Difficult intubation and mechanical ventilation are common causes of pneumothorax in critically ill patients. Patients with chronic respiratory tract disease at high risk for caused by positive-pressure ventilation. A timely diagnosis is critical as it may evolve into tension pneumothorax. In this case report, we report a patient who has decreased level consciousness due to opioid overdose. the emergency room, she underwent became conscious after naloxone injection. After extubation,...

Pulmonary bullae typically occur either idiopathically or in the context of chronic obstructive pulmonary disease and infections. Clinical manifestations include cough, shortness breath, chest pain. In some cases, they may be asymptomatic. Differentiating between pneumothorax can challenging when coexist. Therefore, obtaining a detailed patient history, conducting physical examination, performing laboratory tests, utilizing radiology studies are essential diagnostic tools that should...

Background: Electrolyte imbalance is one of the influential causes in determining outcome traumatic patients. One electrolytes that get less attention from healthcare providers magnesium. Therefore, this study investigated frequency hypomagnesemia trauma patients hospitalized intensive care unit. Methods: The descriptive-cross-sectional was conducted after approval at Zahedan University Medical Sciences on 118 with multiple traumas 2021 to 2022. Patients were selected by convenience sampling...

Background: Pulmonary regurgitation (PR) is often known as an acquired condition after surgical correction of tetralogy Fallot (TOF). Therefore, the present study aimed to compare use monocusp valve (MV) implantation and transannular patch (TAP) angioplasty on PR right ventricular (RV) failure following surgery repair TOF.
 Methods: This prospective randomized clinical trial (RCT) was performed a total number 60 patients undergoing reconstructive TOF. For this purpose, TAPs without with...

Background: Determining the level of consciousness is one main responsibilities nurses in intensive care unit (ICUs).Scales used to determine should be less affected by injection analgesics and sedatives provide proper vision patient's status.Objectives: This study was conducted assess ability two tools including Glasgow coma scale (GCS) full outline unresponsiveness (FOUR) score measuring outcome patients receiving sedation under mechanical ventilation. Methods:The present analytical...

Introduction: Adding ketamine to bupivacaine in caudal anaesthesia is likely increase its analgesic effect. However, it not clear which dose of will have the greatest impact and lowest level complications. Thus, purpose this study was compare effects three different doses plus on pain control after pediatric surgery. Methodology: The present double-blinded clinical trial conducted 69 patients, age ranging from 6 months 10 years. Patients were assessed via American Society Anaesthesiologists...

Background: It is widely accepted that increased prevalence of antibiotic resistance pathogens grown in the respiratory system intensive care unit (ICU) patients a very serious problem causing expansion mortality. The most important strategy to prevent occurrence and appropriate solution control thoroughly investigate pattern studied ward. Therefore, purpose this study was determine organisms isolated from endotracheal tube secretions admitted ICU Khatam-Al-Anbia Hospital at Zahedan...

Background: Co-administration of drugs with synergistic effects is considered as one the methods to increase effectiveness intrathecal anesthesia and reduce need for injectable analgesics. The purpose this study was investigate efficacy midazolam on enhancing analgesic effect fentanyl in patients undergoing lower limb surgery. Materials: present double-blinded clinical trial conducted 90 candidate orthopedic surgery 2017 at Khatam-Al-Anbiya Hospital city Zahedan, Iran. To end, were selected...

Background: Disorders of consciousness, including the vegetative state (VS) and minimally conscious (MCS) following brain damage various complications for patient, also have economic social consequences. However, there is still no definitive or effective treatment this condition. Therefore, study aims to investigate effectiveness zolpidem in improving consciousness patients with acute injury. Methods: The present quasi-experimental was performed from 2020 2021 after obtaining necessary...

Background: Spirituality helps family caregivers of vegetative state patients to overcome the stressful conditions patient care. However, illness and caregiver burden may also negatively affect caregiver’s spirituality. Accordingly, this study aimed investigate challenges in a state. Methods: The present qualitative was conducted through conventional content analysis from August 2020 September 2021 two provinces Iran (Sistan Baluchestan Khorasan Razavi). A total 20 were included study....

Tension pneumothorax (TPT) in trauma patients is an uncommon disorder caused by the progressive accumulation of air pleural cavity. In pre-hospital and emergencies, if it not diagnosed treated on time, endangers lives patients. this study, we report a patient who developed tension extensive subcutaneous emphysema due to mild going hospital early hours, which anaphylactic appearance patient's face.

Background: Pain management programs in the case of patients with loss consciousness could be advantageous inasmuch as they reduce use sedatives, prevent long hospitalization, and diminish cost treatment, medications, hospitalization. Objectives: The present study aims to evaluate effect pain algorithm on intensity who had been hospitalized an intensive care unit (ICU) 2017. Methods: In this randomized single-blind clinical trial, 90 were under mechanical ventilation admitted ICU Khatam...

Background: The intensive care unit is one of the most specialized hospital units that need nurses with a high level skill and experience. leave experienced from this reduces quality nursing imposes heavy costs on health system. This study aimed to investigate reasons for nurses' intention ICU. Methods: cross-sectional was performed 247 in ICU affiliated Zahedan, Tehran, Mashhad University Medical Sciences, Iran, 2018 2021. Nurses were included by Census sampling method based inclusion...

Patients with a vegetative state (VS) are completely dependent on caregivers in all physical aspects of their lives. Caring for such patients comes great deal difficulty family caregivers. As result, must be fully trained and prepared this role. The present qualitative study was conducted to investigate the educational challenges faced by VS home care preparedness.The through conventional content analysis method from August 2020 September 2021 two provinces Iran (Sistan Baluchestan Province;...

Background: Shivering is an undesirable complication following general anesthesia and spinal anesthesia, whose early control can reduce postoperative metabolic respiratory complications. Therefore, this study aims to compare the effects of prophylactic injection ketamine pethidine on shivering. Methods: This double-blind clinical trial was performed 105 patients with short-term orthopedic ENT surgery. The were randomly divided into three groups; 20 minutes before end surgery, 0.4 mg/kg...

Background: Postoperative nausea and vomiting (PONV) leads to an increase in intraocular pressure (IOP) its side effects, which should be controlled using the least complicated method. Therefore, purpose of this study was evaluate effect 80% supplemental perioperative oxygen on PONV patients undergoing cataract surgery. Methods: The present double-blind clinical trial conducted 201 subjects were selected by convenience sampling method randomly divided into two groups 30% administration...

Background: For patients with prolonged bed rest and immobilization because of motor or consciousness disorders, many factors may contribute to the development pressure ulcers. To this end, present study aimed investigate frequency ulcers affecting condition in intensive care units (ICUs).
 Methods: In descriptive cross-sectional study, case files records hospitalized between March 2017 2018 entered using census method. The necessary information including age, gender, location ulcers,...

Background and Aim: Front-line medical teams are experiencing unprecedented stressors as a result of the COVID-19 pandemic. In face these pressures, teamwork has become both more important challenging. During crisis, people trying to work together who may not have done so under 'normal' conditions. Therefore, this study will be conducted investigate attitudes barriers from perspective intensive care unit nurses in Methods: descriptive-analytical October 2020 January 2021, 97 working units...

Background: Pulmonary changes and their respiratory consequences in patients with chronic obstructive pulmonary disease (COPD) could lead to many physical complications are one of the major causes hospitalization. Objectives: In this regard, present study explores efficacy self-care training on spirometric indices COPD patients. Methods: This clinical trial was performed 70 who had been admitted 2017 Ali Ibn Abi Talib Hospital Zahedan, Southeast Iran. The subjects were recruited through...