INTRODUCTION Intensive care unit (ICU) patients are predisposed to thromboembolism. Routine prophylactic anticoagulation is widely recommended. Low-molecular-weight heparins, such as enoxaparin, are increasingly used because of predictable pharmacokinetics. This study aims to determine the subcutaneous (SC) dose of enoxaparin that would give the best anti-factor Xa levels in ICU patients. MET...

Authors care unit (ICU) is not always optimal for various reasons. Overfeeding by any route of nutrition support can be detrimental, and inadequate provision of nutrition support or underfeeding, which is more common in tube-fed patients, can also be harmful (Table 1). Additionally, because provision of nutrition support is not without risks, it is important to use nutrition support in the appr...

Please cite this paper as: Hajiesmaeili MR, Safari S. Pain Management in the Intensive Care Unit: Do We Need Special Protocols? Anesth Pain. 2012;1(4):237-8. DOI: 10.5812/AAPM.4523 Implication for health policy/practice/research/medical education: Because of the inability of patients in intensive care unit, controlling of pain is commonly missed by physicians and nurses, in this editorial we di...

Nosocomial bacteremia caused by Acinetobacter baumannii (AB) is of increasing concern in critically ill patients, and the risk factors for this infection are not well established. An inception cohort study in a 40-bed medical and surgical intensive care unit (ICU) at a single institution was conducted during a 2-year period to determine the risk factors for AB nosocomial bacteremia. Risk factor...

BACKGROUND Understanding how patients and relatives can be supported after hospital discharge is a UK research priority. Intensive Care Unit (ICU) discharge summaries are a simple way of providing GPs with the information they require to coordinate ongoing care, but little evidence is available to guide best practice. AIM This study aimed at better understanding the information needs of GP st...

BACKGROUND Admission into an intensive care unit (ICU) may result in long-term physical, cognitive, and emotional consequences for patients and their relatives. The care of the critically ill patient does not end upon ICU discharge; therefore, integrated and ongoing care during and after transition to the follow-up ward is pivotal. This study described the development of an intervention that re...

BACKGROUND We aimed to determine the impact of nighttime discharge from the intensive care unit (ICU) to the ward on hospital mortality and readmission rates in consecutive critically ill patients admitted to five Canadian ICUs. We hypothesized that hospital mortality and readmission rates would be higher for patients discharged after hours compared with discharge during the day. METHODS A mu...

Mitchell J. Spirt is an assistant clinical professor of medicine in the Division of Gastroenterology, University of California, Los Angeles School of Medicine, Los Angeles, Calif, and is the chief of gastroenterology at Century City Doctors Hospital in Century City, Calif. Sandra Stanley is a gastrointestinal staff nurse at the Specialty Surgical Center in Beverly Hills, Calif. Optimal manageme...

BACKGROUND Infection represents a frequent complication among patients in Intensive Care Units (ICUs) and mortality is high. In particular, the incidence of fungal infections, especially due to Candida spp., has been increasing during the last years. METHODS In a retrospective study we studied the etiology of candidemia in critically ill patients over a five-year period (1999-2003) in the ICU...

Tele-intensive care unit (ICU) is a care provided to critically ill patients by off-site clinicians using audio, video, and electronic links to leverage technical, informational, and clinical resources. Providing care includes the ability to detect patient's instability or laboratory abnormalities in real-time, collect additional clinical information from or about the patient, order diagnostic ...