Acta Colombiana de Cuidado Intensivo最新文献

{"title":"Rendimiento diagnóstico de la escala BROC2ULIS-65 comparada con CURB-65 en pacientes hospitalizados por neumonía","authors":"Carlos Augusto Celemin Florez,&nbsp;Noé Muñoz Viveros,&nbsp;Maria del Mar Chavarro Moreno,&nbsp;Laura Angelica Rincón Palechor,&nbsp;Jose Yesid Medina Noscue,&nbsp;Dager Santiago Dorado Castañeda","doi":"10.1016/j.acci.2023.12.009","DOIUrl":"10.1016/j.acci.2023.12.009","url":null,"abstract":"<div><p>Community-acquired pneumonia (CAP) is one of the most common and potentially fatal infectious diseases in daily practice. 40% of patients require admission to hospitalization and 5% of these require admission to the intensive care unit.</p></div><div><h3>Methods</h3><p>A cross-sectional retrospective cohort study was carried out, of patients treated between 2018 and 2022 for community-acquired pneumonia (CAP) at the Hospital Departamental San Antonio de Padua, including 241 patients in whom their mortality outcome was known.</p></div><div><h3>Statistical analysis</h3><p>They were analyzed with the statistical package STATA 17.0, the BROC2ULIS-65 index was constructed and compared with the CURB-65 standard and lactate for the measurement of CAP severity. Finally, an analysis of the area under the receiver operating characteristic curve (ACOR) was performed, calculating a 95% confidence interval. The Helsinki ethical recommendations and resolution 8430 of 1993 for research in humans were followed, as well as the confidentiality and protection of data.</p></div><div><h3>Results</h3><p>Of the 241 patients included in the final analysis, 56.02% were male, 56.85% of the patients were older than 65<!--> <!-->years, with a mean age of 65.65<!--> <!-->years (16.84), the minimum of 20<!--> <!-->years and the maximum of 96<!--> <!-->years. Both risk scores (BROC2ULIS-65 and CURB-65) showed statistically significant differences with <em>P</em> <!-->=<!--> <!-->.001 between patients with CAP who died and those who did not. After performing a Spearman correlation test, it was found that there was a significant linear correlation (<em>P</em> <!-->=<!--> <!-->.001) between the BROC2ULIS-65 value and the CURB-65. The BROC2ULIS-65 score equal to or greater than<!--> <!-->6 correctly classified 70.54% of patients with a specificity of 87.79% and a positive likelihood ratio (LR+) of 2.25.</p></div><div><h3>Conclusions</h3><p>The BROC2ULIS-65 scale with a score greater than or equal to<!--> <!-->6 correctly classified 70.54% of the patients with a specificity of 87.79% and a LR+ of 2.25; with AUC 0.638 compared to 0.635 of the CURB-65, respectively.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 106-113"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traqueostomías abiertas y percutáneas en un nivel iii de atención. Estudio de corte transversal","authors":"Gilmer O. Pérez ,&nbsp;Lía J. Jiménez Ramírez ,&nbsp;Yeni A. Arroyave ,&nbsp;Héctor F. Londoño","doi":"10.1016/j.acci.2023.12.011","DOIUrl":"10.1016/j.acci.2023.12.011","url":null,"abstract":"<div><h3>Introduction</h3><p>There are 2<!--> <!-->types of tracheostomy: open (OT) and percutaneous (PT). There is no consensus on the technique of choice for the majority of patients, it is necessary to carry out studies on the clinical results with the use of the 2<!--> <!-->techniques.</p></div><div><h3>Objective</h3><p>Compare the clinical results in patients undergoing OT and PT in the intensive care unit of Hospital Universitario San José, Colombia between 2013 and 2018.</p></div><div><h3>Methods</h3><p>Observational cross-sectional study. A descriptive analysis was made and later both techniques were compared using Pearson's χ² test for qualitative variables and the Mann-Whitney <em>U</em> test for quantitative ones.</p></div><div><h3>Results</h3><p>Three hundred and sixty-two patients were included, most underwent PT corresponding to 53.87%. Both groups were similar with respect to clinical and sociodemographic characteristics. The BMI was lower for the TP (<em>P</em> = 0.001). The length of stay in the ICU did not differ, with a median of 19 and 17 for patients with OT and PT, respectively (<em>P</em> = 0.287). Only surgeons performed OT and in PT 35.38% were anesthesiologists, 32.82% surgeons and 32.31% intensivists. The most frequent complication was bleeding, followed by infection, although without a statistically significant difference. Overall mortality of 34.8%, with 0.83% secondary to the procedure.</p></div><div><h3>Conclusions</h3><p>Both surgeries proved to be safe, with a similar prevalence in terms of complications. PT can be performed by different professionals, without increasing complications. There was a difference in decannulation time, this item should be expanded in future research.