Prolonged stay in Intensive Care Unit (ICU) can cause muscle weakness, physical deconditioning, recurrent symptoms, mood alterations and poor quality of life. Physiotherapy is probably the only treatment likely to increase in the short- and long-term care of the patients admitted to these units. Recovery of physical and respiratory functions, coming off mechanical ventilation, prevention of the...

* Corresponding author at: Omid Moradi Moghaddam, Department of Anesthesiology and Critical Care, Rasoul-Akram Medical Center Tehran University of Medical Sciences, Tehran, Iran. Tel: +98-9391244560, Fax: +98-2166509059, E-mail: moradimoghadam@yahoo. com DOI: 10.5812/kowsar.22287523.2291 Copyright c 2011, ISRAPM, Published by Kowsar M. P. Co All rights reserved. Probiotics in Critically Ill Pat...

www.chestjournal.org CHEST / 137 / 1 / JANUARY, 2010 185 C about the risk of bleeding in critically ill patients are common. This apprehension may stem from a sense of responsibility for bleeding following procedures or anticoagulant therapy, or perhaps the fact that hemorrhage is often visible externa lly. In addition, the clinical laboratory may raise awareness by offering tests that clinicia...

Only limited data are available regarding the treatment of critically ill patients with clopidogrel. This trial investigated the effects and the drug concentrations of the cytochrome P450 (CYP450) activated prodrug clopidogrel (n = 43) and the half-life of the similarly metabolized pantoprazole (n = 16) in critically ill patients. ADP-induced aggregometry in whole blood classified 74% (95% conf...

Disorders of sodium and water metabolism are frequently encountered in hospitalized patients. Hyponatremia in critically ill patients can cause significant morbidity and mortality. Inappropriate treatment of hyponatremia can add to the problem. The diagnosis and management of salt and water abnormalities in critically ill patients is often challenging. The increasing knowledge about aquaporins ...

Standard analytical tools employed for quality assessment such as root cause analysis are simply inadequate. Probabilistic risk assessment (PRA) is a systematic and comprehensive methodology widely applied in other industries to evaluate undesirable outcomes such as risk, and PRA may be a promising tool for assessment of adverse events in the ICU.2–5 PRA entails constructing the chronology of a...

* Corresponding author: Omid Moradi Moghaddam, Department of Anesthesiology and Critical Care, Rasoul-Akram Medical Center Tehran University of Medical Sciences, Tehran, Iran. Tel: +98-9391244560, Fax: +98-2166509059, E-mail: [email protected] DOI: 10.5812/kowsar.22287523.2291 Copyright c 2011, ISRAPM, Published by Kowsar Corp. Probiotics in Critically Ill Patients Omid Moradi Moghaddam 1*

MOST PHYSICIANS WILL ENcounter acutely ill patients who develop hyperglycemia. A third of all persons admitted to an urban general hospital had fasting glucose levels exceeding 126 mg/dL (7 mmol/L), or 2 or more random glucose levels exceeding 200 mg/dL (11.1 mmol/L); a third of those patients with hyperglycemia did not have a prior diagnosis of diabetes. Physicians often perceive hyperglycemia...

• Catatonia in medically ill patients is rare but often unrecognized. • Catatonia occurs with varying degrees of severity, with malignant catatonia on the severe side of the spectrum. • In the pediatric population, catatonia is exceedingly unrecognized and undertreated. • Pediatric catatonia is often associated with general medical illness, as well as autistic spectrum and developmental disorde...

Dysglycemia is common in critically ill patients. Both hyperglycemia and hypoglycemia are independent risk factors for increased morbidity and mortality. Hypoglycemia severity may even have a ‘dose-response’ relationship with increased mortality(Bagshaw et al., 2009). Acute hypoglycemia induces a systemic, counter-regulatory stress response that leads to an increase in blood norepinephrine, epi...