Acta Colombiana de Cuidado Intensivo最新文献

{"title":"Meningoencefalitis por reactivación del virus de varicela zóster sin erupción cutánea en paciente inmunocomprometido: reporte de caso y revisión de la literatura","authors":"Hans Altamar Polo ,&nbsp;Izeth Sallas Rodríguez ,&nbsp;Adriana Gamboa Dallos ,&nbsp;Carlos Rebolledo Maldonado","doi":"10.1016/j.acci.2024.10.011","DOIUrl":"10.1016/j.acci.2024.10.011","url":null,"abstract":"<div><div>We present an interesting case of acute meningoencephalitis due to reactivation of the varicella zoster virus in an immunocompromised patient in the absence of dermatomal neuralgia or skin lesions attributable to varicella zoster virus.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 225-230"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610457","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":"Hidroxietil-almidón como líquido de reemplazo en aféresis terapéutica: experiencia en una unidad de cuidados intensivos","authors":"Diana Borré-Naranjo ,&nbsp;Jorge Rico-Fontalvo ,&nbsp;Rodrigo Daza-Arnedo ,&nbsp;David Daguer ,&nbsp;Maria Porto ,&nbsp;Tomas Rodríguez-Yánez ,&nbsp;Miguel Aguilar ,&nbsp;José Rojas-Suarez ,&nbsp;Natalia Ramos Terrades ,&nbsp;María José Soler ,&nbsp;Carmelo Dueñas-Castell","doi":"10.1016/j.acci.2024.09.001","DOIUrl":"10.1016/j.acci.2024.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Therapeutic apheresis (TA) enables the removal of disease-associated molecules from plasma, thereby halting disease progression. The replacement effluent for TA depends on the type of disease. The most used are albumin (4% or 5%) and fresh plasma. However, synthetic plasma expanders such as hydroxyethyl starch (6%) have been utilized in TA.</div></div><div><h3>Objective</h3><div>To describe the experience with the use of hydroxyethyl starch (6%) in the intensive care unit (ICU) as the primary replacement effluent.</div></div><div><h3>Materials and methods</h3><div>A retrospective descriptive study was conducted from October 1, 2014, to December 31, 2020, in an ICU in Cartagena, Colombia, involving patients indicated by a nephrologist to initiate TA according to the guidelines of the American Society for Apheresis (ASFA). Therapeutic apheresis was performed by filtration using the classic multifiltrate technology (Fresenius Medical Care). Plasma volume was calculated using the Kaplan method, and the plasma exchange dose was 1 to 1.5 times the estimated plasma volume, with isovolumetric and iso-oncotic replacement using 6% hydroxyethyl starch, fresh frozen plasma (FFP), and crystalloids.</div></div><div><h3>Results</h3><div>Of the 22 patients included, 18 received 6% hydroxyethyl starch as the main replacement fluid. The median age was 44<!--> <!-->years (32.3-64.5). Patients presented with hypertension (n<!--> <!-->=<!--> <!-->7 [31.8%]) and diabetes mellitus (n<!--> <!-->=<!--> <!-->3 [13.6%]). The main indications for TA were Guillain-Barré syndrome (n<!--> <!-->=<!--> <!-->18 [81.8%]) and myasthenia gravis (n<!--> <!-->=<!--> <!-->18 [81.8%]). Hematological and/or nephrological conditions were recorded as indications for TA in a smaller proportion (n<!--> <!-->=<!--> <!-->4 [18%]). Six percent hydroxyethyl starch was administered to patients with neurological conditions. A total of 101 TA sessions were performed: 87 with 6% hydroxyethyl starch and 14 with fresh frozen plasma (FFP). The safety of TA with 6% hydroxyethyl starch was analyzed using hemoglobin values, platelet count, coagulation profile, and creatinine levels (before and after TA sessions).</div></div><div><h3>Conclusion</h3><div>The use of HES as a replacement fluid for therapeutic apheresis proved to be safe and may be an alternative to the use of 4% or 5% albumin as a substitution fluid.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 20-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610366","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":"Agua extravascular pulmonar como predictor de SDRA y mortalidad en pacientes con choque circulatorio","authors":"Hector Fabio Sanchez G. ,&nbsp;Francisco Naranjo Junoy ,&nbsp;Hector Julio Melendez F.","doi":"10.1016/j.acci.2024.08.012","DOIUrl":"10.1016/j.acci.2024.08.012","url":null,"abstract":"<div><h3>Objective</h3><div>Establish the early association between levels of Extravascular Lung Water indexed to predicted weight (EVLWI), with subsequent development of Acute Respiratory Distress Syndrome (ARDS) and Mortality in patients with circulatory shock.</div></div><div><h3>Methods</h3><div>We retrospectively evaluated the clinical records of 147 adult patients (age 50.5 years<!--> <!-->±<!--> <!-->19.9) in circulatory shock, admitted to Adult Intensive Care Unit of a third-level Hospital. <em>Measurements:</em> Extravascular lung water index, was measured by transpulmonary thermodilution (PiCCO System, Pulsion Medical Systems) from the beginning of the shock state and then every 8<!--> <!-->hours during the first 5 days.