background hypoglycemia is a common and the most important complication of intensive insulin therapy in critically ill patients. because of hypoglycemia’s impact on the cardinal organs as a fuel, if untreated it could results in permanent brain damage and increased mortality. conclusions our results showed that the sofa score, aki, and hemoglobin a1c are the independent risk factors for the dev...

background: visitation of patients admitted at intensive care units (icus) is a controversial issue in the field of health care. it is commonly believed that the presence of family members might bring about physiological changes, such as tachycardia and hypertension, in icu patients. aim: this study aimed to evaluate the effects of scheduled visitation on the physiological indices of conscious ...

background: in neonatal intensive care units (nicu) different sound intensities and frequencies are produced from different sources, which may exert undesirable physiological effects on the infants. the aim of this study was to determine the noise level and its sources in the nicu and neonatal ward of al-zahra hospital of rasht, iran. methods: in this descriptive cross-sectional study, the inte...

meningitis is an acute inflammation of the protective membranes covering the brain and spinal cord, which are known as the meninges. this infection may be caused by streptococcus pneumonia bacteria. in this study, we presented the case of a female newborn with meningitis secondary to streptococcus pneumonia. her birth weight and height were normal. after 24 hours of birth, the neonate was diagn...

background noise at intensive care units (icu) has an adverse effect on patients and icu staff. there are some evidences that sleep, recovery from critical illness and average background noise in hospitals as recommended by the us environmental protection agency (epa) and world health organization (who) should not exceed 30 a-weighted decibel (dba) and peaks during night time should be less tha...

 Abstract Background: The thyroid hormones influence on all metabolic pathways. After heart surgery using cardiopulmonary bypass (CPB), serum T3 decreases and remains low for at least 24 hours. Several studies on pediatric have reported reduction of thyroid hormones after heart surgery. This study aimed to investigate the status of thyroid function tests in children with CPB surgery. Metho...

OBJECTIVES In adult patients, intramucosal pH (pHi) has been advocated to detect postoperative complications. The purpose of our study was to evaluate this technique in pediatric patients during and after cardiac surgery. METHODS Thirty-five infants (age: 5 days to 15 years, median 1.8 years; and weight: 3.2-32 kg, median 9.8 kg) were studied. pHi was measured before cardiopulmonary bypass (C...

the duration of icu (intensive care unit) stay in cardiac surgery patients has an important role in the rate of complications and costs. the aim of this study was to determine the role of perioperative risk factors in clinical outcome based on the time of icu discharge. in this descriptive study, 219 patients undergoing off-pump coronary artery bypass (opcab) surgery in afshar hospital in yazd,...

BACKGROUND The survival rate to discharge after a cardiac arrest in a patient in the pediatric intensive care unit is reported to be as low as 7%. The survival rates and markers for survival strictly regarding infants with cardiac arrest after congenital heart surgery are unknown. METHODS AND RESULTS Infants in our pediatric cardiac intensive care unit database were identified who had a posto...