Abstract Daily sedation interruption or vacation is a strategy for neurological evaluation, respiratory mechanics, cardiac stability, and eventual weaning to extubation. However, its application has safety aspects such as pulmonary, cardiac, complications. A protocol-driven in the medical intensive care helps with reduction length of stay increase ventilator-free days.1,2 The same approach can ...

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...

OBJECTIVE Isoflurane is a volatile anesthetic that has a vasodilating effect on cerebral vessels producing a cerebral blood flow increase. Furthermore, it has been shown in animal studies that isoflurane, when used as a preconditioning agent, has neuroprotective properties, inducing tolerance to ischemia. However, it is not routinely used in neurointensive care because of the potential increase...

BACKGROUND The timely assessment and treatment of ICU patients is important for neurosurgeons and neurointensivists. We hypothesized that the use of RTP can improve physician rapid response to unstable ICU patients. METHODS This is a prospective study using a before-after, cohort-control design to test the effectiveness of RTP. Physicians used RTP to make rounds in the ICU in response to nurs...

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...

α(2)-Agonists are a novel class of drugs with mechanisms of action that differ from other commonly used anesthetic drugs. They have neuroprotective, cardioprotective, and sedative effects. These unique characteristics make them potentially useful during neuroanesthesia and intensive care. We review the effects of dexmedetomidine on cerebral blood flow and cerebral metabolism, along with recent ...

objective: professional nursing is recognised for having high working anxiety levels due to continuous interaction with patients, their family and colleagues in a high stress working environment. as a compilation of non cognitive skills and abilities, emotional intelligent could be helpful in controlling stress and increasing the individual’s productivity at work. intensive care units’ employee...

Background: Monitoring and managing elevated intracranial pressure (ICP) is one of the core topics in neurocritical care. Although invasive methods are regarded as standard means, recent development non-invasive monitoring devices help clinicians handle ICP issues without additional risks device-related complications.Current Concepts: According to Monro–Kellie hypothesis, any brain injury that ...

objective one of the prominent microorganisms in several reports of nosocomial infections is staphylococcus aureus (s. aureus) which is carried by several health care workers (hcw) many times throughout the day. the present investigation was conducted to assess the nasal and hand carriage rate of s. aureus amongst medical personnel of loghman hakim hospital's toxicological intensive care unit (...