Medicina Crítica最新文献_第6页

Comparación de criterios de Berlín vs Kigali para diagnóstico del síndrome de insuficiencia respiratoria aguda 柏林与基加利急性呼吸衰竭诊断标准的比较

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/89521

Ulises Emmanuel Guadalupe Mouret Hernández, Martín Mendoza Rodríguez, Alfonso López González, Alfredo Cortés Munguia

引用次数: 1

Ventilación mecánica invasiva en COVID-19, ¿una estrategia mortal? 侵入性机械通气在COVID-19中是致命的策略吗?

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/105384

F. E. Echezuria Marín, Rosanna J Quijada Morillo

引用次数: 0

Ultrasonido Doppler con contraste para el diagnóstico de cortocircuito de derecha a izquierda: revisión sistemática y metaanálisis 对比多普勒超声诊断从右到左短路:系统综述和荟萃分析

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/94898

Miguel Felipe González Trasviña, U. C. Díaz, Saúl Antonio Villagrana Márquez

{"title":"Ultrasonido Doppler con contraste para el diagnóstico de cortocircuito de derecha a izquierda: revisión sistemática y metaanálisis","authors":"Miguel Felipe González Trasviña, U. C. Díaz, Saúl Antonio Villagrana Márquez","doi":"10.35366/94898","DOIUrl":"https://doi.org/10.35366/94898","url":null,"abstract":"Transcranial UD-c was reported in 34 studies, including 2,964 participants (average age 46.8 years, 52% male); for the set of studies, a sensitivity of 95% (95% CI of 0.93-0.97) and specificity of 95% (95% CI of 0.89-0.98) were calculated; likelihood ratio (+) of 8.93 (95% CI of 7.17-11.0), and a Likelihood ratio (-) of 0.08 (95% CI of 0.05-0.12) were also calculated, and when making Bayes’ nomogram, inferring a probability Pre-Test of 30% (prevalence of CDI in general population), a post-test probability is calculated for their respective Likelihood ratio (+) of 79% (CI 0.75-0.82), and a post-test probability for their respective likelihood (-) of 3% (CI 0.02-0.05). Conclusions: The transcranial UD-c is a test with an excellent diagnostic performance when compared to ETE-c, it has the disadvantage of not allowing to differentiate the type of communication (intracardiac or pulmonary). There is not enough evidence to recommend the use of vertebral or carotid UD-c for the diagnosis of CDI; however, current evidence points to a superiority of transcranial UD-c over these. ABSTRACT Introduction: Right to left","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"58 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":"127485360","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

Delirio y su relación con la supervivencia en pacientes geriátricos con neumonía grave por SARS-CoV-2 en un hospital de tercer nivel de atención en México 墨西哥一家三级护理医院严重SARS-CoV-2肺炎老年患者谵妄及其与生存的关系

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/109961

Cynthia Daniela Bazán Acevedo, Edgar Fernández Muñoz, Netzahualcóyotl González Pérez, Lilia López Carrillo

引用次数: 0

Supervivencia a mediano plazo de pacientes críticamente enfermos con función renal normal, lesión renal aguda y enfermedad renal crónica 肾功能正常、急性肾损伤和慢性肾病危重患者的中期生存期

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/106509

Pedro A. Zárate-Rodríguez, Edgar Emmanuel Romero Alonso, Beatriz Rodríguez González, Porfirio Visoso Palacios, Josué Gerardo Esparza Correa, Cynthia Ixchel Alcántara Melendres

引用次数: 0

Índice PaO/FiO/PEEP como predictor de mortalidad en pacientes COVID-19 PaO/FiO/PEEP指数作为COVID-19患者死亡率的预测指标

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/112169

Marcos Sahib Ramos Estrada, María del Rosario Muñoz Ramírez

引用次数: 0

Aplicación del protocolo FAST-HUG y su asociación con la mortalidad del paciente crítico en UCI 快速拥抱方案的应用及其与重症监护室危重患者死亡率的关系

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/88510

Beatriz Barrera Jiménez, Carlos Correa Jiménez, Luis Alberto Ruiz Marines, Martín Mendoza Rodríguez

{"title":"Aplicación del protocolo FAST-HUG y su asociación con la mortalidad del paciente crítico en UCI","authors":"Beatriz Barrera Jiménez, Carlos Correa Jiménez, Luis Alberto Ruiz Marines, Martín Mendoza Rodríguez","doi":"10.35366/88510","DOIUrl":"https://doi.org/10.35366/88510","url":null,"abstract":"Introduction: FAST-HUG mnemotechnics encompasses seven minimum aspects in critical patient care (feeding, analgesia, sedation, thromboprophylaxis, elevation of the head, prevention of stress ulcers and glucose control). Its compliance has shown improvement in the prognosis. Objective: To establish if there is an association between the compliance of the FAST-HUG and the mortality of the critical patient when assessing the severity of admission using the SOFA scale. Material and methods: Clinical, descriptive, transversal and prospective study. It included patients admitted to the ICU of La Villa General Hospital and «Dr. Rubén Leñero» General Hospital, from February 28 to May 31, 2018. The following data were recorded: age, sex, type of diagnosis, SOFA score, number of variables fulfilled by FAST-HUG, feeding, analgesia, sedation, RASS, thromboprophylaxis, degrees of inclination of the head, prophylaxis of gastric ulcer, capillary glucose figure, origin, destination, days of stay, complications and death. Results: 129 patients were studied, female 52 (40%), 77 male (60%), mean age 49 years SD ± 17.3, medical diagnoses 36 (28%), surgical 61 (47%), traumatic 22 (17%) and obstetricians 10 (8%). Most frequent SOFA score of 0-6 points in 59 patients (46%). The most fulfilled variable was U 122 (95%). The mean compliance of the variables was 5 SD ± 1.04. Compliance with F, S and T had statistical significance in terms of mortality. F (p < 0.01), S (p < 0.01), T (p < 0.05). Conclusions: The application of FAST-HUG in critical patients reduces the risk of mortality specifically when at least three variables are met (diet, sedation and thromboprophylaxis).","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":"125431899","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: 3

Asociación entre el índice de agua extravascular pulmonar y el balance hídrico en pacientes críticamente enfermos 危重病人肺外水指数与水分平衡的关系

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/95876

Nikolett Iren Medveczky Ordóñez, José Carlos Gasca Aldama, Mario Arturo Carrasco Flores, Marcos A Amezcua Gutiérrez, L. A. Gorordo Delsol, Sandybell Sosa Santos

引用次数: 0

Ultrasonido Point-Of-Care (POCUS) durante la reanimación cardiopulmonar para el diagnóstico de causas reversibles de arresto cardiaco 心肺复苏中的护理点超声(POCUS)用于诊断心脏骤停的可逆原因

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/106513

E. I. Zamarrón-López, M. Guerrero-Gutiérrez, O. R. Pérez Nieto, Raymundo Flores-Ramírez, Jorge López-Fermín, Raúl Soriano-Orozco, J. Sánchez-Díaz, Luis A. Morgado-Villaseñor

引用次数: 0

Estrategia ventilatoria para el aclaramiento de dióxido de carbono en un lactante con hipercapnia incontrolable 无法控制的高碳酸血症婴儿二氧化碳清除的通气策略

Medicina Crítica Pub Date : 1900-01-01 DOI: 10.35366/105385

Jaime Fernández-Sarmiento, Laura Camargo-Agón, Carolina Bonilla González

引用次数: 0