{"title":"Comparación de criterios de Berlín vs Kigali para diagnóstico del síndrome de insuficiencia respiratoria aguda","authors":"Ulises Emmanuel Guadalupe Mouret Hernández, Martín Mendoza Rodríguez, Alfonso López González, Alfredo Cortés Munguia","doi":"10.35366/89521","DOIUrl":"https://doi.org/10.35366/89521","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128233870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miguel Felipe González Trasviña, U. C. Díaz, Saúl Antonio Villagrana Márquez
Transcranial UD-c was reported in 34 studies, including 2,964 participants (average age 46.8 years, 52% male); for the set of studies, a sensitivity of 95% (95% CI of 0.93-0.97) and specificity of 95% (95% CI of 0.89-0.98) were calculated; likelihood ratio (+) of 8.93 (95% CI of 7.17-11.0), and a Likelihood ratio (-) of 0.08 (95% CI of 0.05-0.12) were also calculated, and when making Bayes’ nomogram, inferring a probability Pre-Test of 30% (prevalence of CDI in general population), a post-test probability is calculated for their respective Likelihood ratio (+) of 79% (CI 0.75-0.82), and a post-test probability for their respective likelihood (-) of 3% (CI 0.02-0.05). Conclusions: The transcranial UD-c is a test with an excellent diagnostic performance when compared to ETE-c, it has the disadvantage of not allowing to differentiate the type of communication (intracardiac or pulmonary). There is not enough evidence to recommend the use of vertebral or carotid UD-c for the diagnosis of CDI; however, current evidence points to a superiority of transcranial UD-c over these. ABSTRACT Introduction: Right to left
{"title":"Ultrasonido Doppler con contraste para el diagnóstico de cortocircuito de derecha a izquierda: revisión sistemática y metaanálisis","authors":"Miguel Felipe González Trasviña, U. C. Díaz, Saúl Antonio Villagrana Márquez","doi":"10.35366/94898","DOIUrl":"https://doi.org/10.35366/94898","url":null,"abstract":"Transcranial UD-c was reported in 34 studies, including 2,964 participants (average age 46.8 years, 52% male); for the set of studies, a sensitivity of 95% (95% CI of 0.93-0.97) and specificity of 95% (95% CI of 0.89-0.98) were calculated; likelihood ratio (+) of 8.93 (95% CI of 7.17-11.0), and a Likelihood ratio (-) of 0.08 (95% CI of 0.05-0.12) were also calculated, and when making Bayes’ nomogram, inferring a probability Pre-Test of 30% (prevalence of CDI in general population), a post-test probability is calculated for their respective Likelihood ratio (+) of 79% (CI 0.75-0.82), and a post-test probability for their respective likelihood (-) of 3% (CI 0.02-0.05). Conclusions: The transcranial UD-c is a test with an excellent diagnostic performance when compared to ETE-c, it has the disadvantage of not allowing to differentiate the type of communication (intracardiac or pulmonary). There is not enough evidence to recommend the use of vertebral or carotid UD-c for the diagnosis of CDI; however, current evidence points to a superiority of transcranial UD-c over these. ABSTRACT Introduction: Right to left","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127485360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delirio y su relación con la supervivencia en pacientes geriátricos con neumonía grave por SARS-CoV-2 en un hospital de tercer nivel de atención en México","authors":"Cynthia Daniela Bazán Acevedo, Edgar Fernández Muñoz, Netzahualcóyotl González Pérez, Lilia López Carrillo","doi":"10.35366/109961","DOIUrl":"https://doi.org/10.35366/109961","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127510337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcos Sahib Ramos Estrada, María del Rosario Muñoz Ramírez
{"title":"Índice PaO/FiO/PEEP como predictor de mortalidad en pacientes COVID-19","authors":"Marcos Sahib Ramos Estrada, María del Rosario Muñoz Ramírez","doi":"10.35366/112169","DOIUrl":"https://doi.org/10.35366/112169","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127994798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz Barrera Jiménez, Carlos Correa Jiménez, Luis Alberto Ruiz Marines, Martín Mendoza Rodríguez
Introduction: FAST-HUG mnemotechnics encompasses seven minimum aspects in critical patient care (feeding, analgesia, sedation, thromboprophylaxis, elevation of the head, prevention of stress ulcers and glucose control). Its compliance has shown improvement in the prognosis. Objective: To establish if there is an association between the compliance of the FAST-HUG and the mortality of the critical patient when assessing the severity of admission using the SOFA scale. Material and methods: Clinical, descriptive, transversal and prospective study. It included patients admitted to the ICU of La Villa General Hospital and «Dr. Rubén Leñero» General Hospital, from February 28 to May 31, 2018. The following data were recorded: age, sex, type of diagnosis, SOFA score, number of variables fulfilled by FAST-HUG, feeding, analgesia, sedation, RASS, thromboprophylaxis, degrees of inclination of the head, prophylaxis of gastric ulcer, capillary glucose figure, origin, destination, days of stay, complications and death. Results: 129 patients were studied, female 52 (40%), 77 male (60%), mean age 49 years SD ± 17.3, medical diagnoses 36 (28%), surgical 61 (47%), traumatic 22 (17%) and obstetricians 10 (8%). Most frequent SOFA score of 0-6 points in 59 patients (46%). The most fulfilled variable was U 122 (95%). The mean compliance of the variables was 5 SD ± 1.04. Compliance with F, S and T had statistical significance in terms of mortality. F (p < 0.01), S (p < 0.01), T (p < 0.05). Conclusions: The application of FAST-HUG in critical patients reduces the risk of mortality specifically when at least three variables are met (diet, sedation and thromboprophylaxis).
