SUMMARY Routine intensive care unit monitoring is common after elective embolization of unruptured intracranial aneurysms. In this series of 200 consecutive endovascular procedures for unruptured intracranial aneurysms, 65% of patients were triaged to routine (non-intensive care unit) floor care based on intraoperative findings, aneurysm morphology, and absence of major co-morbidities. Only 1 p...

cystic hygroma (ch) in the cervical region presents as a challenge to the anesthetist. the anaesthetic difficulties are usually associated with ch because of tumor extension into the mouth, airway management, thoracic extension, hemorrhage, involvement of pretracheal region, post operative respiratory obstruction and coexisting anomalies (down syndromes, turner syndromes and congenital cardiac ...

Psychiatric intensive care units (PICUs) fulfil a role analogous to the intensive care/ intensive therapy units familiar in general hospitals. Lehane and Rees ( 1995 ), Saverimuttu ( 1996 ) and Ford and Whiffin ( 1991 ) described the establishment of PICUs, where patients who are severely unwell or who present severe management problems can be nursed in safety.

Intensive care medical training, whether as a primary specialty or as secondary add-on training, should include key competences to ensure a uniform standard of care, and the number of intensive care physicians needs to increase to keep pace with the growing and anticipated need. The organisation of intensive care in multiple specialty or central units is heterogeneous and evolving, but appropri...

Introduction Prognostic scores are important for clinical and administrative management of intensive care units (ICU). SOFA score was designed to describe the sequence of complications during the patient ́s stay in the ICU, not to predict outcomes. However, it has been shown that high scores on the SOFA score are associated with high mortality. ΔSOFA is a measure derived from the SOFA score defi...

Introduction Pain is common in intensive care units (ICUs) [1]. Regular pain assessment can improve patient satisfaction and clinical outcomes. It is commonly performed by nurses [2], yet physician-led assessment can improve analgesic management. Using pain documentation as a surrogate for assessment, a review showed physiological parameters i.e. cardiovascular assessment, were more frequently ...

BACKGROUND As an important right and a treatment priority, pain management and alleviation can prevent harmful consequences and sever effects to the infant. The aim of this study was to determine the nurses and physicians' viewpoints about assessment, intervention, and evaluation of pain in the infants in the neonatal Intensive Care Units (NICUs). METHODS The cross-sectional study was perform...

Pain management in the intensive care unit (ICU) is a complex process. Both the experience of pain as well as its treatment can have consequences relating to the overall outcome of the patient. Further, lack of the ability of many patients in the ICU to communicate their distress makes it even more critical for the ICU practitioner to understand the typical causes of pain in this setting and th...

It has been shown that nosocomial infections or hospital acquired infections are recurrent problems, identified chiefly in intensive care facilities, surgical, and medical wards. In Trinidad and Tobago information on nosocomial infections are lacking. Within the period 1992-1995, 7,158 nosocomial infections were documented from 72,532 patients (10.0/100 admissions). In Europe, incidences vary f...

BACKGROUND Computing technology has the potential to improve health care management but is often underutilized. Handheld computers are versatile and relatively inexpensive, bringing the benefits of computers to the bedside. We evaluated the role of this technology for managing patient data and accessing medical reference information, in an academic intensive-care unit (ICU). METHODS Palm III ...