Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Sep 2006
[Morbidity and mortality of elderly patients admitted to an Intensive Care Unit of a University Hospital in Fortaleza].
To identify the severity of elderly patients admitted to the intensive care unit (ICU) in a university hospital, relating it to the in-ICU mortality. ⋯ The age groups did not determine difference between values of APACHE II. They were related neither to higher mortality rate, nor to higher ICU length of stay. Patients with cardiocirculatory dysfunctions had lesser values of APACHE II, ICU length of stay and in-ICU mortality.
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Rev Bras Ter Intensiva · Sep 2006
[Transfusion practices in brazilian Intensive Care Units (pelo FUNDO-AMIB)].
Anemia of critical illness is a multifactorial condition caused by blood loss, frequent phlebotomies and inadequate production of red blood cells (RBC). Controversy surrounds the most appropriate hemoglobin concentration "trigger" for transfusion of RBC. We aimed to evaluate transfusion practices in Brazilian ICUs. ⋯ Anemia is common in critically ill patients.It seems from the present study that transfusion practices in Brazil have had a more restrictive approach with a lower limit "transfusion trigger".
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There are few epidemiological studies in mechanical ventilation, and the aim of the study is to show how this procedure is being used in Brazil. ⋯ The predominance of ventilated patients in ICUs was marked by clinical severity of them, and a longer hospital stay time; acute respiratory failure was the principal mechanical ventilation cause; VCV and PSV ventilated more patients, with PSV being more used in weaning patients.
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Rev Bras Ter Intensiva · Sep 2006
[Stevens-Johnson syndrome and toxical epidermal necrolysis in intensive care medicine].
The Stevens Johnson Syndrome (SJS) and Toxical Epidermal Necrolisys (TEN) are important skin and mucosal lesions that need intensive care treatment. The aim of this article is to show a literature review about SJS and TEN. ⋯ These illnesses are characterized as dermatological emergencies and its adequate management and cares must be part of the routine knowledge of the intensive care doctors.
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Rev Bras Ter Intensiva · Sep 2006
[Challenges in prevention venous thromboembolism: critical ill patient approach].
Venous thromboembolism (VTE), with includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common complication in critically ill patients, resulting in high morbidity and mortality. ⋯ This article reviews background, current options, and recommendations regarding VTE in intensive care population emphasizing special diagnostic and treatment considerations in the ICU setting.