Medicina intensiva
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The Intensive Care Unit is a wonderful place where lives are saved, but it is also a very harsh and unpleasant place where critically ill patients face terrible diseases in very adverse environmental conditions. We must change the design of the ICU and its organization; we must improve privacy, welfare and comfort of patients and families, following their personal and emotional demands. ⋯ We need to redesign clinical practise so that ICU care becomes more agreeable and humane. We should put off this change no longer, since it is an imperative social and professional demand.
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Multicenter Study Observational Study
Acute renal failure according to the RIFLE and AKIN criteria: A multicenter study.
To determine the incidence of acute renal failure (ARF) in critically ill patients using the RIFLE and AKIN criteria. ⋯ RIFLE identified more cases of ARF. UC proved more effective than CC. The presence of ARF and severity levels were correlated to mortality but not to days of stay in the CCU. Implementation of the unified CHD was useful for implementing UC and achieving comparable results.