Marco Antonio Cardoso-Ramírez, Irma González-Prado, Aldo Giovanni Martínez-Medel, Edgar Islas-Mejía, Ernesto Deloya-Tomás, O. Pérez-Nieto, Eder Iván Zamarrón-López, Manuel Alberto Guerrero-Gutiérrez, Raúl Soriano-Orozco
{"title":"Impacto de la presión de distensión alveolar en los pacientes con síndrome de distrés respiratorio agudo (SDRA): revisión narrativa","authors":"Marco Antonio Cardoso-Ramírez, Irma González-Prado, Aldo Giovanni Martínez-Medel, Edgar Islas-Mejía, Ernesto Deloya-Tomás, O. Pérez-Nieto, Eder Iván Zamarrón-López, Manuel Alberto Guerrero-Gutiérrez, Raúl Soriano-Orozco","doi":"10.35366/95878","DOIUrl":"https://doi.org/10.35366/95878","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"105 42","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131913555","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}
Jorge Luis Medina López, Andrés Valencia Rosas, Pedro Barriga Ferreyra, Juan Carlos Luquin Saucedo, José Luis Barrera Valencia, María del Mar Sánchez Pérez
{"title":"Experiencia en 24 pacientes con técnica de traqueostomía con incisión vertical por una limitación de la visibilidad secundaria a equipo de protección ocular en el área de cuidados intensivos respiratorios COVID","authors":"Jorge Luis Medina López, Andrés Valencia Rosas, Pedro Barriga Ferreyra, Juan Carlos Luquin Saucedo, José Luis Barrera Valencia, María del Mar Sánchez Pérez","doi":"10.35366/110438","DOIUrl":"https://doi.org/10.35366/110438","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"104 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":"134056675","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}
J. Sánchez-Díaz, M. Guerrero-Gutiérrez, Cristóbal Meneses-Olguín, Raúl Soriano-Orozco, Ernesto Deloya-Tomás
{"title":"Guías ''primera línea'' para la atención de pacientes con COVID-19. Posición prona en pacientes despiertos no intubados con SDRA","authors":"J. Sánchez-Díaz, M. Guerrero-Gutiérrez, Cristóbal Meneses-Olguín, Raúl Soriano-Orozco, Ernesto Deloya-Tomás","doi":"10.35366/100006","DOIUrl":"https://doi.org/10.35366/100006","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"14 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":"115608128","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 de impulsión","authors":"José Javier Elizalde González","doi":"10.35366/78359","DOIUrl":"https://doi.org/10.35366/78359","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"2 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":"114592415","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":"Reseña del XLVII Congreso del Colegio Mexicano de Medicina Crítica","authors":"José de Jesús Zaragoza Galván","doi":"10.35366/98166","DOIUrl":"https://doi.org/10.35366/98166","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"196 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":"116241755","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}
Yaneth Martínez Tovilla, Miguel Ángel Coral García
{"title":"Protocolos de ultrasonografía en una Unidad Pediátrica de Quemados","authors":"Yaneth Martínez Tovilla, Miguel Ángel Coral García","doi":"10.35366/89526","DOIUrl":"https://doi.org/10.35366/89526","url":null,"abstract":"mais amplo nas unidades de terapia intensiva pediátrica. No UQSSEP, consideramos uma ferramenta de diagnóstico que não pode ser posposta. Palavras-chave: Ultrassonografia, paciente pediátrico queimado, emergências. ABSTRACT Introduction: In pediatric burn units, emergency and intensive care patients are attended. The application of ultrasound as a basic tool in the care of seriously ill patients in real time, has allowed responding to specific questions about their clinical condition and used as a tool that guides different procedures necessary in the proper care of this type of patients. With this background and in addition to the fact that the critical care environment is integrating the basic applications of ultrasound in non-invasive monitoring, we consider it important to review the uses of ultrasonography in a pediatric burn unit. Objective: To present the most important aspects of the most common ultrasound protocols in a pediatric burn unit. Material and methods: A retrospective, observational, descriptive, longitudinal and homodemic study was conducted on ultrasound protocols in the Unidad de Quemados de los Servicios de Salud del Estado de Puebla anexa al Hospital para el Niño Poblano, specifying its importance in the decision making in the integral management of burned pediatric patients. Results: Four protocols were found to be the most used in the burned pediatric patients: FAST, RUSH, focused echocardiography and DVNO. Conclusion: Ultrasound is covering a wider field in pediatric intensive care units. In the Unidad de Quemados de los Servicios de Salud del Estado de Puebla we consider that it is a diagnostic tool that can not be postponed.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"41 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":"122669679","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}
Manuel Martínez Rojas, J. S. Sánchez Díaz, Karla Gabriela Peniche Moguel, Enrique Antonio Martínez Rodríguez, Ángel Armando Gutiérrez Jiménez, M.V. Calyeca Sánchez
{"title":"Delta de cloro (Cl-) sérico como pronóstico de mortalidad en pacientes con choque séptico","authors":"Manuel Martínez Rojas, J. S. Sánchez Díaz, Karla Gabriela Peniche Moguel, Enrique Antonio Martínez Rodríguez, Ángel Armando Gutiérrez Jiménez, M.V. Calyeca Sánchez","doi":"10.35366/87291","DOIUrl":"https://doi.org/10.35366/87291","url":null,"abstract":"Material e métodos: Estudo de coorte, ambispectivo, observacional, analítico e longitudinal. Foram incluídos pacientes com idade superior a 18 anos que foram admitidos na Unidade de Terapia Intensiva (UTI) com diagnóstico de choque séptico de acordo com as diretrizes da campanha que sobrevivendo à sepse de 2016, entre 15 de junho de 2015 e 30 de outubro de 2017. A análise foi realizada com estatística descritiva, χ2 e T-Student para variáveis de distribuição normal e teste exato de Fisher e U-Mann Whitney para variáveis não paramétricas. Todas as análises estatísticas foram realizadas com o programa PSSW SPSSTM 22.0. Resultados: No período considerado, 70 pacientes preencheram os critérios de seleção propostos, dos quais 32 (45.7%) foram a óbito e 38 (54.3%) sobreviveram. Do total de pacientes, trinta e cinco (50%) eram mulheres. O abdome foi a fonte mais frequente de infecção com 44.3%, seguido do pulmão em 25.7%. O serviço mais comum foi Urgências com 38.6% do total de pacientes internados. Conclusão: O ΔCl medido em 24 h com ponto de corte ≥ 4 mE/L é um fator de risco para mortalidade em pacientes com choque séptico e a probabilidade de sobrevida acumulada ao dia 30 é de 38%. Palavras-chave: Choque séptico, solução salina a 0.9%, delta de cloro, mortalidade.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"54 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":"129809474","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}
Jessica Teresa Hernández Altuna, Felipe de Jesús Montelongo, Jonathan Galindo Ayala, Rafael Tapia Velasco, Nancy Verónica Alva Arroyo
{"title":"Utilidad del protocolo de manejo de la paciente obstétrica grave guiado por ultrasonido (POGGU) en pacientes código mater","authors":"Jessica Teresa Hernández Altuna, Felipe de Jesús Montelongo, Jonathan Galindo Ayala, Rafael Tapia Velasco, Nancy Verónica Alva Arroyo","doi":"10.35366/112162","DOIUrl":"https://doi.org/10.35366/112162","url":null,"abstract":"Usefulness of the protocol for the management of severe","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"20 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":"130606361","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}