</div></div><div><h3>Results</h3><div>Patients who evolved to SDRA had higher levels of EVLWI vs. patients who did not evolve to SDRA. Median EVLWI 14<!--> <!-->ml/kg (RIC: 10<!--> <!-->ml/kg) vs. 8<!--> <!-->ml/kg (RIC: 4<!--> <!-->ml/kg) SDRA vs. no SDRA respectively, (RR: 2.66; 95% CI: 1.68-4.22; <em>P</em> .00). We found no association between EVLWI high on the first day of the state of circulatory shock with respect to mortality at 28 days (RR: 1.17; 95% CI: 0.88-1.56; <em>P</em> .26).</div></div><div><h3>Conclusions</h3><div>The high EVLWI on the first day of the state of shock was associated with evolution to SDRA. We did not find an association of EVLWI high on the first day of the state of shock with mortality on day 28. Prospective studies are required to prove this association.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 8-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610365","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":"Evaluación de ítems de escalas qSOFA y SIRS para predicción de choque séptico en urgencias","authors":"Kevin Camilo Gómez-Calderon ,&nbsp;Juan Santiago Serna-Trejos ,&nbsp;Christian Andres Palacios-Martínez ,&nbsp;Dairon Palacios-Moya ,&nbsp;Carmen Elisa Ocampo-Benavides","doi":"10.1016/j.acci.2024.10.012","DOIUrl":"10.1016/j.acci.2024.10.012","url":null,"abstract":"<div><h3>Introduction</h3><div>There is no optimal scale to predict sepsis and septic shock, these have different sensitivities and specificities, this can lead to an unnecessary use of resources.</div></div><div><h3>Objective</h3><div>To evaluate the deterioration times of the variables of the qSOFA and SIRS scales to identify which one changes earlier until presenting septic shock.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted. The qSOFA and SIRS items were assessed in adult patients with suspected infectious process who were admitted to the emergency department.</div></div><div><h3>Results</h3><div>A total of 199 patients, 44.7% (n<!--> <!-->=<!--> <!-->89) developed septic shock. The heart rate criterion, the median time in patients who presented septic shock was 295minutes and those who did not, 354<!--> <!-->minutes (<em>P</em>=.211); For respiratory rate, the median time to criterion change in patients with septic shock was 293<!--> <!-->minutes and without septic shock 311<!--> <!-->minutes (<em>P</em>=.9501); For temperature, no differences were found in the medians of the times. In Glasgow, it was not possible to compare the median times for the change in the criteria. For the patients who presented septic shock, 50% changed the criteria in 313<!--> <!-->minutes; For systolic blood pressure, it is evident that in those who did present septic shock, the median was 180 minutes.</div></div><div><h3>Conclusion</h3><div>No differences were found regarding the change over time of the qSOFA and SIRS variables with a view to predicting septic shock, but we did show delay in antibiotic administration in the septic shock group.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 61-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610371","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":"High lethality suicide attempts in indigenous populations: A holistic approach combining psychiatric and critical care perspectives. Case analysis and scoping review","authors":"Mateo Aguirre Flórez ,&nbsp;José Fernando Gómez González ,&nbsp;Valeria López Pulgarín ,&nbsp;Daniel Millán Morales ,&nbsp;Mateo Moreno Gómez ,&nbsp;Juanita Moreno Gómez ,&nbsp;Laura Alejandra Jiménez Osorio ,&nbsp;Laura Cardozo Ríos ,&nbsp;Carolina Jaramillo Toro ,&nbsp;Germán Alberto Moreno Gómez","doi":"10.1016/j.acci.2024.10.007","DOIUrl":"10.1016/j.acci.2024.10.007","url":null,"abstract":"<div><div>The Embera, an indigenous group in Colombia, particularly in regions like Risaralda, face significant challenges including poverty, displacement, and high rates of preventable diseases. In recent years, there has been a concerning rise in suicide rates within this community. This study presents a case series of 6 Embera patients who attempted suicide with high lethality and were treated in an ICU in Pereira, Risaralda, during 2023. Additionally, a systematic literature review following PRISMA guidelines was conducted to identify studies on suicide among the Embera population, using databases such as PubMed, EMBASE, Web of Science, and Google Scholar, covering articles published between 2000 and 2023. The case series revealed predominant methods of suicide attempts involving substances like Paraquat and the challenges in managing these cases in the ICU. The literature review identified a limited number of studies addressing suicide among the Embera, revealing gaps in understanding the cultural, socioeconomic, and healthcare system factors contributing to these behaviors. The findings underscore the need for comprehensive research and culturally sensitive interventions to address the complex interplay of sociocultural determinants influencing suicide. It is concluded that collaborative efforts involving healthcare professionals, policymakers, and community leaders are essential to develop effective strategies that mitigate suicide risks and promote comprehensive well-being in indigenous communities.