Reply to: Complementary of modified NUTRIC score with or without C-reactive protein and subjective global assessment in predicting mortality in critically ill patients
RESUMO O teixo europeu (Taxus baccata) é uma árvore com pequenos ramos alternados, agulhas verdes e casca marrom-avermelhada. A ingestão de uma alta dose de Taxus baccata com intenção suicida geralmente resulta em morte. A toxicidade sistêmica é principalmente cardíaca. Os autores descrevem o caso de uma jovem paciente que ingeri u uma alta dose de agulhas de teixo e foi trazida ao pronto-socorro com intoxicação grave, manifestada por arritmias malignas caóticas, tratadas com sucesso após exaustivos cuidados de suporte.ABSTRACT European yew (Taxus baccata) is a tree with alternate branchlets, green needles and ...
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

To: Patient functionality and walking speed after discharge from the intensive care unit
RESUMO O teixo europeu (Taxus baccata) é uma árvore com pequenos ramos alternados, agulhas verdes e casca marrom-avermelhada. A ingestão de uma alta dose de Taxus baccata com intenção suicida geralmente resulta em morte. A toxicidade sistêmica é principalmente cardíaca. Os autores descrevem o caso de uma jovem paciente que ingeri u uma alta dose de agulhas de teixo e foi trazida ao pronto-socorro com intoxicação grave, manifestada por arritmias malignas caóticas, tratadas com sucesso após exaustivos cuidados de suporte.ABSTRACT European yew (Taxus baccata) is a tree with alternate branchlets, green needles and ...
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Is there room for children to visit adult intensive care units?
RESUMO O teixo europeu (Taxus baccata) é uma árvore com pequenos ramos alternados, agulhas verdes e casca marrom-avermelhada. A ingestão de uma alta dose de Taxus baccata com intenção suicida geralmente resulta em morte. A toxicidade sistêmica é principalmente cardíaca. Os autores descrevem o caso de uma jovem paciente que ingeri u uma alta dose de agulhas de teixo e foi trazida ao pronto-socorro com intoxicação grave, manifestada por arritmias malignas caóticas, tratadas com sucesso após exaustivos cuidados de suporte.ABSTRACT European yew (Taxus baccata) is a tree with alternate branchlets, green needles and ...
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Taxus baccata intoxication: the sun after the electrical storm
RESUMO O teixo europeu (Taxus baccata) é uma árvore com pequenos ramos alternados, agulhas verdes e casca marrom-avermelhada. A ingestão de uma alta dose de Taxus baccata com intenção suicida geralmente resulta em morte. A toxicidade sistêmica é principalmente cardíaca. Os autores descrevem o caso de uma jovem paciente que ingeri u uma alta dose de agulhas de teixo e foi trazida ao pronto-socorro com intoxicação grave, manifestada por arritmias malignas caóticas, tratadas com sucesso após exaustivos cuidados de suporte.ABSTRACT European yew (Taxus baccata) is a tree with alternate branchlets, green needles and ...
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Cardiopulmonary rehabilitation in post-COVID-19 patients: case series
RESUMO A hist ória natural da doença e o tratamento de pacientes após a COVID-19 ainda se apresentam em construção. Os sintomas são persistentes, mesmo em casos leves, e as consequências decorrentes da infecção incluem fadiga, dispneia, taquicardia, perda de massa muscular e diminuição da capacidade fu ncional. Sobre a reabilitação cardiopulmonar, parece haver melhora na capacidade funcional, na qualidade de vida e no prognóstico com o Teste da Caminhada de 6 Minutos, sendo este utilizado como avaliador prognóstico e terapêutico. Assim, o objetivo deste relato de casos é descrever a experiê ncia de quatro...
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Impact of red blood cell transfusion on oxygen transport and metabolism in patients with sepsis and septic shock: a systematic review and meta-analysis
The objective of this study was to evaluate the impact of red blood cell transfusion on microcirculation and oxygen metabolism in patients with sepsis and septic shock. We conducted a search in the MEDLINE ®, Elsevier and Scopus databases. We included studies conducted in adult humans with sepsis and septic shock. A systematic review and meta-analysis were performed using the DerSimonian and Laird random-effects model. A p value< 0.05 was considered significant. Nineteen manuscripts with 428 patients were included in the analysis. Red blood cell transfusions were associated with an increase in the pooled mean venous ox...
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Neuropalliative care: new perspectives of intensive care
RESUMO Estima-se que as doen ças neurológicas acometam 1 bilhão de pessoas no mundo e sejam causa de uma a cada dez mortes. No Brasil, são responsáveis por, aproximadamente, 14% das internações clínicas em unidades de terapia intensiva, 9% das neurocirurgias eletivas e 14% em urgência. Muitas dessas condições são in curáveis, implicam em reduzida expectativa e qualidade de vida e maior dependência, além de estarem associadas a sintomas que predispõem ao sofrimento, o que justifica a integração dos cuidados paliativos aos usuais. Além disso, fatores peculiares às injúrias neurológicas agudas, como apre...
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

