BACKGROUND Critically ill patients under mechanical ventilation require frequent suctioning of airway secretion. Closed suction permits suctioning without disconnection from ventilator; so it might decrease hypoxemia and infection rate. OBJECTIVES This study aimed to evaluate the effect of closed tracheal suction system (CTSS) versus open tracheal suction system (OTSS). PATIENTS AND METHODS...

Suctioning intubated patients aids in removing secretions and maintaining a patent airway, while promoting optimal ventilation and oxygenation. The development of guidelines by Brooks et al supports clinical decision making by taking into consideration both the benefits and complications associated with the procedure. Recommendations for preoxygenation, hyperoxygenation, hyperinflation plus met...

OBJECTIVE The purpose of this study was to determine the compliance rate with a maternal risk-factor-based guideline for the prevention of neonatal group B streptococcal (GBS) sepsis. METHODS In August 1994, a risk-factor-based guideline for selective intrapartum prophylaxis against neonatal GBS was adopted by a group model health maintenance organization. This guideline identified the follow...

BACKGROUND There is little published evidence that any aspect of vocational training for general practice improves the quality of care provided by general practitioners (GPs). AIM To investigate whether aspects of education and vocational training predict whether GPs provide intrapartum care. METHOD A five-year prospective cohort study was carried out in the United Kingdom (UK) using respon...

Intrapartum hemorrhage is a serious and sometimes life-threatening event. Several etiologies are known and include placental abruption, uterine atony, placenta accreta, and genital tract lacerations. Prompt recognition of blood loss, identification of the source of the hemorrhage, volume resuscitation, including red blood cells and blood products when required, will result in excellent maternal...

QUESTION Does the instillation of normal saline before suctioning reduce the incidence of ventilator-associated pneumonia in intubated and ventilated adults? DESIGN Randomised, controlled trial with blinded outcome assessment. SETTING The medical/surgical intensive care unit of a tertiary oncology hospital in Brazil. PARTICIPANTS Adults expected to require at least 72 hours of mechanical ...

The aim of this study was to compare the performances of two strategies for predicting intrapartum vaginal carriage of group B streptococci (GBS). One strategy was based on an antepartum culture and the other on an intrapartum polymerase chain reaction (PCR). We conducted a prospective observational study enrolling 902 pregnant women offered GBS screening before delivery by two strategies. The ...

Background Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic data in Eritrea. Objectives To determine the predictors of women's satisfaction with intrapartum care in Asmara public maternity hospitals in Eritrea. Methods A cross-sectional study among 771 mothers who gave birth in three public Hospitals. Chi-square tests were d...

OBJECTIVE To apply objective criteria for the identification of acute intrapartum hypoxia in a cohort of cerebral palsy cases and to identify other cerebral palsy-related pathologies. METHODS A cohort of all 235 neonates with cerebral palsy from a single Australian tertiary care center born between 1986 and 2003. Cases were identified from the South Australian Cerebral Palsy Register. Materna...

Epulis, or congenital granular cell tumor, is a rare benign tumor of the soft tissue in the oral cavity. Antenatal diagnosis has been reported rarely in the literature and incomplete evaluation is not uncommon1–3. Recently, a report on three clinical cases suggested that an ex-utero intrapartum treatment (EXIT) procedure may be useful when congenital epulis is diagnosed antenatally4. This proce...