发布求助
文献互助 智能选刊 最新文献

Medicina Crítica最新文献

筛选
英文 中文
El papel de la paradoja de la obesidad y el conteo linfocitario en sepsis 肥胖悖论和淋巴细胞计数在败血症中的作用
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/89124
Alma Rosa Contreras Contreras,  Eduardo Alberto  Nájera González, Ana Beatriz  Bolio Ruiz, Braulia Aurelia  Martínez Díaz, Juvenal  Franco Granillo, Janet Silvia  Aguirre Sánchez
{"title":"El papel de la paradoja de la obesidad y el conteo linfocitario en sepsis","authors":"Alma Rosa Contreras Contreras,  Eduardo Alberto  Nájera González, Ana Beatriz  Bolio Ruiz, Braulia Aurelia  Martínez Díaz, Juvenal  Franco Granillo, Janet Silvia  Aguirre Sánchez","doi":"10.35366/89124","DOIUrl":"https://doi.org/10.35366/89124","url":null,"abstract":"Introduction: Obesity is a mortality protector factor in sepsis; this phenomenon is known as «obesity paradox». Furthermore, obesity is a chronic inflammatory state in which adaptive and innate immunity mediators play key roles. Lymphopenia is an adaptive immunity marker and it has been related to poor outcomes and greater mortality. Objective: To determine the relationship between body mass index and lymphocyte count and its association with the survival of septic patients. Methods and materials: A cohort retrospective study of patients older than 18 years old with sepsis, septic shock and no history of autoimmune diseases nor immunosuppressor treatments. Outcomes included determining BMI and lymphopenia. Results: 206 patients were included, 8.7% with low weight, 46.6% with normal weight, 24.8% with normal weight, 19.9% with obesity. The group with the lowest BMI (median of 21.37) and lymphopenia was associated with the greatest mortality. The survival analysis revealed that a BMI lower than 22.5 and lymphopenia are independent risk factors for mortality. Conclusions: Obesity is associated to a higher lymphocyte count and a greater survival in sepsis and septic shock. Since BMI and lymphocyte count are statistically significant independent risk factors for mortality, we propose an APACHE II score adjusted to these variables. The role of the obesity paradox and lymphocytic count sepsis","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":"130050305","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
Alternativas para la sedación, analgesia, relajación y delirium en pacientes COVID-19. Revisión narrativa COVID-19患者镇静、镇痛、放松和谵妄的替代方案。修订故事
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/106512
L. Ferrer, J. Díaz, Yenny Rocío Cárdenas, Peter Vergara, Marcela Rivera Portilla, Manuel Andrés Garay Fernández, Bladimir Alejandro Gil Valencia, M. Vargas, H. Meléndez F., C. Dueñas Castell
{"title":"Alternativas para la sedación, analgesia, relajación y delirium en pacientes COVID-19. Revisión narrativa","authors":"L. Ferrer, J. Díaz, Yenny Rocío Cárdenas, Peter Vergara, Marcela Rivera Portilla, Manuel Andrés Garay Fernández, Bladimir Alejandro Gil Valencia, M. Vargas, H. Meléndez F., C. Dueñas Castell","doi":"10.35366/106512","DOIUrl":"https://doi.org/10.35366/106512","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"CE-23 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132757333","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
Código sepsis: sistemas de respuesta rápida 败血症代码:快速反应系统
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/88516
Pedro Alejandro Elguea Echavarría,  Karla  González Sánchez, Quetzal Iván  Hernández Arriola, Gabriela  Gutiérrez Salgado, Omar  Flores Ángeles
{"title":"Código sepsis: sistemas de respuesta rápida","authors":"Pedro Alejandro Elguea Echavarría,  Karla  González Sánchez, Quetzal Iván  Hernández Arriola, Gabriela  Gutiérrez Salgado, Omar  Flores Ángeles","doi":"10.35366/88516","DOIUrl":"https://doi.org/10.35366/88516","url":null,"abstract":"Teams (RRT) constitutes a window of opportunity for the detection and timely treatment. There are several tools for activating an RRT and a sepsis code. Among the most important are quick SOFA, SIRS, CARS, MEWS and NEWS that constitute severity scales that allow the detection of sepsis based on criteria. The NEWS scale has shown superiority. The results of different studies conducted after the implementation of sepsis code report a positive impact on early initiation of antibiotics and compliance with goals, as well as mortality. One area of opportunity to improve the effectiveness of the RRT is the activation by automated devices. Sepsis code an RRT consolidates and strengthens the culture of safety in the hospitalized patient.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"4 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":"127846165","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: 1
Profilaxis antitrombótica en COVID-19
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/102350
J. Elizalde-González
{"title":"Profilaxis antitrombótica en COVID-19","authors":"J. Elizalde-González","doi":"10.35366/102350","DOIUrl":"https://doi.org/10.35366/102350","url":null,"abstract":"","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":"131279962","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
Utilidad de biomarcadores cardiacos como predictores de lesión renal aguda en pacientes de cirugía cardiaca: cohorte prospectiva 心脏生物标志物在心脏手术患者急性肾损伤预测中的应用:前瞻性队列
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/87290
