conclusions intelligence care is a comprehensive strategy that in addition to recognizing barriers and bridges of nursing care, with predisposing and precipitating forces it can convert barriers to bridges. results intelligence care emerged as a main theme, has a broad spectrum of categories and subcategories with bridges and barriers, including equality of bridges and barriers (contingency car...

We describe hepatic rupture in a 37-yr-old woman admitted to the intensive care unit after an eclamptic convulsion. The intensive care and surgical management are discussed.

The admission of obstetric patients to the intensive care unit (ICU) is relatively infrequent. Critically ill patients who have sustained postpartum hemorrhage (PPH) are more likely to be sent for after care which involves continuation of resuscitation measures, repetitive and intensive monitoring, and appropriate organ support. Management of this subgroup of obstetric patients must take into a...

Despite the success of acute reperfusion therapies for the treatment of acute ischemic stroke, only a minority of patients receive such treatment. Even patients who receive reperfusion therapy remain at risk for further neuronal death through progressive infarction and secondary injury mechanisms. The goal of neurocritical care for the patient with acute ischemic stroke is to optimize long-term...

Traumatic brain injury (TBI) is a major cause of morbidity and mortality worldwide. The modern management of severe TBI has fallen into the domain of a multidisciplinary team led by neurointensivists, neuroanaesthetists, and neurosurgeons and is based on the avoidance of secondary injury, maintenance of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation. In this review,...

In 1982 Weinstein reported a syndrome in pregnancy characterized by haemolysis, elevated liver enzymes and low patelet count, the HELLP syndrome, and described it as a severe consequence of pre-eclampsia.' Patients may present with a wide variety of signs and symptoms but evidence ofpre-eclampsia may not be present.2 Multisystem failure may occur due to widespread microcirculatory dysfunction. ...

INTRODUCTION Organophosphate (OP) insecticides inhibit both cholinesterase and pseudo-cholinesterase activities. The inhibition of acetylcholinesterase causes accumulation of acetylcholine at synapses, and overstimulation of neurotransmission occurs as a result of this accumulation. The mortality rate of OP poisoning is high. Early diagnosis and appropriate treatment is often life saving. Treat...

AIMS The comprehensive review sought to examine the impact of Critical Care Nurse Practitioner models, roles, activities and outcomes. METHOD The Medical Literature Analyses and Retrieval (MEDLINE), The Cumulative Index of Nursing and Allied Health Literature (CINAHL); PubMED; PROQUEST; ScienceDirect; and the Cochrane database were accessed for the review. Alternative search engines were also...