BACKGROUND AND PURPOSE Mild cerebral hypothermia (34 degrees C) induced immediately after cardiac arrest improves outcome. Deep postarrest hypothermia (15 degrees C) has not been studied. METHODS We used our dog model of normothermic ventricular fibrillation (no blood flow) of 12.5 minutes, reperfusion by brief cardiopulmonary bypass, controlled ventilation to 20 hours, and intensive care to ...

Introduction: The intensive care unit is a stressful environment due to the high mortality rate of patients, the occurrence of moral problems and working in a tense atmosphere. Faced with these conditions, nurses may be exposed to moral distresses. Therefore, it is important to study the moral distresses that nurses face in these units. Objective: This study aimed to determine the level of ...

IEEE 1012 [1] describes the SDLC phase activities for software independent verification and validation (IV & V) for nuclear power plant in truly general and conceptual manner, which requires the upward and/or downward tailoring on its interpretation for practical IV & V. It contains crucial and encompassing check points and guidelines to analyze the design integrity, without addressing the form...

Marcelo Park, Eduardo Leite Vieira Costa, Luciano Cesar Pontes Azevedo, José Eduardo Afonso Junior, Marcos Naoyuki Samano, Carlos Roberto Ribeiro Carvalho, ECMO Group I Intensive Care Unit – Emergency Department – Hospital das Clı́nicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP, Brazil. II Respiratory Intensive Care Unit – Hospital das Clı́nicas, Faculdade de Medicina da U...

Background: Comparison of obstetric and neonatal outcomes of twin pregnancies conceived by assisted reproduction technology (ART) with those of spontaneously conceived (SC). Materials and Methods: In this prospective cohort study, all dichorionic twin pregnancies following fresh IVF/ intra-cytoplasmic sperm injection (ICSI) or ICSI cycles (n=320) and (SC) (n=170) in nulliparous women in Royan I...

background demand for icu beds is exceeding its supply. since the sources are limited in some centers, it is necessary to design a model to identify the patients who benefit more from icu beds. objectives the present study aimed to develop a model to prioritize adult patients according to their clinical indications by a three rounded delphi method study. patients and methods in this study, 22 p...

background critically ill patients under mechanical ventilation require frequent suctioning of airway secretion. closed suction permits suctioning without disconnection from ventilator; so it might decrease hypoxemia and infection rate. objectives this study aimed to evaluate the effect of closed tracheal suction system (ctss) versus open tracheal suction system (otss). patients and methods thi...