special characteristics of care environments have always presented nurses with some challenges. one particular situation is futile care, which is frequently accompanied by countless moral and legal challenges. the dominant atmosphere in futile care may cause moral distress to nurses and lead to a sense of guilt, pain, suffering, job dissatisfaction, and eventually cause nurses to leave the job....

introduction: increasing costs of health and treatment services has led health economics specialists and even physicians in all countries to seek new methods for controlling and reducing costs in medical and health services. the present study was aimed to estimate the costs of a cardiac care unit (ccu) in a governmental hospital in iran. methods: in order to determine the end cost, a stepwise p...

Because thrombolytic treatment is effective only if it is given within six hours of acute myocardial infarction it is vital to admit patients to the coronary care unit as soon as possible after the acute event. A policy of admitting patients to the coronary care unit at the request of the patient's general practitioner by a telephone line that is independent of the hospital switchboard signific...

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...

abstract background: while critical care nurses are vulnerable to burnout because of the complex nature of patients’ health problems, working in critical care areas has become even more complicated by shift working schedules. this study aimed to determine the relationship between fixed and rotating shifts and burnout in a sample of critical care nurses working in critical care areas. materials ...

background craniosynostosis results from premature closure of one or more cranial sutures, leading to deformed calvaria and craniofacial skeleton at birth. postoperative complications and outcome in intensive care unit (icu) is related to surgical method and perioperative management. this study determined the perioperative risk factors, which affect outcome of patients after craniosynostosis su...

malaria is a parasitic disease that is starting to be encountered in intensive care units (icu) worldwide, owing to increasing globalisation. severe malaria caused by plasmodium falciparum , is characterised by cerebral malaria, acute renal failure, hypoglycaemia, severe anaemia, splenomegaly and alveolar oedema. we present the case of a 25-yr old male patient who presented to the emergency dep...

In successive years since the opening of a Coronary Care Unit at Westminster Hospital the mortality has been 26 and 20% and for the first 4 months of 1968, 5-3%. Overall mortality for 260 patients was 20%. Resuscitation has been successful in 59% of, cardiac arrests within the unit and in 27% of those outside the unit caused by myocardial infarction. Seventeen patients left hospital alive and w...