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 124-130"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140090093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo postoperatorio de resección de tumores cerebrales en la unidad de cuidado intensivo","authors":"Andrés Felipe Naranjo Ramírez ,&nbsp;Álvaro de Jesús Medrano Areiza ,&nbsp;Bryan Arango Sánchez ,&nbsp;Juan Carlos Arango Martínez ,&nbsp;Luis Fermín Naranjo Atehortúa","doi":"10.1016/j.acci.2023.08.005","DOIUrl":"10.1016/j.acci.2023.08.005","url":null,"abstract":"<div><p>Neurosurgical procedures are considered major surgeries with potential complications that can be fatal or disabling, so postoperative care must be strict and systematic. Although it has always been believed that the care of these surgeries should be in the intensive care unit, the current trend has changed, making it possible to better select those patients who require monitoring in high dependency units. One of the main objectives in the postoperative care of patients undergoing elective craniectomy for brain tumors is maintaining homeostasis to promote recovery and reduce brain damage secondary to surgical trauma, in addition to quickly identifying neurological deterioration to carry out therapeutic behaviors that make it possible to establish immediate adequate medical treatment and communication with neurosurgery in the event that complications of a surgical nature that require reoperation are identified. Clinical evaluation and close follow-up take precedence over requesting diagnostic images, since serious complications will compromise the patient's neurological status. The implementation of enhanced recovery after surgery protocols to improve postoperative results, reduce hospital stay, costs and promote rehabilitation has become one of the most outstanding strategies in recent years for the care of neurosurgical patients. Multidisciplinary work must be the basis for achieving all the care and recovery objectives of the most complex patients admitted to the intensive care unit.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 140-151"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135347047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neumonía hemorrágica por Stenotrophomonas maltophilia. Presentación de caso y revisión de la literatura","authors":"Helena Camino-Ferró,&nbsp;Enrique Chicote-Álvarez,&nbsp;Lucía Vilella-Llop,&nbsp;Isabel Mainar-Gil,&nbsp;Mirian Ruiz de la Cuesta-López,&nbsp;María Fuster-Cabré,&nbsp;Marlene Feo-González","doi":"10.1016/j.acci.2024.01.005","DOIUrl":"10.1016/j.acci.2024.01.005","url":null,"abstract":"<div><p>Hemorrhagic pneumonia caused by <em>Stenotrophomonas maltophilia</em> (SM) is a rare disorder, but its importance lies in the severity, rapid progression, and high mortality of this presentation, specially in immunocompromised patients, being severe neutropenia one of the main risk factors for this kind of pneumonia. Specifically, severity and rapid progression are the main characteristics that should make us suspect this disorder when a patient presents some of the risk factors; we should also start empirical antibiotic treatment if there is high suspicion. Here we display a case where a 56 year-old woman, diagnosed of multiple myeloma, and receiving chemotherapy, develops hemorrhagic pneumonia caused by SM, rapidly deteriorating in the first few hours.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 182-185"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bioética en pacientes renales crónicos avanzados con terapias de soporte renal sustitutivo: hemodiálisis, diálisis peritoneal y trasplantes","authors":"Rubén Dario Camargo Rubio","doi":"10.1016/j.acci.2023.08.001","DOIUrl":"10.1016/j.acci.2023.08.001","url":null,"abstract":"<div><p>Chronic kidney disease is a multifactorial process of a progressive and irreversible nature which frequently leads to a advanced state, and requires substitutive renal support therapies. The number of patients with end-stage renal disease is increasing worldwide, with an increasing demand for healthcare services. Being many of them candidates for palliative care, due to their chronic, advanced and life-limiting illness.</p><p>Patients and their families need to make early decisions for the end of life from the moment of diagnosis of the advanced illness, through the advance directive document, adequacy of the therapeutic effort and palliative care, a decision that will be based on adequate dialogic information that recognizes autonomy and respects the dignity and fundamental rights of the patient expressed through informed consent seeking the best good and quality of life.</p><p>Patients who opt for renal replacement support therapies know that their lives depend on the periodicity and compliance to hemodialysis, peritoneal dialysis or a successful kidney transplant, as well as the control of other pathologies associated with their disease. In order to know the bioethical aspects related to end-stage renal disease, a non-systematic review was carried out and rights, judgment values and proportionality for ethical decision-making were defined.</p><p>The objective was to know the bioethics in advanced chronic renal patients with renal replacement support therapies: hemodialysis, peritoneal dialysis and transplants.