Publications by authors named "Ahmed Labib"

Background: Liberation from sedation may be beneficial for patients with acute respiratory distress syndrome supported by veno-venous (VV) extracorporeal membrane oxygenation (ECMO). Currently, there is limited evidence to support this approach. Therefore, this study aimed to compare the 90-day patient mortality of different sedation strategies in COVID-19 patients supported with VV ECMO.

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The use of extracorporeal membrane oxygenation (ECMO) to support the pregnant patient and fetus requires a complex decision-making process. Peripartum ECMO requires coordinated and informed decision-making between an interdisciplinary team of experts, incorporating the unique considerations and, at times, competing physiologic priorities of the pregnant patient. It is often confounded by a scarcity of local relevant experience engendered by its rare occurrence.

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Article Synopsis
  • ECMO is utilized as a critical therapy for COVID-19 patients suffering from severe ARDS, but bleeding and thrombotic complications are significant issues during treatment.
  • Data from a global study involving over 1,200 severe COVID-19 patients on ECMO indicates that 38% experienced coagulation issues, with 54% facing hemorrhagic complications and higher mortality rates among those with bleeding.
  • The study suggests that while coagulation disorders are common and serious in these patients, the associated mortality risk may be lower than earlier reports from single-nation studies.
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Article Synopsis
  • * A group of 22 global ECMO experts collaborated to interpret recent research findings, reformulate questions, and draft statements about ECMO usage through a structured process involving voting and discussion.
  • * The first phase identified 52 controversial questions regarding ECMO for COVID-19, which were narrowed down to nine main topics and 32 validated questions for further investigation, achieving a validation rate of over 75%.
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Objectives: To determine the prevalence and outcomes associated with hemorrhage, disseminated intravascular coagulopathy, and thrombosis (HECTOR) complications in ICU patients with COVID-19.

Design: Prospective, observational study.

Setting: Two hundred twenty-nine ICUs across 32 countries.

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Article Synopsis
  • Obesity negatively affects the prognosis of COVID-19 patients with acute respiratory distress syndrome (ARDS), particularly those requiring veno-venous extracorporeal membrane oxygenation (V-V ECMO).
  • An observational study analyzed data from 354 patients on V-V ECMO across 82 institutions, finding no significant differences in characteristics between high BMI (over 40 kg/m²) and lower BMI groups, though the high BMI group was younger and had a lower severity score.
  • Survival analysis revealed that both older age and higher BMI are associated with increased risk of death in these patients, with no specific cutoff BMI identified; rather, the risk rises steadily with increasing BMI.
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Background And Aim: The transport of coronavirus-2019 (COVID-19) patients on extracorporeal membrane oxygenation (ECMO) is a challenging situation, especially for healthcare workers (HCWs), due to the risk of cross-infection. Hence, certain precautions are needed for their safety. The study aims to evaluate the risk of COVID-19 transmission to HCWs who transport COVID-19 patients on ECMO device.

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Objectives: This study aimed at investigating the effects of an extracorporeal membrane oxygenation (ECMO) service on Burnout syndrome (BOS) development in the intensive care unit (ICU).

Design: The authors conducted a cross-sectional descriptive study.

Settings: Eight ICUs within 5 tertiary hospitals in 1 country.

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Background: Burnout syndrome (BOS) is a job-related stress disorder featured by three main cardinal manifestations: emotional exhaustion (EE), reduced personal accomplishment (PA), and depersonalization (DP).

Aim: We aimed to report the prevalence of burnout and the impact of leadership and work condition on the burnout among respiratory therapists (RT) are front-line practitioners in many critical settings.

Methods: We surveyed RT in eight intensive care units (ICU) at five tertiary hospitals, under one medical corporation, using three instruments: the Maslach Burnout Inventory Human Services Survey for Medical Personnel, Condition of Work Effectiveness Questionnaire (CWEQ), and Leadership behaviours scale.

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This guideline for the preparation for and undertaking of transport and retrieval of patients on extracorporeal membrane oxygenation (ECMO) is intended for educational use to build the knowledge of physicians and other health professionals in assessing the conditions and managing the treatment of patients undergoing ECLS / ECMO and describe what are believed to be useful and safe practice for extracorporeal life support (ECLS, ECMO) but these are not necessarily consensus recommendations. The aim of clinical guidelines are to help clinicians to make informed decisions about their patients. However, adherence to a guideline does not guarantee a successful outcome.

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Previous experience has shown that transporting patients on extracorporeal membrane oxygenation (ECMO) is a safe and effective mode of transferring critically ill patients requiring maximum mechanical ventilator support to a quaternary care center. The coronavirus disease 2019 (COVID-19) pandemic posed new challenges. This is a multicenter, retrospective study of 113 patients with confirmed severe acute respiratory syndrome coronavirus 2, cannulated at an outside hospital and transported on ECMO to an ECMO center.

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Extracorporeal life support and extracorporeal membrane oxygenation (ECMO) are widely used for acute severe refractory cardiac and respiratory failure. An increasing number of patients are treated with ECMO worldwide. This can be attributed to technical and technologic advancements, easier access to modern equipment, and more regular and accessible training opportunities for practitioners to maintain current skills and develop new ones.

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Sepsis Care Pathway 2019.

Qatar Med J

November 2019

Sepsis, a medical emergency and life-threatening disorder, results from abnormal host response to infection that leads to acute organ dysfunction. Sepsis is a major killer across all ages and countries and remains the most common cause of admission and death in the Intensive Care Unit (ICU). The true incidence remains elusive and estimates of the global burden of sepsis remain a wild guess.

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Introduction/aim: The patient's condition and high-risk nature of extracorporeal membrane oxygenation (ECMO) therapy force clinical services to ensure clinicians are properly trained and always ready to deal effectively with critical situations. Simulation-based education (SBE), from the simplest approaches to the most immersive modalities, helps promote optimum individual and team performance. The risks of SBE are negative learning, inauthenticity in learning and over-reliance on the participants' suspension of disbelief.

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Objective: Traumatic brachial plexopathies can be devastating injuries. In addition to motor and sensory deficits, pain and functional limitations can be equally debilitating. We sought to evaluate functional outcome and quality of life using statistically validated tools.

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