Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Jul 2013
Correlation of the EuroSCORE with the onset of postoperative acute kidney injury in cardiac surgery.
The objective of this study was to assess the correlation between the European System for Cardiac Operative Risk Evaluation (EuroSCORE) score and the risk of developing acute kidney injury in cardiac surgery patients. ⋯ In the studied population, there was a statistically significant correlation between the EuroSCORE and the risk of developing acute kidney injury in the postoperative period after cardiac surgery.
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Rev Bras Ter Intensiva · Jul 2013
Multicenter Study Clinical TrialThe implementation of an analgesia-based sedation protocol reduced deep sedation and proved to be safe and feasible in patients on mechanical ventilation.
Deep sedation in critically ill patients is associated with a longer duration of mechanical ventilation and a prolonged length of stay in the intensive care unit. Several protocols have been used to improve these outcomes. We implement and evaluate an analgesia-based, goal-directed, nurse-driven sedation protocol used to treat critically ill patients who receive mechanical ventilation. ⋯ We designed and implemented an analgesia-based, goal-directed, nurse-driven sedation protocol in Chile. Although there was no improvement in major outcomes, we observed that the present protocol was safe and feasible and that it resulted in decreased periods of deep sedation without increasing agitation.
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Rev Bras Ter Intensiva · Jul 2013
Functional and psychological features immediately after discharge from an intensive care unit: prospective cohort study.
To assess the functional and psychological features of patients immediately after discharge from the intensive care unit. ⋯ Patients who remained in an intensive care unit for 72 hours or longer exhibited a reduced functional capacity and an increased degree of dependence during the first week after intensive care unit discharge. In addition, the incidence of depressive symptoms, anxiety, and sleep disorders was high among that population.
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Rev Bras Ter Intensiva · Jul 2013
Association between the rapid shallow breathing index and extubation success in patients with traumatic brain injury.
To investigate the association between the rapid shallow breathing index and successful extubation in patients with traumatic brain injury. ⋯ The rapid shallow breathing index was not associated with successful extubation in patients with traumatic brain injury.
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Rev Bras Ter Intensiva · Jul 2013
Anion gap corrected for albumin, phosphate and lactate is a good predictor of strong ion gap in critically ill patients: a nested cohort study.
Corrected anion gap and strong ion gap are commonly used to estimate unmeasured anions. We evaluated the performance of the anion gap corrected for albumin, phosphate and lactate in predicting strong ion gap in a mixed population of critically ill patients. We hypothesized that anion gap corrected for albumin, phosphate and lactate would be a good predictor of strong ion gap, independent of the presence of metabolic acidosis. In addition, we evaluated the impact of strong ion gap at admission on hospital mortality. ⋯ Anion gap corrected for albumin, phosphate and lactate and strong ion gap have an excellent correlation. Unmeasured anions are frequently elevated in critically ill patients with normal base-excess. However, there was no association between unmeasured anions and hospital mortality.