Abstract：
:BD was diagnosed by clinical examination, electroencephalogram (EEG), Transcranial Doppler (TCD) and multislice CT of 64 detectors. Initially, a brain perfusion study was performed. This was followed by supra-aortic trunk and brain artery angiography with acquisition of images using 0.5 mm slices, from the origin of the aortic root to the vertex. In all the patients, BD diagnosis was verified by clinical examination, EEG and TCD. Brain perfusion never detected brain blood flow. The angioCT through internal carotid arteries and vertebral arteries demonstrated complete absence of intracranial circulation, observing circulation of the external carotid artery branches. Sensitivity and specificity of the method compared with clinical examination was 100%. These findings demonstrate that the study of brain perfusion and brain angiography by multislice CT scan is a rapid and minimally invasive technique, that is easily available and that shows the absence of brain blood flow through the four vascular trunks. This technique makes it possible to made the diagnosis of BD with high diagnostic safety. Its use has special interest in patients with clinical diagnostic difficulty due to treatment with sedative drugs and serious metabolic alterations.
journal_name
Med Intensivajournal_title
Medicina intensivaauthors
Escudero D,Otero J,Vega P,Gil A,Roger RL,Gonzalo JA,Muñiz G,Taboada Fdoi
10.1016/s0210-5691(07)74833-7subject
Has Abstractpub_date
2007-08-01 00:00:00pages
335-41issue
6eissn
0210-5691issn
1578-6749pii
13108554journal_volume
31pub_type
杂志文章abstract：OBJECTIVES:This study has aimed to establish the intensivist physician's concepts and practices in this region regarding the diagnosis, management and prevention of delirium in intensive care units (ICU). DESIGN:A survey was distributed among the FEPIMCTI member societies for distribution among its medical members. R...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2010.04.003
更新日期：2010-11-01 00:00:00
abstract：:Both acute myocardial infarction and pulmonary thromboembolism are responsible for a great number of cardiac arrests. Both present high rates of mortality. Thrombolysis has proved to be an effective treatment for acute myocardial infarction and pulmonary thromboembolism with shock. It would be worth considering whethe...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/s0210-5691(06)74470-9
更新日期：2006-03-01 00:00:00
abstract：:Tuberculosis miliar is a very rare complication of bacillus Calmette-Guérin (BCG) immunotherapy that is associated to high mortality. Thus, early diagnosis and treatment is essential. At present, there is a polymerase chain reaction technique (PCR) which is a rapid diagnostic method with elevated sensitivity. Treatmen...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(06)74485-0
更新日期：2006-04-01 00:00:00
abstract：OBJECTIVES:To assess Southern European intensive care unit nurses' knowledge about evidence-based guidelines for the prevention of ventilator-associated pneumonia and to compare these findings with a pan-European perspective. DESIGN:A sub-analysis from an observational study performed using a 9-questions, multiple-cho...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2010.07.012
更新日期：2011-01-01 00:00:00
abstract：:Brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. Brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. This clinical situation appears ...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/s0210-5691(09)71215-x
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVES:To gather all published information about the stability of drugs commonly used in Intensive Care Units (ICU); evaluate the methodology of published data; and generate a compatibility table. DESIGN:i) A systematic review was conducted searching the following databases: Medline, Stabilis, Handbook of Injectab...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2018.08.004
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:To evaluate different characteristics of patients with acute coronary syndrome (ACS) without ST-segment elevation compared with transient St-segment elevation. DESIGN:An observational, prospective study. SETTING:A 12-bed coronary care unit. PATIENTS:Consecutive patients of ACS without persistent ST-segment...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2011.01.007
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVE:This article reviews the utility and applicability of available systems in order to calculate general and quality costs in clinical services settings. METHODS:Review of techniques to calculate costs in Intensive Care Units (ICUs) according to analytical accounting approaches. RESULTS:The methodological deve...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(06)74498-9
更新日期：2006-05-01 00:00:00
abstract：:The benefit of enteral nutrition in critically ill patients has been demonstrated by several studies, especially when it is started early, in the first 24-48h of stay in the Intensive Care Unit, and this practice is currently advised by the main clinical guidelines. The start of enteral nutrition is controversial in p...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2014.04.002
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:To analyze the incidents related to patient safety (IRSP) and their risk factors during in-hospital transfer (IHT) of critical patients after the application of a protocol, and to evaluate safety during transfer using quality indicators. DESIGN:A prospective, observational and non-intervention cohort study w...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2020.05.022
更新日期：2020-07-15 00:00:00
abstract：:After an introduction that summarizes the new definitions and risk classification of acute kidney injury, along with the consequences on its epidemiology, available evidence in the literature is reviewed in order to compare intermittent and continuous renal replacement therapy in terms of survival, renal function reco...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/s0210-5691(09)70688-6
更新日期：2009-03-01 00:00:00
abstract：:These recommendations are designed to be of assistance to doctors in ICUs when making first evaluations of these patients. They are mainly intended to assist with early diagnosis, risk stratification and initial treatment. The need for individualised treatment is at present one of the main objectives in the management...
journal_title：Medicina intensiva
pub_type： 共识发展会议,杂志文章,实务指引,评审
doi：10.1016/j.medin.2009.07.010
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:The optimal blood management after cardiac surgery remains controversial. Moreover, blood transfusions may have an impact on long-term outcomes. OBJECTIVE:The aim of this study is to characterize the impact of liberal red blood cell transfusions on Health-Related Quality of life (HRQoL) after cardiac surger...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2018.01.014
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To analyze the profile, incidence of life support therapy limitation (LSTL) and donation potential in neurocritical patients. STUDY DESIGN:A multicenter prospective study was carried out. SETTING:Nine hospitals authorized for organ harvesting for transplantation. PATIENTS:All patients consecutively admitte...
