Assessment of the nurses performance in providing care to patients being weaned from mechanical ventilation in suez canal university hospital

Mechanical ventilation refers to the use of life support technology to perform the work of breathing for patients who are unable to breathe effectively on their own. Patients requiring mechanical ventilation include: critically ill patients with advanced and potentially reversible respiratory failure due to pulmonary or non-pulmonary processes, patients who are only temporarily unable to ventilate adequately on their own following general anesthesia, and patients who have chronic respiratory or neuromuscular disorders that may prevent them from breathing effectively without mechanical support. Weaning from mechanical ventilation generally refers to the progressive reduction in mechanical support that is delivered to patients as they progressively increase their own contributions to breathing. The aim of the study is to assess nurses' performance in providing care to patients undergoing weaning from mechanical ventilation in Suez canal university hospital. To answer the question; what are the most common area of satisfactory and area of negletion in nurses' performance in providing care to patients undergoing weaning from mechanical ventilation? The sample comprised 50 nurses working in intensive care units and intensive cardiothoracic units [N =2wards] at Ismailia university hospital.. 31 nurses from the intensive care units, 19 nurses from intensive cardiothoracic units at Ismailia university hospital. The tools for data collections were structured of questionnaire sheet and Observational checklist. The result show that un satisfactory performance between nurses in Ismailia university hospital. The study concluded that all nurses need to improve their performance during care of weaning from mechanical ventilation. The study recommended that they had satisfactory theoretical knowledge and clinical applications weaning from mechanical ventilation should be taught together, to facilitate learning continuous evaluation of nurse's knowledge and performance is essential to identify nurse's needs

Interlocking nailing versus plating of humeral shaft fractures

Forty cases with humeral shaft fractures underwent surgical stabilization, 22 patients using a dynamic compression plate [DCP] and 18 patients using humeral antegrade interlocking intermedullary nailing [IMN]. There were 9 women and 31 men. Their ages ranged between 23 and 56 years with a mean of 30.4 years. The study was performed at the Saudi German Hospital, Jeddah, Saudi Arabia and King Fahad Hospital, Madina, Saudi Arabia, between October 1998 and May 2000. The range of follow up was 6 to 16 months with a mean of 9.1 months. The aim of the work was to compare the results of surgical stabilization of humeral shaft fractures using these two modalities of treatment as for the rate of fracture union, the incidence of complication and effect on shoulder and elbow function. Cases treated by DCP showed a higher rate of primary union than those treated by IMN, 90.9% and 83.3% respectively. The average duration to union was shorter in the DCP group of patient than the IMN group 18.5 weeks and 21 weeks respectively. The DCP plate group showed fewer complications, the most common being iatrogenic radial nerve palsy which resolved spontaneously in all patients. In the IMN group of patients, the most common complications were distraction of the fracture contributing to nonunion [22%] and impingement at the shoulder due to proximal nail protrusion a rotator cuff injury [16.7%]. It was concluded that dynamic compression plating of humeral shaft fractures resulted in a higher rate of union in a shorter duration of time with less complications than antegrade intramedullary interlocking nailing