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 131-139"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134993817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer patients admitted in the intensive care unit: Characteristics and outcomes","authors":"Petra Zieher ,&nbsp;Márcia Eliane Giuliato ,&nbsp;Luana Turra ,&nbsp;Mariane Carolina de Almeida ,&nbsp;Sara Fernanda Hilgert ,&nbsp;Antuani Rafael Baptistella","doi":"10.1016/j.acci.2023.12.001","DOIUrl":"10.1016/j.acci.2023.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to identify the profile of cancer patients admitted in the intensive care unit (ICU) and compares the outcomes with non-cancer patients hospitalized in the same period.</p></div><div><h3>Design</h3><p>This is a cross-sectional study.</p></div><div><h3>Setting</h3><p>Data were collected from medical records at Hospital Universitário Santa Terezinha, Joaçaba-SC, Brazil.</p></div><div><h3>Patients</h3><p>Admitted at ICU from April to November 2018.</p></div><div><h3>Interventions</h3><p>NA.</p></div><div><h3>Main variables of interest</h3><p>ICU outcomes.</p></div><div><h3>Results</h3><p><span>Of the 183 patients, 92 were cancer patients and 91 were non-cancer patients. There was a predominance of females for cancer and males for non-caner group, mostly elderly. Most hospitalizations of cancer patients were postoperative (49.4%). The cause of hospitalization of non-cancer patients was pneumonia, followed by traumatic brain injury, postoperative period, polytrauma, and septicemia. On the Sequential Organ Failure Assessment (SOFA) scale, cancer patients scored an average of 7.8 (±4.2) and on the Acute Physiology and Chronic Health </span>Disease Classification System (APACHE II) 13.3 points (±8.6), whereas non-cancer scored 7.6 (±3.55) and 20.9 points (±7.2), respectively. Non-cancer patients used more invasive mechanical ventilation and vasoactive drugs.</p></div><div><h3>Conclusion</h3><p>Cancer patients received less sedation and used less mechanical ventilation than non-cancer patients. In addition, cancer patients had a lower APACHE II score, denoting a less severe condition. Most surgical cancer patients demonstrate to benefit from intensive care, but it is still necessary to create more specific criteria for ICU admission.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 86-91"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139538186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pericarditis purulenta por Staphylococcus aureus resistente a meticilina en un paciente con diálisis peritoneal: una afección cardíaca por una infección cutánea. Reporte de caso","authors":"Javier Polo Díaz ,&nbsp;Luis Carbonell Riquett ,&nbsp;Paola Blanco Pertuz ,&nbsp;Diemer Muñoz Verbel ,&nbsp;Amilkar Almanza Hurtado ,&nbsp;Carmelo Dueñas Castell ,&nbsp;Wilfrido Coronell Rodríguez","doi":"10.1016/j.acci.2023.12.007","DOIUrl":"10.1016/j.acci.2023.12.007","url":null,"abstract":"<div><p>Pericarditis is a relatively rare infectious/inflammatory condition observed in clinical hospital settings. The purulent pericarditis being the most uncommon manifestation and associated with the highest mortality rates. We detail the case of a 53-year-old male undergoing peritoneal-based renal replacement therapy who developed purulent pericarditis attributed to methicillin-resistant <em>Staphylococcus aureus</em> (MRSA), secondary to a skin and soft tissue source. This represents the first reported case with such features. Despite their rarity, such events carry a significant short-term mortality risk, emphasizing the importance of timely diagnosis. This manuscript aims to emphasize that despite its rarity, MRSA purulent pericarditis carries a significant risk of short-term mortality, hence the importance of timely diagnosis and treatment.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 177-181"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asociación de la disminución de la fracción de engrosamiento diafragmático con resultados adversos en pacientes bajo ventilación mecánica invasiva","authors":"José Patricio Novelo-Pérez ,&nbsp;Gisel Ivonne Aceves-Franco ,&nbsp;Rubén Gerardo García-Gutiérrez ,&nbsp;Guillermo García-de la Cruz ,&nbsp;Arturo Pérez-Cortés","doi":"10.1016/j.acci.2023.12.004","DOIUrl":"10.1016/j.acci.2023.12.004","url":null,"abstract":"<div><h3>Background</h3><p>Diaphragmatic dysfunction is a severity marker for patients under mechanical ventilation and is associated with higher mortality rates. The diaphragmatic thickening fraction, an ultrasound measurement, has been employed as a mechanical ventilation weaning predictor; its impact on adverse outcomes, such as tracheostomy and mortality rates, are still undetermined.</p></div><div><h3>Objective</h3><p>To evaluate the association of diaphragmatic thickening fraction decrease with adverse outcomes in patients under invasive mechanical ventilation.</p></div><div><h3>Material and methods</h3><p>Prospective cohort study. The diaphragmatic thickening fraction was measured by ultrasound on the third day of enrollment, with a follow-up observation on day 14. A ROC curve was computed in search of an optimal cut-off point for sensitivity and specificity. Relative risk was calculated for adverse outcomes with 95% confidence interval.