Introduction Patients in intensive care units (ICUs) are treated with intravenous (IV) insulin by infusions with the goal of maintaining blood glucose (BG) within a narrow target range. However, as BG is measured intermittently and how the time course of BG concentration changes after altering the insulin infusion rate is unknown. We used an intra-arterial Continuous Glucose Monitoring (CGM) sy...

BACKGROUND Mortality after surgery is frequent and severity of disease scoring systems are used for prediction. Our aim was to evaluate predictors for mortality after non-cardiac surgery. METHODS Adult patients admitted at our surgical intensive care unit between January 2006 and July 2013 was included. Univariate analysis was carried using Mann-Whitney, Chi-square or Fisher's exact test. Log...

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 Following cardiac surgery, a great variety in intensive care unit (ICU) stay is observed, making it often difficult to adequately predict ICU stay preoperatively. Therefore, a study was conducted to investigate, which preoperative variables are independent risk factors for a prolonged ICU stay and whether a patient's risk of experiencing an extended ICU stay can be estimated from thes...

surgery is often complicated by profound hypotension (mean arterial pressure [MAP] ≤70 mm Hg). Often, shock after cardiotomy is associated with low cardiac output syndrome (also termed low-output heart failure). These patients are best treated with volume resuscitation, afterload reduction, and inotropic support. However, some patients remain hypotensive because of systemic vasodilation. Recent...

Introduction Prolonged stay in intensive care unit (ICU) after cardiac surgery may increase the long-term risk of readmission. Preoperative risk factors, surgical complications, infections and organ failure may need specific intensive support, increasing costs of reimbursement mainly for ICU interventions. Readmission costs over months after discharge may be a dependant of the need of intensive...

abstract background: most of the patients admitted in the intensive care units (icus) require an endotracheal tube and mechanical ventilation. in order to clear and maintain patency of the airways, endotracheal suctioning is required. therefore, the least detrimental way of endotracheal tube suctioning which can diminish the complications should be selected. the present study aimed to compare t...