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Article ; Online: The author replies.

Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed

2020 Volume 48, Issue 5, Page(s) e430

MeSH term(s)	Child ; Humans ; Tracheostomy
Language	English
Publishing date	2020-04-16
Publishing country	United States
Document type	Letter ; Research Support, Non-U.S. Gov't ; Comment
ZDB-ID	197890-1
ISSN	1530-0293 ; 0090-3493
ISSN (online)	1530-0293
ISSN	0090-3493
DOI	10.1097/CCM.0000000000004300
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Article ; Online: The authors reply.

Purcell, Andrew / Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed

Critical care medicine

2020 Volume 48, Issue 10, Page(s) e983–e984

MeSH term(s)	Algorithms ; Angiography ; Computed Tomography Angiography ; Humans ; Pulmonary Embolism
Language	English
Publishing date	2020-09-13
Publishing country	United States
Document type	Letter ; Research Support, Non-U.S. Gov't ; Comment
ZDB-ID	197890-1
ISSN	1530-0293 ; 0090-3493
ISSN (online)	1530-0293
ISSN	0090-3493
DOI	10.1097/CCM.0000000000004541
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Article ; Online: Hemodynamic Effects of Oxytocin and Carbetocin During Elective Cesarean Section in Preeclamptic Patients Under Spinal Anesthesia: A Randomized Double-blind Controlled Study.

Bahr, Mahmoud Hussein / Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed / Ahmed, Ahmed Goda / Elgamel, Amira Fouad / Abdelkader, Mohamed / Hussein, Hazem Abdelwaheb

Anesthesiology and pain medicine

2023 Volume 13, Issue 1, Page(s) e128782

Abstract: Background: Oxytocin and carbetocin are uterotonic medications that are used to decrease postpartum hemorrhage (PPH). However, there are not enough clinical data about the hemodynamic side effects of carbetocin.: Objectives: This study aimed to ... ...

Abstract	Background: Oxytocin and carbetocin are uterotonic medications that are used to decrease postpartum hemorrhage (PPH). However, there are not enough clinical data about the hemodynamic side effects of carbetocin. Objectives: This study aimed to compare carbetocin and oxytocin hemodynamic effects in preeclamptic patients undergoing elective cesarean section under spinal anesthesia. Methods: In this double-blind, randomized controlled trial, intravenous oxytocin or carbetocin was administered to 80 women (40 per group). The hemodynamic effects, such as blood pressure (BP), heart rate (HR), and oxygen (O Results: Based on the intragroup comparison, there was a significant increase in HR and a reduction in BP from baseline to all intervals after the administration of both interventions. Moreover, based on the intergroup comparison, there was a significantly more increase in HR and a decline in BP and O Conclusions: The minimal effect of carbetocin on patients' hemodynamics suggests extending the use of this drug instead of oxytocin as a uterotonic drug in patients with preeclampsia, hemorrhagic risk factors, and/or hypertension.
Language	English
Publishing date	2023-02-08
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	3018888-X
ISSN	2228-7531 ; 2228-7523
ISSN (online)	2228-7531
ISSN	2228-7523
DOI	10.5812/aapm-128782
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Article: Subfascial versus extrafascial ultrasound-guided stellate ganglion block in patients with post-mastectomy sympathetically mediated pain: A randomized clinical trial.

Elramely, Mohamed Adly / Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed / Hamza, Mohamed Khaled / Abdelhaq, Mohamed / Elayashy, Mohamed / Farag, Ehab / Ahmed, Ahmed Shaker Ragab

British journal of pain

2022 Volume 16, Issue 6, Page(s) 610–618

Abstract: Background: Despite being a well-described intervention, the optimal anatomical approach to perform a stellate ganglion block (SGB) has been disputed. We compared the subfascial and extrafascial ultrasound-guided (USG) SGB.: Methods: A randomised ... ...

