Background: Sleep deprivation has numerous negative consequences on the human body and mind. It exacerbates anxiety, irritability, and nervousness and worsens the cardiovascular function. This study aimed at evaluating the quality of sleep in patients admitted to the cardiac intensive care unit. Methods: This was a descriptive study with 93 patients hospitalized in critical care units of three...

background and purpose: considering the obstacles against the implementation of ethical decisions by nurses, experiencing moral distress is one of the major issues in this profession. moral distress could have negative effects on the physical and mental health of nurses, quality of patient care and performance of health organizations. given the importance of addressing moral distress in working...

Cardiac arrhythmias are a common problem encountered in the intensive care unit (ICU) and represent a major source of morbidity. Arrhythmias are most likely to occur in patients with structural heart disease. The inciting factor for an arrhythmia in a given patient may be an insult such as hypoxia, infection, cardiac ischemia, catecholamine excess (endogenous or exogenous), or an electrolyte ab...

Cardiac biomarkers (CB) were first developed for assisting the diagnosis of cardiac events, especially acute myocardial infarction. The discoveries of other CB, the better understanding of cardiac disease process and the advancement in detection technology has pushed the applications of CB beyond the 'diagnosis' boundary. Not only the measurements of CB are more sensitive, the applications have...

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...

OBJECTIVE Rapid response team activation criteria were created using expert opinion and have demonstrated variable accuracy in previous studies. We developed a cardiac arrest risk triage score to predict cardiac arrest and compared it to the Modified Early Warning Score, a commonly cited rapid response team activation criterion. DESIGN A retrospective cohort study. SETTING An academic medic...

a 67-year-old male suffering from depressive symptomatology was admitted to the inpatient clinic at firat university school of medicine; and his psychiatric evaluation revealed major depressive episode according to dsm-iv. he developed chest discomfort, chest pain and shortness of breath of acute onset accompanying pulseless ventricular tachycardia (vt) leading to cardiac arrest following sertr...

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 ...