introduction: in a prospective study, we aimed to assess the value of enhanced rdw to predict sepsis and evaluate factors affecting length of icu stay and in-hospital mortality among sepsis patients. material and method: after exclusion of 27 patients, we included 160 adult patients with suspicious sepsis admitted at university affiliated hospital with 33 icu-beds from 2010 to 2012. nighty pati...

conclusions central nervous system depressant was an important risk factor for vap among poisoned patients. hypoventilation due to cns depression can lead to vap. the apache ii and length of hospital stay were shown as independent predictors of vap and mortality among these patients. results the mean age of the patients was 33.9 ± 14.3 years. the probable vap incidence and mortality were 22% an...

Acute hepatic failure Organ specific problems Update 2012 (pdf) Module Authors (Update 2012) Chris WILLARS Consultant, Liver Intensive Care Unit, Institute of Liver Studies, King’s College Hospital, London, UK Julia WENDON Consultant and Senior Lecturer, Liver Intensive Care Unit, Institute of Liver Studies, King’s College Hospital, London, UK Module Authors (first edition) Julia Wendon Institu...

In 2008, there were clinical trial advances in 3 areas that will impact on the way stroke care is practiced in the emergency department and intensive care unit (ICU). These include (1) the positive results of the European Cooperative Acute Stroke Study (ECASS) III trial, extending the time window for intravenous thrombolytic therapy for acute ischemic stroke; (2) the negative results of 2 trial...

You have decided to develop a protocol for insulin therapy in your intensive care unit (ICU). You wonder about the merit of using intensive insulin therapy (IIT) to maintain tight blood glucose control in your patients.

Stress ulcer prophylaxis (SUP) is commonly used in the intensive care unit (ICU), and is recommended in the Surviving Sepsis Campaign guidelines 2012. The present guideline from the Danish Society of Intensive Care Medicine and the Danish Society of Anesthesiology and Intensive Care Medicine sums up current evidence and gives clinical recommendations for SUP in the ICU. The GRADE approach was u...

BACKGROUND Intensivists must provide enough analgesia and sedation to ensure dying patients receive good palliative care. However, if it is perceived that too much is given, they risk prosecution for committing euthanasia. The goal of this study is to develop consensus guidelines on analgesia and sedation in dying intensive care unit patients that help distinguish palliative care from euthanasi...

Stress has been observed among various professionals, including intensive care unit (ICU) nurses, due to their close contact with patients in distress and at the risk of death. This situation becomes worse due to the need for direct and intensive care. This study was performed to characterize nurses working at ICU and verify the presence of stress among them. A total of 21 ICU nurses from five ...

BACKGROUND AND OBJECTIVES: Patients admitted to an intensive care unit (ICU), in most cases do not have a proper oral hygiene. This deficient condition of oral hygiene in critical patients often triggers periodontitis, gingivitis and other systemic and oral complications. This research aimed to evaluate the efficiency of the antimicrobial action of a solution with bioactive enzymatic system for...