Abstract	Background: Despite being a well-described intervention, the optimal anatomical approach to perform a stellate ganglion block (SGB) has been disputed. We compared the subfascial and extrafascial ultrasound-guided (USG) SGB. Methods: A randomised clinical trial was conducted, consisting of 50 patients in two groups. Group I received SGB via the subfascial approach while Group II received an SGB via the extrafascial approach. The primary endpoint was successful sympathetic blockade (as indicated by a measured temperature rise of ≥2°C). Secondary endpoints included analgesic efficiency (extent of early onset of pain relief as indicated by >50% improvement in Visual Analogue Scale (VAS) score at 300's post-procedure); occurrence of Horner's syndrome; extent of local anaesthetic distribution; and adverse events. Results: The mean increase in sympathetic blockade was significantly higher in the subfascial group (2.6 ± 0.6°C; Conclusions: The degree of temperature rise, pain relief and occurrence of Horner's syndrome were higher in the subfascial than the extrafascial group. The subfascial approach to SGB, with a limited volume of local anaesthetic agent, is a more reliable technique when compared to the extrafascial approach.
Language	English
Publishing date	2022-06-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2670872-3
ISSN	2049-4645 ; 2049-4637
ISSN (online)	2049-4645
ISSN	2049-4637
DOI	10.1177/20494637221109681
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Article ; Online: Too noisy to sleep safely?-An observational study of noise levels and distractions during critical phases of pediatric anesthesia.

Monaghan, Myles / Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed / Holmes, Chris

Paediatric anaesthesia

2020 Volume 30, Issue 12, Page(s) 1402–1408

Abstract: Background: Noise and distraction are recognized as contributing factors in critical incidents associated with surgery and anesthesia. In addition, excessive noise exposure can have negative effects on patients and staff members in these environments.!## ...

Abstract	Background: Noise and distraction are recognized as contributing factors in critical incidents associated with surgery and anesthesia. In addition, excessive noise exposure can have negative effects on patients and staff members in these environments. Aims: We aimed to quantify noise exposure of the anesthesiology team and patients in pediatric operating theaters, comparing them to adult studies, internationally recognized standards, and identifying factors contributing to noise and/or distraction. Methods: We measured noise levels during three phases of anesthesia (pre-induction, induction, and postinduction/maintenance) and recorded additional environmental sources of distraction and noise. Results: We included 49 theater cases. The median and interquartile range (IQR) of mean noise levels during pre-induction, induction, and maintenance were 61 (59.7-63.5), 61.9 (60.6-63.3), and 61.6 (60.4-63.7) dB, respectively, while the median (IQR) of maximal noise levels was 81.4 (77.3-86.8), 83.7 (78.5-87.4), and 86.3 (84.6-90.4), respectively. There was an average of 8.3 people present in the room during induction. In 23 cases, there were additional unnecessary conversations occurring within the room at induction. We noted the maintenance phase was the noisiest phase of anesthesia. We recorded frequent potential sources of distraction during pre-induction and induction, though no significant correlations between these distractions and recorded noise levels. Conclusions: We documented noise levels well above recommended levels during all phases of pediatric anesthesia. We highlighted factors with potential to contribute to noise and distraction but found no statistically significant correlation with noise levels.
MeSH term(s)	Adult ; Anesthesia ; Anesthesiology ; Child ; Humans ; Noise ; Operating Rooms ; Sleep
Language	English
Publishing date	2020-10-27
Publishing country	France
Document type	Journal Article ; Observational Study
ZDB-ID	1086049-6
ISSN	1460-9592 ; 1155-5645
ISSN (online)	1460-9592
ISSN	1155-5645
DOI	10.1111/pan.14036
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed / Conroy, Patrick / Khaled Hamza, Mohamed / Purcell, Andrew / Murphy, Ian / Snyman, Lindi

Critical care medicine

2020 Volume 48, Issue 12, Page(s) e1378–e1379

MeSH term(s)	Algorithms ; Angiography ; Computed Tomography Angiography ; Humans ; Pulmonary Embolism
Language	English
Publishing date	2020-11-27
Publishing country	United States
Document type	Letter ; Research Support, Non-U.S. Gov't ; Comment
ZDB-ID	197890-1
ISSN	1530-0293 ; 0090-3493
ISSN (online)	1530-0293
ISSN	0090-3493
DOI	10.1097/CCM.0000000000004701
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Article ; Online: The authors reply.

Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed / Conroy, Patrick / Hamza, Mohamed Khaled / Murphy, Ian / Purcell, Andrew / McGuire, David

Critical care medicine

2020 Volume 48, Issue 8, Page(s) e731–e732

MeSH term(s)	Algorithms ; Angiography ; Computed Tomography Angiography ; Humans ; Pulmonary Embolism
Language	English
Publishing date	2020-07-22
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	197890-1
ISSN	1530-0293 ; 0090-3493
ISSN (online)	1530-0293
ISSN	0090-3493
DOI	10.1097/CCM.0000000000004454
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Article ; Online: The Use of Transesophageal Doppler and Central Venous Oxygen Saturation as Predictors of Weaning Success.

Mostafa, Hanan Mohamed Mohamed Mohamed / Mattar, Mohamed Amr Abd El-Fattah / Gouda, Niveen Mahmoud Abd El-Malek / Alkhatip, Ahmed Abdelaal Ahmed Mahmoud M / Hamza, Mohamed Khaled Mohamed

Journal of cardiothoracic and vascular anesthesia

2022 Volume 36, Issue 8 Pt B, Page(s) 2884–2890

Abstract: Objectives: Weaning individuals from mechanical ventilation (MV) is a challenge to physicians. Respiratory failure is the main reason for weaning failure (WF), but heart failure plays a pivotal role as well. Transesophageal Doppler (TED) is a minimally ... ...

Abstract	Objectives: Weaning individuals from mechanical ventilation (MV) is a challenge to physicians. Respiratory failure is the main reason for weaning failure (WF), but heart failure plays a pivotal role as well. Transesophageal Doppler (TED) is a minimally invasive method of hemodynamic tracking with fewer problems. The study authors evaluated the role of TED in predicting WF. Design: An observational study. Setting: A university teaching hospital. Participants: Weaning individuals. Interventions: TED was applied before initiating the spontaneous breathing trial (SBT). Hemodynamic parameters, arterial blood gases, and TED (peak velocity [PV], cardiac output [COP]) were reported while cases were on MV before initiating the SBT, and at the successful completion of SBT. Succeeded (group S) and failed individuals (group F, who needed reintubation within 48 hours) were compared. The sensitivity, specificity, and area under the receiver operating curve were calculated. A subgroup of patients with cardiac comorbidities and impaired cardiac contractility was further analyzed. Measurements and main results: The authors included 39 critically ill patients for weaning from MV. The reintubation rate was 54.8%. In patients with cardiac morbidity, delta change (dC) in PV and COP as predictors of WF showed 100% sensitivity and specificity, with 18% and 14% cut-offs after initiating the SBT (dC between the beginning and end of the successful SBT), respectively. Central venous oxygen saturation revealed a significant difference between patients with cardiac morbidity and noncardiac patients with lower sensitivity and specificity in the prediction of WF. Conclusions: TED could be a helpful method for the weaning of patients with cardiac morbidity from MV. The dC in PV and COP >18% and >14% were significant predictors of WF in these subjects, respectively.
MeSH term(s)	Critical Illness ; Humans ; Oxygen Saturation ; Respiration, Artificial/methods ; Respiratory Insufficiency ; Ventilator Weaning/methods
Language	English
Publishing date	2022-01-13
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	1067317-9
ISSN	1532-8422 ; 1053-0770
ISSN (online)	1532-8422
ISSN	1053-0770
DOI	10.1053/j.jvca.2022.01.010
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Zs.A 2203: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 31: Show issues

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Article: Research Output from the Irish Paediatric Hospitals in the Field of Anaesthesia and Intensive Care Over 10 Years: A Bibliometric Analysis.

Alkhatip, Ahmed Abdelaal Ahmed Mahmoud M / Younis, Mohamed / Holmes, Chris / Sallam, Amr

Turkish journal of anaesthesiology and reanimation

2019 Volume 48, Issue 3, Page(s) 223–228

Abstract: Objective: To the best of our knowledge, no bibliometric studies have characterised the paediatric anaesthesia research in Ireland. In this study, we aim to analyse the research output from two anaesthetic departments in Irish paediatric hospitals.: ... ...

