Alma Erika Hernández Plata, José Antonio Castillo Alonso, José David Salmerón González, Claudia Nelly Cruz Enríquez, M. N. Gómez González, Raúl Soriano Orozco
aggregated infectious processes, etc. However, even if these protective measures are met, excessive pulmonary distention may occur, so PD monitoring may be a useful tool for systematically determining changes in pulmonary stiffness by establishing interventions. In the absence of assays using PD as a target when establishing the ventilator, it is suggested that it be used as a complement and not as a substitute for pulmonary protection parameters.
{"title":"¿Limitar la presión de distensión protege contra la lesión pulmonar adquirida por la ventilación mecánica (VALI)?","authors":"Alma Erika Hernández Plata, José Antonio Castillo Alonso, José David Salmerón González, Claudia Nelly Cruz Enríquez, M. N. Gómez González, Raúl Soriano Orozco","doi":"10.35366/86347","DOIUrl":"https://doi.org/10.35366/86347","url":null,"abstract":"aggregated infectious processes, etc. However, even if these protective measures are met, excessive pulmonary distention may occur, so PD monitoring may be a useful tool for systematically determining changes in pulmonary stiffness by establishing interventions. In the absence of assays using PD as a target when establishing the ventilator, it is suggested that it be used as a complement and not as a substitute for pulmonary protection parameters.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"40 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":"124051109","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}
Ricardo Iván Quezada Rentería, Juan Gamaliel Tapia Perales, Víctor Hugo Rodríguez García, Elida Moran Guel
{"title":"VO2máx como marcador pronóstico de mortalidad en pacientes con choque séptico en unidad de terapia intensiva","authors":"Ricardo Iván Quezada Rentería, Juan Gamaliel Tapia Perales, Víctor Hugo Rodríguez García, Elida Moran Guel","doi":"10.35366/111291","DOIUrl":"https://doi.org/10.35366/111291","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":"130902366","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}
Jessica Teresa Hernández Altuna, Felipe de Jesús Montelongo, Jonathan Galindo Ayala, Rafael Tapia Velasco, Nancy Verónica Alva Arroyo
Usefulness of the protocol for the management of severe
该协议对于管理的有用性严重
{"title":"Utilidad del protocolo de manejo de la paciente obstétrica grave guiado por ultrasonido (POGGU) en pacientes código mater","authors":"Jessica Teresa Hernández Altuna, Felipe de Jesús Montelongo, Jonathan Galindo Ayala, Rafael Tapia Velasco, Nancy Verónica Alva Arroyo","doi":"10.35366/112162","DOIUrl":"https://doi.org/10.35366/112162","url":null,"abstract":"Usefulness of the protocol for the management of severe","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"20 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":"130606361","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}
Humberto Carmona Cuevas, Lucía López Arriaga, Aarón Humberto Ramírez Mora, Edgar Bravo Santibáñez, Gabriela Lizzette Ojeda Salazar
{"title":"Diferencia de niveles de dímero D ante la presencia de hipoxemia severa en pacientes con neumonía por SARS-CoV-2 ingresados a terapia intensiva","authors":"Humberto Carmona Cuevas, Lucía López Arriaga, Aarón Humberto Ramírez Mora, Edgar Bravo Santibáñez, Gabriela Lizzette Ojeda Salazar","doi":"10.35366/105382","DOIUrl":"https://doi.org/10.35366/105382","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"13 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":"131185547","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":"Registros de Cuidados Intensivos en América Latina: una oportunidad para mejorar la calidad y los desenlaces clínicos","authors":"Guilherme Cortes Fernandes, Jorge I F Salluh","doi":"10.35366/108712","DOIUrl":"https://doi.org/10.35366/108712","url":null,"abstract":"","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"86 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":"127032431","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}
