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https://www.readbyqxmd.com/read/27849293/costs-of-the-smoking-cessation-program-in-brazil
#1
Andréa Cristina Rosa Mendes, Cristiana Maria Toscano, Rosilene Marques de Souza Barcellos, Alvaro Luis Pereira Ribeiro, Jonas Bohn Ritzel, Valéria de Souza Cunha, Bruce Bartholow Duncan
OBJECTIVE: To assess the costs of the Smoking Cessation Program in the Brazilian Unified Health System and estimate the cost of its full implementation in a Brazilian municipality. METHODS: The intensive behavioral therapy and treatment for smoking cessation includes consultations, cognitive-behavioral group therapy sessions, and use of medicines. The costs of care and management of the program were estimated using micro-costing methods. The full implementation of the program in the municipality of Goiania, Goias was set as its expansion to meet the demand of all smokers motivated to quit in the municipality that would seek care at Brazilian Unified Health System...
November 10, 2016: Revista de Saúde Pública
https://www.readbyqxmd.com/read/27276019/pharmaceutical-interventions-in-medications-prescribed-for-administration-via-enteral-tubes-in-a-teaching-hospital
#2
Carolina Justus Buhrer Ferreira, Caroline Koga Plodek, Franciny Kossemba Soares, Rayza Assis de Andrade, Fernanda Teleginski, Maria Dagmar da Rocha
OBJECTIVE: to analyze the impact of guidelines regarding errors in medications prescribed for administration through enteral tubes. METHOD: quantitative study, in three phases, undertaken in internal medicine, neurology and an intensive care unit in a general teaching hospital. In Phase 1, the following was undertaken: a protocol for dilution and unit-dose repackaging and administration for 294 medications via enteral tubes; a decision flowchart; operational-standard procedures for dilution and unit-dose repackaging of oral pharmaceutical forms and for administration of medications through enteral tubes...
2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/26499423/antibiotic-consumption-and-resistance-results-of-the-spin-uti-project-of-the-gisio-siti
#3
Antonella Agodi, Francesco Auxilia, Martina Barchitta, Silvio Brusaferro, Marcello Mario D'Errico, Maria Teresa Montagna, Cesira Pasquarella, Stefano Tardivo, Ida Mura
OBJECTIVE: To evaluate trends and association between antibiotic consumption and resistance during an eight-year period, from 2006 to 2013. DESIGN: Prospective multicenter study. SETTING AND PARTICIPANTS: Intensive Care Units (ICUs) participating in the four editions of the Italian nosocomial infections surveillance in the ICU Network (Sorveglianza Prospettica delle Infezioni Nosocomiali nelle Unità di Terapia Intensiva, SPIN-UTI project)...
July 2015: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/25573190/occupancy-of-the-departments-of-intensive-care-medicine-in-catalonia-spain-a-prospective-analytical-cohort-study
#4
R Fernandez
BACKGROUND: Before deciding increases in the number or capacitance of Intensive Care Units (ICUs), or the regionalization of Units, it is essential to know their present effectiveness. OBJECTIVE: To analyze the daily occupancy rate of ICUs in Catalonia (Spain) and the frequency of denied admission due to lack of capacity. DESIGN: A prospective, observational multicenter study was carried out. PARTICIPANTS: A total of 35 out of 40 ICUs of Catalonia (87%)...
December 2015: Medicina Intensiva
https://www.readbyqxmd.com/read/25410835/brazilian-recommendations-of-mechanical-ventilation-2013-part-2
#5
REVIEW
(no author information available yet)
Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members...
