Standard analytical tools employed for quality assessment such as root cause analysis are simply inadequate. Probabilistic risk assessment (PRA) is a systematic and comprehensive methodology widely applied in other industries to evaluate undesirable outcomes such as risk, and PRA may be a promising tool for assessment of adverse events in the ICU.2–5 PRA entails constructing the chronology of a...

* Corresponding author: Omid Moradi Moghaddam, Department of Anesthesiology and Critical Care, Rasoul-Akram Medical Center Tehran University of Medical Sciences, Tehran, Iran. Tel: +98-9391244560, Fax: +98-2166509059, E-mail: [email protected] DOI: 10.5812/kowsar.22287523.2291 Copyright c 2011, ISRAPM, Published by Kowsar Corp. Probiotics in Critically Ill Patients Omid Moradi Moghaddam 1*

Dysglycemia is common in critically ill patients. Both hyperglycemia and hypoglycemia are independent risk factors for increased morbidity and mortality. Hypoglycemia severity may even have a ‘dose-response’ relationship with increased mortality(Bagshaw et al., 2009). Acute hypoglycemia induces a systemic, counter-regulatory stress response that leads to an increase in blood norepinephrine, epi...

OBJECTIVE To evaluate the clinical outcomes of glycemic control of intensive insulin therapy and recommend its place in the management of critically ill patients. DATA SOURCES Searches of MEDLINE (1966-March 2004) and Cochrane Library, as well as an extensive manual review of abstracts were performed using the key search terms hyperglycemia, insulin, intensive care unit, critically ill, outco...

Severe overfeeding of critically ill patients results in increased complications without clinical benefits. However, the optimal timing and amount of nutrition to feed critically ill adults has not been established. There are multiple prediction equations for estimating calorie expenditure of critically ill patients, but most studies comparing the accuracy of different prediction equations are ...