Background: Assessing patients’ readiness for weaning through spontaneous breathing trial (SBT) is a reliable method for improving weaning and extubation outcomes. Until now, there are controversies over the best SBT method. Objective:... more
Background: Assessing patients’ readiness for weaning through spontaneous breathing trial (SBT) is a reliable method for improving weaning and extubation outcomes. Until now, there are controversies over the best SBT method. Objective: This study aimed to compare the clinical outcomes of the T-piece and pressure support ventilation (PSV) SBT methods among patients with traumatic brain injury. Methods: In this randomized controlled trial, 72 patients under mechanical ventilation were purposively recruited from the intensive care unit of Shahid Rajaei hospital, Qazvin, Iran, and randomly allocated to an intervention and a control group. SBT was conducted in the intervention and control groups through the T-piece and PSV (with pressure support of less than 8 cm H2O), respectively. The groups were compared with each other respecting weaning outcomes, extubation success, length of mechanical ventilation, length of hospital stay, and mortality rate. Data were compared using the Chi-square...
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Background: Patients with head trauma need mechanical ventilation in order to protect airway and prevent complications. However, due to the lack of well-developed weaning protocols, weaning failure rate among them is high and hence, they... more
Background: Patients with head trauma need mechanical ventilation in order to protect airway and prevent complications. However, due to the lack of well-developed weaning protocols, weaning failure rate among them is high and hence, they may need mechanical ventilation and stay in hospital for long time, resulting in heavy costs on healthcare systems and high risk of death.Objectives: The aim of the present study was to evaluate the effects of using the Persian weaning tool on patient outcomes among patients with head trauma under mechanical ventilation.Methods: This clinical trial was conducted in 2018 on sixty patients with head trauma who were receiving mechanical ventilation in the intensive care unit of Shahid Rajaei Hospital, Qazvin, Iran. Participantswere randomly allocated to an intervention and a control group. Weaning from mechanical ventilation in these groups was performed using the Persian Weaning Tool and routine physiciandirected method, respectively. Groups were comp...
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Background and aim: Traumatic brain injury is the second leading cause of mortality in Iran. Understanding the factors affecting the clinical outcomes of these patients can improve the therapeutic results. The aim of this study was to... more
Background and aim: Traumatic brain injury is the second leading cause of mortality in Iran. Understanding the factors affecting the clinical outcomes of these patients can improve the therapeutic results. The aim of this study was to investigate the relationship between sodium and potassium serum levels at admission time and the clinical outcomes in head trauma patients. Methods: This descriptive-analytic study was performed in the Intensive Care Unit (ICU) of Shahid Rajaee Hospital in Qazvin in 2019. In this study, 70 mechanically ventilated head injury patients who met the inclusion criteria were selected by available sampling method. According to the level of sodium on admission day patients were divided into two groups: hyponatremia (sodium <135) and normonatremia (sodium ≥135). Also, according to the level of potassium on the day of admission, they were divided into two groups: hypokalemia (potassium>3.5) and normokalemia (potassium≥3.5). Patients in the hyponatremic gro...
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Background: Patients can be carriers of the virus for a long time or become re-infected or re-infected following the use of immunosuppressive drugs. Clinical manifestations in patients are very diverse and can range from asymptomatic to... more
Background: Patients can be carriers of the virus for a long time or become re-infected or re-infected following the use of immunosuppressive drugs. Clinical manifestations in patients are very diverse and can range from asymptomatic to severe illness with death. Patients may also present with manifestations such as coagulation disorders, cardiac dysfunction and arrhythmias, acute coronary syndrome, kidney injury, liver injury, Refer to diabetic hyperglycemia and ketoacidosis. This is an essential point in the prevention of Coronavirus Disease 19 (COVID-19). Case Presentation: We reported a case in which the Polymerase Chain Reaction (PCR) test was positive after re-negative after 5 months. Moreover, the patient presented different and more severe symptoms than the previous infection, as the genetic difference between the strains increased over time. Conclusion: As a result, immunization may become more complicated, and different clinical pictures occur; thus, this condition can cha...
Research Interests:
Research Interests:
Research Interests:
Background: Patients can be carriers of the virus for a long time or become re-infected or reinfected following the use of immunosuppressive drugs. Clinical manifestations in patients are very diverse and can range from asymptomatic to... more
Background: Patients can be carriers of the virus for a long time or become re-infected or reinfected following the use of immunosuppressive drugs. Clinical manifestations in patients are very diverse and can range from asymptomatic to severe illness with death. Patients may also present with manifestations such as coagulation disorders, cardiac dysfunction and arrhythmias, acute coronary syndrome, kidney injury, liver injury, Refer to diabetic hyperglycemia and ketoacidosis. This is an essential point in the prevention of Coronavirus Disease 19 (COVID-19). Case Presentation: We reported a case in which the Polymerase Chain Reaction (PCR) test was positive after re-negative after 5 months. Moreover, the patient presented different and more severe symptoms than the previous infection, as the genetic difference between the strains increased over time. Conclusion: As a result, immunization may become more complicated, and different clinical pictures occur; thus, this condition can challenge vaccine immunization.