OBJECTIVE To characterize tracheal intubation process of care and safety outcomes in a large tertiary pediatric intensive care unit using a pediatric adaptation of the National Emergency Airway Registry. Variances in process of care and safety outcome of intubation in the pediatric intensive care unit have not been described. We hypothesize that tracheal intubation is a common but high-risk pro...

special characteristics of care environments have always presented nurses with some challenges. one particular situation is futile care, which is frequently accompanied by countless moral and legal challenges. the dominant atmosphere in futile care may cause moral distress to nurses and lead to a sense of guilt, pain, suffering, job dissatisfaction, and eventually cause nurses to leave the job....

background and objective:acinetobacter spp.a gram-negative coccobacillus is increasingly reported as important cause of nosocomial infections. multi-drug resistance (mdr) ofacinetobacterspp., raises concerns over our ability to treat serious infections with these organisms. the aim of this study was to determine the frequency and associated risk factors for infections with mdr acinetobacter spp...

background and purpose: organizational commitment has been on a downward trend among medical staff in different sections of the health care system. this study aimed to investigate the level of organizational commitment among the nurses engaged in the intensive care units (icus) of mazandaran heart center in sari, iran. methods: this descriptive-analytical study was conducted at the educational ...

OBJECTIVES To determine the efficacy of oral amphotericin B for the prevention of Candida bloodstream infection in the pediatric intensive care unit. DESIGN Retrospective, nonrandomized, historic-control study. SETTING Multidisciplinary pediatric intensive care unit at a university-affiliated children's medical center. PATIENTS Study group included all patients admitted to the pediatric i...

OBJECTIVE Tracheal intubation in the pediatric intensive care unit is often performed in emergency situations with high risks. Simulation has been recognized as an effective methodology to train both technical and teamwork skills. Our objectives were to develop a feasible tool to evaluate team performance during tracheal intubation in the pediatric intensive care unit and to apply the tool in t...

background critical-care patients are at higher risk of untreated pain, because they are often unable to communicate owing to altered mental status, tracheal intubation and sedation. objectives this study compared two pain assessment tools on tracheal intubated critically ill patients in a cardiac post-anesthesia care unit, who were unable to communicate verbally. the studied tools were “critic...

background hypoglycemia is a common and the most important complication of intensive insulin therapy in critically ill patients. because of hypoglycemia’s impact on the cardinal organs as a fuel, if untreated it could results in permanent brain damage and increased mortality. conclusions our results showed that the sofa score, aki, and hemoglobin a1c are the independent risk factors for the dev...