Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Oct 2014
Adherence to the items in a bundle for the prevention of ventilator-associated pneumonia.
To assess adherence to a ventilator care bundle in an intensive care unit and to determine the impact of adherence on the rates of ventilator-associated pneumonia. ⋯ The educational intervention performed in this study increased the adherence to the ventilator care bundle, but the incidence of ventilator-associated pneumonia did not decrease in the small sample that was assessed.
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Rev Bras Ter Intensiva · Oct 2014
Multicenter StudyIntensive care unit visitation policies in Brazil: a multicenter survey.
This study aimed to determine which visitation policy was the most predominant in Brazilian intensive care units and what amenities were provided to visitors. ⋯ Restrictive visitation policies are predominant in Brazilian intensive care units, with most of them allowing just two periods of visitation per day. There is also a lack of amenities for visitors.
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Rev Bras Ter Intensiva · Oct 2014
Case ReportsVaricella associated acute respiratory distress syndrome in an adult patient: an example for extracorporeal respiratory support in Brazilian endemic diseases.
A case of a 30 year-old man presenting with severe systemic chickenpox with refractory hypoxemia, central nervous system vasculitis and anuric renal failure is described. Ambulance transportation and support using veno-venous extracorporeal membrane oxygenation were necessary until the patient recovered. Ultimately, the potential use of extracorporeal membrane oxygenation support in low-middle income countries to manage common diseases is discussed.
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Rev Bras Ter Intensiva · Oct 2014
Review Meta AnalysisHemodynamic optimization in severe trauma: a systematic review and meta-analysis.
Severe trauma can be associated with significant hemorrhagic shock and impaired organ perfusion. We hypothesized that goal-directed therapy would confer morbidity and mortality benefits in major trauma. ⋯ Following severe trauma, early goal-directed therapy was associated with lower mortality and shorter durations of intensive care unit and hospital stays. The findings of this analysis should be interpreted with caution due to the presence of significant heterogeneity and the small number of the
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Rev Bras Ter Intensiva · Oct 2014
Urinary NGAL in patients with and without acute kidney injury in a cardiology intensive care unit.
To assess the diagnostic and prognostic efficacy of urine neutrophil gelatinase-associated lipocalin in patients admitted to an intensive care unit. ⋯ An increase in urine neutrophil gelatinase-associated lipocalin precedes variations in serum creatinine in patients with acute kidney injury and may be associated with death.