Medicina intensiva
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To describe the practice of pediatric intensive care in Latin America and compare it with two European countries. ⋯ There are important differences in population, morbidity and mortality in critically ill children among the participating countries. Mortality shows an inverse correlation to the availability of pediatric intensive care units, intensive care beds, pediatric intensivists, and pediatric subspecialty centers.
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To evaluate whether the size of acute myocardial infarction (AMI) shows circadian variability. ⋯ An onset of AMI between 0-12hours results in a significantly larger final size of necrosis compared with any other time of presentation.
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Life-sustaining treatment limitation (LSTL) is an increasingly common practice. However, its application is sometimes not clearly reflected in the clinical record-this giving rise to the adoption of measures that could have been avoided, including admission to the intensive care unit (ICU), with the suffering and economical costs this implies. One way to trace patients subjected to LSTL is through an electronic registry allowing identification at all times of these individuals, and of the therapies that have been restricted in each case. The Ethics Committee of our center has developed a tool allowing the identification of patients subjected to LSTL and of the level of intervention required, and offering the association of a patient comfort management protocol.
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Letter Case Reports
[Type I necrotizing fasciitis following eventroplasty and ileostomy].