BACKGROUND Legionellaceae contains Legionella genus with over 52 species and 64 serogroups. It is one of the most important causes of respiratory disease in human. More than 30% of hospital-acquired pneumonia is caused by Legionella. Ventilator-associated pneumonia (VAP) is an infection acquired in hospital wards, particularly in intensive care unit (ICU). This disease approximately affects 9% ...

Aspiration of a tooth in facial trauma is a known complication. There have been few reports on the consequences of maxillofacial trauma, especially when the patient is intubated. We report 2 complicated cases of multiple teeth aspiration and their removal in intubated patients. A special technique using flexible bronchoscopy with simultaneous tracheotomy was used for safe and successful removal...

Respiratory syncytial virus is the major cause of lower respiratory tract infection in children. Adults who are immunocompromised, aged, institutionalized, and/or have underlying medical diseases may be at risk for severe RSV infection. Intubated adults in an MICU were evaluated for evidence of RSV infection. Respiratory secretions were analyzed by cell culture and RSV EIA. Serologic testing wa...

BACKGROUND A recently released dopamine-1 receptor agonist, fenoldopam, increases intraocular pressure (IOP) in both healthy volunteers and patients with chronic ocular hypertension. Dopamine, a potent agonist at both dopamine-1 and -2 receptors, is frequently infused in critically ill patients for its inotropic, renal vasodilatory, and natriuretic effects. The authors hypothesized that low dos...

BACKGROUND Patients with acute brain injury but normal lung function are often intubated for airway protection, but extubation often fails. Currently, no clinical data exist that describe the events leading to extubation failure in this population. We examined the extubation failure rate, reintubation rate, and clinical characteristics of patients whose reason for intubation was a primary neuro...

The challenge of surgeons in our era is a less-invasive procedure. Over the last 20 years, video assisted thoracic surgery (VATS) become the treatment of choice in multiple chest related illnesses. Usually, VATS requires general anaesthesia with the selective intubation. However, in severe patients, with a high comorbidity index or elevated risk for anaesthesia, general anaesthesia may not be p...

classified as receiving limitation of care, 18.8% were actually transferred out of the intensive care unit (ICU) terminally (left against medical advice) for financial or other reasons. Only 1.6% of ICU deaths had do-not-resuscitate orders and another 1.6% had withholding of life support [2]. A second study carried out at four centres in Mumbai [3] revealed that 34% of deaths had limitation of ...