BACKGROUND Recently, clinical and research attention has been focused on refining weaning processes to improve outcomes for critically ill patients who require mechanical ventilation. One such process, use of a weaning protocol, has yielded conflicting results, arguably because of the influence of existing context and processes. OBJECTIVE To compare international data to assess differences in...

Abstract The Covid-19 pandemic has exposed many weaknesses of healthcare systems. An example a crisis situation is the case doctor who to make decision about qualifying patient with COVID-19 for an intensive care bed when there are not enough such beds and when, out obligations save lives, he can choose fulfil only one. aim this paper analyse criteria establishing priority in access care, settl...

III Einstein International Symposium on Intensive Care and the XXX Mechanical Ventilation. Aug 16-18, 2023. Category: Safety / Quality Management Introduction: On March 11, 2020, WHO characterized COVID-19 as a pandemic.() Since then, emergency services have played crucial role in care network for these patients.() The increased demand has led environments to become not only stabilization units...

OBJECTIVES To evaluate the distribution and functioning of South African intensive care units (ICUs) and high care units (HCUs), in particular the extent to which units were 'closed units'. DESIGN AND SETTING A descriptive, non-interventive, observational study design was used. An audit of all public and private sector ICUs and HCUs in South Africa was undertaken. RESULTS A 100% sample was ...

special characteristics of care environments have always presented nurses with some challenges. one particular situation is futile care, which is frequently accompanied by countless moral and legal challenges. the dominant atmosphere in futile care may cause moral distress to nurses and lead to a sense of guilt, pain, suffering, job dissatisfaction, and eventually cause nurses to leave the job....