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Elkoundi A, Samali M, Meskine A, Bakkali H, Balkhi H, Bensghir M. Transient phantom limb pain following high thoracic erector spinae plane block in an amputee. Can J Anaesth 2020; 67:1489-1490. [PMID: 32651853 DOI: 10.1007/s12630-020-01754-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 06/19/2020] [Accepted: 06/19/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Abdelghafour Elkoundi
- Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
| | - Mehdi Samali
- Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
| | - Amine Meskine
- Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
| | - Hicham Bakkali
- Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
| | - Hicham Balkhi
- Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
| | - Mustapha Bensghir
- Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco
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Elkoundi A, Meskine A, Samali M, Bensghir M. Re: Recurrent asystole during laryngoscopy - A nightmare for the anesthesiologists. Saudi J Anaesth 2020; 14:278. [PMID: 32317902 PMCID: PMC7164448 DOI: 10.4103/sja.sja_71_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Accepted: 01/27/2020] [Indexed: 11/04/2022] Open
Affiliation(s)
- Abdelghafour Elkoundi
- Department of Anesthesiology and Critical Care, Military Hospital Mohammed V, Rabat, Morocco
| | - Amine Meskine
- Department of Anesthesiology and Critical Care, Military Hospital Mohammed V, Rabat, Morocco
| | - Mehdi Samali
- Department of Anesthesiology and Critical Care, Military Hospital Mohammed V, Rabat, Morocco
| | - Mustapha Bensghir
- Department of Anesthesiology and Critical Care, Military Hospital Mohammed V, Rabat, Morocco
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Elkoundi A, Meskine A, Lahlafi Z, Bensghir M, Lalaoui SJ. Supraventricular tachycardia in a trauma patient masquerading as a Wolff-Parkinson-White syndrome. Anaesth Crit Care Pain Med 2018; 37:277-279. [PMID: 28927735 DOI: 10.1016/j.accpm.2017.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 07/31/2017] [Accepted: 08/02/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Abdelghafour Elkoundi
- Department of Anaesthesiology and intensive care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
| | - Amine Meskine
- Department of Anaesthesiology and intensive care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
| | - Zakaria Lahlafi
- Department of Cardiology, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
| | - Mustapha Bensghir
- Department of Anaesthesiology and intensive care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
| | - Salim Jaafar Lalaoui
- Department of Anaesthesiology and intensive care, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.
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Sabatier R, Meskine A, Cappiello M, Extra JM, Tarpin C, Rousseau F, Provansal M, Bertucci F, Viens P, Gonçalves A. Untreated hormone receptor positive/HER2-negative metastatic breast cancer survival with front-line chemotherapy and maintenance endocrine therapy. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx365.033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Doghmi N, Meskine A, Benakroute A, Bensghir M, Baite A, Haimeur C. Aseptic meningitis following a bupivacaine spinal anesthesia. Pan Afr Med J 2017; 27:192. [PMID: 28904717 PMCID: PMC5579419 DOI: 10.11604/pamj.2017.27.192.9327] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 07/03/2017] [Indexed: 11/22/2022] Open
Abstract
Spinal anesthesia complicated by meningitis is rare. The diagnosis is difficult and the clinical signs are unspecific. There is a subgroup called aseptic meningitis of a different mechanism (hypersensitive reaction and irritation of the meninges), which must be identified for appropriate care. We report the case of aseptic meningitis resulting from bupivacaine use complicating spinal anesthesia. She is 31 years old and was admitted to the intensive care unit for meningitis following a Caesarean delivery. 10 hours after the procedure, she was found to have severe headache, neck stiffness and was found restless. She lost consciousness; she was treated by attending physicians. A CT scan have been performed and was found normal. 24 hours after intubation, the patient woke up. The clinical and biological valuations were normal, allowing for the elimination of the other causes of meningitis.
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Affiliation(s)
- Nawfal Doghmi
- Service d'Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Amine Meskine
- Service d'Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Aziz Benakroute
- Service d'Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Mustapha Bensghir
- Service d'Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Abdelouahed Baite
- Service d'Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Charki Haimeur
- Service d'Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
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Doghmi N, Benakrout A, Meskine A, Bensghir M, Baite A, Haimeur C. [Pancreatic encephalopathy: about 2 cases and review of the literature]. Pan Afr Med J 2017; 25:147. [PMID: 28292109 PMCID: PMC5326054 DOI: 10.11604/pamj.2016.25.147.9324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 04/04/2016] [Indexed: 11/25/2022] Open
Abstract
L'encéphalopathie pancréatique, est une complication rare de la pancréatite aiguë, notre étude porte sur 02 cas d'encéphalopathie pancréatique, hospitalisés et traités au sein du service de Réanimation chirurgicale de l'Hôpital Militaire d'Instruction Mohamed V de Rabat. L'âge des patients était compris entre 43 ans et 54 ans, nos 02 cas sont repartis en une femme et un homme. Le mécanisme physiopathologique de l'EP n'est pas encore bien élucidé, de nombreuses hypothèses ont été rapportées dans la littérature, certains auteurs suggèrent que la lipase et la Phospholipase A2 jouent un rôle dans le processus pathologique de l'EP. D'autres facteurs tels que les infections, les troubles hydroélectrolytiques, l'hypoxémie et la perturbation de la glycémie, peuvent être déclencheurs. Le diagnostic de l'encéphalopathie pancréatique est facile à établir, la symptomatologie clinique se résume le plus souvent à une confusion, avec stupeur, et agitation psychomotrice, Il s'y ajoute parfois des atteintes neurologiques comme des convulsions, une céphalée, des hémiparésies passagères, une dysarthrie, enfin des difficultés d'expression verbale et une amnésie. Les examens paracliniques, notamment L'IRM cérébrale et l'électroencéphalogramme, permettent de confirmer le diagnostic. Le traitement est d'abord symptomatique, il a comme objectif de lutter contre les facteurs qui favorisent l'apparition des signes neurologiques par les mesures de réanimation que réclame la gravité de la situation. L'évolution de l'EP est le plus souvent favorable, avec une disparition progressive des symptômes, cependant la persistance de quelques séquelles, est décrite dans la littérature. Le pronostic est fonction de la gravité de la pancréatite aigüe et des complications associées. Dans notre étude les données sont globalement comparables à celles publiées actuellement par la majorité des auteurs.