October 2014: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/25310080/-physiotherapy-on-the-mechanically-ventilated-patients
#6
George Jerre, Marcelo A Beraldo, Thelso de Jesus Silva, Ada Gastaldi, Claudia Kondo, Fábia Leme, Fernando Guimarães, Germano Forti Junior, Jeanette J J Lucato, Joaquim M Veja, Alexandre Luque, Mauro R Tucci, Valdelis N Okamoto
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
September 2007: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25295817/brazilian-recommendations-of-mechanical-ventilation-2013-part-2
#7
Carmen Sílvia Valente Barbas, Alexandre Marini Ísola, Augusto Manoel de Carvalho Farias, Alexandre Biasi Cavalcanti, Ana Maria Casati Gama, Antonio Carlos Magalhães Duarte, Arthur Vianna, Ary Serpa Neto, Bruno de Arruda Bravim, Bruno do Valle Pinheiro, Bruno Franco Mazza, Carlos Roberto Ribeiro de Carvalho, Carlos Toufen Júnior, Cid Marcos Nascimento David, Corine Taniguchi, Débora Dutra da Silveira Mazza, Desanka Dragosavac, Diogo Oliveira Toledo, Eduardo Leite Costa, Eliana Bernadete Caser, Eliezer Silva, Fabio Ferreira Amorim, Felipe Saddy, Filomena Regina Barbosa Gomes Galas, Gisele Sampaio Silva, Gustavo Faissol Janot de Matos, João Claudio Emmerich, Jorge Luis dos Santos Valiatti, José Mario Meira Teles, Josué Almeida Victorino, Juliana Carvalho Ferreira, Luciana Passuello do Vale Prodomo, Ludhmila Abrahão Hajjar, Luiz Claudio Martins, Luis Marcelo Sá Malbouisson, Mara Ambrosina de Oliveira Vargas, Marco Antonio Soares Reis, Marcelo Brito Passos Amato, Marcelo Alcântara Holanda, Marcelo Park, Marcia Jacomelli, Marcos Tavares, Marta Cristina Paulette Damasceno, Murillo Santucci César Assunção, Moyzes Pinto Coelho Duarte Damasceno, Nazah Cherif Mohamed Youssef, Paulo José Zimmermann Teixeira, Pedro Caruso, Péricles Almeida Delfino Duarte, Octavio Messeder, Raquel Caserta Eid, Ricardo Goulart Rodrigues, Rodrigo Francisco de Jesus, Ronaldo Adib Kairalla, Sandra Justino, Sergio Nogueira Nemer, Simone Barbosa Romero, Verônica Moreira Amado
Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members...
July 2014: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25210957/brazilian-recommendations-of-mechanical-ventilation-2013-part-i
#8
REVIEW
(no author information available yet)
Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members...
July 2014: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/25028944/brazilian-recommendations-of-mechanical-ventilation-2013-part-i
#9
REVIEW
Carmen Sílvia Valente Barbas, Alexandre Marini Isola, Augusto Manoel de Carvalho Farias, Alexandre Biasi Cavalcanti, Ana Maria Casati Gama, Antonio Carlos Magalhães Duarte, Arthur Vianna, Ary Serpa Neto, Bruno de Arruda Bravim, Bruno do Valle Pinheiro, Bruno Franco Mazza, Carlos Roberto Ribeiro de Carvalho, Carlos Toufen Júnior, Cid Marcos Nascimento David, Corine Taniguchi, Débora Dutra da Silveira Mazza, Desanka Dragosavac, Diogo Oliveira Toledo, Eduardo Leite Costa, Eliana Bernardete Caser, Eliezer Silva, Fabio Ferreira Amorim, Felipe Saddy, Filomena Regina Barbosa Gomes Galas, Gisele Sampaio Silva, Gustavo Faissol Janot de Matos, João Claudio Emmerich, Jorge Luis Dos Santos Valiatti, José Mario Meira Teles, Josué Almeida Victorino, Juliana Carvalho Ferreira, Luciana Passuello do Vale Prodomo, Ludhmila Abrahão Hajjar, Luiz Cláudio Martins, Luiz Marcelo Sá Malbouisson, Mara Ambrosina de Oliveira Vargas, Marco Antonio Soares Reis, Marcelo Brito Passos Amato, Marcelo Alcântara Holanda, Marcelo Park, Marcia Jacomelli, Marcos Tavares, Marta Cristina Paulette Damasceno, Murillo Santucci César Assunção, Moyzes Pinto Coelho Duarte Damasceno, Nazah Cherif Mohamad Youssef, Paulo José Zimmermann Teixeira, Pedro Caruso, Péricles Almeida Delfino Duarte, Octavio Messeder, Raquel Caserta Eid, Ricardo Goulart Rodrigues, Rodrigo Francisco de Jesus, Ronaldo Adib Kairalla, Sandra Justino, Sérgio Nogueira Nemer, Simone Barbosa Romero, Verônica Moreira Amado
Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumonia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members...
