. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 22, 2018 Category: Intensive Care Source Type: research

One hundred forty six days on extracorporeal membrane oxygenation (ECMO): Our longest ECMO run
ConclusionProlonged ECMO therapy poses its unique challenges. Multidisciplinary team management plays fundamental role during management of prolonged ECMO therapy. (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 21, 2018 Category: Intensive Care Source Type: research

Case report: Septic shock, addressing aspects of the organism and the resultant effects on the vasculature
Publication date: Available online 20 December 2018Source: The Egyptian Journal of Critical Care MedicineAuthor(s): Gerasimos Capatos (Source: The Egyptian Journal of Critical Care Medicine)
Source: The Egyptian Journal of Critical Care Medicine - December 21, 2018 Category: Intensive Care Source Type: research