Eloisa Ramos Díaz, Martín Mendoza Rodríguez, José Alfredo Cortés Munguía, Alfonso López González
Alteration of the
the的变化
{"title":"Alteración del índice resistivo renal como factor asociado a lesión renal aguda en pacientes con trauma múltiple severo en la Unidad de Cuidados Intensivos del Hospital General La Villa","authors":"Eloisa Ramos Díaz, Martín Mendoza Rodríguez, José Alfredo Cortés Munguía, Alfonso López González","doi":"10.35366/112166","DOIUrl":"https://doi.org/10.35366/112166","url":null,"abstract":"Alteration of the","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"138 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":"125947173","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}
Yaneth Martínez Tovilla, Miguel Ángel Coral García
mais amplo nas unidades de terapia intensiva pediátrica. No UQSSEP, consideramos uma ferramenta de diagnóstico que não pode ser posposta. Palavras-chave: Ultrassonografia, paciente pediátrico queimado, emergências. ABSTRACT Introduction: In pediatric burn units, emergency and intensive care patients are attended. The application of ultrasound as a basic tool in the care of seriously ill patients in real time, has allowed responding to specific questions about their clinical condition and used as a tool that guides different procedures necessary in the proper care of this type of patients. With this background and in addition to the fact that the critical care environment is integrating the basic applications of ultrasound in non-invasive monitoring, we consider it important to review the uses of ultrasonography in a pediatric burn unit. Objective: To present the most important aspects of the most common ultrasound protocols in a pediatric burn unit. Material and methods: A retrospective, observational, descriptive, longitudinal and homodemic study was conducted on ultrasound protocols in the Unidad de Quemados de los Servicios de Salud del Estado de Puebla anexa al Hospital para el Niño Poblano, specifying its importance in the decision making in the integral management of burned pediatric patients. Results: Four protocols were found to be the most used in the burned pediatric patients: FAST, RUSH, focused echocardiography and DVNO. Conclusion: Ultrasound is covering a wider field in pediatric intensive care units. In the Unidad de Quemados de los Servicios de Salud del Estado de Puebla we consider that it is a diagnostic tool that can not be postponed.
主要的扩张性扩张性颅脑损伤pediátrica。没有UQSSEP，请考虑uma ferramenta de diagnóstico que n o pode ser possta。Palavras-chave:超声造影术，安抚pediátrico queimado, emergências。摘要简介:在儿科烧伤病房，急诊和重症监护患者参加。超声作为一种基本工具在重症患者实时护理中的应用，可以回答关于他们临床状况的具体问题，并作为一种工具来指导对这类患者进行适当护理所需的不同程序。在此背景下，加上重症监护环境正在整合超声在无创监测中的基本应用，我们认为回顾超声在儿科烧伤病房的应用是很重要的。目的:介绍儿科烧伤科最常见的超声检查方案中最重要的方面。材料和方法:回顾性、观察性、描述性、纵向和同源性研究了普埃布拉州附属医院Niño para el Poblano的超声方案，明确了其在烧伤儿童患者综合管理决策中的重要性。结果:在小儿烧伤患者中使用最多的方案有FAST、RUSH、聚焦超声心动图和DVNO。结论:超声在儿科重症监护病房的应用领域越来越广泛。在普埃布拉州卫生服务组织中，我们认为它是一种不能推迟的诊断工具。
{"title":"Protocolos de ultrasonografía en una Unidad Pediátrica de Quemados","authors":"Yaneth Martínez Tovilla, Miguel Ángel Coral García","doi":"10.35366/89526","DOIUrl":"https://doi.org/10.35366/89526","url":null,"abstract":"mais amplo nas unidades de terapia intensiva pediátrica. No UQSSEP, consideramos uma ferramenta de diagnóstico que não pode ser posposta. Palavras-chave: Ultrassonografia, paciente pediátrico queimado, emergências. ABSTRACT Introduction: In pediatric burn units, emergency and intensive care patients are attended. The application of ultrasound as a basic tool in the care of seriously ill patients in real time, has allowed responding to specific questions about their clinical condition and used as a tool that guides different procedures necessary in the proper care of this type of patients. With this background and in addition to the fact that the critical