Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Jan 2015
Swallowing rehabilitation of dysphagic tracheostomized patients under mechanical ventilation in intensive care units: a feasibility study.
The aim of the present study was to assess the feasibility of the early implementation of a swallowing rehabilitation program in tracheostomized patients under mechanical ventilation with dysphagia. ⋯ In this small group of patients, we demonstrated that the early implementation of a swallowing rehabilitation program is feasible even in patients under mechanical ventilation.
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Rev Bras Ter Intensiva · Jan 2015
Comparative StudyPatient stress in intensive care: comparison between a coronary care unit and a general postoperative unit.
To evaluate and compare stressors identified by patients of a coronary intensive care unit with those perceived by patients of a general postoperative intensive care unit. ⋯ The perception of major stressors and the total stress score were similar between patients in the coronary intensive care and general postoperative intensive care units.
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Rev Bras Ter Intensiva · Jan 2015
Septic shock: a major cause of hospital death after intensive care unit discharge.
To assess the causes and factors associated with the death of patients between intensive care unit discharge and hospital discharge. ⋯ The main cause of death of patients who were discharged from the intensive care unit and died in the ward before hospital discharge was septic shock. Coverage by the public healthcare system and longer hospitalization time in the intensive care unit were factors associated with death after discharge from the intensive care unit.
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Rev Bras Ter Intensiva · Jan 2015
Causes of non-adherence to therapeutic guidelines in severe community-acquired pneumonia.
To assess the adherence to Infectious Disease Society of America/American Thoracic Society guidelines and the causes of lack of adherence during empirical antibiotic prescription in severe pneumonia in Latin America. ⋯ The compliance rate with the Infectious Disease Society of America/American Thoracic Society guidelines in the community-acquired pneumonia scenario was 30.6%; the most frequent cause of lack of compliance was the indication of monotherapy. In the case of nosocomial pneumonia, the compliance rate with the guidelines was 2.8%, and the most important cause of non-adherence was lack of combined antipseudomonal therapy. If the use of monotherapy with an antipseudomonal antibiotic was considered the correct option, the treatment would be adequate in 100% of the prescriptions.
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Rev Bras Ter Intensiva · Jan 2015
Observational StudyWhat happens to the fluid balance during and after recovering from septic shock?
We aimed to evaluate the cumulative fluid balance during the period of shock and determine what happens to fluid balance in the 7 days following recovery from shock. ⋯ In conclusion, positive fluid balances are frequently seen in patients with septic shock and may be related to worse outcomes. During the shock period, even though the fluid balance was previously positive, it becomes more positive. After recovery from shock, the fluid balance continues to increase. The group with a more positive fluid balance group spent more time in the intensive care unit and hospital.