Departments

Mission

We have three missions:

Patient Care: To improve the standard of practice and ensure the highest quality of care to patients in our hospitals.

Research: Pursue new knowledge through high-quality research that explores unanswered questions and challenges and refines previously established ideas on mechanisms of disease and clinical aspects of critical care medicine.

Education: Impart knowledge, instill excitement for learning, and translate and refine questions into focused areas of research for our trainees.

Vision

We envision that our doctors will positively impact the health of critically ill patients through their leadership, research contributions, and excellence in patient care.

Structure

The Critical Care Department consists of:

• 11  ICU beds
•  7 Ventilators
•  3 D.C. Shock Device.
• 11 Monitors and one central monitor station.
• 11 Syringe Pumps.
• 4 ECG Devices.
• 2 Laryngoscopes.
• 2 Nebulizer Devices.
• 1 Portable X-Ray.
• 4 Suction Devices.
• 11 Air Mattresses.
• 2 Crush Tables.
• 3 Blood Sugar Measurement device.
• 6 Sphygmomanometers.
• 2 Trolleys.
• Echocardiograhy machine
• Portable ultrasound Machine

Techniques

1. Insertion of central venous access.
2. Insertion of endotracheal tube.
3. Inpatient and emergency consultation.
4. Interpretation of radiological imaging.
5. Conscious sedation and narcotic prescription.
6. ECG interpretation.
7. Carotid massage.
8. Elective cardioversion.
9. Pleural, peritoneal, and pericardial tapping.
10. Basic and advanced cardiac life support.
11. Performing of Echocardiography and its interpretation.
12. Performing of Abdominal ultrasonography and its interpretation.
13. Performing ultrasonography on Carotid arteries

 

Services

Training

1. Training courses in different I.C.U procedures e.g. central line insertion, arterial line insertion, endotracheal intubation& E.C.G. interpretation.
2. Training courses deal with different I.C.U. equipment; e.g. echocardiography, syringe pumps& mechanical ventilators.
3. Training courses deal with critical cases referred from different hospitals & dealing with different types of shocks, myocardial infarction, respiratory failure, heart failure &electrolyte imbalance.
4. Training courses are dealing with postoperative critical cases and their complications from different specialties as:

§   Surgery.

§  Urology.

§  Gastroenterology and Hepatology.

§  Nephrology.

5. Continuous nursing & doctors training on infection control in I.C.U.

Achievements

Our research on cardiovascular complications of liver diseases concluded that:

1.  Patients with liver cirrhosis or NAFLD should be evaluated for CVD risk and could be candidates not only for aggressive treatment of the liver disease but also for aggressive treatment of underlying CVD risk factors; this would help to modify and potentially decrease the global CVD risk of these patients.

2.  Tissue Doppler is more sensitive in diagnosing diastolic dysfunction and can better assess filling dynamics than conventional Doppler.

-It is important to evaluate the cardiovascular function and filling dynamics in every patient with cirrhosis, especially if the patient is a candidate for any intervention that may affect haemodynamics.

3.  Patients with decompensated liver cirrhosis have low systemic vascular resistance and Doppler echocardiography provides an easy noninvasive tool to assess systemic vascular resistance.

-Follow-up of SVR by Doppler echocardiography may be a predictor for the severity of liver disease.

-Measuring IVC diameter and collapsibility are of value in the prediction of intravascular fluid status in liver cirrhosis. This is especially true with renal dysfunction.

4.   Hyponatremia is a common finding in patients with decompensated liver cirrhosis indicates an advanced disease with severe cardiovascular dysfunction. It is associated with an increased risk of hepatic encephalopathy, refractory ascites, illness severity scores, renal failure, infectious complications, and pleural effusion.

5.    The echocardiographic assessment of EpFT and the carotid Doppler assessment of CIMT may provide appropriate and simple screening markers for subclinical atherosclerosis and cardiovascular risk in patients with chronic hepatitis C virus with and without cirrhosis.

-Patients undergoing LT would likely benefit from echocardiographic assessment of EpFT and carotid Doppler for evaluation of CIMT, in addition to stress testing to help identify those patients who are at high or low risk for cardiac outcomes in the LT.