care environment is integrating the basic applications of ultrasound in non-invasive monitoring, we consider it important to review the uses of ultrasonography in a pediatric burn unit. Objective: To present the most important aspects of the most common ultrasound protocols in a pediatric burn unit. Material and methods: A retrospective, observational, descriptive, longitudinal and homodemic study was conducted on ultrasound protocols in the Unidad de Quemados de los Servicios de Salud del Estado de Puebla anexa al Hospital para el Niño Poblano, specifying its importance in the decision making in the integral management of burned pediatric patients. Results: Four protocols were found to be the most used in the burned pediatric patients: FAST, RUSH, focused echocardiography and DVNO. Conclusion: Ultrasound is covering a wider field in pediatric intensive care units. In the Unidad de Quemados de los Servicios de Salud del Estado de Puebla we consider that it is a diagnostic tool that can not be postponed.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"41 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":"122669679","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}
Abad Quetzalcóatl Ortega Pérez, Marco Antonio Silva Medina, Laura Soraya Gaona Valle
Material e métodos: Ensaio clínico controlado, não randomizado, aberto e com grupos paralelos. Resultados: Obteve-se uma amostra homogênea de 20 pacientes; ambos os grupos mantiveram médias PAM similares [experimental 90 versus controle 93 mmHg, p = 0.516]; Os efeitos hemodinâmicos a favor do grupo experimental foram: pressão arterial sistólica (PAS) [1o hora, p = .041], freqüência cardíaca (FC) [1o hora p = 0.029], bem como lactato [5o, p = 0.015]; Em relação ao balanço hídrico, a mediana do grupo controle foi +1,516 ml vs + 553 ml do grupo experimental [p = 0.579]. Conclusão: Não há diferença significativa na PAM, na ressuscitação e neuroproteção de ambos os grupos. Houve melhora estatisticamente signifi cativa na PAS e FC na primeira hora a favor do grupo experimental. Palavras-chave: Vasopressina, norepinefrina, politraumatizado, traumatismo cranioencefálico grave, instabilidade hemodinâmica.
材料与方法:开放、非随机、平行组对照临床试验。结果:我们获得了20例患者的同质样本;两组保持相似的map平均值[实验90 vs对照组93 mmHg, p = 0.516];对实验组有利的血流动力学影响为:收缩压(sbp)[1小时，p = 0.041]，心率(hr)[1小时，p = 0.029]和乳酸[5小时，p = 0.015];在水分平衡方面，对照组的中位数为+ 1.516 ml，实验组为+ 553 ml [p = 0.579]。结论:两组在map、复苏和神经保护方面无显著差异。第1小时PAS和hr均有显著改善，有利于实验组。关键词:血管加压素，去甲肾上腺素，多重创伤，严重创伤性脑损伤，血流动力学不稳定。
{"title":"Norepinefrina/vasopresina versus norepinefrina en pacientes politraumatizados con traumatismo craneoencefálico severo","authors":"Abad Quetzalcóatl Ortega Pérez, Marco Antonio Silva Medina, Laura Soraya Gaona Valle","doi":"10.35366/79703","DOIUrl":"https://doi.org/10.35366/79703","url":null,"abstract":"Material e métodos: Ensaio clínico controlado, não randomizado, aberto e com grupos paralelos. Resultados: Obteve-se uma amostra homogênea de 20 pacientes; ambos os grupos mantiveram médias PAM similares [experimental 90 versus controle 93 mmHg, p = 0.516]; Os efeitos hemodinâmicos a favor do grupo experimental foram: pressão arterial sistólica (PAS) [1o hora, p = .041], freqüência cardíaca (FC) [1o hora p = 0.029], bem como lactato [5o, p = 0.015]; Em relação ao balanço hídrico, a mediana do grupo controle foi +1,516 ml vs + 553 ml do grupo experimental [p = 0.579]. Conclusão: Não há diferença significativa na PAM, na ressuscitação e neuroproteção de ambos os grupos. Houve melhora estatisticamente signifi cativa na PAS e FC na primeira hora a favor do grupo experimental. Palavras-chave: Vasopressina, norepinefrina, politraumatizado, traumatismo cranioencefálico grave, instabilidade hemodinâmica.","PeriodicalId":344697,"journal":{"name":"Medicina Crítica","volume":"84 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":"122205122","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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