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SAJCC

THE OFFICIAL SOUTHERN AFRICAN JOURNAL OF CRITICAL CARE

August 2012 Vol. 28 No. 1

Editor Lance Michell Nursing Science Editor Nicola Fouché Assistant Editor Emma Buchanan Technical Editors Marijke Maree Robert Matzdorff Melissa Raemaekers Paula Van Der Bijl Senior News Journalist Chris Bateman Head of Publishing Robert Arendse Production Manager Emma Couzens Art Director Siobhan Tillemans Design & DTP Travis Arendse Carl Sampson Distribution Manager Edward Macdonald Sales Director Diane Smith Tel. (012) 481-2069 Associate Editors Andrew Argent (UCT) Sats Bhagwanjee (Wits) Dean Gopalan

(University Of Kwazulu-Natal) Ivan Joubert (UCT) David Linton

(Hadasa University, Jerusalem) Rudo Mathiva (Wits) Mervyn Mer (Wits) Sam Mokgokong (Medunsa) Fatima Paruk (UCT) Helen Perrie (Wits) Guy Richards (Wits) Juan Scribante (Wits) ISSN 1562-8264

Use of editorial material is subject to the Creative Commons Attribution – Noncommercial Works License.

http://creativecommons.org/licenses/

by-nc/3.0

PRINTED BY Creda Communications Pty Ltd

Articles listed in

EXCERPTA MEDICA (EM BASE). BIOLOGICAL ABSTRACTS (BIOSIS). SCIENCE CITATION INDEX (SCISEARCH). CURRENT CONTENTS/CLINICAL MEDICINE Published by the Health and Medical Publishing Group Pty Ltd, Co registration 2004/022032/07, a subsidiary of the South African Medical Association, 28 Main Road (Cnr Devonshire Hill Road), Rondebosch, 7700.

Tel. (021) 681-7200. Fax (021) 681-7099.

E-mail: [email protected]

All letters and articles for publication must be submitted online at www.sajcc.org.za.

Critical Care Society of Southern Africa website: www.criticalcare.org.za To contact the Society tel. 083 564 1304, fax 0866 340 259.

Th e views and opinions expressed in the Southern African Journal of Critical Care are those of the authors and do not necessarily refl ect the views of the Editors of the Journal or the Critical Care Society of Southern Africa.

Th e appearance of advertising in the Journal does not denote a guarantee or an endorsement by the Society of the products or the claims made for the products by the manufacturers.

Copyright 2000 by SA Medical Association. Th is work is copyright under the Berne Convention. It is also copyright in terms of the Copyright Act 98 of 1978. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without permission of the copyright holder.

Cover design: Siobhan Tillemans

2 Editorial

Th e history and potential of ‘intelligent ventilation’

David M Linton

4 News

Articles

6 Intelligent ventilation in the intensive care unit

Sigal Sviri, Abed Bayya, Phillip D Levin, Rabia Khalaila, Ilana Stav, David M Linton

13 Endotracheal tube cuff pressure management in adult critical care units Portia Jordan, Dalena van Rooyen, Danie Venter

17 Intra-abdominal pressure at ICU admission: Evaluation as a predictor of severity and mortality in severe acute pancreatitis

Ratender Kumar Singh, Parnandi Bhaskar Rao, Arvind Kumar Baronia, Banani Poddar, Afzal Azim, Mohan Gurjar, Neha Singh, Vasudevan Senthilvel, Kamlesh Singh

22 Factors predicting mortality in elderly patients admitted to a Moroccan medical intensive care unit

Jihane Belayachi, Mina El khayari, Tarek Dendane, Naoufel Madani, Khalid Abidi, Redouane Abouqal, Amine Ali Zeggwagh

28 Abstracts

Critical4Africa, Sun City, North West Province, South Africa, 29 August - 2 September 2012 – Combined meeting of the Critical Care Society of Southern Africa (CCSSA), South African Th oracic Society (SATS), South African Society for Parenteral and Enteral Nutrition (SASPEN) and Trauma Society of South Africa (TSSA)

C M Y CM MY CY CMY K

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