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Mohamed H, Hosny H, Tawadros P, Elayashy M, El-Ashmaw H. Effect of Dexmedetomidine Infusion on Sublingual Microcirculation in Patients Undergoing On-Pump Coronary Artery Bypass Graft Surgery: A Prospective Randomized Trial. Journal of Cardiothoracic and Vasscular Anesthesia. 2019;33(2):334-40.
Abdelaal Ahmed Mahmoud, Ahmed MD, Mansour, Amr Zaki MD, Yassin, Hany Mahmoud MD, Hussein, Hazem Abdelwahab MD, Kamal, Ahmed Moustafa MD, Elayashy, Mohamed MD, et al. Addition of Neostigmine and Atropine to Conventional Management of Postdural Puncture Headache A Randomized Controlled Trial. Anesthesia & Analgesia. 2018;127(6):1434-9.
Mukhtar A, Moharam H, Sarhan K, Hosni H, salah M. Liver Transplantation Using Dexmedetomidine in a Patient with a History of Takotsubo Cardiomyopathy.. Vol 6.; 2016. (A A Case Rep; vol 6; no 1). Abstract

Takotsubo cardiomyopathy has been described in patients undergoing liver transplantation. However, the ideal anesthetic management of patients with a history of takotsubo cardiomyopathy remains unclear, especially in patients undergoing liver transplantation. We describe the use of dexmedetomidine in a patient with a history of takotsubo cardiomyopathy undergoing living-donor liver transplantation.

Salah M, Hosny H, salah M, Saad H. Impact of immediate versus delayed tracheal extubation on length of ICU stay of cardiac surgical patients, a randomized trial. Heart Lung Vessel. 2015;7(4):311-9. Abstract

INTRODUCTION: Ultra-fast track anaesthesia aims at immediate extubation of cardiac surgical patients at the end of the operation. This study compares the effect of ultrafast track anesthesia versus continued postoperative mechanical ventilation on the intensive care unit length of stay.

METHODS: Fifty-two elective adult patients were randomly allocated into ultrafast track anaesthesia and conventional groups by computer-generated random numbers. Redo operations, pre-operative intubation, uncontrolled diabetes, shock/left ventricular ejection fraction < 45%, pulmonary artery systolic pressure >55mmHg, creatinine clearance -1, haemodynamic instability, or those with concerns of postoperative bleeding were excluded. Pre- and intra-operative management was similar and Logistic EuroSCORE II was calculated for all. Intra-operatively, haemodynamic parameters, urine output, oxygen saturation, arterial blood gas analysis, 5-lead electrocardiogram, operative bypass- and cross-clamp time, and opioid consumption were collected. Postoperatively, patients were compared during their intensive care unit stay. Data were analysed by χ²/Fischer exact, unpaired student's t-test, univariate two-group repeated measures with post hoc Dunnett's test, and Mann-Whitney U tests as appropriate. p < 0.05 was considered significant.

RESULTS: Patients were comparable regarding their peri-operative characteristics and EuroSCORE. The intensive care unit stay was shorter in the ultrafast track anaesthesia group [57.4 (18.6) vs. 95 (33.6) h. p < 0.001], without increasing postoperative renal, respiratory complications rate or reopening rate.

CONCLUSIONS: In this single center study, ultrafast track anaesthesia decreased intensive care unit stay without increasing the rate of post-operative complications.

Hosny H, Attaalla AF, Mahmoud MA, Salah T. Amiodarone prophylaxis for ventricular arrhythmias during aortic valve replacement. The Egyptian Journal of Cardiothoracic Anesthesia. 2011;5(1):33-9.
Abushanab O, El-Shaarawy A, Omar A, Hosny H. A comparative study between magnesium sulphate and dexmedetomidine for deliberate hypotension during middle ear surgery. Egyptian Journal of Anaesthesia. 2011;27(4):227-32.
Hosny H. Feasibility of ultra-fast track cardiac anesthesia: the first descriptive prospective study in Egypt. The Egyptian Journal of Cardiothoracic Anesthesia. 2011;5(1):50-5.
Attaalla AF, Hosny H, Hobbs G. Goal-directed Therapy After Coronary Artery Bypass Grafting Improves Outcome in Patients with Severe Left Ventricular Dysfunction. The Egyptian Journal of Cardiothoracic Anesthesia . 2011; 5(2):74-83.
Omar A, Mansour M, Hosny H, Abushanab O. Role of ketamine and tramadol as adjuncts to bupivacaine 0.5% in paravertebral block for breast surgery: A randomized double-blind study. Egyptian Journal of Anaesthesia. 2011;27(2):101-5.