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Dana AlTarrah
Faculty of Public Health, Kuwait University, Kuwait

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Journal article
Published: 05 February 2021 in Annals of Medicine and Surgery
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The development of barotrauma has been suggested to complicate the management of mechanically ventilated COVID-19 patients admitted to the intensive care unit (ICU). This study aims to identify potential risk factors associated with the development of barotrauma related complications in COVID-19 patients receiving mechanical ventilation. A retrospective cohort study was carried out in a single COVID-19 designated center in Kuwait. Three hundred and forty-three confirmed COVID-19 patients transferred and/or admitted to our institution between February 26, 2020 and June 20, 2020 were included in the study. All patients were admitted into the ICU with the majority being mechanically ventilated (81.3%). Fifty-four (15.4%) patients developed barotrauma, of which 49 (90.7%) presented with pneumothorax, and 14.8% and 3.7% due to pneumomediastinum and pneumopericardium respectively. Of those that developed barotrauma, 52 (96.3%) patients were in acute respiratory distress syndrome (ARDS). Biochemically, the white blood cells (p = 0.001), neutrophil percentage (p = 0.012), lymphocyte percentage (p = 0.014), neutrophil: lymphocyte ratio (NLR) (p=<0.001) and lactate dehydrogenase (LDH) (p = 0.002) were found to be significantly different in patients that developed barotrauma. Intubation due to low level of consciousness (p = 0.007), a high admission COVID-GRAM score (p = 0.042), and a positive-end expiratory pressure (PEEP) higher than the control group (p = 0.016) were identified as potential risk factors for the development of barotrauma. Patients infected with COVID-19 have a significant risk of developing barotrauma when receiving invasive mechanical ventilation. This poses a substantial impact on the hospital course of the patients and clinical outcome, correlating to a higher mortality rate in this cohort of patients.

ACS Style

Hussein Elsaaran; Shamlan AlQinai; Dana AlTarrah; Mahdi Abdulrasoul; Sarah Al-Youha; Sulaiman Almazeedi; Mohannad Al-Haddad; Mohammad H. Jamal; Salman Al-Sabah. Prevalence and risk factors of barotrauma in Covid-19 patients admitted to an intensive care unit in Kuwait; a retrospective cohort study. Annals of Medicine and Surgery 2021, 63, 102141 -102141.

AMA Style

Hussein Elsaaran, Shamlan AlQinai, Dana AlTarrah, Mahdi Abdulrasoul, Sarah Al-Youha, Sulaiman Almazeedi, Mohannad Al-Haddad, Mohammad H. Jamal, Salman Al-Sabah. Prevalence and risk factors of barotrauma in Covid-19 patients admitted to an intensive care unit in Kuwait; a retrospective cohort study. Annals of Medicine and Surgery. 2021; 63 ():102141-102141.

Chicago/Turabian Style

Hussein Elsaaran; Shamlan AlQinai; Dana AlTarrah; Mahdi Abdulrasoul; Sarah Al-Youha; Sulaiman Almazeedi; Mohannad Al-Haddad; Mohammad H. Jamal; Salman Al-Sabah. 2021. "Prevalence and risk factors of barotrauma in Covid-19 patients admitted to an intensive care unit in Kuwait; a retrospective cohort study." Annals of Medicine and Surgery 63, no. : 102141-102141.

Chapter
Published: 05 January 2021 in Laparoscopic Sleeve Gastrectomy
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This chapter overviews postoperative bariatric diet progression, focusing on the short- and long-term diet stages following Laparoscopic Sleeve Gastrectomy (LSG). Postoperatively, regular follow-up and nutrition counselling with a Registered Dietitian is crucial to ensure weight loss is achieved, and food intolerances are managed to prevent nutritional deficiencies and dietary-related complications. The chapter additionally highlights the importance of a staged diet progression approach. Gradual transition in food texture and consistency is recommended until patients are able to tolerate regular textures and solids. To date, although dietary guidelines and protocols are limited in the field of bariatric surgery, particularly for LSG, dietary guidelines developed for Roux-en-Y Gastric Bypass patients are often adapted and recommended for LSG patients. Largely, postoperative nutritional requirements of LSG patients are found to vary, thus emphasizes the importance of tailoring diet stages to meet patient’s individual tolerances, nutritional status, and lifestyles. More evidence-based research is needed to better understand specific postoperative nutritional needs of LSG patients.

ACS Style

Dana Altarrah. Postoperative Diet Progression for Laparoscopic Sleeve Gastrectomy. Laparoscopic Sleeve Gastrectomy 2021, 365 -371.

AMA Style

Dana Altarrah. Postoperative Diet Progression for Laparoscopic Sleeve Gastrectomy. Laparoscopic Sleeve Gastrectomy. 2021; ():365-371.

Chicago/Turabian Style

Dana Altarrah. 2021. "Postoperative Diet Progression for Laparoscopic Sleeve Gastrectomy." Laparoscopic Sleeve Gastrectomy , no. : 365-371.

Case series
Published: 29 August 2020 in International Journal of Surgery Case Reports
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Obesity is a complex multifactorial disease that affects populations worldwide. In Kuwait, the prevalence of obesity is a major public health problem. Intra-Gastric Balloon (IGB) is commonly used as a non-operative strategy among bariatric patients. However, with the increasing use of IGB, life-threatening adverse outcomes are widely reported. A case series five patients presenting with pancreatitis from IGB in Kuwait is reported to better investigate the emerging complications of IGB. Three types of IGB were inserted, these include the Orbera Intragastric Balloon System, Orbera365 Intragastric Balloon System, and the Spatz Adjustable Gastric. The clinical course of balloon pancreatitis is described. The case series examined existing case reports of IGB associated pancreatitis in the literature, in addition to the investigated clinical outcomes. Patients presented with mild pancreatitis, and removal of balloon resulted in significant improvement in symptoms. Pathogenesis of balloon pancreatitis could be secondary to the pancreas compression by the IGB. Despite the rarity of balloon pancreatitis, it needs to be recognized as a complication of IGB insertion. Further research is needed to better understand the implications of the balloon size, shape, volume and location of balloon insertion in order to prevent this fatal complication.

ACS Style

Omar Alqabandi; Yousef Almutawa; Dana AlTarrah; Mufarrej Alhajeri; Mohammad H. Jamal; Sulaiman Almazeedi. Intragastric balloon insertion and pancreatitis: Case series. International Journal of Surgery Case Reports 2020, 74, 263 -267.

AMA Style

Omar Alqabandi, Yousef Almutawa, Dana AlTarrah, Mufarrej Alhajeri, Mohammad H. Jamal, Sulaiman Almazeedi. Intragastric balloon insertion and pancreatitis: Case series. International Journal of Surgery Case Reports. 2020; 74 ():263-267.

Chicago/Turabian Style

Omar Alqabandi; Yousef Almutawa; Dana AlTarrah; Mufarrej Alhajeri; Mohammad H. Jamal; Sulaiman Almazeedi. 2020. "Intragastric balloon insertion and pancreatitis: Case series." International Journal of Surgery Case Reports 74, no. : 263-267.