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 150-158"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610557","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 rápido y escalonado en la tormenta arrítmica: reporte de un caso","authors":"Alvaro Andrés Montenegro Apraez ,&nbsp;Marcela Rivera Portilla ,&nbsp;Alejandro Bejarano Zuleta ,&nbsp;Eduardo Echeverry ,&nbsp;Juan Pablo Garaicoa Garzon","doi":"10.1016/j.acci.2024.04.001","DOIUrl":"10.1016/j.acci.2024.04.001","url":null,"abstract":"<div><div>Arrhythmic storm is usually defined as the presentation of 3 or more episodes of ventricular arrhythmias within 24<!--> <!-->hours. It is widely accepted that this entity is a medical emergency due to the potential for adverse events such as death in up to 54% of cases, probably because the reduction in cardiac chamber filling time significantly reduces cardiac output, leading to cardiogenic shock, multiple organ failure, and death.</div><div>The present case describes a patient with arrhythmic storm secondary to viral myocarditis, due to the recurrence of arrhythmic events despite initial management with antiarrhythmic drugs required a stepwise therapeutic approach guided by a multidisciplinary team and early use of extracorporeal membrane oxygenation (ECMO), which allowed maintaining adequate systemic perfusion while implementing therapeutic measures to control arrhythmic events; The patient was discharged early at 14 days, with no recurrence of arrhythmic events. At 6 months outpatient follow-up, the patient did not require cardiac transplantation, with no recurrence of arrhythmic events, with adequate NYHA functional class I and no left ventricular systolic dysfunction; clinical outcomes are attributed to timely decision making, guided by a multidisciplinary team and early use of early mechanical circulatory support, preventing hypoperfusion, multiple organ failure, and death.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 4","pages":"Pages 432-436"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659104","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":"Presión inspiratoria máxima y presión espiratoria máxima en pacientes de 2 unidades de Cuidados Intensivos en Antioquia, Colombia","authors":"Mónica Alejandra Mondragón Barrera,&nbsp;Natalia Tabares Echeverri,&nbsp;Susana María Álvarez Montoya,&nbsp;Nicolás Eugenio Gómez Suárez","doi":"10.1016/j.acci.2024.07.001","DOIUrl":"10.1016/j.acci.2024.07.001","url":null,"abstract":"<div><h3>Background</h3><div>Muscle weakness is a common problem in the Intensive Care Unit (ICU), which becomes more critical when it affects the respiratory muscles, as they are essential for maintaining proper ventilation. To assess respiratory muscle strength, measurements of Maximal Inspiratory Pressure (MIP) and Maximal Expiratory Pressure (MEP) are used, with values related to age, sex, anthropometric measures (height, weight, body mass index), presence of diseases, their chronicity, functionality, among various aspects. In Colombia, the results of measurements in a healthy population differ from those found in North America and European countries, suggesting that there may also be differences in populations with morbidity, such as in the intensive care setting.</div></div><div><h3>Objective</h3><div>To describe MIP and MEP values based on some sociodemographic, anthropometric, functional, and clinical characteristics in patients from 2<!--> <!-->ICUs in Antioquia, Colombia.</div></div><div><h3>Methods</h3><div>Observational, descriptive study with an analytical intention, cross-sectional design. MIP and MEP were measured, and sociodemographic, anthropometric, functional, clinical, and smoking habit variables were obtained in patients from 2<!--> <!-->ICUs in Antioquia.</div></div><div><h3>Results</h3><div>43 people participated, with most showing muscle weakness compared to the normal limit value. Correlation was found between MIP/MEP and age, sex, height, smoking habit, underlying respiratory disease, having received mechanical ventilation, and handgrip strength weakness.</div></div><div><h3>Conclusions</h3><div>Values in the studied population allow for a more objective functional assessment and individualized approach.