conclusions although some studies showed association between anemia and extubation failure, the current study could not confirm it. the study showed that males, regardless of the hct level, had a better extubation success rate than those of females. results there was no significant association between the level of hct concentration and extubation failure (8.9% vs. 9.2%, p = 0.507). gender and a...

Free full text available from www.ijccm.org A b st ra ct The neuromuscular syndrome of acute limb and respiratory weakness that commonly accompanies patients with multi-organ failure and sepsis constitutes critical illness polyneuropathy. It is a major cause of difficulty in weaning off the patient from the ventilator after respiratory and cardiac causes have been excluded. It is usually an axo...

critically ill patient transfer is potentially risky and may be lead to morbidity and mortality. physicians' skill is very important for safe transport. we want to evaluate the effect of clinical course teaching on the promotion of physicians' abilities in the transport of critically ill patients. in an interventional study, 320 interns, male and female, were taught about patient transfer in tw...

BACKGROUND AND OBJECTIVES The diffuse axonal polyneuropathy, more commonly known as Critical Illness Polyneuropathy (CIP), has been discussed by authors by decades; however, it has only been deeply studied over the last thirty years, becoming more important as an important cause of long term dependence on mechanical ventilation by seriously ill patients in intensive care medicine. CONTENTS A ...

Hospitalization presents unique challenges in older people. Older patients may be more likely to suffer from comorbid illness or have diminished physiological reserves that impair their ability to maintain homeostasis in the context of acute illness. A variety of geriatric syndromes, such as dementia, delirium, and gait disturbance, are more common in older patients admitted to the hospital tha...

OBJECTIVE To describe patterns of transfer, resource utilization, and clinical outcomes associated with interhospital transfer of critically ill and injured children. DESIGN Secondary analysis of administrative claims data. PARTICIPANTS Children 0 to 18 years in the Michigan Medicaid program who underwent interhospital transfer for intensive care from January 1, 2002 to December 31, 2004. T...

BACKGROUND It has been claimed that publicity surrounding popular celebrity Jade Goody's experience of cervical cancer will raise awareness about the disease. This study examines the content of newspaper articles covering her illness to consider whether 'mobilising information' which could encourage women to adopt risk-reducing and health promoting behaviours has been included. METHODS Conten...

Recent epidemiologic data linking proton pump inhibitor (PPI) use to acute and chronic kidney dysfunction is yet to be validated in other populations, and mechanisms have not been explored. Using a large, well phenotyped inception cohort of 15 063 critically ill patients, we examined the risk of acute kidney injury (AKI), as defined by the Kidney Disease Improving Global Outcomes criteria guide...

INTRODUCTION Non-excitable muscle membrane indicates critical illness myopathy (CIM) during early critical illness. We investigated predisposing risk factors for non-excitable muscle membrane at onset of critical illness. METHODS We performed sequential measurements of muscle membrane excitability after direct muscle stimulation (dmCMAP) in 40 intensive care unit (ICU) patients selected upon ...