background and aim: ventilator-associated pneumonia (vap) is the second most common infection within intensive care units (icus). happening in patients requiring mechanical ventilation for more than 48 hours, the disease is associated with high morbidity and mortality. this study aims to compare the effects of matrica and chlorhexidine mouthwashes on the prevention of vap among patients hospita...

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...

The Psycho-reactive problems affecting patients, relatives and staff in the intensive care unit are discussed in this article. These problems are usually due to the ad­mitting disease itself, ( obvious anxiety of the patient who has just had a coronary infarc­tion agitation of the patient with incipient respiratory failure) or psycho-reactive problems arising directly from the I.C.U. environ­me...

No published information is available about myocardial infarction management in Spanish emergency departments. The EVICURE is a prospective, multicenter, observational study involving 35 hospitals that for a 3-week period collected all the cases of patients requiring care in which the final diagnosis of the cause of symptoms was ischemic heart disease. The study included 2,216 patients, of whic...

RATIONALE Myocardial infarction due to nonatherosclerotic coronary thrombosis in young woman with ulcerative colitis is rare. PATIENT CONCERNS A 23-year-old Chinese woman with a 3-year history of ulcerative colitis was admitted to the coronary care unit due to prolonged chest pain. DIAGNOSES Myocardial infarction due to nonatherosclerotic coronary thrombosis was diagnosed in this young woma...

BACKGROUND To the best of our knowledge, there are no studies evaluating the influence of the unit of the first contact on the frequency and time of pharmacological treatment during an acute coronary syndrome (ACS) event. OBJECTIVES The main objective was to investigate if the unit of first contact influenced the frequency and time of aspirin treatment in the Strategy of Registry of Acute Cor...

The successful operation of coronary care units resulting in early detection and control of lifethreatening post-infarction arrhythmias has so far produced a gratifying and instructive impact on the management of acute myocardial infarction. The first few hours after an attack are, however, the most critical. Yater et al. (I948) showed that 60 per cent of the deaths from coronary heart disease ...