April 2014: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/24594437/guidelines-for-the-prevention-of-ventilator-associated-pneumonia-and-their-implementation-the-spanish-zero-vap-bundle
#10
F Álvarez Lerma, M Sánchez García, L Lorente, F Gordo, J M Añón, J Álvarez, M Palomar, R García, S Arias, M Vázquez-Calatayud, R Jam
BACKGROUND: "Zero-VAP" is a proposal for the implementation of a simultaneous multimodal intervention in Spanish intensive care units (ICU) consisting of a bundle of ventilator-associated pneumonia (VAP) prevention measures. METHODS/DESIGN: An initiative of the Spanish Societies of Intensive Care Medicine and of Intensive Care Nurses, the project is supported by the Spanish Ministry of Health, and participation is voluntary. In addition to guidelines for VAP prevention, the "Zero-VAP" Project incorporates an integral patient safety program and continuous online validation of the application of the bundle...
May 2014: Medicina Intensiva
https://www.readbyqxmd.com/read/24401721/efficacy-of-coupled-plasma-filtration-adsorption-cpfa-in-patients-with-septic-shock-a-multicenter-randomised-controlled-clinical-trial
#11
RANDOMIZED CONTROLLED TRIAL
Sergio Livigni, Guido Bertolini, Carlotta Rossi, Fiorenza Ferrari, Michele Giardino, Marco Pozzato, Giuseppe Remuzzi
OBJECTIVES: Coupled plasma filtration adsorption (CPFA, Bellco, Italy), to remove inflammatory mediators from blood, has been proposed as a novel treatment for septic shock. This multicenter, randomised, non-blinded trial compared CPFA with standard care in the treatment of critically ill patients with septic shock. DESIGN: Prospective, multicenter, randomised, open-label, two parallel group and superiority clinical trial. SETTING: 18 Italian adult, general, intensive care units (ICUs)...
2014: BMJ Open
https://www.readbyqxmd.com/read/23801228/-the-register-giviti-about-the-use-of-the-drug-xigris%C3%A2-in-the-italian-intensive-care-units
#12
Carlotta Rossi, Michele Giardino, Daniele Crespi, Abramo Anghileri, Daniele Poole, Guido Bertolini
INTRODUCTION: The Register was aimed at monitoring the use, possible side effects, and clinical effectiveness of Xigris® - drotrecogin alfa (activated) - for the treatment of severe sepsis in Italian intensive care units (ICUs). METHODS: Data collection was performed using an online web form or a specific electronic module of the software Margherita, available only for the ICUs adhering to the GiViTI. Drug purchase information available for each center was used to identify and stimulate collaboration of non-compliant centers...
June 2013: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/23773859/clinical-practice-guidelines-for-evidence-based-management-of-sedoanalgesia-in-critically-ill-adult-patients
#13
E Celis-Rodríguez, C Birchenall, M Á de la Cal, G Castorena Arellano, A Hernández, D Ceraso, J C Díaz Cortés, C Dueñas Castell, E J Jimenez, J C Meza, T Muñoz Martínez, J O Sosa García, C Pacheco Tovar, F Pálizas, J M Pardo Oviedo, D I Pinilla, F Raffán-Sanabria, N Raimondi, C Righy Shinotsuka, M Suárez, S Ugarte, S Rubiano
INTRODUCTION: Optimal management of sedation, analgesia and delirium offers comfort and security for the critical care patient, allows support measures to be applied more easily and enables an integral approach of medical care, at the same time that lowers the incidence of complications, wich translates in better patient outcomes. OBJECTIVE: To update the Guía de práctica clínica basada en la evidencia para el manejo de la sedoanalgesia en el paciente adulto críticamente enfermo published in Medicina Intensiva in 2007, and give recommendations for the management of sedation, analgesia, and delirium...
