background: there are challenges ahead of short-term hospitalization of low-risk patients hospitalized only for monitoring of severe disease who may die soon after admission. the purpose of this study was to suggest strategies for the management of icu stay lengths and to ensure optimal use of icu resources.   methods: the study was conducted retrospectively on 246 patients admitted to 9 genera...

Traditionally, patients affected by acute respiratory failure (ARF) were (and commonly still are) admitted to intensive care unit if they required noninvasive ventilation (NIV) [1]. More than ten years ago, a pilot study reported the introduction of NIV in a Canadian hospital outside of a critical care setting [2]. NIV could be prescribed by every physician, in every ordinary ward, without a pr...

conclusions intelligence care is a comprehensive strategy that in addition to recognizing barriers and bridges of nursing care, with predisposing and precipitating forces it can convert barriers to bridges. results intelligence care emerged as a main theme, has a broad spectrum of categories and subcategories with bridges and barriers, including equality of bridges and barriers (contingency car...

OBJECTIVES Tracheostomy is a common procedure in intensive care unit to promote mechanical ventilation weaning. Despite tracheostomy is increasingly used there is no agreement of actual clinical practice of tracheostomy in different groups of patients in our environment. Objective of this study was to evaluate the epidemiological profile and outcomes of patients with tracheostomy at a clinical-...

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...