GlucoSTRESS - A project to optimize glycemic control in a level C (III) Portuguese intensive care unit
Conclusion: The phased implementation of a formal education program, fostering the use of electronic insulin therapy protocols and dynamic manuals, received good adherence and has shown to be safe and effective for blood glucose control in critically ill patients, with a concomitant decrease in hypoglycemia. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Delayed intensive care unit admission from the emergency department: impact on patient outcomes. A retrospective study
Conclusion: Delayed admission to the intensive care unit from the emergency department is an independent risk factor for intensive care unit mortality, with the strongest association being after a delay of 4 hours. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Performance of PRISM III and PIM 2 scores in a cancer pediatric intensive care unit
Conclusion: Both scores overestimated mortality and have shown a regular ability to discriminate between survivors and non-survivors. Models should be developed to quantify the severity of cancer pediatric patients in Pediatric Intensive Care Units and to predict the mortality risk accounting for their peculiarities. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Hypothermia related to continuous renal replacement therapy: incidence and associated factors
Conclusion: Hypothermia in critically ill patients with continuous renal replacement therapy is frequent, and the intensive care team should be attentive, especially when there are associated risk factors. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Cross-cultural adaptation of the Richmond Agitation-Sedation Scale to Brazilian Portuguese for the evaluation of sedation in pediatric intensive care
Conclusion: The cross-cultural adaptation of RASS to Brazilian Portuguese resulted in a version with excellent comprehensibility and acceptability in a pediatric intensive care setting. Reliability and validity studies should be performed to evaluate the psychometric properties of the Brazilian Portuguese version of the RASS. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Changes in cardiac arrest profiles after the implementation of a Rapid Response Team
Conclusion: Even though Rapid Response Team implementation is associated with a reduction in in-hospital cardiac arrest, it was not associated with the mortality of in-hospital cardiac arrest victims. A significant decrease in cardiac arrests due to respiratory causes was noted after Rapid Response Team implementation. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Is the p-value properly interpreted by critical care professionals? Online survey
Conclusion: The prevalence of insufficient knowledge regarding p-values among critical care physicians and respiratory therapists in Argentina was 63%. A lack of training on scientific research methodology and the amount of reading (< 6 scientific articles per year) were found to be independently associated with the respondents ’ lack of p-value knowledge. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research

Nursing workload associated with the frequency of multidisciplinary rounds: a cross-sectional study
Conclusion: Multidisciplinary rounds were conducted on less than two-thirds of surveyed intensive care unit days. Many rounds were cancelled due to activities unrelated to patient care. Unexpectedly, increased workload was associated with higher odds of conducting rounds. Workload is a possible trigger to discuss daily goals to improve patient outcomes and to enhance the effectiveness of multidisciplinary teams. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 19, 2021 Category: Intensive Care Source Type: research