Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Jul 2015
Comparative StudyHandcrafted cuff manometers do not accurately measure endotracheal tube cuff pressure.
To test the agreement between two handcrafted devices and a cuff-specific manometer. ⋯ The handcrafted manometers do not provide accurate cuff pressure measurements when compared to a cuff-specific device and should not be used to replace the commercial cuff manometers in mechanically ventilated patients.
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Rev Bras Ter Intensiva · Jul 2015
Main characteristics observed in patients with hematologic diseases admitted to an intensive care unit of a Brazilian university hospital.
To evaluate the clinical characteristics of patients with hematological disease admitted to the intensive care unit and the use of noninvasive mechanical ventilation in a subgroup with respiratory dysfunction. ⋯ In this retrospective study with severely ill hematologic patients, those who underwent noninvasive mechanical ventilation at admission and failed to respond to it presented elevated intensive care unit mortality. However, only intubation during the intensive care unit stay was independently associated with a poor outcome. Further studies are needed to define predictors of noninvasive mechanical ventilation failure.
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Rev Bras Ter Intensiva · Jul 2015
Noninvasive positive pressure ventilation after extubation: features and outcomes in clinical practice.
To describe post-extubation noninvasive positive pressure ventilation use in intensive care unit clinical practice and to identify factors associated with noninvasive positive pressure ventilation failure. ⋯ The noninvasive positive pressure ventilation failure group had a longer intensive care unit length of stay and a higher mortality rate. Logistic regression analysis identified that patients with inspiratory positive airway pressure ≥ 13.5 cmH2O on the last day of noninvasive positive pressure ventilation support are three times more likely to experience noninvasive positive pressure ventilation failure.
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Rev Bras Ter Intensiva · Jul 2015
Etiology and prognostic factors of sepsis among children and adolescents admitted to the intensive care unit.
To determine the etiology and clinical disease progression variables of sepsis associated with the prognosis of patients admitted to a pediatric intensive care unit. ⋯ Gram-negative bacteria and Staphylococcus aureus predominated in the etiology of sepsis among children and adolescents admitted to an intensive care unit. The severity of sepsis and the presence of altered peripheral perfusion on admission were associated with complications. Moreover, the presence of complications was a factor associated with death.