November 2013: Medicina Intensiva
https://www.readbyqxmd.com/read/23507335/-the-2013-seville-consensus-document-on-alternatives-to-allogenic-blood-transfusion-an-update-on-the-seville-document
#14
S R Leal-Noval, M Muñoz, M Asuero, E Contreras, J A García-Erce, J V Llau, V Moral, J A Páramo, M Quintana, M Basora, F J Bautista-Paloma, E Bisbe, J L Bóveda, A Castillo-Muñoz, M J Colomina, C Fernández, E Fernández-Mondéjar, C Ferrándiz, A García de Lorenzo, C Gomar, A Gómez-Luque, M Izuel, V Jiménez-Yuste, E López-Briz, M L López-Fernández, J A Martín-Conde, B Montoro-Ronsano, C Paniagua, J A Romero-Garrido, J C Ruiz, R Salinas-Argente, C Sánchez, P Torrabadella, V Arellano, A Candela, J A Fernández, E Fernández-Hinojosa, A Puppo
Since allogeneic blood transfusion (ABT) is not harmless, multiple alternatives to ABT (AABT) have emerged, though there is great variability in their indications and appropriate use. This variability results from the interaction of a number of factors, including the specialty of the physician, knowledge and preferences, the degree of anemia, transfusion policy, and AABT availability. Since AABTs are not harmless and may not meet cost-effectiveness criteria, such variability is unacceptable. The Spanish Societies of Anesthesiology (SEDAR), Hematology and Hemotherapy (SEHH), Hospital Pharmacy (SEFH), Critical Care Medicine (SEMICYUC), Thrombosis and Hemostasis (SETH) and Blood Transfusion (SETS) have developed a Consensus Document for the proper use of AABTs...
May 2013: Medicina Intensiva
https://www.readbyqxmd.com/read/21944163/-technical-and-functional-standards-and-implementation-of-a-clinical-information-system-in-intensive-care-units
#15
V Gómez Tello, J Alvarez Rodríguez, A Núñez Reiz, J A González Sánchez, A Hernández Abadía de Barbará, M Martínez Fresneda, P Morrondo Valdeolmillos, J M Nicolás Arfelis, I Pujol Varela, M Calvete Chicharro
INTRODUCTION: Clinical Information Systems (CIS) are becoming a useful tool for managing patients and data in the ICU. However, the existing CIS differ in their capabilities and technical requirements. It is therefore essential for intensivists, as the end clients of these applications, to define the suitable minimum specifications required in order to be operative and helpful. OBJECTIVES: The Spanish Society of Intensive Care Medicine and Coronary Units, through its Organization and Management Workgroup, has designated a group of clinical and software experts to draft a document with the recommendable technical and operating requirements of these systems...
November 2011: Medicina Intensiva
https://www.readbyqxmd.com/read/21371787/-intensive-medicine-in-spain
#16
REVIEW
(no author information available yet)
Intensive care medicine is a medical specialty that was officially established in our country in 1978, with a 5-year training program including two years of common core training followed by three years of specific training in an intensive care unit accredited for training. During this 32-year period, intensive care medicine has carried out an intense and varied activity, which has allowed its positioning as an attractive and with future specialty in the hospital setting. This document summarizes the history of the specialty, its current situation, the key role played in the programs of organ donation and transplantation of the National Transplant Organization (after more than 20 years of mutual collaboration), its training activities with the development of the National Plan of Cardiopulmonary Resuscitation, with a trajectory of more than 25 years, its interest in providing care based on quality and safety programs for the severely ill patient...