journal_title：Medicina intensiva
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medin.2014.07.010
更新日期：2015-08-01 00:00:00
abstract：:This article is based on the strategic reflection and discussion that took place on occasion of the first conference on innovation and technology transfer in the health sciences organized by the REGIC-ENS-FENIN-SEMICYUC and held in Madrid in the Instituto de Salud Carlos III on May 7th, 2013, with the aim of promoting...
journal_title：Medicina intensiva
pub_type：
doi：10.1016/j.medin.2014.04.012
更新日期：2014-11-01 00:00:00
abstract：:Patients with cardiac disease can develop two types of malnutrition: cardiac cachexia, which appears in chronic congestive heart failure, and malnutrition due to the complications of cardiac surgery or any other type of surgery in patients with heart disease. Early enteral nutrition should be attempted if the oral rou...
journal_title：Medicina intensiva
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/S0210-5691(11)70017-1
更新日期：2011-11-01 00:00:00
abstract：:In 2004 was published the first edition of the "Surviving sepsis campaign" guidelines for the management of severe sepsis and septic shock, opening a new era in the treatment of this syndrome. The paradox is that guidelines application have produced positive results despite including in some cases treatments proven in...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2013.07.008
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:To determine the clinical characteristics and prognostic factors of patients with severe sepsis/septic shock admitted to the Intensive Care Unit of Donostia University Hospital (Guipuzcoa, Spain). DESIGN:A prospective, observational study was carried out during a consecutive 6-year period (1st February 2008-...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2015.01.006
更新日期：2016-01-01 00:00:00
abstract：:Burned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to repleni...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2019.07.005
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:To detect donor characteristics related to graft function after orthotopic liver transplantation (OLT). DESIGN:Retrospective cohort study. CONTEXT:Polyvalent intensive care unit. PATIENTS:145 liver transplant recipients and their respective donors. INTERVENTIONS:None. MAIN VARIABLES OF INTEREST:In donors...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(08)75708-5
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVE:To describe the main factors associated with proper recognition and management of patient-ventilator asynchrony (PVA). DESIGN:An analytical cross-sectional study was carried out. SETTING:An international study conducted in 20 countries through an online survey. PARTICIPANTS:Physicians, respiratory therapis...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2019.09.004
更新日期：2019-10-23 00:00:00
abstract：:With the aim of analyzing the current state of the educational objectives in the training of medical residents in solid organ transplantation (SOT), we conducted a review of the status of the official programs of the specialities involved in SOT, focusing particularly on lung transplantation. A survey of medical resid...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2012.03.012
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:To describe the incidence and main clinical characteristics of barotrauma during open lung ventilation (OLV). DESIGN:A retrospective, observational, descriptive study was made of 100 patients with acute respiratory failure and bilateral pulmonary infiltrates. INTERVENTIONS:1) A lung recruitment maneuver (LR...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2011.10.011
更新日期：2012-06-01 00:00:00
abstract：:Pain is a problem in critically ill patients. The diagnosis of the intensity of is more simple when the patient is conscious (using ad hoc scales) than in unconscious or sedated patients. In these cases the study of the physiological responses to pain can be the best way of pain monitoring. The pain management in ICU ...
journal_title：Medicina intensiva
pub_type： 杂志文章,实务指引
doi：
更新日期：2008-02-01 00:00:00
abstract：:Posttraumatic carotid-cavernous fistula (PtCCF) is an uncommon complication after cranioencephalic trauma. It is usually diagnosed with a cerebral arteriography when the clinical symptoms have already appeared. The transcranial color-coded duplex sonography (TCDS) is a non-invasive technique at the patient's bedside t...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(07)74769-1
更新日期：2007-01-01 00:00:00
abstract：:Massive hemorrhage is the main cause of mortality and morbidity in trauma patients, and is one of the most important causes in any patient following major surgery. Conventional treatment consists of volume replacement, including the transfusion of blood products, so that tissue perfusion and oxygenation may be maintai...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2011.11.010
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To compare the results of quality monitoring after the implementation of improvement strategies in the respiratory intensive care unit (RICU). DESIGN:A prospective, comparative, longitudinal and interventional study was carried out. SETTING:The RICU of Hospital General de México (Mexico). PATIENTS:All pati...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2014.01.006
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Before deciding increases in the number or capacitance of Intensive Care Units (ICUs), or the regionalization of Units, it is essential to know their present effectiveness. OBJECTIVE:To analyze the daily occupancy rate of ICUs in Catalonia (Spain) and the frequency of denied admission due to lack of capacit...
journal_title：Medicina intensiva
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medin.2014.11.002
更新日期：2015-12-01 00:00:00
abstract：INTRODUCTION:Hemodynamic parameters such as the global end-diastolic volume index (GEDVI) and extravascular lung water index (EVLWI), derived by transpulmonary thermodilution, have gained increasing interest for guiding fluid therapy in critically ill patients. The proposed normal values (680-800ml/m(2) for GEDVI and 3...
journal_title：Medicina intensiva
pub_type： 杂志文章,meta分析
doi：10.1016/j.medin.2011.11.014
更新日期：2012-10-01 00:00:00
abstract：INTRODUCTION:Real body weight and height are essential data to be obtained in all critically ill patients (CIP), due to their influence in the designing of therapies and monitoring. Visual estimation is a very inaccurate practice. No precise descriptions of anthropometric measurements among CIP are available in the cli...
journal_title：Medicina intensiva
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medin.2017.09.008
更新日期：2018-01-01 00:00:00
