Publications by authors named "Sonia Rafi"

Introduction: Out-of-hospital cardiac arrest (OHCA) is a major public health issue. The prognosis is closely related to the time from collapse to return of spontaneous circulation. Resuscitation efforts are frequently initiated at the request of emergency call center professionals who are specifically trained to identify critical conditions over the phone.

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Article Synopsis
  • The study examines the impact of different preoxygenation methods on carbon dioxide (CO) variability during endotracheal intubation in ICU patients.
  • It involves 202 subjects and finds that CO levels significantly increase at various times after intubation, compared to preoxygenation levels.
  • Additionally, a notable drop in CO levels after mechanical ventilation is linked to a higher risk of postintubation hypotension.
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The reverse transcription-polymerase chain reaction (RT-PCR) assay is the accepted standard for coronavirus disease 2019 (COVID-19) diagnosis. As any test, RT-PCR provides false negative results that can be rectified by clinicians by confronting clinical, biological and imaging data. The combination of RT-PCR and chest-CT could improve diagnosis performance, but this would requires considerable resources for its rapid use in all patients with suspected COVID-19.

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Aim: To assess the neurological prognosis of comatose survivors of cardiac arrest by early transcranial Doppler sonography (TCD).

Methods: This was a prospective study performed between May 2016 and October 2017 in a medical intensive care unit (ICU) and a cardiac ICU of a university teaching hospital. All patients older than 18 years who were successfully resuscitated from an out-of-hospital cardiac arrest (OHCA) with persistent coma after the return of spontaneous circulation (ROSC) were eligible.

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Objectives: Unhealthy use of alcohol and acute kidney injury are major public health problems, but little is known about the impact of excessive alcohol consumption on kidney function in critically ill patients. We aimed to determine whether at-risk drinking is independently associated with acute kidney injury in the ICU and at ICU discharge.

Design: Prospective observational cohort study.

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