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  1. AU="Heyba, Mohammed"
  2. AU="Geno, Connie S"
  3. AU=Hussein Ahmed A.
  4. AU="Ringsten, Martin"

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  1. Artikel ; Online: Improving Postanesthesia Care Unit (PACU) Delays: A Quality Improvement Project.

    Heyba, Mohammed / Qasem, Fatemah / Ibrahim, Abdelrady S / Habib, Tharwat / Akl, Hisham / Al-Matouq, Shaikha M

    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses

    2024  

    Abstract: Purpose: Delays within the postanesthesia care unit (PACU) are a major cause of complications and inefficiency. In this project, we investigated the factors associated with delays in the PACU and implemented policies to mitigate these factors.: Design! ...

    Abstract Purpose: Delays within the postanesthesia care unit (PACU) are a major cause of complications and inefficiency. In this project, we investigated the factors associated with delays in the PACU and implemented policies to mitigate these factors.
    Design: A quality improvement project.
    Methods: Data were collected for 10 months and included 1,134 surgical patients in a tertiary Obstetrics and Gynecology hospital in Kuwait. Several meetings were held with stakeholders to identify and overcome the reasons contributing to delays within the PACU.
    Findings: Among the top reasons for PACU delay were manpower shortage and lack of bed availability in the surgical wards due to improper admission and discharge policies. Policies were implemented to improve admission policy, hasten patient discharge, and improve patient flow through the operating theater (OT). These policies lead to a significant reduction (25 minutes) in the average time patients spend in the OT, mainly by reducing the stay in the PACU by 19 minutes.
    Conclusions: PACU delays were mostly due to reasons outside the OT. Further, follow-up is needed to assess the sustainability of these improvements and identify any new challenges that may arise.
    Sprache Englisch
    Erscheinungsdatum 2024-02-14
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1329844-6
    ISSN 1532-8473 ; 0883-9433 ; 1089-9472
    ISSN (online) 1532-8473
    ISSN 0883-9433 ; 1089-9472
    DOI 10.1016/j.jopan.2023.12.001
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: Detection and Management of Intraoperative Pneumothorax during Laparoscopic Cholecystectomy.

    Heyba, Mohammed / Rashad, Areej / Al-Fadhli, Abdul-Aziz

    Case reports in anesthesiology

    2020  Band 2020, Seite(n) 9273903

    Abstract: Intraoperative pneumothorax is a rare but potentially lethal complication during general anesthesia. History of lung disease, barotrauma, and laparoscopic surgery increase the risk of developing intraoperative pneumothorax. The diagnosis during surgery ... ...

    Abstract Intraoperative pneumothorax is a rare but potentially lethal complication during general anesthesia. History of lung disease, barotrauma, and laparoscopic surgery increase the risk of developing intraoperative pneumothorax. The diagnosis during surgery could be difficult because the signs are often nonspecific. We report a case of a middle-aged gentleman who developed right pneumothorax during an elective laparoscopic cholecystectomy. The patient had no risk factors for adverse events during the preoperative assessment (ASA1). The patient underwent general anesthesia and was put on mechanical ventilation. The first signs of abnormality immediately after surgical port insertion were tachycardia and low oxygen saturation in addition to sings of airway obstruction. The diagnosis of pneumothorax was made clinically by chest auscultation and later confirmed by intraoperative chest radiograph. Supportive treatment was started immediately through halting the surgery and manually ventilating the patient using 100% oxygen. Definitive treatment was then done by inserting an intercostal tube. After stabilizing the patient, the surgery was completed; then, the patient was extubated and shifted to the surgical ward. Postoperative computed tomography (CT) scan was done and showed only minimal liver laceration. The patient was discharged after removing the intercostal tube and was stable at the follow-up visit. Therefore, it is important to have a high index of suspicion to early detect and treat such complication. In addition, good communication with the surgeon and use of available diagnostic tools will aid in the proper management of such cases.
    Sprache Englisch
    Erscheinungsdatum 2020-04-07
    Erscheinungsland United States
    Dokumenttyp Case Reports
    ZDB-ID 2659087-6
    ISSN 2090-6390 ; 2090-6382
    ISSN (online) 2090-6390
    ISSN 2090-6382
    DOI 10.1155/2020/9273903
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel: Severe Intraoperative Bradycardia during Laparoscopic Cholecystectomy due to Rapid Peritoneal Insufflation.

    Heyba, Mohammed / Khalil, Ahmed / Elkenany, Yasser

    Case reports in anesthesiology

    2020  Band 2020, Seite(n) 8828914

    Abstract: Laparoscopy is becoming increasingly popular in gynecological and general surgical operations. There are complications that are inherent to the laparoscopy techniques; amongst them is intraoperative vagal-mediated bradycardia that results from peritoneal ...