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 4","pages":"Pages 360-369"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659186","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":"Síndrome de distrés respiratorio agudo por Plasmodium vivax con coinfección de tuberculosis pulmonar en época de pandemia por covid-19. Reporte de caso","authors":"Ronald Medina ,&nbsp;Daniel Molano ,&nbsp;Andrés Villa ,&nbsp;Cristian Duran ,&nbsp;Víctor Gerardino ,&nbsp;Said Sánchez","doi":"10.1016/j.acci.2024.05.004","DOIUrl":"10.1016/j.acci.2024.05.004","url":null,"abstract":"<div><div>Adult respiratory distress syndrome is a common cause of admission to the intensive care unit, which has been related to high morbidity, mortality and costs. Malaria is a disease mainly caused by <em>Plasmodium falciparum</em> infection and occasionally by <em>Plasmodium vivax</em>. We report the case of a 53-year-old patient who presents with acute respiratory distress syndrome due to <em>Plasmodium vivax</em> and coinfection with Mycobacterium tuberculosis. The diagnosis was made by microbiological and molecular studies respectively. From a clinical perspective, this case represents a diagnostic challenge since it occurs during the SARS CoV-2/covid-19 virus pandemic, being this the main an etiology of adult respiratory distress syndrome during the period of time when our case presented, leaving the microorganisms described in our patient to the minority of causes of adult respiratory distress syndrome.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 4","pages":"Pages 451-459"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141279535","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":"Correlación del índice resistivo renal y presión de perfusión renal con la severidad de la lesión renal aguda","authors":"Felipe Hernández Silvano,&nbsp;Edgar Bravo Santibañez,&nbsp;Carlos Jiménez Correa,&nbsp;Luis Pedro González Carrillo","doi":"10.1016/j.acci.2024.04.002","DOIUrl":"10.1016/j.acci.2024.04.002","url":null,"abstract":"<div><h3>Background</h3><div>Acute kidney injury is a frequent complication in the intensive care unit (ICU) leading to prolonged stay and increased mortality; severity staging requires markers such as creatinine which is late and with multiple factors that bias its measurement and interpretation. Renal ultrasound has increased its use, mainly the resistive index, in addition, the evaluation of renal perfusion in post-surgical patients has been described, however, its relationship with severity in acute kidney injury has not been demonstrated.</div></div><div><h3>Objective</h3><div>To establish the correlation of the resistive index and renal perfusion pressure with the severity of acute kidney injury in the Intensive Care Unit.</div></div><div><h3>Material and methods</h3><div>Cross-sectional study in the Intensive Care Unit; patients with acute kidney injury were included and severity was staged according to KDIGO criteria, and renal vascular ultrasonographic measurements were obtained. Statistical analysis was with Kendal's Tau-b test and linear regression analysis.</div></div><div><h3>Results</h3><div>Final population of 81 patients, the variable that correlated with severity was renal perfusion pressure (r<!--> <!-->=<!--> <!-->0.62, p<!--> <!-->≤<!--> <!-->0.001) and diastolic velocity (r<!--> <!-->=<!--> <!-->0.30, p<!--> <!-->=<!--> <!-->0.007), however, the resistive index had no correlation (r<!--> <!-->=<!--> <!-->0.135, p<!--> <!-->=<!--> <!-->0.314). Similarly, renal perfusion pressure correlated with changes in creatinine (r<!--> <!-->=<!--> <!-->−0.554), BUN (r<!--> <!-->=<!--> <!-->−0.480) and bicarbonate (r<!--> <!-->=<!--> <!-->0.331).</div></div><div><h3>Conclusion</h3><div>No statistically significant results were found in relation to the resistive index, however, we found that the decrease in renal perfusion pressure correlates with greater severity of acute kidney injury in the intensive care unit.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 4","pages":"Pages 337-343"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659106","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":"Ecografía en dengue: 10 hallazgos claves","authors":"Juan Diego Galindo Dávila ,&nbsp;Derly Mileidy Gomez Sandoval ,&nbsp;Iván José Ardila Gómez ,&nbsp;Doris Martha Salgado García","doi":"10.1016/j.acci.2024.05.011","DOIUrl":"10.1016/j.acci.2024.05.011","url":null,"abstract":"<div><div>Dengue virus infection is a public health problem, especially in tropical and subtropical countries like Colombia. Vascular leakage is the central component in the pathophysiology of severe dengue and can be assessed through ultrasound. As a non-invasive method, it can be used as a tool for both diagnosis and clinical stratification, providing timely management and avoiding complications. The aim of this review is to describe key ultrasonographic points in patients with dengue exhibiting warning signs and severe dengue, with a focus on the application of the Point-of-Care Ultrasound (POCUS) strategy. Among the most common findings reported in the literature for dengue patients are thickening of the vesicular wall, pleural effusion, ascites, and pericardial effusion. The integration of POCUS training into routine clinical practice for dengue has the potential to reduce both mortality rates and healthcare costs.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"24 4","pages":"Pages 404-412"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141717085","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}