March 2011: Medicina Intensiva
https://www.readbyqxmd.com/read/19625000/-hormone-modulation-of-organ-donor-utility-of-the-steroids
#17
REVIEW
Juna C Michelena, Carlos Chamorro, Juan A Falcón, Sandra Garcés
Recently, the work group made up of the National Transplant Organization (Organización Nacional de Trasplantes, ONT), Spanish Society of Intensive, Critical Medicine and Coronary Units (Sociedad Española de Medicina Intensiva, Crítica y de Unidades Coronarias, SEMICYUC) and other Scientific Societies have recommended using 15 mg/kg of methyl prednisolone during the management of lung donors after brain death. This recommendation is based on descriptive and retrospective studies. However, the review of different experimental and clinical studies also suggests a potential benefit of using steroids in either thoracic or abdominal organ donors during management strategies...
June 2009: Medicina Intensiva
https://www.readbyqxmd.com/read/19409668/-evaluation-of-the-status-of-patients-with-severe-infection-criteria-for-intensive-care-unit-admittance-spanish-society-for-infectious-diseases-and-clinical-microbiology-spanish-society-of-intensive-and-critical-medicine-and-coronary-units
#18
Pedro M Olaechea, Francisco Alvarez-Lerma, Miguel Sánchez, Antonio Torres, Mercedes Palomar, Pedro Fernández, José M Miró, José Miguel Cisneros, Manuel Torres, et al.
Recent studies have shown that early attention in patients with serious infections is associated with a better outcome. Assistance in intensive care units (ICU) can effectively provide this attention; hence patients should be admitted to the ICU as soon as possible, before clinical deterioration becomes irreversible. The objective of this article is to compile the recommendations for evaluating disease severity in patients with infections and describe the criteria for ICU admission, updating the criteria published 10 years ago...
June 2009: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/18414358/italy-versus-the-united-kingdom-differing-styles-for-treating-bacteremia-in-the-critically-ill-patient-but-who-s-right
#19
MULTICENTER STUDY
A Corona, F Cislaghi, F Raimondi, M Singer
BACKGROUND: As no prospective, randomized, clinical trials (PRCTs) exist to inform decisions about antibiotic therapy for bacteraemia, ICUs have likely developed their own strategies. A multi-centre, multi-national questionnaire survey was used to assess variations in antibiotic strategy between ICUs in the United Kingdom (UK) and Italy. METHODS: In January 2001, a detailed questionnaire regarding antibiotic policy was sent to international (e.g., European Society of Intensive Care Medicine, ESICM) and national societies (Gruppo Italiano per la Valutazione degli Interventi in Terapia Intensiva, GIVITI; Australia and New Zealand Intensive Care-Critical Trial Group, ANZIC-CTG; United Kingdom-Intensive Care Society, UK-ICS)...
May 2008: Minerva Anestesiologica
https://www.readbyqxmd.com/read/18221710/-indicators-of-quality-in-the-critical-patient
#20
M C Martín, Ll Cabré, J Ruiz, Ll Blanch, J Blanco, F Castillo, P Galdós, J Roca, R M Saura
The utility of using quality indicators as a tool to measure the common practice and evaluate efficacy of measures established to improve quality has been demonstrated, making it possible to identify and make known the improvements carried out. The project "Quality indicators in the critical patient" has been conducted by the Spanish Society of Intensive and Critical Medicine (SEMICYUC) under the methodological management of the Foundation Avedis Donabedian (FAD) of Barcelona. Its objective was to develop key indicators in the care of the critical patient, considering the following as added values: reaching an agreement on the quality criteria in these patients and providing the professionals with a potent and reliable instrument for clinical evaluation and management, introducing common evaluation methods that make it possible to unify the measure, making a comparative evaluation (benchmarking), having information that makes it possible to develop quality plans (quantitative, objective, reliable and valid data) and having a system that assures total quality of care to the critical patient...
January 2008: Medicina Intensiva
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