Mohamed Y. Rady

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AIM To determine the prevalence and contributing factors of moral distress in medical and surgical nurses. BACKGROUND Moral distress from ethical conflicts in the work environment is associated with burnout and job turnovers in nurses. METHOD A prospective cross-sectional survey using the Moral Distress Scale tool was administered to medical and(More)
OBJECTIVE To determine whether hospital discharge alone represents a good outcome for patients who had prolonged intensive care after cardiac surgery by studying their postdischarge survival and functional outcome. The secondary objective is to estimate the proportion of intensive care unit (ICU) resources used by the long-stay (> or = 10 initial(More)
OBJECTIVES To determine perioperative predictors of extubation failure (requirement for reintubation and mechanical ventilation after prior successful weaning from ventilator support and extubation) after cardiac surgery and the effect on clinical outcome. DESIGN Cohort study. SETTING A tertiary-care, 54-bed, cardiothoracic intensive care unit (ICU). (More)
OBJECTIVE To determine perioperative predictors of morbidity and mortality in patients > or =75 yrs of age after cardiac surgery. DESIGN Inception cohort study. SETTING A tertiary care, 54-bed cardiothoracic intensive care unit (ICU). PATIENTS All patients aged > or =75 yrs admitted over a 30-month period for cardiac surgery. INTERVENTION Collection(More)
OBJECTIVE To determine the predictors of outcome in cardiac surgical patients with prolonged ICU stay. DESIGN Inception cohort with retrospective chart review. SETTING Adult cardiovascular ICU. PATIENTS All patients admitted after cardiac surgery who stayed in ICU for at least 14 consecutive days. INTERVENTIONS Collection of data, including(More)
End-of-life organ donation is controversial in Islam. The controversy stems from: (1) scientifically flawed medical criteria of death determination; (2) invasive perimortem procedures for preserving transplantable organs; and (3) incomplete disclosure of information to consenting donors and families. Data from a survey of Muslims residing in Western(More)
Initial therapy of shock in the emergency department (ED) emphasizes the normalization of physiologic variables such as heart rate (HR), mean arterial pressure (MAP), and central venous pressure (CVP) rather than restoration of adequate tissue oxygenation. After hemodynamic stabilization of MAP, CVP, and HR, the authors examined tissue oxygenation as(More)
BACKGROUND Studies evaluating the dose of epinephrine required to optimize return of spontaneous circulation and survival after CPR have shown that doses greater than recommended by advanced cardiac life support (ACLS) improve coronary perfusion pressure and short-term resuscitation rates. Since survival has not improved, it is possible that higher doses of(More)
Organ donation after cardiac or circulatory death (DCD) has been introduced to increase the supply of transplantable organs. In this paper, we argue that the recovery of viable organs useful for transplantation in DCD is not compatible with the dead donor rule and we explain the consequential ethical and legal ramifications. We also outline serious(More)