Medicina Crítica最新文献_第3页

Las decisiones médicas en condiciones de apremio 紧急情况下的医疗决定

Medicina Crítica Pub Date : 2023-01-01 DOI: 10.35366/113099

Alberto Lifshitz, Fernando Molinar Ramos

引用次数: 0

Insuficiencia cardiaca aguda secundaria a estenosis mitral reumática durante el puerperio 产褥期风湿性二尖瓣狭窄继发的急性心力衰竭

Medicina Crítica Pub Date : 2018-06-01 DOI: 10.35366/81267

Mercedes del Pilar Álvarez-Goris, M. Díaz-Carrillo

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Evaluación de la incidencia de aislamiento de Acinetobacter baumannii y su relación con la transfusión de productos sanguíneos en terapia intensiva 重症监护中鲍曼不动杆菌分离发生率及其与输血血液制品的关系的评价

Medicina Crítica Pub Date : 2018-06-01 DOI: 10.35366/81265

C. Contreras, A. Morales, J. Pérez, Víctor Manuel López Raya

{"title":"Evaluación de la incidencia de aislamiento de Acinetobacter baumannii y su relación con la transfusión de productos sanguíneos en terapia intensiva","authors":"C. Contreras, A. Morales, J. Pérez, Víctor Manuel López Raya","doi":"10.35366/81265","DOIUrl":"https://doi.org/10.35366/81265","url":null,"abstract":"SUMMARYThe incidence of Acinetobacter baumannii has increased and is associated with greater morbility. Objective: We determined the incidence of Acinetobacter baumannii isolation in critically ill transfused. Material and methods: Retrospective cohort, sequential sample from January 2016 to January 2017. We reviewed the information on the records of patients over 15 years of age, men and women, of the local transfusion registry and culture reports. The population was divided into transfused and not transfused to identify the isolation of Acinetobacter baumannii in those transfused. It was analyzed with descriptive statistics, Chi square, Pearson. Results: 415 critically ill patients, average age: 48 years, main diagnosis upon admission: non-septic, non-surgical (32.5%); most had mechanical ventilation at admission (56.4%); average hospital stay: 6.9 days; transfusion requirement: 29.4%, erythrocytes being 26%, Most of the transfusions were done between day one and four. There was an incidence of Acinetobacter baumannii isolation of 9.8%; the highest number of isolations occurred between days five and eight; they were mainly of bronchial origin. A positive correlation was identi ﬁ ed between the isolation and the transfusion of erythrocytes by means of Pearson (p = 0.001), and with mechanical ventilatory assistance, particularly after day 15 (p = 0.0001). Conclusions: There was a correlation between the transfusion of erythrocytes and the isolation of Acinetobacter baumannii in the population studied.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"30 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131625851","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}

引用次数: 0

Eficacia y seguridad de la técnica de colocación de catéter de arteria pulmonar guiado por ultrasonido 超声引导肺动脉导管放置技术的有效性和安全性

Medicina Crítica Pub Date : 2018-04-01 DOI: 10.35366/79697

Pablo Calzada Torres, Felipe de Jesús Montelongo, J. López, Aurea Carmona Domínguez

引用次数: 1

Asociación del índice de masa corporal con ventilación mecánica invasiva prolongada en pacientes con infección por SARS-CoV-2 en la Unidad de Cuidados Intensivos 重症监护病房SARS-CoV-2感染患者体重指数与长时间有创机械通气的关系

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/108713

Jonatan Estrada Pérez, Eduardo Agustín Jaramillo Solís, Nancy Verónica Alva Arroyo

引用次数: 0

Uso de ácido ascórbico en pacientes con traumatismo craneoencefálico severo y su impacto en el tiempo de estancia en la Unidad de Cuidados Intensivos adultos 抗坏血酸在严重脑外伤患者中的应用及其对成人重症监护病房住院时间的影响

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/100002

Macías Limón, H. Plata, Bravo Santibáñez

{"title":"Uso de ácido ascórbico en pacientes con traumatismo craneoencefálico severo y su impacto en el tiempo de estancia en la Unidad de Cuidados Intensivos adultos","authors":"Macías Limón, H. Plata, Bravo Santibáñez","doi":"10.35366/100002","DOIUrl":"https://doi.org/10.35366/100002","url":null,"abstract":"Introduction : Traumatic brain injury (TBI) is the leading cause of death and disability in young adults around the world. The secondary lesion develops with the release of oxygen free radicals. In addition to its powerful action as a free radical scavenger, ascorbic acid stabilizes the endothelium and promotes the integrity of the blood-brain barrier (BBB). Objective : To determine the usefulness of ascorbic acid in patients with severe TBI and its impact on the length of hospital stay in the Adult Intensive Care Unit (ICU). Material and methods : Randomized clinical trial, open in the ICU of the Centro Médico Nacional del Bajío UMAE No. 1, León, Guanajuato, Mexico, from April 2020 to July 2020. 24 patients (12 experimental group and 12 controls) were admitted by probabilistic sampling with Severe TBI in people over 18 years of age. Administration of ascorbic acid one gram every six hours intravenously. Ascorbic acid administration was correlated with length of stay in ICU and hospitalization, mortality and neurological scales. Analysis of SPSS version 21 results. Results : 24 patients were included, mean ages 26 and 49 years, experimental and control group respectively (p = 0.004). Average of the Glasgow Coma Scale at the time of admission was 7 and 6.7 points respectively (p = 0.378). Stay in the ICU with 7 and 3.71 days (p = 0.001), hospital stay 12.5 and 5.85 days respectively (p = 0.001). At discharge, the Glasgow scale resulted in 3.50 and 3.57 points respectively (p = 0.630). 28-day mortality of 1 and 3 cases respectively (p = 0.59); the survival analysis reflected higher survival for the experimental group (p = 0.010). Conclusion : The use of ascorbic acid in severe TBI had a negative impact on the ICU stay, as well as the length of hospitalization. Survival analysis showed lower mortality at 28 days for the experimental group compared to the control.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117347692","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}

引用次数: 0

Relación de la categoría tomográfica inicial y la respuesta a la ventilación mecánica en decúbito prono en pacientes en la unidad de cuidados intensivos del hospital público Hospital Regional 1° de Octubre ISSSTE 公立医院地区医院1°de october ISSSTE重症监护病房患者初始层析成像类别与前位卧位机械通气反应的关系

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/110439

Christian de Jesús Sifuentes Hernández, Nancy Trujillo Ramírez, María del Carmen Marín Romero

引用次数: 0

Mortalidad previa y posterior a la implementación código infarto en un hospital de segundo nivel de atención 在二级护理医院实施梗死代码前后的死亡率

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/104473

Jesse Álvarez Domínguez, Daniel Pacheco Ambriz

引用次数: 0

Sedación con sistema AnaConDa en pacientes COVID-19 crítico y su impacto en días de ventilación mecánica 水蟒系统镇静危重COVID-19患者及其对机械通气天数的影响

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/105378

Héctor Alejandro Ramírez García, Juana María Cerda Arteaga, Carlos Eduardo Chávez Pérez, Víctor Manuel Sánchez Nava