holistic care is the evaluation of the physical and mental states of individuals. considering the importance of spirituality in healthcare and its pivotal role as the first step toward providing spiritual care, this study was conducted to determine the perception of iranian nurses towards spirituality in neonatal intensive care units (nicus). methods: this study was conducted on nine participan...

background: nosocomial infections are an important cause of mortality in neonatal intensive care units (nicus). therefore, in this study, the incidence and prevalence of nosocomial infections were determined in nicus of the three largest neonatal centers in northwest iran, and the causative bacteria were identified in order to provide potential solutions to control the infections in these hospi...

background hyponatremia is a common disorder in patients with brain injury. it can result in acute and chronic complications providing this electrolytic disorder is not diagnosed and treated in due time. objectives the aim of this study was to evaluate the prevalence of hyponatremia in 95 patients with brain injury hospitalized in the intensive care unit in shahid beheshti hospital of kashan un...

An ability to measure cardiac output in a continuous and non-invasive fashion is eagerly awaited in the field of intensive care practice. Modern technologies purport to be able to do this, but the design of studies that validate the manufacturers' claims is by no means straightforward. It is imperative that the scientific community describes and agrees on a set of principles that will enable us...

We report a 55-year-old man who relapsed into a state of shock in an ambulance before arriving at our critical care center after a fall injury. The diagnosis of cardiac tamponade was made by portable ultrasound, and immediate pericardiocentesis and drainage were performed at the heliport. He was then transported immediately to our hospital with continuous drainage and surgery was performed. Aft...

D elirium is an important diagnosis, both because it is challenging to manage and because it portends a poor prognosis in the hospital and beyond. Delirium is particularly prevalent in the intensive care unit (ICU) setting, where it is associated with longer hospital stays, prolonged mechanical ventilation, increased hospital costs, and increases in mortality. In fact, studies have shown the in...

Objectives: The optimal timing for tracheostomy after cardiac surgery in patients undergoing prolonged ventilation is controversial. The aim of this study was to assess the effect of tracheostomy timing on shortand long-term mortality of these patients. Design: Retrospective study of prospectively collected data. Setting: Cardiac surgical intensive care unit (ICU) in a tertiary-care, university...

There are several S3-guidelines that focus on the treatment of patients after cardiac surgery published by the German Medical Association (AWMF). These high quality guidelines cover the areas of haemodynamic monitoring and postoperative cardiovascular therapy (S3), the management of analgesia, sedation and delirium in intensive care and prevention (S3), diagnoses and therapy of sepsis (S2k). Al...

Systolic cardiac function results from the interaction of four interdependent factors: heart rate, preload, contractility, and afterload. Heart rate can be quantified easily at the bedside, while preload estimation has traditionally relied on invasive pressure measurements, both central venous and pulmonary artery wedge. These have significant clinical limitations; however, adult literature has...