Cir Cir
-
Randomized Controlled Trial Comparative Study
[Comparison between two antibiotic schemes in relation to surgical site infection in children: a randomized clinical trial].
There are few randomized clinical trials that prove the effectiveness of antibiotic prophylaxis (AP) to prevent pediatric surgical site infections (SSI). We undertook this study to determine the effectiveness of AP vs. traditional scheme of antibiotics. ⋯ AP administered 2 h before incision and continuing for 24 h significantly decreases the risk of SSI compared to CG in clean-contaminated procedures.
-
Multicenter Study
[Epidemiological study of sepsis in Mexican intensive care units].
Consistent data about sepsis in Mexico are lacking. The objective of this epidemiological study is to better define the incidence, characteristics and outcome of sepsis in Mexican intensive care units (ICUs). ⋯ This study documents the high incidence of sepsis in Mexican ICUs, with high mortality rate and low adherence to Surviving Sepsis Campaign. Our data suggest that sepsis is a public health problem in Mexico.
-
Pulmonary ultrasonography (PUSG) is a new diagnostic tool for pleuropulmonary disease in the critically ill patient. Images obtained in this study result from the interaction between the ultrasound shaft with the pleura, the pulmonary parenchyma and the air/liquid interface. These images are classified as horizontal and vertical. ⋯ Sensitivity and specificity are high for pneumothorax, alveolar-interstitial syndrome and pleural effusion diagnosis. PUSG practiced in the ICU is one of the most promising diagnostic procedures in intensive care medicine, and the practice and indications of this tool will surely extend in the coming years. The objective of this study is to make known the general principles of PUSG and their use in the critically ill patient, based on cases of hospitalized patients in the ICU of the Medica Sur Clinical Foundation that were studied with PUSG.