Medicina intensiva
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Letter Case Reports
[Spontaneous splenic rupture as a complication of acute pancreatitis].
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Multicenter Study Comparative Study
[Factors associated with the prognosis of mechanically ventilated infants and children. An international study].
Identify factors associated with the survival of pediatric patients who are submitted to mechanical ventilation (MV) for more than 12 hours. ⋯ In a large cohort of mechanically ventilated pediatric patients we found that severity of illness at admission, high mean PIP, development of acute renal failure and severe hypoxemia over the course of MV were the factors associated with lower survival rate.
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Comparative Study
[Sedoanalgesia with remifentanil in definitive pacemaker implant].
Describe the use of remifentanil in definitive pacemaker implant. ⋯ Remifentanil is useful in the implant of DPM as a sedoanalgesia method. Serious undesired effects are rare. Future studies are necessary to completely establish its effectiveness and safety in these types of procedures.
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Comparative Study
[Epidemiology, initial management and analysis of morbidity-mortality of severe burn patient].
Describe the epidemiological characteristics of severe burn patients and analyze the factors related with morbidity-mortality. ⋯ Mortality of these patients is very high and is conditioned largely by initial care. Percentage of burned body surface (BBS) and kidney failure entails greater mortality in our series.
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Practice Guideline
[Monitoring pain: recommendations of the Analgesia and Sedation Work Group of SEMICYUC].
In critically ill patients, pain is frequently underestimated and so insufficiently managed. Psychological, haemodynamic and neuroendocrine responses, secondary to untreated pain, could produce morbidity and even increases in patient mortality. All members of the intensive care team must have abilities to assess and to manage pain. ⋯ Adequate and regular patient assessment leads to improved pain control. Scores higher than 3 points should not be permitted. A pain-free Intensive Care Unit should be a quality standard healthcare aim.