Medicina intensiva
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The Pan-American and Iberian Federation of Critical Medicine and Intensive Therapy, A. C. (FEPIMCTI), has prepared its Strategic Plan for the next 5 years. ⋯ Their main values refer to equity, professionalism, respect and social solidarity. The implementation of the Strategic Plan in a collaborative manner must serve as a driving force for change to position FEPIMCTI as a relevant Scientific Society in the Critical Medicine of its member countries.
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Observational Study
Clinical characteristics, prevalence, and factors related to delirium in children of 5 to 14 years of age admitted to intensive care.
To evaluate the clinical characteristics, prevalence and factors associated with delirium in critical patients from 5 to 14 years of age. ⋯ The frequency of delirium and hypoactivity was high. It is therefore necessary to routinely evaluate patients with standardized instruments. All patients presented with important neurocognitive alterations. Several factors related with the physiopathology of delirium were associated to the diagnosis; some of them are modifiable through the rationalization of medical care.
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To validate the diagnostic ability of six different scores to predict massive bleeding in a prehospital setting. ⋯ In the prehospital setting the application of any the six scoring systems predicts the presence of massive hemorrhage and allows the activation of massive transfusion protocols while the patient is transferred to a hospital.
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Observational Study
Liberal red blood cell transfusions impair quality of life after cardiac surgery.
The optimal blood management after cardiac surgery remains controversial. Moreover, blood transfusions may have an impact on long-term outcomes. ⋯ Liberal red blood cell transfusions increase the risk of impaired HRQoL after cardiac surgery.