Medicina intensiva
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Multicenter Study Comparative Study Observational Study
Prognosis of elderly patients subjected to mechanical ventilation in the ICU.
To analyze the prognosis of mechanically ventilated elderly patients in the Intensive Care Unit (ICU). ⋯ Older patients (≥ 75 years) have significantly higher in-ICU and in-hospital mortality than younger patients without differences in the duration of mechanical ventilation. Differences in mortality were at the expense of pneumonia, sepsis and trauma.
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Multicenter Study Observational Study
Outcome of tracheotomized patients following reintubation.
To evaluate the outcome of tracheotomized patients after reintubation. ⋯ In our cohort of reintubated patients, tracheotomy is a common procedure in the ICU. Patients with tracheotomy had an outcome similar to those without tracheotomy.
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Critically ill patients are often affected by infections produced by Pseudomonas, which can be a cause of sepsis and renal failure. Early and adequate antibiotic treatment at correct dosage levels is crucial. ⋯ It must be taken into account that many antibiotics are largely cleared by continuous renal replacement therapies (CRRT). The aim of this review is to assess the clinical evidence on the pharmacokinetics and dosage recommendations of the main antibiotic groups used to treat Pseudomonas spp. infections in critically ill patients subjected to CRRT.
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Multicenter Study
[Antifungal prophylaxis in the postoperative period of lung transplant surgery in Spain].
To examine the type and duration of antifungal prophylaxis provided during the postoperative period of lung transplant recipients, together with the most frequent complications during admission to Intensive Care Units in Spain. ⋯ Antifungal prophylaxis during the postoperative period of lung transplantation is provided on a universal basis, though consensus is lacking as to the drug of choice, the administration route and the duration of such treatment.