Publications by authors named "Mohamed Fekih-Hassen"
Introduction: In response to the important influx of critically ill patients as well as resources limitation, simulation would be a tool ensuring the continuum of medical training.
Aim: To assess the impact of simulation training on both education and performance related to protocol development during COVID-19 pandemic, in critical care.
Methods: This scoping review was written in accordance with the PRISMA Guideline.
Background: Patients with COPD are at a high risk for pulmonary embolism (PE) because of systemic inflammation and co-existing comorbidities. We aimed to determine the incidence, risk factors, and impact of PE during COPD exacerbation requiring mechanical ventilation.
Methods: This prospective cohort study was conducted between March 2013 and May 2017.
Objectives: The best modality of administration of hydrocortisone during septic shock has been poorly evaluated and the guidelines remain unclear in this respect. This study aimed to compare bolus of hydrocortisone to a continuous infusion during septic shock.
Design: Randomized controlled, open-label trial.
Objective: Collect, through a literature review, the indicators recommended for the measurement of performance in the Intensive Care Unit (ICU) and determine their typology.
Methods: This systematic review was conducted in Medline, using the following search strategy: ("Critical Care"[Mesh] or "Critical Care Nursing"[Mesh] or "Intensive Care Units"[Mesh]) and "Quality Indicators, Health Care"[Mesh] and (hasabstract[text] and "2012/01/01"[PDat]: "2016/12/31"[PDat] AND "humans"[MeSH Terms] and [English(lang) or French(lang)]).
Results: Overall, a total of 176 articles were selected for inclusion, of which 140 articles were available.
Background: The incidence and risk factors for delirium vary among studies.
Objective: We aimed to determine the incidence, risk factors, and impact on outcome of delirium in a medical Intensive Care Unit (ICU) in Tunisia using a prospective observational study.
Patients: All consecutive patients admitted to the ICU between May 2012 and April 2013 were included if they were aged more than 18 years and had an ICU stay of more than 24 h.
Outbreak of colistin-resistant carbapenemase-producing Klebsiella pneumoniae in Tunisia.
J Glob Antimicrob Resist
September 2017
Objectives: Mechanisms of colistin and carbapenem resistance among a collection of Klebsiella pneumoniae isolates recovered in a university hospital in Tunisia were studied.
Methods: In vitro antimicrobial susceptibility testing, S1 nuclease pulsed-field gel electrophoresis (S1-PFGE), Southern blotting and PCR-based replicon typing (PBRT) were performed. Extended-spectrum β-lactamases (ESBLs), carbapenemases, AmpC-type enzymes and mgrB genes were detected by PCR and sequencing.
Context: Scorpion envenomation is a threat to more than 2 billion people worldwide with an annual sting number exceeding one million. Acute heart failure presenting as cardiogenic shock or pulmonary edema, or both is the most severe presentation of scorpion envenomation accounting for 0.27% lethality rate.
View Article and Find Full Text PDFBackground And Objective: The aim of this study was to assess the performance of N-terminal proB-type natriuretic peptide (NT-proBNP) levels for the diagnosis of left ventricular dysfunction in patients with severe acute exacerbations of chronic obstructive pulmonary disease (COPD) and renal dysfunction.
Methods: NT-proBNP levels at admission were measured in consecutive patients admitted to two participating intensive care units with acute exacerbations of COPD. Left ventricular dysfunction was assessed on the basis of clinical and echocardiographic criteria.
Objective: To evaluate the prognostic value of hemoglobin levels in critically ill patients with acute renal failure (ARF) requiring dialysis.
Design And Setting: A prospective observational cohort study in two adult medical ICUs.
Patients: 206 consecutive patients with ARF who required dialysis.