background vascular ring is less than 1% of congenital heart disease. double aortic arch (daa) is the most common form of it.  its detecting is important because of the effects of pressure on the esophagus and trachea. case report in this study, three children suffering from double aortic arch with symptoms of dysphagia and recurrent aspiration, which in two cases had led to cardiac arrest, wer...

BACKGROUND In the last year there has been an increasing interest for using frailty scales for risk stratification of elderly patients undergoing major surgery. We planned to compare two frailty scales with risk scales already used in cardiac surgery, to study which of these scores have better prognostic value predicting postoperative outcome in open heart surgery. METHODS We conducted a pros...

background and aim: ventilator-associated pneumonia (vap) is the second most common infection within intensive care units (icus). happening in patients requiring mechanical ventilation for more than 48 hours, the disease is associated with high morbidity and mortality. this study aims to compare the effects of matrica and chlorhexidine mouthwashes on the prevention of vap among patients hospita...

introduction: in a prospective study, we aimed to assess the value of enhanced rdw to predict sepsis and evaluate factors affecting length of icu stay and in-hospital mortality among sepsis patients. material and method: after exclusion of 27 patients, we included 160 adult patients with suspicious sepsis admitted at university affiliated hospital with 33 icu-beds from 2010 to 2012. nighty pati...

conclusions central nervous system depressant was an important risk factor for vap among poisoned patients. hypoventilation due to cns depression can lead to vap. the apache ii and length of hospital stay were shown as independent predictors of vap and mortality among these patients. results the mean age of the patients was 33.9 ± 14.3 years. the probable vap incidence and mortality were 22% an...

OBJECTIVE During cardiac surgery, several factors contribute to the development of postoperative pulmonary complications. Non-invasive ventilation is a promising therapeutic tool for improving the functionality of this type of patient. The aim of this study is to evaluate the functional capacity and length of stay of patients in a nosocomial intensive care unit who underwent prophylactic non-in...

The issue of tight glucose control with intensive insulin therapy in critically ill patients remains controversial. Although compelling evidence supports this strategy in postoperative patients who have undergone cardiac surgery, the use of tight glucose control has been challenged in other situations, including in medical critically ill patients and in those who have undergone non-cardiac surg...

Cardiac surgery with sternotomy is related to a mechanism of intense trauma the use large amount opioids, which does not always provide good analgesic control, in addition generating chemical dependence. The persistence pain thoracic region postoperative period common conventional analgesia performed only slows recovery, increasing costs and morbidity. New approaches control these surgeries bec...

Unlike for septic shock, there are no specific international recommendations regarding the management of cardiogenic shock (CS) in critically ill patients. We present herein recommendations for the management of cardiogenic shock in adults, developed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group of the French-Language Society of In...