</p></div><div><h3>Results</h3><p>One hundred and eleven patients were analyzed. Sixty-seven patients (74.37%) had a normal diaphragmatic thickening fraction, and forty-four patients (25.63%) had a low diaphragmatic thickening fraction. In the low diaphragmatic thickening fraction group, 37 deaths were documented at day 14 (82.2%), and four cases sustained tracheostomy (14.8%); the incidence of adverse effects was 56.2% (relative risk, 1.79; 95% CI, 1.3–2.45; <em>p</em> <!-->&gt;<!--> <!-->0.001).</p></div><div><h3>Conclusion</h3><p>The diaphragmatic thickening fraction is a novel parameter for clinical monitorization and surveillance for patients under mechanical ventilation, as well as a promising tracheostomy and mortality predictor.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 92-97"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concordancia de la evaluación ecocardiográfica básica funcional del ventrículo izquierdo entre médicos no expertos y cardiólogos especialistas en ecocardiografía","authors":"José Carbonó-Camargo ,&nbsp;José Antonio Rojas Gambasica ,&nbsp;Álvaro Tito Jiménez ,&nbsp;Sofia Muñoz Medina ,&nbsp;Victor Nieto Estrada","doi":"10.1016/j.acci.2023.08.002","DOIUrl":"10.1016/j.acci.2023.08.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The clinical decisions of patients in the intensive care unit are based on the integration of the clinical history and complementary tests. The echocardiographic evaluation can reveal decisive information in the interventions and in the prognosis of the patients.</p></div><div><h3>Objective</h3><p>To determine the concordance in the analysis of left ventricular systolic function performed by physicians with basic training in echocardiography compared with the assessment by expert cardiologists.</p></div><div><h3>Methodology</h3><p>Cross-sectional study of diagnostic concordance with prospective recruitment. Patients hospitalized in the intensive care unit during 2023 in a university clinic with a high level of complexity were included. The concordance between the trained physician and the expert was analyzed using the Kappa index (κ) for the qualitative variables, and the intraclass correlation coefficient for the quantitative ones.</p></div><div><h3>Results</h3><p>131 patients were included, with a mean age of 62 years. The concordance of the echocardiographic assessment was determined, finding very good concordance for left ventricular contractility (κ: 0.97), pericardial effusion (κ: 0.82) and its location (κ: 0.85), contractility disorders (κ: 0.84) and in the quantitative measurement of the ejection fraction (intraclass correlation coefficient: 0.91).</p></div><div><h3>Conclusions</h3><p>There is agreement in the evaluation of left ventricular systolic function in patients hospitalized in the intensive care unit by non-expert medical personnel with training and expert cardiologists. The results should be interpreted as part of a comprehensive assessment at the patient's bedside and not as an isolated diagnosis, always under quality standards and with the necessary verification.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 79-85"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paraquat fulminant poisoning: Case report","authors":"Marcos Antonio Amezcua-Gutiérrez,&nbsp;Jorge Alberto Castañón-González,&nbsp;Nikolett Iren Medveczky-Ordóñez,&nbsp;José Carlos Gasca-Aldama,&nbsp;Jessica Garduño-López","doi":"10.1016/j.acci.2023.08.006","DOIUrl":"10.1016/j.acci.2023.08.006","url":null,"abstract":"<div><p><span>Paraquat is one of the most widely used non-selective herbicides in the world, however, it is prohibited in many countries due to its high toxicity and mortality rate. Herein, we present a case of fulminant PQ poisoning in a 21 years-old woman with a six weeks pregnancy, and a history of sexual abuse and rape; computed tomography showed disseminated micronodular alveolar infiltrates and septal thickening. It rapidly progressed to severe acute respiratory distress syndrome, requiring endotracheal intubation; however, paraquat is known to generate reactive oxygen species that cause cell damage through lipid peroxidation, mitochondrial activation, and </span>apoptosis following oxygen exposure. Therefore, in these cases, the line between the risk and benefit of oxygen therapy is very thin. Despite receiving timely treatment, the serious hemodynamic and respiratory deterioration evolved into multiple organ failure and later the death of the patient. Paraquat poisoning severe intoxication has a dim prognosis, although early diagnosis results in therapeutic challenge due to severe respiratory compromise. We also present a brief review of the literature, as well as a discussion of the treatment for paraquat fulminant poisoning.</p></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 2","pages":"Pages 173-176"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135348626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}