The purpose of this study was to determine metabolic and haemodynamic changes with and without physiotherapy treatment in haemodynamically stable, intubated and ventilated patients. This was a prospective, randomised cross-over study. Ten intubated, ventilated and haemodynamically stable patients underwent a 20 min physiotherapy treatment and a 20 min period of undisturbed side lying. Mean oxyg...

Background: There is some demand for nasogastric tube insertion in unconscious or ICU patients. Nasogastric tubes are generally made of flexible plastic materials, prone to twisting and deviation by the tracheal tube, when passing through the pharynx and esophageal opening, making it difficult to insert the NG-tube properly. We hypothesized that NG-tube insertion with help of guidewire can sign...

BACKGROUND Ventilator-associated pneumonia, common in critically ill patients, is associated with microaspiration of oropharyngeal secretions and may be related to suctioning and airway management practices. OBJECTIVES To describe institutional policies and procedures related to closed-system suctioning and airway management of intubated patients, and to compare practices of registered nurses...

Object: Since it began in Wuhan December 2019, the Coronavirus Disease pandemic has affected more than 500 million people and caused 6 deaths. Identifying risk factors for severe cases become a major issue. We evaluated whether patient characteristics upon intensive care unit admission could predict later intubation. also compared outcomes patients undergoing early versus delayed Methods: This ...

Background: Recent studies have shown that insufficient vitamin D supply is correlated with increase in COVID-19 cases and its mortality. Potentially, it may play an important role controlling virus proliferation. Objectives: This study aimed to evaluate the association between serum levels clinical findings, mortality rate patients COVID-19. Methods: cross-sectional was conducted on 200 referr...

Nosocomial bronchopneumonia is a frequent complication in patients with chronic intratracheal intubation. Despite targeted antibiotic treatment, production of abundant bronchial secretion containing pathogen bacteria often tends to be chronic, and so mortality drastically increases. This problem led to an investigation of the penetration of five cephalosporin antibiotics into the sputum. Serum ...

BACKGROUND To investigate the correlation and level of agreement between end-tidal carbon dioxide (EtCO2) and blood gas pCO2 in non-intubated children with moderate to severe respiratory distress. METHODS Retrospective study of patients admitted to an intermediate care unit (InCU) at a tertiary care center over a 20-month period with moderate to severe respiratory distress secondary to asthma...

Mechanical ventilation (MV) is a well known resource and significantly related to development of ventilation-associated pneumonia.(1-3) Pneumonia, the inflammatory response resulting from uncontrolled penetration and proliferation of microorganisms in the lower respiratory tract,(4) is the most common nosocomial infection in intensive care unit (ICU) patients. (1,2,4-6) Martino(7) observed that...

BACKGROUND Nasogastric tube insertion may be difficult in anesthetized and intubated patients with head in the neutral position. Several techniques are available for the successful insertion of nasogastric tube. The primary aim of this study was to investigate the difference in the first attempt success rate of different techniques for insertion of nasogastric tube. Secondary aim was to investi...

OBJECTIVE To identify factors that affect the decision of prescribing opioids for intubated and ventilated neonates. MATERIAL AND METHOD Retrospective study of intubated and ventilated newborn infants for periods longer than one hour, admitted to the NICU from January 1995 to June 1997. During this period, 203 patients fulfilled inclusion criteria and data of 176 charts were reviewed. Charts ...