Medicina intensiva
-
To elaborate a working document to describe the professional competence (knowledge, skills, and attitudes) required of a physician for the care of critical patients, regardless of the physician's specialty and centered on the patients' needs. ⋯ This study can help to ensure that critical patients will be cared for by physicians capable of identifying their problems and managing them appropriately, regardless of the physicians' specialty background. In responding to this situation, the document recognizes the participation of physicians trained in diverse specialties in the care of the critical patient by scaling the knowledge required at different levels of care.
-
Review Meta Analysis Comparative Study
[High PEEP vs. conventional PEEP in the acute respiratory distress syndrome: a systematic review and meta-analysis].
To perform a systematic review and meta-analysis of the literature to evaluate the effects of high PEEP versus conventional PEEP on mortality and on the risk of barotrauma in patients with the acute respiratory distress syndrome (ARDS). ⋯ The use of high or conventional PEEP in function of oxygenation does not affect mortality or the incidence of barotrauma in patients with ARDS. However, there might be a decrease in mortality associated to high PEEP individualized in function of the pulmonary mechanics of each patient.