Medicina intensiva
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To demonstrate that interdisciplinary consensus improves the quality of work in the daily Intensive Care Unit (ICU), thus avoiding unnecessary routine x-ray examinations. We propose to monitor the results to maintain this low percentage of requests for x-rays. ⋯ Unnecessary CPR can be easily reduced stressing our control in clinically stable patients. The requirement to justify a routine request (agreement between intensivists) makes it possible to decrease the number of CPRs. Periodic monitoring is the definitive tool for a successful improvement cycle.
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To make an independent evaluation of the capacity for exercise as a predictive factor in lung transplant recipients. ⋯ We do not believe that the distance covered in the 6MWT conducted in the study protocol in the lung transplant candidates is useful as a marker to predict long-term mortality in patients undergoing lung transplant.
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The tracheostomy has turned into one of the procedures most performed in the intensive care units. To this fact they have contributed the introduction of the percutaneous technique and the theoretical advantages that tracheostomy has: increase of the comfort of the patient, decrease of the dead space, improvement of the bronchial toilet and decrease in the requirement of sedation. ⋯ The comparative studies show that the performance of a tracheostomy, versus translaryngeal intubation, could relate to a lower mortality in the unit of intensive care, but tracheostomy does not improve other outcomes as length of stay in the unit of intensive care, length of stay in the hospital and the mortality in the hospital. More studies are needed to be able to estimate what patients would benefit from a tracheostomy and which is the optimal timing for its performance.
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Letter Case Reports
[Massive pulmonary thromboembolism: a rare case of QT prolongation].