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Affiliation(s)
- Nawfal Doghmi
- Pôle d'Anesthésie Réanimation, Hôpital Militaire d'Instruction Mohamed V Rabat, Université Souissi Mohamed V Rabat, Maroc
| | - Aziz Benakrout
- Pôle d'Anesthésie Réanimation, Hôpital Militaire d'Instruction Mohamed V Rabat, Université Souissi Mohamed V Rabat, Maroc
| | - Amine Meskine
- Pôle d'Anesthésie Réanimation, Hôpital Militaire d'Instruction Mohamed V Rabat, Université Souissi Mohamed V Rabat, Maroc
| | - Mustaphja Bensghir
- Pôle d'Anesthésie Réanimation, Hôpital Militaire d'Instruction Mohamed V Rabat, Université Souissi Mohamed V Rabat, Maroc
| | - Abdelouah Baite
- Pôle d'Anesthésie Réanimation, Hôpital Militaire d'Instruction Mohamed V Rabat, Université Souissi Mohamed V Rabat, Maroc
| | - Charki Haimeur
- Pôle d'Anesthésie Réanimation, Hôpital Militaire d'Instruction Mohamed V Rabat, Université Souissi Mohamed V Rabat, Maroc
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Meziane M, Koundi A, Meskine A, Bensghir M, Hatim A, Ahtil R, Ait Houssa M, Boulahya A, Haimeur C, Drissi M. [Predictors of prolonged ICU stay following elective adult cardiac surgery: Monocentric retrospective study on 5 and half years]. Ann Cardiol Angeiol (Paris) 2017; 66:66-73. [PMID: 28129899 DOI: 10.1016/j.ancard.2016.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2015] [Accepted: 12/08/2016] [Indexed: 11/17/2022]
Abstract
AIM The aim of our study was to identify predictors for prolonged ICU stay following elective adult cardiac surgery under cardiopulmonary bypass. PATIENTS AND METHODS A retrospective study was conducted during 5 years and a half period. Were included, patients age≥18 years old, underwent elective cardiac surgery under cardiopulmonary bypass. Patients who died within 48hours of surgery were excluded. Prolonged ICU stay was defined as stay in the ICU for 48hours or more. RESULTS During the review period, 610 patients were included. One hundred and sixty-four patients have required a prolonged ICU stay (26.9 %). In multivariate analysis, 5 predictors were identified: ejection fraction<30 % (OR 19.991, IC 95 % [1.382-289.1], P=0.028], pulmonary hypertension (OR 2.293, IC 95 % [1.058-4.973], P=0.036), prolonged ventilation (≥12hours) (OR 4.026, IC 95 % [2.407-6.733], P<0.001). Number of blood units transfused (OR 1.568, IC 95 % [1.073-2.291], and postoperative acute renal failure (OR 2.620, IC 95 % [1.026-6.690], P=0.044]. Prolonged ICU stay is significantly associated with prolonged hospital stay (17 days vs 13 days ; P<0.001) and higher in hospital mortality (22 % vs. 3 %, P<0.001). CONCLUSION The identification of these patients at risk of prolonged ICU stay is crucial. It will aid to plan prophylactic measures to optimize their support.
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Affiliation(s)
- M Meziane
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc.
| | - A Koundi
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - A Meskine
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - M Bensghir
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - A Hatim
- Service de réanimation de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - R Ahtil
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - M Ait Houssa
- Service de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - A Boulahya
- Service de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - C Haimeur
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - M Drissi
- Service de réanimation de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
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Doghmi N, Elkoundi A, Meskine A, Benakrout A, Baite A, Haimeur C. [Epilepsy revealing chorea-acanthocytosis: about a case]. Pan Afr Med J 2016; 24:172. [PMID: 27795769 PMCID: PMC5072886 DOI: 10.11604/pamj.2016.24.172.9686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Accepted: 05/23/2016] [Indexed: 11/11/2022] Open
Abstract
Chorea-acanthocytosis (ChAc) is an extremely rare autosomal recessive disorder caused by mutations in the VSP13A gene on chromosome 9q21. It is characterized by neurological symptoms, psychiatric manifestations and multisystem involvement resulting in myopathy, axonal neuropathy and presence of spiculated red blood cells or acanthocytes. Rarely, epilepsy may be the early symptom in these patients. This can lead to serious delays in diagnosis. We here report the case of a patient with this disease who had seizures several years before the onset of typical manifestations.
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Affiliation(s)
- Nawfal Doghmi
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Abdelghafour Elkoundi
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Amine Meskine
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Aziz Benakrout
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Abdelouahed Baite
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
| | - Cherqui Haimeur
- Service de Réanimation Médicale, Pôle Anesthésie-Réanimation, Hôpital Militaire Med V, Rabat, Maroc
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