Paul Palacios-Moguel, J. Aguirre-Sánchez, Juvenal Franco-Granillo, Gilberto Camarena-Alejo, Alfredo Aisa-Álvarez
{"title":"Utilidad de biomarcadores cardiacos como predictores de lesión renal aguda en pacientes de cirugía cardiaca: cohorte prospectiva","authors":"Paul Palacios-Moguel, J. Aguirre-Sánchez, Juvenal Franco-Granillo, Gilberto Camarena-Alejo, Alfredo Aisa-Álvarez","doi":"10.35366/87290","DOIUrl":"https://doi.org/10.35366/87290","url":null,"abstract":"pós-operatórios de biomarcadores cardíacos são significativamente maiores em pacientes com LRA. O tempo da CEC e a elevação da mioglobina demonstraram ser preditores independentes de LRA. Esses biomarcadores podem ser adequados para identi fi car pacientes com alto risco de LRA após cirurgia cardíaca. Palavras-chave: Lesão renal aguda, cirurgia cardíaca, biomarcadores de lesão cardíaca.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"68 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":"127242338","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
Efectos de la vacunación en el COVID-19 severo en el Departamento de Medicina Intensiva del Hospital Central Militar 中央军事医院重症监护室接种疫苗对严重COVID-19的影响
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/111300
Rafael García Sánchez, Irving Iván Morales Pogoda, Deniria Alejandra Rugerio Trujillo
{"title":"Efectos de la vacunación en el COVID-19 severo en el Departamento de Medicina Intensiva del Hospital Central Militar","authors":"Rafael García Sánchez, Irving Iván Morales Pogoda, Deniria Alejandra Rugerio Trujillo","doi":"10.35366/111300","DOIUrl":"https://doi.org/10.35366/111300","url":null,"abstract":"the Intensive Medicine Department of the Central Military Hospital became a national reference center for patients with severe and critical COVID-19. The objective is to define the effects of vaccination in severe COVID-19. Material and methods : descriptive, cross-sectional, retrospective study, in records of patients with severe COVID-19 in the period from January 1, 2020 to December 31, 2021, information regarding demographic and clinical characteristics and the state of vaccination to carry out the statistical analysis. Results : 378 cases met the inclusion criteria, 280 men and 98 women; average age 52 years; 326 cases without vaccination, 24 partially vaccinated and 28 fully vaccinated; 266 deaths within 28 days. Conclusion : vaccination against COVID-19 decreases the risk of severe disease in healthy, young people and in men. Arterial hypertension and immunosuppression increase the risk of aggravation of COVID-19 even in the presence of vaccination.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"56 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":"115395490","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
Síndrome de choque tóxico por Streptococcus pyogenes en un hospital de la Ciudad de México
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/91605
Marcelo Díaz Conde, Itzel Oralia Amaya Díaz de León
{"title":"Síndrome de choque tóxico por Streptococcus pyogenes en un hospital de la Ciudad de México","authors":"Marcelo Díaz Conde, Itzel Oralia Amaya Díaz de León","doi":"10.35366/91605","DOIUrl":"https://doi.org/10.35366/91605","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"50 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":"115068596","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
Cuidado de Alto Valor en Medicina Crítica 危重医学的高价值护理
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/87295
S. Ñamendys-Silva
{"title":"Cuidado de Alto Valor en Medicina Crítica","authors":"S. Ñamendys-Silva","doi":"10.35366/87295","DOIUrl":"https://doi.org/10.35366/87295","url":null,"abstract":"","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":"116160611","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: 1
Disfagia secundaria a ascitis en preeclampsia con criterios de severidad 子痫前期腹水继发吞咽困难及严重标准
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/108716
Jacob García Regalado, José Luis Espinosa Camacho, Koritza Aguirre Rolón
{"title":"Disfagia secundaria a ascitis en preeclampsia con criterios de severidad","authors":"Jacob García Regalado, José Luis Espinosa Camacho, Koritza Aguirre Rolón","doi":"10.35366/108716","DOIUrl":"https://doi.org/10.35366/108716","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"5 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":"116162829","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
La vitamina C, implicaciones terapéuticas en el paciente con quemaduras graves 维生素C，对严重烧伤患者的治疗意义
Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/110449
Marco Antonio Garnica Escamilla, Raqueli Hernández Peña, Martín de Jesús Sánchez Zúñiga, Elvira Alejandra Támez Coyotzin, Luis Iván Vázquez Guerra, Jorge Alberto Garza Carrión, Nancy Esmeralda Ramírez Vallarde, Rebeca Galia Jimeno Papova
{"title":"La vitamina C, implicaciones terapéuticas en el paciente con quemaduras graves","authors":"Marco Antonio Garnica Escamilla, Raqueli Hernández Peña, Martín de Jesús Sánchez Zúñiga, Elvira Alejandra Támez Coyotzin, Luis Iván Vázquez Guerra, Jorge Alberto Garza Carrión, Nancy Esmeralda Ramírez Vallarde, Rebeca Galia Jimeno Papova","doi":"10.35366/110449","DOIUrl":"https://doi.org/10.35366/110449","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"50 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":"121915626","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信