Resumo As cidades médias são definidas por possuírem entre 100 e 500 mil habitantes, não fazerem parte de regiões metropolitanas apresentarem um relativo grau avanço em sua economia infraestrutura. Estes espaços urbanos os que mais crescem no Brasil, quais se configuram como densas áreas ocupadas, com uma alta variabilidade ambientes diversificado padrão climático. Assim, propõe-se nesta pesqui...

Selective digestive decontamination (SDD) and selective oropharyngeal decontamination (SOD) have been associated with reduced mortality and lower ICU-acquired bacteremia and ventilator-associated pneumonia rates in areas with low levels of antibiotic resistance. However, the effect of selective decontamination (SDD/SOD) in areas where multidrug-resistant Gram-negative bacteria are endemic is le...

Critical care practices in India have evolved significantly over the past decade. Critical care initially began as a service in major hospitals, but with the formation of the Indian Society of Critical Care Medicine the development of this speciality has been very rapid. Regular conferences, updates, continuing medical education programmes and workshops have emerged, and postdoctoral training p...

From April to July this year, a review of Bara’s paediatric surgical department showed that the ‘luckier’ malnourished babies referred there from outside hospitals had an average waiting time of 11.5 days from diagnosis to securing an operation (mainly for an obstructed gastrointestinal tract). Many others who presented with acute problems like gastroschisis simply died because of insufficient ...

background: nosocomial rhino sinusitis causes major problems in all intensive care units (icus). objective: to describe incidence, epidemiologic, clinical manifestations, and microbiologic findings in icus admitted cases with nosocomial sinusitis. materials and methods: a prospective, cross sectional study done in pediatric & adult icus in rasoul akram hospital; tehran iran (2007-2008). para-na...

BACKGROUND High level of workload has been identified among stressors of nurses in intensive care units (ICUs). The present study investigated nursing workload and identified its influencing perfor-mance obstacles in ICUs. METHODS This cross-sectional study was conducted, in 2013, on 81 nurses working in ICUs in Imam Khomeini Hospital in Tehran, Iran. NASA-TLX was applied for assessment of wo...

Background The existing training pathways to become a pediatric cardiac intensivist are very variable with physicians coming from varied training backgrounds of pediatric critical care, pediatric cardiology, neonatology, or pediatric anesthesia. Aim To evaluate the impact of cardiac Intensive Care Unit (ICU) attending physician training background on outcomes in children undergoing heart oper...

Surveillance of 2009 pandemic influenza A(H1N1) in Denmark was enhanced during the 2009–10 winter season with a system monitoring the burden of the pandemic on intensive care units (ICUs), in order to inform policymakers and detect shortages in ICUs in a timely manner. Between week 46 of 2009 and week 11 of 2010, all 36 relevant Danish ICUs reported in two ways: aggregate data were reported onl...

BACKGROUND/AIM The risk for nosocomial infections (NIs) is 5-10 times higher in patients hospitalized in the Intensive Care Units (ICUs) than in patients staying in other wards. The higher incidence rates of NIs in the ICUs may be explained by the fact that the patients in the ICUs have more severe underlying disease, and are exposed to the invasive diagnostic and therapeutical procedures. The ...

OBJECTIVE To determine the extent to which evidence-based practices for the prevention of central venous catheter (CVC)-associated bloodstream infections are incorporated into the policies and practices of academic intensive care units (ICUs) in the United States and to determine variations in the policies on CVC insertion, use, and care. DESIGN A 9-page written survey of practices and polici...