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Registros recuperados: 3
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Effect of heat and moisture exchangers on the prevention of ventilator-associated pneumonia in critically ill patients BJMBR
Auxiliadora-Martins,M.; Menegueti,M.G.; Nicolini,E.A.; Alkmim-Teixeira,G.C.; Bellissimo-Rodrigues,F.; Martins-Filho,O.A.; Basile-Filho,A..
Ventilator-associated pneumonia (VAP) remains one of the major causes of infection in the intensive care unit (ICU) and is associated with the length of hospital stay, duration of mechanical ventilation, and use of broad-spectrum antibiotics. We compared the frequency of VAP 10 months prior to (pre-intervention group) and 13 months after (post-intervention group) initiation of the use of a heat and moisture exchanger (HME) filter. This is a study with prospective before-and-after design performed in the ICU in a tertiary university hospital. Three hundred and fourteen patients were admitted to the ICU under mechanical ventilation, 168 of whom were included in group HH (heated humidifier) and 146 in group HME. The frequency of VAP per 1000 ventilator-days...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Heat and moisture exchanger; Ventilator-associated pneumonia; Quality improvement; Nosocomial infection; Critically ill patients.
Ano: 2012 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012001200027
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Furosemide is associated with acute kidney injury in critically ill patients BJMBR
Levi,T.M.; Rocha,M.S.; Almeida,D.N.; Martins,R.T.C.; Silva,M.G.C.; Santana,N.C.P.; Sanjuan,I.T.; Cruz,C.M.S..
Acute kidney injury (AKI) is common in critically ill patients. Diuretics are used without any evidence demonstrating a beneficial effect on renal function. The objective of the present study is to determine the incidence of AKI in an intensive care unit (ICU) and if there is an association between the use of furosemide and the development of AKI. The study involved a hospital cohort in which 344 patients were consecutively enrolled from January 2010 to January 2011. A total of 132 patients (75 females and 57 males, average age 64 years) remained for analysis. Most exclusions were related to ICU discharge in the first 24 h. Laboratory, sociodemographic and clinical data were collected until the development of AKI, medical discharge or patient death. The...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Acute renal failure; Critically ill patients; Furosemide; Septic shock.
Ano: 2012 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2012000900006
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Application of a modified sequential organ failure assessment score to critically ill patients BJMBR
Ñamendys-Silva,S.A.; Silva-Medina,M.A.; Vásquez-Barahona,G.M.; Baltazar-Torres,J.A.; Rivero-Sigarroa,E.; Fonseca-Lazcano,J.A.; Domínguez-Cherit,G..
The purpose of the present study was to explore the usefulness of the Mexican sequential organ failure assessment (MEXSOFA) score for assessing the risk of mortality for critically ill patients in the ICU. A total of 232 consecutive patients admitted to an ICU were included in the study. The MEXSOFA was calculated using the original SOFA scoring system with two modifications: the PaO2/FiO2 ratio was replaced with the SpO2/FiO2 ratio, and the evaluation of neurologic dysfunction was excluded. The ICU mortality rate was 20.2%. Patients with an initial MEXSOFA score of 9 points or less calculated during the first 24 h after admission to the ICU had a mortality rate of 14.8%, while those with an initial MEXSOFA score of 10 points or more had a mortality rate...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Sequential organ failure assessment score; Organ dysfunction; Critically ill patients; Mortality; Intensive care unit survival; MEXSOFA.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2013000200186
Registros recuperados: 3
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