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A Fernández-Carmona, L Olivencia-Peña, M E Yuste-Ossorio, L Peñas-Maldonado
Cough is a fundamental defense mechanism for keeping the airway free of foreign elements. Life-threatening situations may arise when cough proves ineffective as a result of muscle weakness or altered mucociliary function. When a patient is unable to cough effectively, techniques are required to either reinforce or replace cough capacity. The use of mechanical systems that facilitate or substitute cough function is increasingly common in Intensive Care Units, where it is relatively frequent to find situations of ineffective cough due to different clinical causes...
January 2018: Medicina Intensiva
María Luisa Bordejé Laguna
Lung’s own properties make that nutritional support, besides covering the requirements can modulate its infl ammatory response. Lung tissue has a low glucose stock. Fatty acids are the main energy producer of type II pneumocytes, which use them in order to form phospholipids, essential for surfactant whose creation and release decrease in acute lung injury (ALI). Glutamine is a good substratum for endocrine cells and type II pneumocytes. Due to high nutritional risk, it is important its assessments in disorders as COPD and acute respiratory distress syndrome (ADRS)...
May 8, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Emilio Bouza, José Martínez-Alarcón, Emilio Maseda, Mercedes Palomar, Rafael Zaragoza, María Jesús Pérez-Granda, Patricia Muñoz, Almudena Burillo
INTRODUCTION: Current guidelines for the microbiological diagnosis of ventilator-associated pneumonia (VAP) are imprecise. Based on data provided by intensive care specialists (ICS) and microbiologists, this study defines the clinical practices and microbiological techniques currently used for an aetiological diagnosis of VAP and pinpoints deficiencies. METHODS: Eighty hospitals in the national health network with intensive care and microbiology departments were sent two questionnaires, one for each department, in order to collect data on VAP diagnosis for the previous year...
March 2017: Enfermedades Infecciosas y Microbiología Clínica
Ivonne Villa Jiménez, María José Aguilar Cordero, Rafael Guisado Barrilao, José Naranjo Orellana, Laura Guerrero Almeida
No abstract text is available yet for this article.
March 25, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
José Luis González-Montesinos, Jesús Gustavo Ponce-González, Davinia Vicente-Campos, José López-Chicharro, Jorge Del Rosario Fernández-Santos, Carmen Vaz-Pardal, José Luis Costa-Sepúlveda, Julio Conde-Caveda, José Castro-Piñero
No abstract text is available yet for this article.
March 25, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
A M Esquinas, J L Jover, A Úbeda, F J Belda
Non-invasive ventilation (NIV) is a method of ventilatory support that is increasing in importance day by day in the management of postoperative respiratory failure. Its role in the prevention and treatment of atelectasis is particularly important in the in the period after thoracic and abdominal surgeries. Similarly, in the transplanted patient, NIV can shorten the time of invasive mechanical ventilation, reducing the risk of infectious complications in these high-risk patients. It has been performed A systematic review of the literature has been performed, including examining the technical, clinical experiences and recommendations concerning the application of NIV in the postoperative period...
November 2015: Revista Española de Anestesiología y Reanimación
A M Esquinas, J L Jover, A Úbeda, F J Belda
Non-invasive mechanical ventilation is a method of ventilatory assistance aimed at increasing alveolar ventilation, thus achieving, in selected subjects, the avoidance of endotracheal intubation and invasive mechanical ventilation, with the consequent improvement in survival. There has been a systematic review and study of the technical, clinical experiences, and recommendations concerning the application of non-invasive mechanical ventilation in the pre- and intraoperative period. The use of prophylactic non-invasive mechanical ventilation before surgery that involves significant alterations in the ventilatory function may decrease the incidence of postoperative respiratory complications...
