Hods A multicenter, observational and retrospective chart overview study. The health-related chart of all deaths occurring involving January 2003 and December 2004 in seven Brazilian PICUs positioned in Porto Alegre (two), Sao Paulo (two) and Salvador (three) had been evaluated. Two pediatric intensive care residents of every service filled a typical protocol trying to find: demographic data, mode of death (complete reanimation, nonreanimation orders or withdrawn treatment) and health-related management during the final 48 hours of life. Student’s t test, evaluation of variance, chi-square test and relative risk were used for comparing the information. Final results There had been 561 deaths, 36 becoming excluded that died with significantly less than 24 hours, 61 with brain death and 36 missing charts. Full cardiopulmonary reanimation was provided to 56.5 , with variations among the northeast and southeast regions (P < 0.001). Higher age (P = 0.02) and long length of PICU stay were associated with nonreanimation orders. The plan for LSL was recorded in a clear manner in just 52.7 . No respiratory support was observed in 14 dying children. For 66 patients with do-notresuscitate orders the inotrope drugs were maintained or increased PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20799915 in the final 48 hours. Conclusions The incidence of LSV has improved amongst the Brazilian PICUs having a distinction among the regions. The nonreanimation order is still by far the most prevalent practice with scarce initiative for withdrawn life assistance.SAvailable on line http://ccforum.com/supplements/11/SP506 Planet Sources in Important Care Study: a survey of critical care analysis and sources in eight countriesH Wunsch1, D Harrison2, O Collange3, N de Keizer4, R Fowler5, E Hoste6, A Kersten7, W Linde-Zwirble8, A Sandiumenge9, D Angus8, K Dothiorelone G site Rowan2 1Columbia University, New York, USA; 2ICNARC, London, UK; 3Strasbourg University Hospital, Strasbourg, France; 4University of Amsterdam, The Netherlands; 5Sunnybrook Well being Sciences Center, Toronto, Canada; 6Ghent University Hospital, Ghent, Belgium; 7University Hospital Aachen, Germany; 8University of Pittsburgh, Pittsburgh, PA, USA; 9University Hospital Joan XXIII, Tarragona, Spain Critical Care 2007, 11(Suppl two):P506 (doi: 10.1186/cc5666)Introduction Crucial care analysis entails information from several countries, but important care sources in these nations are unknown. We hypothesized that you can find significant variations in crucial care sources between countries.Figure 1 (abstract P506)Techniques We identified original study articles on vital care in 3 high impact aspect journals (N Engl J Med, JAMA as well as the Lancet) published from 2001 to 2005. A list in the countries where information collection occurred was extracted. Eight countries contributed to 10 studies. A collaborator in each nation was asked to supply baseline important care information and facts for their country from 2005, or as close to that date as you can. Final results Sixty-two research involving data from 51 nations had been identified. Eight nations contributed information to ten research throughout this time period: the USA (26 research), France (18), the United kingdom (14), Canada (13), Belgium (12), Germany (10), The Netherlands (ten) and Spain (ten). Relevant data on baseline hospital and essential care sources for the eight countries identified are presented in Figure 1 (data from Canada not readily available). Adult ICU beds ranged from 3.3/100,000 population inside the United kingdom to 24.6 in Germany, and represented a selection of 1.4 of all acute care hospital beds inside the Uk to 11.0 of all.