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Intensivist-based deep sedation using propofol for pediatric outpatient flexible bronchoscopy

World Journal of Critical Care Medicine 2017年第4期6卷 179-184页

作者： kamal abulebda Samer Abu-Sultaneh Sheikh Sohail Ahmed Elizabeth A S Moser Renee C McKinney Riad Lutfi Department of Pediatrics Section of Critical CareIndiana University School of MedicineRiley Hospital for Children at Indiana University Health Department of Biostatistics Indiana University School of Medicine and Richard M Fairbanks School of Public Health

AIM To evaluate the safety and efficacy of sedating pediatric patients for outpatient flexible *** A retrospective chart review was conducted for all children, age 17 years or under who underwent flexible bronchoscopy under deep sedation in an outpatient hospital-based setting. Two sedation regimens were used; propofol only or ketamine prior to propofol. Patients were divided into three age groups; infants(less than 12 mo), toddlers(1-3 years) and children(4-17 years). Demographics, indication for bronchoscopy, sedative dosing, sedation and recovery time and adverse events were *** Of the total 458 bronchoscopies performed, propofol only regimen was used in 337(74%) while propofol and ketamine was used in 121(26%). About 99% of the procedures were successfully completed. Children in the propofol + ketamine group tend to be youngerand have lower weight compared to the propofol only group. Adverse events including transient hypoxemia and hypotension occurred in 8% and 24% respectively. Median procedure time was 10 min while the median discharge time was 35 min. There were no differences in the indication of the procedure, propofol dose, procedure or recovery time in either sedative regimen. When compared to other age groups, infants had a higher incidence of *** Children can be effectively sedated for outpatient flexible bronchoscopy with high rate of success. This procedure should be performed under vigilance of highly trained providers.

关键词： Pediatric flexible bronchoscopy Propofol Deep sedation Procedural sedation Sedation time Hypoxemia

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National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic

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World Journal of Critical Care Medicine 2020年第5期9卷 74-87页

作者： kamal abulebda Rami A Ahmed Marc A Auerbach Anna M Bona Lauren E Falvo Patrick G Hughes Isabel T Gross Elisa J Sarmiento Paul R Barach Department of Pediatrics Division of Critical CareIndiana University School of MedicineRiley Hospital for Children at Indiana University HealthIndianapolisIN 46202United States Department of Emergency Medicine School of MedicineIndiana UniversityIndianapolisIN 46202United States Department of Pediatrics Division of Pediatrics Emergency MedicineYale University School of MedicineNew HavenCT 06504United States Department of Integrated Medical Science Florida Atlantic UniversityBoca RatonFL 33431United States Department of Emergency Medicine Yale University School of MedicineNew HavenCT 06504United States Department of Pediatrics Wayne State University School of MedicineDetroitMI 48202Jefferson College of Population HealthPhiladelphiaPA19107United States

The coronavirus disease pandemic caught many pediatric hospitals unpreparedand has forced pediatric healthcare systems to scramble as they examine and planfor the optimal allocation of medical resources for the highest priority *** is limited data describing pediatric intensive care unit (PICU) preparednessand their health worker *** describe the current coronavirus disease 2019 (COVID-19) preparedness effortsamong a set of PICUs within a simulation-based network *** A cross-sectional multi-center national survey of PICU medical director(s) fromchildren’s hospitals across the United States. The questionnaire was developedand reviewed by physicians with expertise in pediatric critical care, disasterreadiness, human factors, and survey development. Thirty-five children’shospitals were identified for recruitment through a long-established nationalresearch network. The questions focused on six themes: (1) PICU and medicaldirector demographics;(2) Pediatric patient flow during the pandemic;(3)Changes to the staffing models related to the pandemic;(4) Use of personalprotective equipment (PPE);(5) Changes in clinical practice and innovations;and(6) Current modalities of training including *** report on survey responses from 22 of 35 PICUs (63%). The majority of PICUswere located within children’s hospitals (87%). All PICUs cared for pediatricpatients with COVID-19 at the time of the survey. The majority of PICUs (83.4%)witnessed decreases in non-COVID-19 patients, 43% had COVID-19 dedicatedunits, and 74.6% pivoted to accept adult COVID-19 patients. All PICUsimplemented changes to their staffing models with the most common changesbeing changes in COVID-19 patient room assignment in 50% of surveyed PICUsand introducing remote patient monitoring in 36% of the PICU units. Ninety-fivepercent of PICUs conducted training for donning and doffing of enhanced *** 6 months into the pandemic, one-third of PICUs across the U

关键词： COVID-19 Pediatric intensive care unit Simulation Practice innovations Training Preparedness

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The Primary Radical of a Submodule

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Advances in Pure Mathematics 2012年第5期2卷 344-348页

作者： Lamis J. M. abulebda University College Abu Dhabi Universityn Abu Dhabi UAE

In this paper we introduced a definition for the primary radical of a submodule with some of its basic properties. We also define the P-radical submodule and review some results about it. We find a method to character... 详细信息

关键词： Primary Submodule Prime Radical of a Submodule Radical Submodule Free Module Noetherian Module Finitely Generated Submodule

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On Co-Primarily Packed Modules

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Advances in Pure Mathematics 2015年第4期5卷 208-211页

作者： Lamis J. M. abulebda Abu Dhabi University Abu Dhabi UAE

Let R be a commutative ring with 1, and M is a (left) R-module. We introduce the concept of coprimarily packed submodules as a proper submodule N of an R-module M which is said to be Coprimarily Packed Submodule. If where Na is a primary submodule of M for each , then for some . When there exists such that;N is called Strongly Coprimarily Packed submodule. In this paper, we list some basic properties of this concept. We end this paper by explaining the relations between p-compactly packed and coprimarily packed submodules, and also the relations between strongly p-compactly packed and strongly coprimarily packed submodules.

关键词： Coprimarily Packed Submodule Strongly Coprimarily Packed Submodule Bezout Module

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