November 2015: Revista Española de Anestesiología y Reanimación
Juana Perpiñá-Galvañ, Miguel Richart-Martínez
OBJECTIVE: To review studies of anxiety in critically ill patients admitted to an intensive care unit to describe the level of anxiety and synthesize the psychometric properties of the instruments used to measure anxiety. METHODS: The CUIDEN, IME, ISOC, CINAHL, MEDLINE, and PSYCINFO databases for 1995 to 2005 were searched. The search focused on 3 concepts: anxiety, intensive care, and mechanical ventilation for the English-language databases and ansiedad, cuidados intensivos, and ventilación mecánica for the Spanish-language databases...
November 2009: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Vinko Tomicic, Mauricio Espinoza, Max Andresen, Jorge Molina, Mario Calvo, Héctor Ugarte, Jorge Godoy, Sergio Gálvez, Juan Carlos Maurelia, Iris Delgado, Andrés Esteban
BACKGROUND: The outcome of mechanically ventilated patients can be influenced by factors such as the indication of mechanical ventilation (MV) and ventilator parameters. AIM: To describe the characteristics of patients receiving MV in Chilean critical care units. MATERIAL AND METHODS: Prospective cohort of consecutive adult patients admitted to 19 intensive care units (ICU) from 9 Chilean cities who received MV for more than 12 hours between September lst, 2003, and September 28th, 2003...
August 2008: Revista Médica de Chile
J A Farias, F Frutos-Vivar, J Casado Flores, A Siaba, A Retta, A Fernández, A Baltodano, I J Ko, M Johnson, A Esteban
OBJECTIVE: Identify factors associated with the survival of pediatric patients who are submitted to mechanical ventilation (MV) for more than 12 hours. DESIGN: International prospective cohort study. It was performed between April 1 and May 31 1999. All patients were followed-up during 28 days or discharge to pediatric intensive care unit (PICU). SETTING: 36 PICUs from 7 countries. PATIENTS: A total of 659 ventilated patients were enrolled but 15 patients were excluded because their vital status was unknown on discharge...
December 2006: Medicina Intensiva
Ana R Diez, Horacio Abbona, Gerardo Ferrero, Juan C Figueroa Casas, Marcelino De Vega, Raul Lisanti, Ana M Lopez, Guillermo Menga, Guillermo C Montiel, Daniel Perez Chada, Alejandro C Raimondi, Guillermo A Raimondi, María Elisa Uribe Echevarria, Walter D Vázquez
Non-invasive ventilation (NIV) is nowadays increasingly used. The significant decrease in tracheal intubation related complications makes it particularly attractive in patients with moderately acute respiratory failure (ARF) who still have some degree of respiratory autonomy. It has also been used to support patients with chronic respiratory failure. However, final outcomes are variable according to the conditions which determined its application. This Consensus was performed in order to review the evidence supporting the use of positive pressure NIV...
2005: Medicina
M Valencia Arango, A Torres Martí, J Insausti Ordeñana, F Alvarez Lerma, N Carrasco Joaquinet, M Herranz Casado, J P Tirapu León
OBJECTIVE: To study the validity of quantitative cultures of tracheal aspirate (TA) in comparison with the plugged telescoping catheter (PTC) for the diagnosis of mechanical ventilator-associated pneumonia. METHOD: Prospective multicenter study enrolling patients undergoing mechanical ventilation for longer than 72 hours. TA samples were collected from patients with suspected ventilator-associated pneumonia, followed by PTC sampling. Quantitative cultures were performed on all samples...
September 2003: Archivos de Bronconeumología
F Miranda Segovia, V Roqués Serradilla, A Gutiérrez Laso, P Malo, R Aparici
A case of pneumopericardium in a newborn affected of hyaline membrane disease, and undergoing assisted ventilación is presented. Literature is reviewed. Physiopatology, morbidity, mortality, and predispossing factors are described. Knowledge of the clinical simptomatology is essential in order to perform the prompt pericardiocentesis, should cardiac tamponade be present.
May 1977: Anales Españoles de Pediatría
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