Mariam A. Alansari

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Patients in ICUs frequently require tracheostomy for long-term ventilator support, and the percutaneous dilatational tracheostomy (PDT) method is preferred over surgical tracheostomy. The use of ultrasound (US) imaging to guide ICU procedures and interventions has recently emerged as a simple and noninvasive tool. The current evidence regarding the(More)
A 62-year-old woman was admitted to the hospital for removal of hydatid cyst from the liver. Intraoperatively, the patient suddenly became hypotensive with tachycardia and ST segment elevation. There was no erythema, bronchospasm or desaturation. Anaesthetic agents were stopped and oxygen fraction was increased. In view of the recurrence of hypotension, she(More)
PURPOSE Intensive Care Unit (ICU)-acquired hypernatremia (IAH) is a serious electrolyte disturbance that recently was shown to present an independent risk factor for mortality in critically ill patients. IAH has not been widely investigated in Surgical ICU (SICU) patients. No study has specifically investigated IAH epidemiology in the Kingdome of Saudi(More)
To cite: Alansari M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2012008459 DESCRIPTION A 55-year-old woman presented to the emergency department with acute upper abdomen pain and vomiting for 2 days. She had no history of duodenal ulcer. On examination she appeared unwell and hypotensive. Abdominal examination revealed(More)
BACKGROUND Caregivers in the ambulatory care setting with differing clinical background could encounter a patient at high risk of deterioration. In the absence of a dedicated acute care team, the response to an unanticipated medical emergencies in these settings is likely to have a poor outcome. OBJECTIVE To describe our experience in implementing an(More)
T he Kingdom of Saudi Arabia (KSA), is one of the largest Middle Eastern countries with a landmass of 2.5 million square kilometers, and has transformed over 50 years to the most urbanized country in the region. With an estimated population of almost 30 million residents with an annual growth rate of 2.7%, 1 the Saudi Arabian healthcare sector caters to a(More)
Ocular surface disorders are frequently encountered in patients under sedation and paralyzed patients in intensive care units (ICUs). In the ICUs, treatment is usually focused on the management of organ failures, and eye care becomes a side issue. As a result, ophthalmological complications do occur (incidence ranges from 3.6% to 60%) and are frequently(More)