Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Apr 2014
Randomized Controlled Trial Comparative StudyComparative analysis between the alveolar recruitment maneuver and breath stacking technique in patients with acute lung injury.
To compare the effectiveness of the alveolar recruitment maneuver and the breath stacking technique with respect to lung mechanics and gas exchange in patients with acute lung injury. ⋯ Our data suggest that the breath stacking and alveolar recruitment techniques are effective in improving the lung mechanics and gas exchange in patients with acute lung injury.
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Rev Bras Ter Intensiva · Apr 2014
Sedation and memories of patients subjected to mechanical ventilation in an intensive care unit.
To investigate the relationship between sedation and the memories reported by patients subjected to mechanical ventilation following discharge from the intensive care unit. ⋯ The probability of the occurrence of illusory memories was greater among the participants who were subjected to deep sedation. Sedation seems to be an additional factor that contributed to the occurrence of illusory memories in severely ill individuals subjected to mechanical ventilation.
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Rev Bras Ter Intensiva · Apr 2014
Observational StudyInflammatory and perfusion markers as risk factors and predictors of critically ill patient readmission.
To assess the performance of central venous oxygen saturation, lactate, base deficit, and C-reactive protein levels and SOFA and SWIFT scores on the day of discharge from the intensive care unit as predictors of patient readmission to the intensive care unit. ⋯ Inflammatory and perfusion parameters were not associated with patient readmission. Increased age and contact isolation because of multidrug-resistant organisms were identified as predictors of readmission to the intensive care unit.
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Rev Bras Ter Intensiva · Apr 2014
Ventilatory weaning practices in intensive care units in the city of Cali.
Early weaning from mechanical ventilation is one of the primary goals in managing critically ill patients. There are various techniques and measurement parameters for such weaning. The objective of this study was to describe the practices of ventilatory weaning in adult intensive care units in the city of Cali. ⋯ The methods and measurement parameters of ventilatory weaning vary greatly. The most commonly used method was continuous positive airway pressure with more pressure support and the most commonly used weaning parameters were the measured tidal volume and respiratory rate.
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Rev Bras Ter Intensiva · Apr 2014
Fractional excretion of potassium in the course of acute kidney injury in critically ill patients: potential monitoring tool?
To evaluate the behavior of fractional excretion of potassium in the course of acute kidney injury in critically ill patients. ⋯ Sequential fractional excretion of potassium assessment appears to be useful in critically ill patients at risk for acute kidney injury.