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Association between site of infection and in-hospital mortality in patients with sepsis admitted to emergency departments of tertiary hospitals in Medellin, Colombia
Conclusiones: Existe una asociación significativa entre los diferentes sitios de infección y la mortalidad intrahospitalaria o requerimiento d e unidad de cuidados intensivos en pacientes con sepsis o choque séptico, siendo la infección de vías urinarias la que confiere el menor riesgo, lo que se deberá tener en cuenta en los modelos pronósticos de estas condiciones.ABSTRACT Objective: To determine the association between the primary site of infection and in-hospital mortality as the main outcome, or the need for admission to the intensive care unit as a secondary outcome, in patients with sepsis admitted to the em...
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

Comparison of bronchial hygiene techniques in mechanically ventilated patients: a randomized clinical trial
Conclusion: Compared to tracheal aspiration alone, the combination of hyperinflation with mechanical ventilator + vibrocompression techniques was most efficient for increasing the amount of aspirated secretions. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

Adequacy of enteral nutritional support in intensive care units does not affect the short- and long-term prognosis of mechanically ventilated patients: a pilot study
Conclusion: Critically ill patients receiving caloric intake ≥ 70% in the first 72 hours of hospitalization did not present better outcomes in the short term or after 1 year. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

The Five Times Sit-to-Stand Test: safety and reliability with older intensive care unit patients at discharge
Conclusion: The Five Times Sit-to-Stand Test was proven to be safe and to have excellent reliability. Its clinical use, however, may be restricted to high-functioning older adults in hospital settings. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

Pharmacological and nonpharmacological measures of pain management and treatment among neonates
Conclusion: Neonates receive few specific measures for pain relief given the high number of painful and stressful procedures performed during hospitalization. Thus, it is essential t o implement effective pain-relief protocols. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

Adverse events during intrahospital transport of critically ill patients in a large hospital
Conclusion: Intrahospital transport is related to a high incidence of adverse events, and transport time and the use of sedatives and vasoactive drugs were related to these events. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

Sociedade Portuguesa de Cuidados Intensivos guidelines for stress ulcer prophylaxis in the intensive care unit
RESUMO O paciente cr ítico corre risco de desenvolver úlceras de estresse do trato gastrintestinal. Antiácidos e antiulcerosos de diferentes classes são frequentemente prescritos para reduzir a incidência de hemorragia gastrintestinal clinicamente significativa associada à úlcera de estresse. No entanto, o uso in discriminado deste tipo de profilaxia em todos os pacientes admitidos a unidades de terapia intensiva não só não se justifica, como tem potenciais efeitos adversos e implicações de custo. As presentes diretrizes da Sociedade Portuguesa de Cuidados Intensivos resume a evidência atual e fornece seis afi...
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

Mortality due to sepsis in Brazil in a real scenario: the Brazilian ICUs project
(Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - April 8, 2019 Category: Intensive Care Source Type: research

High-flow nasal cannula in the treatment of acute hypoxemic respiratory failure in a pregnant patient: case report
RESUMEN Existe poca evidencia que avale el uso de ventilaci ón mecánica no invasiva en falla respiratoria aguda hipoxémica. Sin embargo, considerando las complicaciones asociadas a la intubación endotraqueal, se intentó implementar ventilación mecánica no invasiva en una paciente de 24 años cursando 32 semanas de gestación, que ingresó a la unidad de cuidados intensivos con falla respiratoria aguda hipoxémica y sepsis a foco urinario. La falta de tolerancia a la ventilación mecánica no invasiva, nos indujo a utilizar un método alternativo con el fin de evitar la intubación endotraqueal. La implementación de...
Source: Revista Brasileira de Terapia Intensiva - January 17, 2019 Category: Intensive Care Source Type: research

Quality of life in survivors after a period of hospitalization in the intensive care unit: a systematic review
RESUMO Objetivo: Avaliar a qualidade de vida relacionada com a sa úde, em longo prazo, de sobreviventes de um período de internação na unidade de terapia intensiva por revisão sistemática. Métodos: Busca, seleção e análise de estudos observacionais que avaliaram a qualidade de vida relacionada com a saúde de sobreviventes de internação na unidade de terapia intensiva nas bases de dados eletrônicas LILACS e MEDLINE® (acessada pelo PubMed), encontrados por meio dos termos MESH indexados "quality of life [MeSH Terms]" AND "critically ill [MeSH Terms]". Foram incluídos estudos publicados nos últimos 5 anos n...
Source: Revista Brasileira de Terapia Intensiva - January 17, 2019 Category: Intensive Care Source Type: research

The effects of high-flow nasal cannula on intubation and re-intubation in critically ill patients: a systematic review, meta-analysis and trial sequential analysis
Conclusion: In the present study and setting, high-flow nasal cannula was not associated with a reduction of the need for intubation or re-intubation in critically ill patients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 17, 2019 Category: Intensive Care Source Type: research

Comparisons and correlations of pain intensity and respiratory and peripheral muscle strength in the pre- and postoperative periods of cardiac surgery
Conclusion: There is a decrease in respiratory and peripheral muscle strength after cardiac surgery. In addition, maximal expiratory pressure is the variable that is most associated with peripheral muscle strength. These variables, especially respiratory and peripheral muscle strength, should be considered by professionals working in the intensive care setting. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 17, 2019 Category: Intensive Care Source Type: research

Glycemia upon admission and mortality in a pediatric intensive care unit
Conclusion: There was an increased risk of death at discharge in patients who developed hypoglycemia and hyperglycemia upon admission to the pediatric intensive care unit. Certain glucose ranges (> 200mg/dL (> 11.1mmol/L) and< 65mg/dL (3.61mmol/L)) have high specificity as predictors of death at discharge. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 17, 2019 Category: Intensive Care Source Type: research

The use of bedside echocardiography for measuring cardiac index and systemic vascular resistance in pediatric patients with septic shock
Conclusion: There was a persistently high systemic vascular resistance index in cold shock patients that influenced the stroke volume index, cardiac index, and velocity time integral. The use of echocardiograms for hemodynamic measurements is important in pediatric septic shock patients to adjust dilators, and vasopressor doses and achieve resuscitation targets in a timely manner. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 17, 2019 Category: Intensive Care Source Type: research

suPAR in the assessment of post intensive care unit prognosis: a pilot study
Conclusion: At intensive care unit discharge, soluble urokinase-type plasminogen activator receptor is a poor predictor of post intensive care unit prognosis. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - January 17, 2019 Category: Intensive Care Source Type: research