Medicina intensiva
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Comparative Study
Evaluation of two intensive care models in relation to successful extubation after cardiac surgery.
To compare outcomes between intensivist-directed and cardiac surgeon-directed care delivery models. ⋯ The intensivist-directed care model showed improved rates of successful extubation and shorter MV durations after cardiac surgery.
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Patient care after major head and neck surgery has changed in recent years. Tumors are the most common reasons for this type of surgery, though it is also used to treat benign conditions. Recent advances in equipment and surgical techniques have improved the postoperative course in this field, allowing early recovery, less pain and infection, a shorter hospital stay, and even better aesthetic results. ⋯ Potential risk factors include previous comorbidity, the type of surgery involved (e.g., bilateral cervical lymphadenectomy), multiple transfusions, and the appearance of early complications requiring repeat surgery. Despite the existence of several studies, there are no standardized protocols for the postoperative period in surgeries of this kind. This causes many specialists to resort to accelerated recovery protocols (ERAS: "Enhanced Recovery After Surgery") that have already been established in other surgical specialties.
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To evaluate if there is an association between obesity and mortality in the Intensive Care Unit (ICU) in adult patients receiving invasive mechanical ventilation. ⋯ No relationship was found between the subgroup of obese adult patients receiving IMV and the mortality variable in the ICU.