abstract background: clearing the endotracheal tube through suctioning should be done to promote oxygenation. depth of suctioning is one of the variables in this regard. in shallow suctioning method, the catheter passes to the tip of the endotracheal tube, and in deep suctioning method, it passes beyond the tip into the trachea or brunches. this study aimed to evaluate the effect of shallow and...

background: methicillin resistant staphylococus aureus (mrsa) is a cause of ‎nosocomial infections at intensive care unit (icu), which imposes a high mortality and ‎morbidity on the health care systems.‎ the objective of this study was to evaluate the role of mrsa in patients with clinically ‎suspected ventilator associated pneumonia (vap) in toxicological icu admitted ‎patients.methods: this c...

conclusions the results illustrated the diversity of antibacterial resistance and virulence gene profiles among different sccmec types of s. aureus. the increased prevalence of methicillin-resistant s. aureus isolates containing different toxin and antibiotic resistance genes is a serious threat for the hospitalized patients in the intensive care units. methods in this cross-sectional study tha...

background in recent decades, multidrug-resistant non-fermenting gram-negative pathogens, particularly acinetobacter baumannii and pseudomonas aeruginosa, have been recognized as a major cause of healthcare-associated and nosocomial infections and outbreaks. conclusions the majority of a. baumannii and p. aeruginosa isolates were found to be resistant to commonly recommended antibiotics. theref...

Viral infections are common causes of respiratory tract disease in the outpatient setting but much less common in the intensive care unit. However, a finite number of viral agents cause respiratory tract disease in the intensive care unit. Some viruses, such as influenza, respiratory syncytial virus (RSV), cytomegalovirus (CMV), and varicella-zoster virus (VZV), are relatively common. Others, s...

The measurement of respiratory muscle strength in the intensive care unit (ICU) is potentially useful for the prediction of weaning outcome. An easy and accurate measure would also allow investigation of respiratory muscle weakness in critically ill patients. At present, there is no satisfactory method of strength measurement in the intensive care unit. Vital capacity is a nonspecific, volition...

Pedro Vitale Mendes, Ewandro Moura, Edzangela Vasconcelos Santos Barbosa, Adriana Sayuri Hirota, Paulo Rogerio Scordamaglio, Fabiana Maria Ajjar, Eduardo Leite Vieira Costa, Luciano Cesar Pontes Azevedo, Marcelo Park,, on behalf of ECMO Group I Hospital das Clı́nicas da Faculdade de Medicina da Universidade de São Paulo, Intensive Care Unit, Emergency Department, São Paulo/SP, Brazil. II Hospita...

OBJECTIVES To review the outcome of patients with childhood malignancy requiring intensive care treatment and to assess whether there is any secular trend for improved outcome. DESIGN Retrospective chart reviews of 74 consecutive admissions to a paediatric intensive care unit from a regional paediatric oncology centre between 1990 and 1997. During the same period there were 6419 admissions to...

OBJECTIVE To determine whether a lack of intensive care unit beds was leading to premature patient discharge from the intensive care unit and subsequent early readmission or death. DESIGN Prospective cohort study. SETTING A single Canadian tertiary care teaching hospital. PATIENTS All intensive care unit admissions between January 1, 1989 and December 31, 1996 were collected prospectively...