Ahmad M Deeb, Joy Maddigan Saudi Critical Care Journal 2023 7(2):43-48 Clinical deterioration of hospitalized medical patients negatively affects patient outcomes and hospital capacity. Failure to recognize and respond promptly to an individual's worsening health status can lead to complications with far-reaching impacts on the patient and family. The ability to identify patient cues that can predict clinical deterioration is an essential role for frontline health-care providers to avert an avoidable health crisis. This protocol is designed to describe an integrative literature revie ..read more

Usama Badr, Hossam El-Din Fouad Rida, Amr Abdallah Elmorsy Saudi Critical Care Journal 2023 7(2):37-42 Background: Up to one-third of intensive care unit (ICU) patients worldwide undergo mechanical ventilation. These patients frequently require analgesics and sedatives-potent medications with clear benefits and significant side effects. Objective: The current study intended to assess the effects of application of different regimens of sedation on mechanically ventilated patients regarding the length of ventilator days, length of hospital stay, multiple organ dysfunctions, ventilator-associat ..read more

Hasan M Al-Dorzi, Amirah S Yaqoub, Fisal T Aldokhel, Khalid M Alshuwaier, Sarah F Almujarri, Fatima A Alkhaldi Saudi Critical Care Journal 2023 7(2):23-28 Background: Critically ill adolescents are not a well-studied patient population. The optimal setting (pediatric or adult intensive care unit [ICU]) for caring for them is not clear. This study assessed adolescents admitted to the adult ICU and compared the characteristics and outcomes of younger versus older patients. Methods: This was a retrospective study of adolescent patients aged 14–19 years who were admitted to an adult te ..read more

Eslam Elsayed Abdelshafey, Nashwa S Abdalkreem, Ashraf S Altayar Saudi Critical Care Journal 2023 7(2):29-36 Basic skills and knowledge of critical care ultrasonography (CCUS) are considered mandatory in intensive care unit (ICU) practice. A link for the survey questionnaire [Appendix 1] was distributed to attendees of critical care meetings from different regions in Saudi Arabia about the topics of CCUS availability, use for diagnosis, and intervention. Responses were recorded for 48 h from launching on 1st day. We received 172 full responses, 95% of responders claimed that they hav ..read more

Jennifer de Beer, Dalia Sunari, Seema Nasser, Zahra Alnasser, Hawazen Rawas, Hend Alnajjar Saudi Critical Care Journal 2023 7(1):8-14 Background: Moral distress (MD) was first defined as a situation in which one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. This can be even more challenging within the critical care context as critical the care context imposes physical, emotional, and cognitive stressors on critical care nurses. Methodology: A descriptive quantitative approach was followed, and the critical care unit ..read more

Mohamed A Aboughanima, AbdelHameed ElSayed, Amr A Arafat Saudi Critical Care Journal 2023 7(1):15-16 Intra-aortic balloon pump (IABP) is commonly used for circulatory support in patients with cardiogenic shock. IABP is associated with several complications; however, IABP rupture was rarely reported. We present a female patient with acute myocardial infarction and ventricular septal rupture. The patient underwent transcatheter device closure of the ventricular septum and IABP insertion. After 4 days of insertion, we encountered a failure to cycle alarm. The IABP was removed with difficulty, a ..read more

Mohammed Ali Bakhsh, Mohamed Osman M. Humoodi, Abdullah M Alzahrani, Sara M Osman, Razan Babakr, Nada Townsi, Maha A Azzam Saudi Critical Care Journal 2023 7(1):1-7 Background: Sedation practices in pediatric intensive care units (PICUs) vary significantly worldwide. This study aimed to explore the current sedation and analgesia practices among paediatric intensivists in Saudi Arabia. Methods: This web-based survey was conducted among pediatric intensive care physicians in Saudi Arabia. The survey investigated the participating PICUs, physicians' demographic data, and sedation/analge ..read more

Mohammed Barghash Alanazi, Abdullah Abudayah, Saud Alajmi Saudi Critical Care Journal 2022 6(5):18-20 Anticoagulation in extracorporeal membrane oxygenation (ECMO) can be one of the obstacles in starting and managing patients with refractory hypoxemia, especially with diffuse alveolar hemorrhage (DAH). In this case report, we describe our experience with a 21-year-old male patient who presented with DAH and refractory hypoxemia secondary to systemic lupus erythematosus and was anticoagulated safely during ECMO to maintain circuit integrity, as a bridge to immunosuppressive therapy until he w ..read more

Saudi Critical Care Journal 2022 6(5):21-31 ..read more

Nada Aljassim, Mohamed Tageldein, Nabeel Almashraki, Mustafa Safi, Omar Al Tamimi Saudi Critical Care Journal 2022 6(5):14-17 Pulmonary arterial hypertension (PAH) in neonates, infants, and with congenital heart diseases (CHDs) is challenging in diagnosis and management with many risk factors. Pulmonary hypertension (PH) may present intraoperatively with failure of weaning cardiopulmonary bypass with increased mean pulmonary pressure to systemic or supra-systemic where time is limited to manage it. We described six cases with VA-ECMO deployment as a bridge of PH Management to reach optimal c ..read more