    Abstract Laparoscopy is becoming increasingly popular in gynecological and general surgical operations. There are complications that are inherent to the laparoscopy techniques; amongst them is intraoperative vagal-mediated bradycardia that results from peritoneal stretching. This can occur due to high flow rate of gas during peritoneal insufflation, a practice still happening nowadays. We report a case of a middle-aged hypertensive patient who was undergoing elective laparoscopic cholecystectomy. The patient was assessed more than once preoperatively by the anesthesia team for blood pressure optimization. The patient underwent general anesthesia and developed severe bradycardia immediately after peritoneal insufflation. The management started immediately by stopping the insufflation and deflating the abdomen. Afterwards, atropine was administered intravenously, and CPR was started preemptively according to the ACLS protocol to prevent the patient from progressing into cardiac arrest. She responded to the management and became vitally stable within one minute. After confirming that there was no cardiac or metabolic insult through rapid blood investigations and agreeing that the cause of bradycardia was the rapid insufflation, the surgical team proceeded with the surgery in the same setting using low flow rate of CO
    Sprache Englisch
    Erscheinungsdatum 2020-06-06
    Erscheinungsland United States
    Dokumenttyp Case Reports
    ZDB-ID 2659087-6
    ISSN 2090-6390 ; 2090-6382
    ISSN (online) 2090-6390
    ISSN 2090-6382
    DOI 10.1155/2020/8828914
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Viability and Contractility of Rat Brain Pericytes in Conditions That Mimic Stroke; an

    Heyba, Mohammed / Al-Abdullah, Lulwa / Henkel, Andreas W / Sayed, Zeinab / Malatiali, Slava A / Redzic, Zoran B

    Frontiers in neuroscience

    2019  Band 13, Seite(n) 1306

    Abstract: Reopening of the cerebral artery after occlusion often results in "no-reflow" that has been attributed to the death and contraction ( ...

    Abstract Reopening of the cerebral artery after occlusion often results in "no-reflow" that has been attributed to the death and contraction (
    Sprache Englisch
    Erscheinungsdatum 2019-12-05
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2411902-7
    ISSN 1662-453X ; 1662-4548
    ISSN (online) 1662-453X
    ISSN 1662-4548
    DOI 10.3389/fnins.2019.01306
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Microbiological contamination of mobile phones of clinicians in intensive care units and neonatal care units in public hospitals in Kuwait.

    Heyba, Mohammed / Ismaiel, Mohammad / Alotaibi, Abdulrahman / Mahmoud, Mohamed / Baqer, Hussain / Safar, Ali / Al-Sweih, Noura / Al-Taiar, Abdullah

    BMC infectious diseases

    2015  Band 15, Seite(n) 434

    Abstract: Background: The objective of this study was to explore the prevalence of microbiological contamination of mobile phones that belong to clinicians in intensive care units (ICUs), pediatric intensive care units (PICUs), and neonatal care units (NCUs) in ... ...

    Abstract Background: The objective of this study was to explore the prevalence of microbiological contamination of mobile phones that belong to clinicians in intensive care units (ICUs), pediatric intensive care units (PICUs), and neonatal care units (NCUs) in all public secondary care hospitals in Kuwait. The study also aimed to describe mobile phones disinfection practices as well as factors associated with mobile phone contamination.
    Methods: This is a cross-sectional study that included all clinicians with mobile phones in ICUs, PICUs, and NCUs in all secondary care hospitals in Kuwait. Samples for culture were collected from mobile phones and transported for microbiological identification using standard laboratory methods. Self-administered questionnaire was used to gather data on mobile phones disinfection practices.
    Results: Out of 213 mobile phones, 157 (73.7 %, 95 % CI [67.2-79.5 %]) were colonized. Coagulase-negative staphylococci followed by Micrococcus were predominantly isolated from the mobile phones; 62.9 % and 28.6 % of all mobile phones, respectively. Methicillin-resistant Staphylococcus aureus (MRSA) and Gram-negative bacteria were identified in 1.4 % and 7.0 % of the mobile phones, respectively. Sixty-eight clinicians (33.5 %) reported that they disinfected their mobile phones, with the majority disinfecting their mobile phones only when they get dirty. The only factor that was significantly associated with mobile phone contamination was whether a clinician has ever disinfected his/her mobile phone; adjusted odds ratio 2.42 (95 % CI [1.08-5.41], p-value = 0.031).
    Conclusion: The prevalence of mobile phone contamination is high in ICUs, PICUs, and NCUs in public secondary care hospitals in Kuwait. Although some of the isolated organisms can be considered non-pathogenic, various reports described their potential harm particularly among patients in ICU and NCU settings. Isolation of MRSA and Gram-negative bacteria from mobile phones of clinicians treating patients in high-risk healthcare settings is of a major concern, and calls for efforts to consider guidelines for mobile phone disinfection.
    Mesh-Begriff(e) Adult ; Cell Phone ; Cross-Sectional Studies ; Female ; Gram-Negative Bacteria/isolation & purification ; Hospitals, Public ; Humans ; Intensive Care Units ; Intensive Care Units, Neonatal ; Intensive Care Units, Pediatric ; Kuwait ; Male ; Methicillin-Resistant Staphylococcus aureus/isolation & purification ; Middle Aged ; Odds Ratio ; Prevalence ; Secondary Care Centers
    Sprache Englisch
    Erscheinungsdatum 2015-10-15
    Erscheinungsland England
    Dokumenttyp Journal Article
    ISSN 1471-2334
    ISSN (online) 1471-2334
    DOI 10.1186/s12879-015-1172-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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