Abstract	Objective: To the best of our knowledge, no bibliometric studies have characterised the paediatric anaesthesia research in Ireland. In this study, we aim to analyse the research output from two anaesthetic departments in Irish paediatric hospitals. Methods: A Scopus database search was conducted to identify the publications from 2007 to 2018 of the departments of anaesthesia and intensive care medicine in the Children's University Hospital, Temple Street (CUH), and Our Lady's Children's Hospital, Crumlin (OLCHC). Results: The Irish publications in paediatric anaesthesia and intensive care included 108 publications. CUH and OLCHC published 37 (34.9%) and 73 (68.8%) documents, respectively, with 6 (5.6%) documents affiliated with both hospitals. The number of original research articles was 28 (75.7%) for CUH versus 46 (63%) for OLCHC. The number of published reviews was 5 (13.5%) for CUH versus 11 (15.1%) for OLCHC. Over the last 2 years (2016, 2017), the number of OLCHC publications was almost double (13 and 14 publications) that of CUH (4 and 6 publications). For CUH, only two publications were in specialised journals. For OLCHC, 18 publications were in specialised journals, in addition to four publications in high-ranked journals. The mean impact factor for CUH publications was 3.78 (standard deviation [SD], 7.19) versus 4.52 (SD, 10.56) for OLCHC. From OLCHC, 20 authors published with a median h-index of 2.00 (interquartile range, 0-4.25), versus 14 authors form CUH with a median h-index of 1.50 (1.00-4.50). Conclusion: Anaesthetic publications from the two Irish paediatric hospitals are unexceptional and with limited cooperation between the two hospitals. Research plans should be implemented.
Language	English
Publishing date	2019-10-22
Publishing country	Turkey
Document type	Journal Article
ISSN	2667-677X
ISSN	2667-677X
DOI	10.5152/TJAR.2019.06787
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Article ; Online: YEARS Algorithm Versus Wells' Score: Predictive Accuracies in Pulmonary Embolism Based on the Gold Standard CT Pulmonary Angiography.

Abdelaal Ahmed Mahmoud M Alkhatip, Ahmed / Donnelly, Maria / Snyman, Lindi / Conroy, Patrick / Hamza, Mohamed Khaled / Murphy, Ian / Purcell, Andrew / McGuire, David

Critical care medicine

2021 Volume 48, Issue 5, Page(s) 704–708

Abstract: Objectives: This study retrospectively applied Wells' score and YEARS algorithm to the same sample of patients to evaluate the predictive performance of each when compared with the gold standard CT pulmonary angiography.: Design: Retrospective ... ...

Abstract	Objectives: This study retrospectively applied Wells' score and YEARS algorithm to the same sample of patients to evaluate the predictive performance of each when compared with the gold standard CT pulmonary angiography. Design: Retrospective analytical study. Setting: A tertiary University Hospital in Ireland. Patients: Data from 794 patients who underwent CT pulmonary angiography to rule out pulmonary embolism. Interventions: Patients were analyzed using retrospective application of both Wells' score and YEARS algorithm. Sensitivity, specificity, and diagnostic odds ratio were calculated and compared. Measurements and main results: Of 794 scans, 78 (9.8%) were positive for pulmonary embolism. The YEARS algorithm was more sensitive than the Wells' score (97.44% vs 74.36%) but was less specific (13.97% vs 33.94%). Furthermore, the diagnostic odds ratio of YEARS was higher than Wells' score (6.27 vs 1.48). YEARS provides better negative predictive value (98% vs 92.4%), and both scores have poor positive predictive value (10.9%). Conclusions: Both scores successfully exclude pulmonary embolism, although YEARS has a better negative predictive value. Both exhibit poor positive predictive value.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Algorithms ; Computed Tomography Angiography/standards ; Female ; Fibrin Fibrinogen Degradation Products/analysis ; Humans ; Ireland ; Male ; Middle Aged ; Predictive Value of Tests ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/diagnostic imaging ; Retrospective Studies ; Risk Assessment ; Socioeconomic Factors ; Surveys and Questionnaires/standards ; Tertiary Care Centers
Chemical Substances	Fibrin Fibrinogen Degradation Products ; fibrin fragment D
Language	English
Publishing date	2021-01-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	197890-1
ISSN	1530-0293 ; 0090-3493
ISSN (online)	1530-0293
ISSN	0090-3493
DOI	10.1097/CCM.0000000000004271
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