Revista Brasileira de terapia intensiva
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Rev Bras Ter Intensiva · Mar 2013
Serum C-reactive protein concentrations in early abdominal and pulmonary sepsis.
To evaluate the C-reactive protein serum levels in patients with pulmonary and abdominal sepsis during the first five days of sepsis progression. ⋯ The serum C-reactive protein concentrations were significantly higher in the patients with abdominal sepsis compared with the patients with pulmonary sepsis during the first five days of sepsis progression.
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Rev Bras Ter Intensiva · Mar 2013
Enteral nutritional therapy in septic patients in the intensive care unit: compliance with nutritional guidelines for critically ill patients.
Evaluate the compliance of septic patients' nutritional management with enteral nutrition guidelines for critically ill patients. ⋯ Although the number of septic patients under early enteral nutrition was significant, caloric and protein goals at day 3 of intensive care unit stay were met by only half of them, a percentage that decreased at day 7.
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Rev Bras Ter Intensiva · Mar 2013
Bioelectrical impedance phase angle in septic patients admitted to intensive care units.
To calculate the values of the phase angle of septic patients using bioelectrical impedance analysis, correlate the values with clinical and biochemical variables, and compare them to reference values. ⋯ The average value of the phase angle of septic patients was lower compared with the reference values for a healthy population. The phase angle measures did not exhibit association with the clinical and biochemical variables, which might be explained by the sample homogeneity.
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Rev Bras Ter Intensiva · Mar 2013
Case ReportsPseudo-acute myocardial infarction due to transient apical ventricular dysfunction syndrome (Takotsubo syndrome).
Takotsubo syndrome is characterized by predominantly medial-apical transient left ventricular dysfunction, which is typically triggered by physical or emotional stress. The present article reports the case of a 61-year-old female patient presenting with dizziness, excessive sweating, and sudden state of ill feeling following an episode involving intense emotional stress. The physical examination and electrocardiogram were normal upon admission, but the troponin I and creatine kinase-MB concentrations were increased. ⋯ The patient was referred to the intensive care unit and was successfully treated with supportive therapy. As this case shows, Takotsubo syndrome might simulate the clinical manifestations of acute myocardial infarction, and coronary angiography is necessary to distinguish between both myocardial infarction and myocardial infarction in the acute stage. The present patient progressed with spontaneous resolution of the ventricular dysfunction without any sequelae.