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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

Influenza A non-H1N1 associated with acute respiratory failure and acute renal failure in a previously vaccinated cystic fibrosis patient
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

Symptomatic bradycardia due to nicotine intoxication
We describe our experience of managing the case of a patient who orally ingested a high concentration of liquid nicotine from e-cigarette liquid. The patient presented with bradycardia and hypotension, which are symptoms of parasympathetic stimulation, together with impaired consciousness. He recovered following treatment with atropine and a vasopressor. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Massive hemoptysis successfully treated with extracorporeal membrane oxygenation and endobronchial thrombolysis
We report the case of a patient with acute respiratory failure associated with massive hemoptysis secondary to lung laceration during cardiac surgery. The use of extracorporeal membrane oxygenation allowed patient survival. However, due to the great difficulty in managing pulmonary clots after hemoptysis, it was necessary to use an unusual therapy involving endobronchial infusion of a thrombolytic agent as described in rare cases in the literature. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Accidental strangulation in children by the automatic closing of a car window
RESUMO Entre as principais causas de morte em nosso meio, situam-se acidentes automobil ísticos, afogamento e queimaduras acidentais. O estrangulamento é uma injúria potencialmente fatal, além de importante causa de homicídio e suicídio em adultos e adolescentes. Em crianças, sua ocorrência é usualmente acidental. No entanto, nos últimos anos, vários casos de estrangulamento acidental em crianças ao redor do mundo têm sido reportados. Paciente masculino de 2 anos de idade foi vítima de estrangulamento em vidro do carro. Admitido na unidade de terapia intensiva pediátrica com Escala de Coma de Glasgow de 8, ...
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Post-intensive care outpatient clinic: is it feasible and effective? A literature review
This article aims to review all aspects relating to the organization and performance of post-intensive care outpatient clinics and to provide an overview of studies that evaluated clinical outcomes related to this practice. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Humidification and heating of inhaled gas in patients with artificial airway. A narrative review
RESUMEN La instrumentaci ón de la vía aérea del paciente crítico (tubo endotraqueal o cánula de traqueostomía) impide que ésta pueda cumplir con su función de calentar y humidificar el gas inhalado. Sumado a ello la administración de gases medicinales fríos y secos, y los altos flujos a los que se someten los paci entes en ventilación mecánica invasiva o no invasiva, generan una condición aún más desfavorable. Debido a esto es imperativo utilizar algún dispositivo para acondicionar los gases entregados incluso en tratamientos de corta duración con el fin de evitar los daños potenciales sobre la estruc tur...
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Antibiotic therapy in ventilator-associated tracheobronchitis: a literature review
RESUMO O conceito de traqueobronquite associada à ventilação mecânica é controverso, e sua definição não é unanimemente aceita, sobrepondo-se, muitas vezes, à da pneumonia associada à ventilação mecânica. A traqueobronquite associada à ventilação mecânica tem incidência semelhante à da pneumonia associada à ventilação mecâ nica, com elevada prevalência de agentes multirresistentes isolados, condicionando um aumento do tempo de ventilação mecânica e de internação, ainda que sem impacto na mortalidade. A realização de culturas quantitativas pode permitir melhor definição diagnóstica da traq...
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Translation and cross-cultural adaptation of the Pediatric Confusion Assessment Method for the Intensive Care Unit into Brazilian Portuguese for the detection of delirium in pediatric intensive care units
Conclusion: The Brazilian version of the Pediatric Confusion Assessment Method for the Intensive Care Unit was generated in agreement with the international recommendations and can be used in Brazil for the diagnosis of delirium in critically ill children 5 years of age or above and with no developmental cognitive disabilities. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

SOFA in the first 24 hours as an outcome predictor of acute liver failure
Conclusion: SOFA score in the first 24 hours was the best predictor of fatal outcome. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Organization of rehabilitation care in Portuguese intensive care units
Conclusion: The organization of rehabilitation care in Portuguese intensive care units is unique and heterogeneous. Despite different care organization models, the availability of hours of care is similar, as are the overall results observed in patients. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Assessment of delirium using the PRE-DELIRIC model in an intensive care unit in Argentina
Conclusions: The observed incidence of delirium highlights the importance of this problem in the intensive care unit setting. In this first study conducted outside E urope, PRE-DELIRIC accurately predicted the development of delirium. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Pain assessment of traumatic brain injury victims using the Brazilian version of the Behavioral Pain Scale
Conclusion: Brazilian version of the Behavioral Pain Scale scores increased during tracheal aspiration. The Brazilian version of the scale was valid and reliable for pain assessment of traumatic brain injury victims undergoing tracheal aspiration. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Sex and spouse conditions influence symptoms of anxiety, depression, and posttraumatic stress disorder in both patients admitted to intensive care units and their spouses
Conclusions: Female sex was associated with anxiety and depression, and spouses were more v ulnerable to post-traumatic stress symptoms than the patients were. Increasing age and a later time of assessment were also associated with lower scores on the Impact of Event Scale. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research

Long-term psychological outcome after discharge from intensive care
Conclusion: Survivors do not show a progressive decline in cognitive function or quality of life within five years after intensive care unit discharge. Psychopathological symptoms tend to decrease with time. (Source: Revista Brasileira de Terapia Intensiva)
Source: Revista Brasileira de Terapia Intensiva - May 7, 2018 Category: Intensive Care Source Type: research