6.    It is important to understand the benefits and limitations of BNP as a heart failure biomarker in hepatic patients, where the relationship between BNP level and myocardial function is complex and is altered by liver disease.

7.    Elevated hs-cTnT level in cirrhotic patients can be considered one of the tools used to early diagnose subclinical myocardial necrosis and cirrhotic cardiomyopathy that can prevent adaptation to acute hemodynamic disturbance such as during liver transplantation or intrahepatic portosystemic shunt.

Our research on cardiovascular complications of renal diseases concluded that:

1.    Measurement of CIMT by carotid ultrasound is noninvasive and relatively inexpensive and can be used in addition to echocardiogram repeatedly with no adverse effects to evaluate cardiovascular performance in hemodialysis patients.

2.  Epicardial fat thickness which can be easily measured by Echocardiography is an effective marker for the prediction of cardiovascular disease risk in hemodialysis patients and is used as a surrogate marker of early atherosclerosis and was shown to be a strong predictor of future myocardial infarction and stroke.

3.     CKD patients have high levels of TM, vWF, t-PA, and PAI-1 that are correlated with hsCRP and CIMT. So, these abnormalities in hemostasis may account for the increased risk of atherothrombosis in these patients.

4.     Inflammation and endothelial dysfunction are common pathological events in many diseases, including ischemic heart disease and chronic kidney disease. Thus, determining ways to block inflammatory cytokines may provide a vital approach for preventing, or at least retarding, the progression of such diseases.

5.   FGF-23 could represent a promising therapeutic target that might improve the fatal prognosis of patients with CKD.

6.   Hemodialysis patients with a low s-Klotho were more often associated with increased CIMT, LV dysfunction, and CAD, and it seems that there was an independent association between s-Klotho and CIMT, LVEF, and CAD.

Our research on sepsis concluded that:

1.     BNP level correlates with the severity of sepsis.

-Atrial ejection force in the third day maybe a good predictor for survival of patients presenting with sepsis.

2.  Sepsis carries a high risk of multiorgan dysfunction syndrome and death in critically ill patients.

-PIRO score is an effective model for staging sepsis and seems to be predictive of mortality. 

-Measuring serial procalcitonin levels may be the most useful to understand the trend, identify the peak, and be able to identify the resolution of sepsis.

-Early high lactate level is a predictor for poor prognosis of sepsis.

-Adiponectin is similar to procalcitonin in the early detection of sepsis and can be used as a prognostic indicator with considering that adiponectin level could be affected by other metabolic disorders.

Our research on the effect of abdominal perfusion pressure on visceral circulation in critically ill patients with multiorgan dysfunction concluded that:

1.   Considering APP as a measure of visceral perfusion instead of IAP alone if feasible. Avoid extensive positive fluid balance and deal seriously with fluid overload.

Our research on scanning of electron microscopic Biofilm grading and ventilator-associated pneumonia in relation to duration of intubation concluded that:

1.  Biofilm formation and grading, as well as bacterial colonization with multidrug-resistant (MDR) bacteria, were time-dependent in patients on mechanical ventilation in the ICU which may enhance their morbidity and mortality rates.

-Also a role of ETT biofilm is emphasized in the pathogenesis and prognostic outcome of VAP in patients intubated for a prolonged period.

Medical services

 A) Routine activities

1. Managing of adult patients presenting with illness, injuries, and disorder of cardiovascular system (acute MI cases, unstable angina, malignant ventricular arrhythmias, acute pulmonary edema).
2. Monitoring and preventing complication in high risk patients undergoing major surgical procedures.
3. Management of patients presenting with respiratory failure and requiring mechanical ventilation as ARDS.
4. Management of patients presenting with coma.
5. Management of patients presenting with acute renal failure.
6. Management of advanced systemic sepsis.
7. Management of patients with coagulopathies or uncontrolled bleeding.
8. Management of hepatic failure.
9. Inpatient and emergency consultation.
10. Nutrition in ICU.
11. Echocardiography for critically ill patients to help their diagnosis and management and for evaluation of patients preoperatively and for patients from outpatient clinics.

B) Scientific and Clinical Services:

Publications

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• Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
• Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
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Projects

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• Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
• Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
• Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
• Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,
• Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s,