OBJECTIVES To assess the opinion of intensive care unit (ICU) personnel and the impact of their personality and religious beliefs on decisions to forego life-sustaining treatments (DFLSTs). SETTING Cross-sectional, observational, national study in 18 multidisciplinary Greek ICUs, with >6 beds, between June and December 2015. PARTICIPANTS 149 doctors and 320 nurses who voluntarily and anonym...

BACKGROUND Federal planners have suggested that one strategy to accommodate disaster surges of 500 inpatients per million population would involve altering standards of care. No data are available indicating the extent of alterations necessary to meet disaster surge targets. OBJECTIVE Our goal was to, in a Monte Carlo simulation study, determine the probability that specified numbers of child...

In the United States, acute cardiac ischemia (ACI), including both unstable angina pectoris and acute myocardial infarction (AMI), is the leading cause of morbidity and mortality, and an enormous consumer of health care resources. Accordingly, the use of hospital and intensive care beds for patients suspected to have ACI is a major health care expense. Yet of the approximately three million pat...

OBJECTIVE To determine the occurrence and type of medical errors in an intensive care setting using a voluntary reporting method. DESIGN Prospective, single-center, observational study. SETTING The medical intensive care unit (19 beds) at an urban teaching hospital. PATIENTS Adult patients requiring at least 48 hrs of intensive care. INTERVENTIONS Prospective reporting of medical errors...

abstract background: most of the patients admitted in the intensive care units (icus) require an endotracheal tube and mechanical ventilation. in order to clear and maintain patency of the airways, endotracheal suctioning is required. therefore, the least detrimental way of endotracheal tube suctioning which can diminish the complications should be selected. the present study aimed to compare t...

abstract background: during health care in the neonatal intensive care unit (nicu), infants undergo extremely painful procedures, which may cause problems, if not controlled, such as changes in the pattern of respiratory rate, heart rate, and blood oxygen saturation. the present study aimed to find the effect of melody on the physiological responses of neonates’ heel stick pain. materials and m...

introduction: the improvement of technology has increased noise levels in hospital wards to higher than international standard levels (35-45 db). higher noise levels than the maximum level result in patient’s instability and dissatisfaction. moreover, it will have serious negative effects on the staff’s health and the quality of their services. the purpose of this survey is to analyze the level...

background craniosynostosis results from premature closure of one or more cranial sutures, leading to deformed calvaria and craniofacial skeleton at birth. postoperative complications and outcome in intensive care unit (icu) is related to surgical method and perioperative management. this study determined the perioperative risk factors, which affect outcome of patients after craniosynostosis su...

malaria is a parasitic disease that is starting to be encountered in intensive care units (icu) worldwide, owing to increasing globalisation. severe malaria caused by plasmodium falciparum , is characterised by cerebral malaria, acute renal failure, hypoglycaemia, severe anaemia, splenomegaly and alveolar oedema. we present the case of a 25-yr old male patient who presented to the emergency dep...

conclusions the results indicated that suitable facilities and equipment, human resources, and infrastructure were available in the district hospitals in iran. these findings showed that there is potential for the district hospitals to provide care in a wider spectrum. results in this study, 100% of the studied hospitals had oxygen cylinders, running water, electricity, anesthesia machines, eme...