Revista médica de Chile
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Revista médica de Chile · Apr 2021
[Neurology and COVID-19: Case Series of Neurological Complications in 96 patients Admitted at a University Hospital].
There are multisystemic consequences secondary to SARS- CoV-2 infection. ⋯ The spectrum of neurological complications of COVID-19 is wide. There are clinical entities typical of critically ill patients and also diseases associated directly and indirectly with the SARS-CoV2 infection.
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Revista médica de Chile · Apr 2021
[Transfemoral transcatheter aortic valve implantation under conscious sedation. Experience in 15 patients].
Transfemoral transcatheter aortic valve implantation (TAVI) is the standard of treatment for patients with symptomatic severe aortic stenosis (AE) and intermediate or high surgical risk. The use of conscious sedation (CS) could reduce complications and allow an early discharge of these patients. ⋯ TAVI under conscious sedation was a safe procedure and associated with a complication rate similar to previous reports, allowing for an early hospital discharge in most patients.
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Revista médica de Chile · Apr 2021
[Challenges in the management of analgesia and sedation in critically ill patients with COVID-19 in Chile].
Approximately 5% of COVID-19 patients will have a severe disease requiring invasive or non-invasive mechanical ventilation. In this conditions, sedatives and analgesics are fundamental to promote tolerance, comfort and synchrony with the mechanical ventilator. ⋯ These factors, added to the progressive shortage of these drugs, a high demand for care and less capacity for personalized attention, have created an adverse scenario for their proper and rational use. This paper proposes different pharmacotherapeutic optimization strategies for a rational management of sedation, analgesia and neuromuscular block in critically ill patients with COVID-19, with the therapeutic alternatives available in Chile.
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Stroke is the third largest single cause of death in Chile, responsible for 7.3% of all deaths in 2019. Large declines in stroke mortality rates in most Latin American countries in recent decades have been reported. ⋯ Stroke mortality rate decreased significantly between 1980 and 2015 in Chile, mainly in women.
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Revista médica de Chile · Apr 2021
Historical Article[A posthumous tribute to Alejandro Goic, M.D. (1929-2021), Editor Emeritus].
Alejandro Goic, M. D., son of Croatian immigrants, graduated as M. D. in 1955, studying at the Catholic University of Chile Medical School. ⋯ He was awarded honors and membership in prominent national and foreign institutions. In 2006 he received the National Prize in Medicine, the highest medical distinction in Chile. His wise thinking and enthusiasm gave origin to several books that have become classics in Medicine and Medical Education, permeating our institutions.