Enfermería intensiva
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Enfermería intensiva · Jul 2011
Randomized Controlled Trial Comparative Study[Prevention of mechanical ventilator-associated pneumonia: a comparison of two different oral hygiene methods].
Oral hygiene (OH) forms a part of the patient's safety in the prevention of mechanical ventilator-associated pneumonia (VAP). The dental plaque index (DP) is considered as a quality marker for OH. ⋯ There is a tendency towards a decrease in the DP which is clearing in the GR group and no relation between VAP and greater DP or halitosis.
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Enfermería intensiva · Apr 2011
[Assembly and management of helmet-CPAP in infants and children with acute respiratory insufficiency].
Application of continuous positive airway pressure (CPAP) during respiratory insufficiency through a helmet interface is not well known in the Pediatric practice. The objective of this paper is to describe the necessary elements for it assembly, management and nursing care. The advantages and disadvantages of helmet compared to other interfaces are also discussed.
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Cardiac Arrest is a major health problem because of its high mortality and neurological effects due to hypoxia. Based on the Scientific Societies recommendations and Scientific Evidence, our hospital began to apply Mild Hypothermia in 2006. OBJECTIVE OF THIS CLINICAL COURSE: To standardize the application of the non-invasive Induction and Maintenance Hypothermia System (Arctic-Sun), to avoid the variability of the clinical practice, and to ensure patient quality of care and safety. ⋯ The activities in each phase were described: preparation and patient monitoring, cooling device, programming, induction and maintenance of hypothermia and controlled rewarming until normothermia is reached.
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Continuous renal replacement therapy (CRRT) has experienced significant advances that have lead to an increase of its indications and improved the technology used in continued pressures monitoring. ⋯ A negative correlation was demonstrated between the duration of the sets and the mean CP and PFP. The sample obtained circuits withdrawn due to finished treatment (72 h), and by coagulation or changes in pressures.
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Adequate monitoring of analgesia and sedation should be one of the main goals in the Intensive Care Units. Once the analgesia is assured, the correct dosage of the sedatives will depend on the correct monitoring of the sedation level. ⋯ These scales are appropriate for the evaluation of mild sedation but they cannot correctly evaluate deeply sedated patients or those patients who require continuous intravenous administration of neuromuscular blockade agents. In this chapter, we review the most used monitor to control the adequate level of sedation in the Intensive Care Units as well as the BIS(R) Monitor, which is the one recommended by the Analgesia and Sedation Work Group of the Spanish Society of Critical Care Medicine (SEMICYUC).