简介:FAST-HUG记忆技术包括重症患者护理的七个最小方面(喂养，镇痛，镇静，血栓预防，抬高头部，预防应激性溃疡和血糖控制)。其依从性显示预后改善。目的:探讨在使用SOFA量表评估入院严重程度时，FAST-HUG依从性与危重患者死亡率之间是否存在关联。材料和方法:临床、描述性、横向和前瞻性研究。其中包括拉维拉综合医院重症监护室收治的患者。rub出口额Leñero»总医院，2018年2月28日至5月31日。记录以下数据:年龄、性别、诊断类型、SOFA评分、FAST-HUG满足的变量数、喂养、镇痛、镇静、RASS、血栓预防、头部倾斜程度、胃溃疡预防、毛细血管血糖值、起源、目的地、住院天数、并发症和死亡。结果:129例患者中，女性52例(40%)，男性77例(60%)，平均年龄49岁(SD±17.3)，内科诊断36例(28%)，外科61例(47%)，外伤科22例(17%)，产科10例(8%)。最常见的SOFA评分为0-6分，59例(46%)。最满足的变量是u122(95%)。各变量的平均顺应性为5 SD±1.04。F、S、T依从性在死亡率方面有统计学意义。F (p < 0.01)， S (p < 0.01)， T (p < 0.05)。结论:在危重患者中应用FAST-HUG可降低死亡风险，特别是当至少满足三个变量(饮食、镇静和血栓预防)时。
{"title":"Aplicación del protocolo FAST-HUG y su asociación con la mortalidad del paciente crítico en UCI","authors":"Beatriz Barrera Jiménez, Carlos Correa Jiménez, Luis Alberto Ruiz Marines, Martín Mendoza Rodríguez","doi":"10.35366/88510","DOIUrl":"https://doi.org/10.35366/88510","url":null,"abstract":"Introduction: FAST-HUG mnemotechnics encompasses seven minimum aspects in critical patient care (feeding, analgesia, sedation, thromboprophylaxis, elevation of the head, prevention of stress ulcers and glucose control). Its compliance has shown improvement in the prognosis. Objective: To establish if there is an association between the compliance of the FAST-HUG and the mortality of the critical patient when assessing the severity of admission using the SOFA scale. Material and methods: Clinical, descriptive, transversal and prospective study. It included patients admitted to the ICU of La Villa General Hospital and «Dr. Rubén Leñero» General Hospital, from February 28 to May 31, 2018. The following data were recorded: age, sex, type of diagnosis, SOFA score, number of variables fulfilled by FAST-HUG, feeding, analgesia, sedation, RASS, thromboprophylaxis, degrees of inclination of the head, prophylaxis of gastric ulcer, capillary glucose figure, origin, destination, days of stay, complications and death. Results: 129 patients were studied, female 52 (40%), 77 male (60%), mean age 49 years SD ± 17.3, medical diagnoses 36 (28%), surgical 61 (47%), traumatic 22 (17%) and obstetricians 10 (8%). Most frequent SOFA score of 0-6 points in 59 patients (46%). The most fulfilled variable was U 122 (95%). The mean compliance of the variables was 5 SD ± 1.04. Compliance with F, S and T had statistical significance in terms of mortality. F (p < 0.01), S (p < 0.01), T (p < 0.05). Conclusions: The application of FAST-HUG in critical patients reduces the risk of mortality specifically when at least three variables are met (diet, sedation and thromboprophylaxis).","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125431899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nikolett Iren Medveczky Ordóñez, José Carlos Gasca Aldama, Mario Arturo Carrasco Flores, Marcos A Amezcua Gutiérrez, L. A. Gorordo Delsol, Sandybell Sosa Santos
{"title":"Asociación entre el índice de agua extravascular pulmonar y el balance hídrico en pacientes críticamente enfermos","authors":"Nikolett Iren Medveczky Ordóñez, José Carlos Gasca Aldama, Mario Arturo Carrasco Flores, Marcos A Amezcua Gutiérrez, L. A. Gorordo Delsol, Sandybell Sosa Santos","doi":"10.35366/95876","DOIUrl":"https://doi.org/10.35366/95876","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126287329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. I. Zamarrón-López, M. Guerrero-Gutiérrez, O. R. Pérez Nieto, Raymundo Flores-Ramírez, Jorge López-Fermín, Raúl Soriano-Orozco, J. Sánchez-Díaz, Luis A. Morgado-Villaseñor
{"title":"Ultrasonido Point-Of-Care (POCUS) durante la reanimación cardiopulmonar para el diagnóstico de causas reversibles de arresto cardiaco","authors":"E. I. Zamarrón-López, M. Guerrero-Gutiérrez, O. R. Pérez Nieto, Raymundo Flores-Ramírez, Jorge López-Fermín, Raúl Soriano-Orozco, J. Sánchez-Díaz, Luis A. Morgado-Villaseñor","doi":"10.35366/106513","DOIUrl":"https://doi.org/10.35366/106513","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121484607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jaime Fernández-Sarmiento, Laura Camargo-Agón, Carolina Bonilla González
{"title":"Estrategia ventilatoria para el aclaramiento de dióxido de carbono en un lactante con hipercapnia incontrolable","authors":"Jaime Fernández-Sarmiento, Laura Camargo-Agón, Carolina Bonilla González","doi":"10.35366/105385","DOIUrl":"https://doi.org/10.35366/105385","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131796470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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