Medicina intensiva
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There is controversy regarding the influence of humidification systems upon the incidence of respiratory infections associated to invasive mechanical ventilation (IMV). An evaluation was made of the differences in the incidence of pneumonia and tracheobronchitis associated to mechanical ventilation (VAP and VAT, respectively) with passive and active humidification. ⋯ In our population, active humidification in patients ventilated for>48hours was not associated to an increase in respiratory infectious complications.
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To describe outcomes of critically ill patients with COVID-19, particularly the association of renal replacement therapy to mortality. ⋯ In our cohort, acute kidney injury requiring renal replacement therapy was associated to a high mortality rate similar to that associated to the need for mechanical ventilation, while multiorgan failure necessitating both techniques implied an extremely high mortality risk.