The effect kind of eye care policy on the incidence rate of exposure keratopathy among mechanically ventilated patients

Patients in the intensive care unit (ICU), especially ventilated patients, are at considerable risk of developing ocular surface disease because the protective eye mechanisms are damage, as decrease eyelid closure ,unable blinking, decreased producing tears, increased expose the eye to pathogen bacteria . These factors often result in incomplete lid closure and expose and decay the eye, and this called the exposure keratopathy, which appear that high rate with ventilated patients. The eye care is a part of the providing care to every patient in critical care units. Whereas the Unconscious and Sedation and paralysis patients are the most serious group and the most need to the eye care for maintain the eye in a state of normal.objective:To determine the effect kind of eye care policy on incidence rate of exposure keratopathyamong mechanically ventilated patients.

The Effect of Physiotherapy on Weaning and Length of Stay of Mechanically Ventilated Patients in Intensive Care Units

The aim of this study was to assess the effect of physiotherapy on ventilator weaning and lengths of intensive care unit (ICU) stay. Patients were divided into two groups. The control group, which received standard nursing care. The data of control patients who were not receiving physiotherapy were obtained from the hospital records. The intervention group was prospectively taken into the chest physiotherapy program. This study was conducted on sample of 30 patients in the ICU in alaassad university hospital. Demographics, diagnostic profiles, co-existing chronic diseases, respiratory parameters on admission, patient’s overall severity by Acute Physiology and Chronic Health Evaluation II score, patient outcome, duration of stay in ICU, duration of ventilator support, and complications were assessed. The extubation time and length of ICU stay were compared between the two groups. Control patients had a longer period of ventilator dependency than the intervention patients and this difference was statistically significant (P < 0.05). It was noted that the resulting length of stay in the ICU was significantly lower in the intervention group than in the control group (P < 0.05). Although the patients had similar diagnoses and physical features, the length of stay in the ICU was significantly lower in the intervention group. The results show that physiotherapy has a great impact on ventilatory dependency and length of stay in the ICU

The Relationship between the Duration of Mechanical Ventilation and Endotracheal Intubation Associated Pneumonia in Surgical Emergency

Endo-tracheal tube –associated pneumonia (ETTP) or ventilator associated pneumonia is the most dangerous complication in the intensive care units especially the surgical one (1). The objective of this study is to evaluate the incidence of (ETTP) in the emergent surgical intensive care and its relationship to the duration of mechanical ventilation and try to define if is it linear or not . It is important to begin our special studies in surgical intensive care units because we expect different incidence and mortality compared with international rates.