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 ...

abstract background: secretions contaminated with oral, nasal, and gastric bacteria accumulate in the subglottic space, above the endotracheal tube cuff. if these secretions are aspirated into lower airways, the intubated patient will be susceptible to ventilator‑associated pneumonia (vap). the aim of this study was to investigate the effect of inspiratory pause maneuver for intermittent subglo...

Background: The application of more humanized approaches in the caring process of the Intensive Care Unit (ICU) patients with the aim of improving the quality of care has been given a growing attention However, there are limited studies regarding the Islam-based caring for the Moslem populations in Indonesia. Aim: This study aimed to explore and describe the caring actions employed by nurses to...

Background: Malnutrition is an important factor in the survival of critically ill patients. The purpose of the present study was to assess the nutritional status of patients in the intensive care unit (ICU) on the days of admission and discharge via a detailed nutritional assessment. Methods: Totally, 125 patients were followed up from admission to discharge at 8ICUs in Shiraz, Iran. The patien...

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...

background: malnutrition is an important factor in the survival of critically ill patients. the purpose of the present study was to assess the nutritional status of patients in the intensive care unit (icu) on the days of admission and discharge via a detailed nutritional assessment.  methods: totally, 125 patients were followed up from admission to discharge at 8icus in shiraz, iran. the patie...

b a ckground:  nutritional care is of special importance in the control of the rate of mortality among intensive care unit (icu) patients. therefore, anthropometric and biochemical assessment are important among icu patients. we intend to report the anthropometric and biochemical indices, as well as the energy intake among icu patients in isfahan, iran. m ethods : this descriptive study was car...

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...