background: transport of the critically ill patient is potentially risky and the transport team should be careful in making decision and be prepared to deal with them in any condition. our physicians are not qualified in safe transport. we want to evaluate the effect of small group teaching method for promotion of physicians' skills in transport of critically ill patients. methods: in an interv...

Malnutrition affects 50% of hospitalized children and 25-70% of the critically ill children. It increases the incidence of complications and mortality. Malnutrition is associated with an altered metabolism of certain substrates, increased metabolism and catabolism depending on the severity of the lesion, and reduced nutrient delivery. The objective should be to administer individualized nutriti...

the objective of this study was to determine the prevalence and incidence of venous thromboembolism among critically ill medical surgical patients. in this cross sectional and retrospective study, we observed 243 patients who were first admitted at the intensive care unit. patients who were diagnosed with deep venous thrombosis or embolism either by clinical or paraclinical methods were enrolle...

background: drug utilization evaluation (due) studies are designed to evaluate and improve the rational use of medications. dues have focused on drugs used in high risk patients such as critically ill cases in this study. carbapenems are beta-lactam type antibiotics with broad-spectrum of activity which cover gram-positive, gram-negative and anaerobic bacteria. the heavy use of carbapenems (imi...

severe sepsis and septic shock are major problems as the result of high rates morbidity andmortality in intensive care units (icus). in the presence of septic shock, each hour of delay inthe administration of effective antibiotics is associated with a measurable increase in mortality.aminoglycosides are effective broad-spectrum antibiotics that are commonly used in icus forthe treatment of life...

Recently, some evidence has shown that the failure of iron homeostasis may occur in critically ill patients and can lead to iron overload. Elevated ferritin levels as a body iron burden index in critically ill patients may be associated with depressed level of consciousness and greater mortality. However, the necessity of using iron-chelating agents in clinical situation is still unknown for th...

stress-related mucosal damage (srmd) is a significant cause of morbidity and mortality in critically ill patients due to the gastrointestinal blood loss. prophylaxis of srmd with proton pump inhibitors or histamine-2 blockers has gained widespread use in intensive care units. both demonstrated to be effective in reducing clinically significant bleedings, while ppis has shown to exert some anti ...

background serum creatinine as a classic marker of renal function has several limitations in the detection of renal dysfunction. objectives this study assessed the validity of serum cystatin c as a marker of renal function in critically ill patients with normal serum creatinine. patients and methods eighty adult patients referred to intensive care units with serum creatinine levels < 1.5 mg/dl ...

the aim of this study was to investigate the prevalence of mg deficiency and effect of aminophylline infusion on urine magnesium concentration after magnesium loading test (mlt). to determine serum mg, venous blood specimens were obtained just before the first mlt. two mlts were performed. the first one was done before starting aminophylline infusion and the 2nd one was done during aminophyllin...