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Reliability of skeletal muscle ultrasound in critically ill trauma patients
Conclusion: Ultrasound is safe, feasible, and reliable for muscle assessment in critically ill trauma patients, regardless of the assessor's level of expertise. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 20, 2020 Category: Intensive Care Source Type: research

Rehabilitation through virtual reality: physical activity of patients admitted to the intensive care unit
Conclusion: Virtual rehabilitation elicited light to moderate levels of activity in intensive care unit patients. This therapy is a safe tool and is likely to be chosen by the patient during physical therapy. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 20, 2020 Category: Intensive Care Source Type: research

Pain management protocol implementation and opioid consumption in critical care: an interrupted time series analysis
Conclusion: A pain management protocol could reduce the intensive care unit consumption of fentanyl. This strategy was associated with a shorter mechanical ventilation duration. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 20, 2020 Category: Intensive Care Source Type: research

What every intensivist should know about Big Data and targeted machine learning in the intensive care unit
The objective of this guideline was to produce a document that would provide evidence-based recommendations and suggestions regarding the early mobilization of critically ill adult patients, with the aim of improving understanding of the topic and making a positive impact on patient care. This guideline was based on a systematic review of articles conducted using the PICO search strategy, as recommended by the Guidelines Project of the Associa ção Médica Brasileira. Randomized clinical trials, prognostic cohort studies, and systematic reviews with or without meta-analysis were selected, and the evidence was classified a...
Source: Revista Brasileira de Terapia Intensiva - January 20, 2020 Category: Intensive Care Source Type: research

Brazilian Guidelines for Early Mobilization in Intensive Care Unit
The objective of this guideline was to produce a document that would provide evidence-based recommendations and suggestions regarding the early mobilization of critically ill adult patients, with the aim of improving understanding of the topic and making a positive impact on patient care. This guideline was based on a systematic review of articles conducted using the PICO search strategy, as recommended by the Guidelines Project of the Associa ção Médica Brasileira. Randomized clinical trials, prognostic cohort studies, and systematic reviews with or without meta-analysis were selected, and the evidence was classified a...
Source: Revista Brasileira de Terapia Intensiva - January 20, 2020 Category: Intensive Care Source Type: research

Reply to: Perfusion index for assessing microvascular reactivity in septic shock after fluid resuscitation
The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

Reply to: Acute kidney injury and intra-abdominal hypertension in burn patients in intensive care
The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

Mandibular fracture due to rare manifestation of Langerhans cell histiocytosis
The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

Mortality, morbidity, and quality-of-life outcomes of patients requiring ≥ 14 days of mechanical ventilation: a 12-month post-intensive-care-unit cohort study
The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

Extracorporeal membrane oxygenation: a literature review
The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

Diagnosis of brain death in Brazil
RESUMO Definida como a perda completa e irrevers ível das funções encefálicas, a morte encefálica tem sua história vinculada ao surgimento das unidades de terapia intensiva e do avanço do suporte ventilatório artificial. No Brasil, por determinação de lei federal, os critérios para determinação da morte encefálica são definidos pelo Conselho Federal de Medicina desde 1997, sendo válidos para todo o território nacional. A resolução 2.173/2017 do Conselho Federal de Medicina atualizou a metodologia para determinação da morte encefálica. Fazem parte dessas mudanças: a obrigatoriedade da observação de...
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

Pediatric enteral nutrition therapy for burn victims: when should it be initiated?
Conclusion: Analysis of the different intragroup variables suggests the importance of starting nutritional support early. Considering the number of pediatric burn patients, there is a need for robust studies with greater scientific impact. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

How to discuss about do-not-resuscitate in the intensive care unit?
RESUMO A melhoria da qualidade da ressuscita ção cardiopulmonar vem reduzindo a mortalidade dos indivíduos atendidos em parada cardiorrespiratória. Porém, os sobreviventes apresentam risco elevado de dano cerebral grave em caso de retorno à circulação espontânea. Dados sugerem que paradas cardiorrespiratórias, que ocorram em paciente s criticamente doentes com ritmos cardíacos não chocáveis, apresentem somente 6% de chance de retorno à circulação espontânea e, destes, somente um terço consiga recuperar sua autonomia. Optaríamos, assim, pela realização de um procedimento em que a chance de sobrevida é ...
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

NUTRIC score use around the world: a systematic review
Conclusion: The NUTRIC score is related to clinical outcomes, such as length of hospital stay, and is appropriate for use in critically ill patients in intensive care units. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research

The role of natriuretic peptides in the management, outcomes and prognosis of sepsis and septic shock
RESUMO A sepse persiste como importante sobrecarga à saúde pública nos Estados Unidos e em todo o mundo. Com o crescente uso de tecnologias laboratoriais, tem se renovado o interesse na utilização de biomarcadores na sepse, para auxiliar em um processo mais preciso e direcionado para tomadas de decisão. Os peptídeos natriuréticos vem sendo c ada vez mais reconhecidos por seu papel que vai além da insuficiência cardíaca. Estes peptídeos estão comumente elevados em pacientes críticos que apresentam condições de disfunção cardiopulmonar e podem ter papel na identificação de pacientes com sepse e choque sé...
Source: Revista Brasileira de Terapia Intensiva - October 15, 2019 Category: Intensive Care Source Type: research