Medicina intensiva
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Ischemic optic neuropathy is an uncommon of blindness in the critically ill patient that occurs especially in multiple trauma victims with no direct injury of the eyeball. We present the case of a young male patient with total bilateral blindness after profound hemorrhagic shock secondary to thoracoabdominal non-penetrating traumatism caused by crushing. A search of the literature was conducted, identifying prolonged arterial hypotension and sudden drop in hematocrit value as the most important risk factors.
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Multicenter Study Comparative Study
[Use of antibiotics for the treatment of multiresistant gram positive cocci infections in critical patients].
This study has been designed to know the use of these antibiotics (ATB) in Intensive Care Units (ICUs). ⋯ The most common use of this ATB was to treat ICU-acquired infections. VAN was the most frequently used drug. Treatments with LZD were modified less frequently for clinical failure and this drug was the one most used in rescue therapies. This information indicates an appropriate use of these ATB in an important percentage of critically patients.
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Organ transplant constitutes one of the most encouraging advances in the history of the medicine. The organ transplants that were a distant challenge in the seventies currently are a routine procedure in the medical practice that has contributed to extending survival and quality of life in the general population. Spain has reached the highest rate for donation and transplants per one million inhabitants worldwide, this extraordinary health care work being a combined achievement of Spanish Health Care System. The objective of this article is to review the indications of solid organ transplants and their long-term outcomes, evaluating the impact on the health-related quality of life in solid organ transplant recipients.