Critically ill patients often experience pain from an underlying illness or injury, a recent surgical other invasive procedure, various interventions in the intensive care unit (ICU), e.g., endotracheal intubation, vascular access devices, nasogastric tubes, urinary catheters, mechanical ventilation, and routine nursing care, such as repositioning. Opioids remain mainstay medication for control...

Introduction: Most of the patients undergoing heart operation are discharged from the intensive care unit the day after their operation. The aim of this study was to evaluate preoperative, intraoperative and early postoperative risk factors for prolonged intensive care unit length of stay (intensive care unit stay greater than 1 day) in cardiac surgery patients. Materials and Methodology: This ...

OBJECTIVES To evaluate mortality and long term quality of life of patients who were discharged from the intensive care unit. METHODS A prospective cohort, in which all the admitted patients in a intensive care unit (ICU) during 6 months were evaluated and interviewed by telephone after two years of discharge, aiming the completion of two quality of live scales: Karnofsky scale and activities ...

Introduction: Recent studies suggest that liaison nurse intervention might be effective to solve the gap between intensive care unit and wards, but little studies are known about the effect of this intervention. The aim of this study was to investigate the effect of liaison nurse service on patient outcomes after discharging from intensive care unit. Methods: In this single blinded randomized c...

abstract background: a newborn is highly fragile whose death can be caused by embryonic, intra partum, and postpartum factors. identifying the causes of death is the first step to be taken in order to decrease the death rate. the present study was aimed at finding out how neonatal factors and therapeutic actions affect death of newborn babies. materials and methods: this is a case-control study...

Introduction Most patients survive an Intensive Care Unit stay, but due to the illness itself or sedation they might have impaired cognition of the ICU stay. Thus it is difficult to explore these patients’ experiences of quality of care and treatment. Their closest relatives, however, often visit the patient and spend time bedside. A study has shown correspondence between patients’ and relative...

Introduction Evidence suggests night-time discharges from the intensive care unit (ICU) are associated with poorer outcomes, and patients are at increased risk of clinical deterioration [1,2]. Out-of-hours (OOH) discharges are used as a quality indicator for this reason. The Faculty for Intensive Care Medicine (FICM) and the Scottish Intensive Care Society (SICS) currently use different time pe...

BACKGROUND Delirium is a common problem and associated with poor outcomes in intensive care unit (ICU) patients. Diagnosis of delirium in ICU patients is limited and usually underdiagnosed by physicians. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is one of the most widely used screening methods for detection of ICU delirium. Our goal was to translate and validate the ...

Delirium in the intensive care unit is a serious problem that has recently attracted much attention. User-friendly and reliable tools, such as the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), offer the clinician the opportunity to identify delirium in patients better. Diagnosis of delirium in a critical care population is often a difficult task because classical psychiatri...

The goals of health care are the reduction of mortality and morbidity, and the maintenance or improvement of functional capacity and quality of life. Outcome in intensive care can be categorized as mortality-related or morbidity-related. Hospital mortality is a relevant, objective endpoint and appropriate for use. However it is an insufficient measure of intensive care unit (ICU) outcome; subse...