Medicina intensiva
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Multicenter Study Comparative Study
[Factors associated with the prognosis of mechanically ventilated infants and children. An international study].
Identify factors associated with the survival of pediatric patients who are submitted to mechanical ventilation (MV) for more than 12 hours. ⋯ In a large cohort of mechanically ventilated pediatric patients we found that severity of illness at admission, high mean PIP, development of acute renal failure and severe hypoxemia over the course of MV were the factors associated with lower survival rate.
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Letter Case Reports
[Spontaneous splenic rupture as a complication of acute pancreatitis].
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Many vasopressants have been studied in cardiopulmonary resuscitation (CPR) to increase cerebral and coronary perfusion. Although there is a debate on the utility of epinephrine, this is the one that has been used historically, above all after verifying that other agents such as norepinephrine, metoxamine or phenylephrine, have not been shown to be more effective. Currently, due to the good experimental results, the use of vasopressin (ADH) in CPR is being evaluated. ⋯ Once these are reviewed, it can be concluded: The results of the three randomized studies in humans obtain different results regarding the utility of ADH in cardiorespiratory arrest (CRA) secondary to ventricular fibrillation, electro-mechanical dissociation or asystole. More prospective studies are needed to know the role of ADH in prolonged CRA and in asystole, that may be the subgroups that can benefit the most from this drug. The neurological repercussion of a drug in the context of CRA should be evaluated before its inclusion in the CPR guides.
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Comparative Study
[Epidemiology, initial management and analysis of morbidity-mortality of severe burn patient].
Describe the epidemiological characteristics of severe burn patients and analyze the factors related with morbidity-mortality. ⋯ Mortality of these patients is very high and is conditioned largely by initial care. Percentage of burned body surface (BBS) and kidney failure entails greater mortality in our series.
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Comparative Study
[Sedoanalgesia with remifentanil in definitive pacemaker implant].
Describe the use of remifentanil in definitive pacemaker implant. ⋯ Remifentanil is useful in the implant of DPM as a sedoanalgesia method. Serious undesired effects are rare. Future studies are necessary to completely establish its effectiveness and safety in these types of procedures.