Medicina intensiva
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Traumatic brain injury (TBI) is a worldwide health problem that is especially prevalent in young adults. It is characterized by one or more primary injury foci, with secondary spread to initially not compromised areas via cascades of inflammatory response, excitotoxicity, energy failure conditions, and amplification of the original tissue injury by glia. In theory, such progression of injury should be amenable to management. ⋯ We highlight the role of glia in each cellular mechanism discussed. Therapeutic approaches related to the described mechanisms have been included. The discussion is completed with a working model showing the convergence of the main topics.
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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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Letter Case Reports
[Type I necrotizing fasciitis following eventroplasty and ileostomy].