Revista Brasileira de Terapia Intensiva Revista Brasileira de Terapia Intensiva RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Use of extracorporeal membrane oxygenation for treating acute cardiomyopathy after liver transplantation: a case report
We report the case of a female patient, 58 years of age, without known heart disease, who underwent liver transplantation without complications. On the second postoperative day, the patient developed cardiogenic shock secondary to stress-induced cardiomyopathy (Takotsubo-like syndrome). The patient was successfully managed with veno-arterial peripheral extracorporeal membrane oxygenation for 6 days, with complete recovery of cardiac function and of the hepatic graft. Coronary syndrome and acute myocarditis were excluded as the causes of the shock. The use of extracorporeal membrane oxygenation in this scenario is possible ...
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Difficult decisions in pediatric practice and moral distress in the intensive care unit
RESUMO Em um dilema ético, há sempre uma conduta identificada como a melhor a ser tomada. A impossibilidade de adotar tal conduta leva o profissional a experimentar o sofrimento moral. Esta revisão objetivou definir este problema e propor estratégias para seu enfrentamento. Foram buscadas as palavras-chaves "moral distress" e "sofrimento moral" nas bases de dados internacionais MEDLINE/PubMed e SciELO, em artigos publicados entre 2000 - 2017. A revisão foi não exaustiva, contextual, enfocando definições, etiologia e métodos de resolução do problema. No cotidiano da prática em terapia intensiva, o sofr imento mo...
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Safety of neuromuscular electrical stimulation among critically ill patients: systematic review
Conclusion: Neuromuscular electrical stimulation is safe for critically ill patients; however, it should be applied by duly trained professionals and with proper evidence-based parameters. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Chest wall effect on the monitoring of respiratory mechanics in acute respiratory distress syndrome
RESUMEN La mec ánica del sistema respiratorio depende de las características del pulmón, la caja torácica y su interacción. En pacientes con síndrome de distrés respiratorio agudo bajo ventilación mecánica el monitoreo de la presión meseta en la vía aérea es fundamental debido a su valor pronóstico y su capacidad de reflejar el estrés pulmonar. Sin embargo, su validez puede verse afectada por cambios en las características mecánicas de la caja torácica, y además, no otorga información para la correcta titulación de presión positiva al final de la espiración en función de restablecer el volumen pulmo...
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Organ donation: the reality of an intensive care unit in Portugal
Conclusion: In most cases, potential organ donors died of brain death, were older than middle age, were male and were victims of a hemorrhagic stroke. The majority of the donors were expanded criteria donors and donated an average of two to three organs. The organs donated most frequently were the kidneys and liver. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Translation and cross-cultural adaptation of the Cornell Assessment of Pediatric Delirium scale for the Portuguese language
Conclusions: The translation of the Cornell Assessment of Pediatric Delirium into Brazilian Portuguese and its cross-cultural adaptation were successful and preserved the linguistic and semantic properties of the original instrument. The Cornell Assessment of Pediatric Delirium proved to be easy to understand and could be completed quickly. Additional studies are needed to test the validity and psychometric properties of this version in Brazil. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Clinical attitudes and perceived barriers to early mobilization of critically ill patients in adult intensive care units
Conclusion: The participants were aware of the benefits of early mobilization and manifested attitudes favorable to its application. However, the actual performance of early mobilization was perceived as a challenge, mainly due to the lack of professionals and time, excessive sedation, delirium, risk of musculoskeletal self-injury and excessive stress at work. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

APACHE IV score in postoperative kidney transplantation
Conclusions: The APACHE IV score showed adequate performance for predicting hospital outcomes in the postoperative period for kidney transplant recipients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Assessment of the neuropsychomotor development in the first year of life of premature infants with and without bronchopulmonary dysplasia
Conclusion: Bronchopulmonary dysplasia associated with other pre- and postnatal factors may be considered a risk factor for delayed neuropsychomotor development in the first year of life in premature infants born weighing less than 1,500g. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Predictors of de novo atrial fibrillation in a non-cardiac intensive care unit
Conclusions: A history of previous stroke and elevated proBNP during hospitalization were independent predictors of de novo atrial fibrillation in the polyvalent intensive care unit. The proBNP is a useful and easy- and quick-access tool in the stratification of atrial fibrillation risk. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Reducing malnutrition in critically ill pediatric patients
Conclusion: There was a significant reduction in malnutrition among patients in the same pediatric intensive care unit when comparing the two time periods. Our findings of a change in nutritional profile in critically ill patients corroborate the nutritional status data of children and adolescents worldwide. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Prognostic factors among critically ill patients with community-acquired acute bacterial meningitis and acute kidney injury
Conclusion: Mortality among critically ill patients with community-acquired bacterial meningitis and acute kidney in jury is high. Acute kidney injury severity was associated with even higher mortality. Thrombocytopenia was associated with severer acute kidney injury. Higher urea was an earlier predictor of severer acute kidney injury than was creatinine. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Sizing the lung in dogs: the inspiratory capacity defines the tidal volume
Conclusions: The tidal volume based on the inspiratory capacity of each animal has proven to be a useful and simple tool when setting ventilator parameters. A similar approach should also be evaluated in other species, including human beings, if we consider the potential limitations of tidal volume titration based on the calculated ideal body weight. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Perfusion index for assessing microvascular reactivity in septic shock after fluid resuscitation
Conclusions: This perfusion index-based study suggests that septic shock promotes initial peripheral vascular hyporesponsiveness and preserves posterior vascular reactivity to a considerable degree. These results demonstrate a time-dependent peripheral hyperemic response and a significant ischemic reserve in septic shock. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - July 11, 2018 Category: Intensive Care Source Type: research

Reply to: Behavior of lung ultrasound findings during spontaneous breathing trial
RESUMO No per íodo sazonal compreendido entre 2014 e 2015, a maior parte das infecções por influenza decorreu do vírus influenza A H3N2. Mais de dois terços dos vírus influenza A H3N2 circulante eram antigênica e geneticamente diferentes (drift) do componente A H3N2 da vacina da influenza sazonal 2014 - 20 15 para os hemisférios norte e sul. O objetivo deste trabalho foi relatar um caso de infecção por influenza A sazonal não H1N1 ocorrido em junho de 2015 em um paciente adulto com fibrose cística com doença pulmonar grave, previamente vacinado com a vacina antigripal trivalente. O paciente evol uiu com insufi...
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research