0000000000605773

AUTHOR

Samir G. Sakka

showing 3 related works from this author

B-Lines for the assessment of extravascular lung water: Just focused or semi-quantitative?

2020

BACKGROUND B-lines as typical artefacts of lung ultrasound are considered as surrogate measurement for extravascular lung water. However, B-lines develop in the sub-pleural space and do not allow assessment of the whole lung. Here, we present data from the first observational multi-centre study focusing on the correlation between a B-lines score and extravascular lung water in critically ill patients suffering from a variety of diseases. PATIENTS AND METHODS In 184 adult patients, 443 measurements were obtained. B-lines were counted and expressed in a score which was compared to extravascular lung water, measured by single-indicator transpulmonary thermodilution. Appropriate correlation coe…

AdultLung DiseasesMalemedicine.medical_specialtyOxygenation indexCritical IllnessThermodilutionSensitivity and Specificity03 medical and health sciencesYoung Adult0302 clinical medicineInternal medicinemedicineHumans030212 general & internal medicineProspective StudiesLungAgedUltrasonographyAged 80 and overLungReceiver operating characteristicCritically illbusiness.industry030208 emergency & critical care medicineGeneral MedicineOxygenationMiddle Agedrespiratory tract diseasesLung ultrasoundAnesthesiology and Pain MedicineLung watermedicine.anatomical_structureExtravascular Lung WaterCardiologyFemalebusinessSemi quantitativeActa anaesthesiologica ScandinavicaREFERENCES
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Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces posto…

2013

Introduction Several single-center studies and meta-analyses have shown that perioperative goal-directed therapy may significantly improve outcomes in general surgical patients. We hypothesized that using a treatment algorithm based on pulse pressure variation, cardiac index trending by radial artery pulse contour analysis, and mean arterial pressure in a study group (SG), would result in reduced complications, reduced length of hospital stay and quicker return of bowel movement postoperatively in abdominal surgical patients, when compared to a control group (CG). Methods 160 patients undergoing elective major abdominal surgery were randomized to the SG (79 patients) or to the CG (81 patien…

MaleMean arterial pressuremedicine.medical_specialtyCardiac indexBlood PressureCritical Care and Intensive Care MedicinePatient Care PlanningPerioperative CarePostoperative ComplicationsMonitoring Intraoperativemedicine.arterymedicineHumansProspective StudiesRadial arteryAgedAged 80 and overArterial pulse pressurebusiness.industryResearchHemodynamicsPerioperativeMiddle AgedSurgeryPulse pressureBlood pressureElective Surgical ProceduresAnesthesiaRadial ArteryFemalebusinessAbdominal surgeryCritical Care
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Global End-Diastolic Volume

2021

Global end-diastolic volume (GEDV) as determined at the bedside by the transpulmonary technique is a reliable marker of cardiac preload in critically ill patients. As shown by numerous studies, GEDV is superior to cardiac filling pressures in various settings in anesthesia and intensive care medicine in patients undergoing mechanical ventilation. Furthermore, in scenarios such as open-chest conditions, GEDV should be particularly considered and used for these purposes as dynamic parameters are associated with limitations. Clinical data from patients undergoing elective cardiac and noncardiac surgery showed that goal-directed treatment using GEDV for preload assessment is associated with the…

Mechanical ventilationmedicine.medical_specialtyCritically illbusiness.industrymedicine.medical_treatmentHemodynamicsIntensive care unitlaw.inventionClinical trialPreloadlawVasoactivemedicineEnd-diastolic volumeIntensive care medicinebusiness
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