Medicina intensiva
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Multicenter Study
Prone positioning before extracorporeal membrane oxygenation for severe acute respiratory distress syndrome: A retrospective multicenter study.
To evaluate the clinical outcomes of patients with severe acute respiratory distress syndrome (ARDS) subjected to prone positioning before extracorporeal membrane oxygenation (ECMO). ⋯ Prone positioning before ECMO was not associated to increased mortality and tended to exert a protective effect.
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Multicenter Study Observational Study
Frailty in patients over 65 years of age admitted to Intensive Care Units (FRAIL-ICU).
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Multicenter Study
Factors related to limitation of life support within 48h of intensive care unit admission: A multicenter study.
To determine factors related to limitations on life support within 48h of intensive care unit (ICU) admission. ⋯ Limitations on life support are common, but the practice varies. Quality of life has the greatest impact on decisions to limit life support within 48h of admission.
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To describe the variables related to effective cough capacity and the state of consciousness measured prior to decannulation and compare their measured values between the different areas of care such as the Intensive Care Unit (ICU), General ward and Mechanical Ventilation Weaning and Rehabilitation Centers (MVWRC). Secondarily analyze the evolution of patients once decannulated. ⋯ There are differences in the values of PEFC and GCS observed when decannulating between different areas. A considerable number of patients are decannulated with values of PEFC and maximum expiratory pressure below the suggested cut-off points as predictors of failure in the literature. No patient in our series was decanulated with an GCS <8, this reflects the importance that the treating team gives to the state of consciousness prior to decannulation.