Enfermería intensiva
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Enfermería intensiva · Oct 2013
Observational Study[Evolution in muscle strength in critical patients with invasive mechanical ventilation].
To assess the evolution of muscle strength in critically ill patients with mechanical ventilation (MV) from withdrawal of sedatives to hospital discharge. ⋯ The greatest muscle strength gain after withdrawing of the sedatives was achieved in the first week. Muscle strength loss was associated with a cardiovascular SOFA > 2 and costicosteroids. Patients with a MRC < 48 required more days with MV and a longer ICU stay.
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Enfermería intensiva · Oct 2013
Review[Limitation of therapeutic effort: Approach to a combined view].
Over the past few decades, we have been witnessing that increasing fewer people pass away at home and increasing more do so within the hospital. More specifically, 20% of deaths now occur in an intensive care unit (ICU). However, death in the ICU has become a highly technical process. ⋯ It is within this context that the situation of the clinical procedure called "limitation of the therapeutic effort" (LTE) is reviewed. This has become a true bridge between Intensive Care and Palliative Care. Its final goal is to guarantee a dignified and painless death for the terminally ill.
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Enfermería intensiva · Oct 2013
Observational Study[Pain behaviour indicator scale (ESCID) application in severe non-communicative trauma patients receiving mechanical ventilation].
To assess pain in non-communicative patients with severe trauma undergoing mechanical ventilation prior to, during and after tracheal suctioning, mobilization and wound care. ⋯ An increase on the ESCID score was observed while performing the procedures.