BIGG

Resultados: 20

Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma

"BACKGROUND: Rib fractures are identified in 10% of all injury victims and are associated with significant morbidity (33%) and mortality (12%). Significant progress has been made in the management of rib fractures over the past few decades, including operative reduction and internal fixation (rib ORIF); ...

Clinical Practice Guideline of Acute Respiratory Distress Syndrome

Korean j. intern. med; 79 (4), 2016
Since the first description of acute respiratory distress syndrome (ARDS) as a series of 12 patients in 1967 by Ashbaugh et al.1 , it still remains a major public health problem that incurs high health care costs and causes major mortality in the intensive care unit (ICU) despite improvements in outcomes...

An official American Thoracic Society Clinical Practice guideline: the diagnosis of intensive care unit-acquired weakness in adults

RATIONALE: Profound muscle weakness during and after critical illness is termed intensive care unit-acquired weakness (ICUAW). OBJECTIVES: To develop diagnostic recommendations for ICUAW. METHODS: A multidisciplinary expert committee generated diagnostic questions. A systematic review was performed, and ...

Guidelines for the prevention of ventilator-associated pneumonia and their implementation. The Spanish "Zero-VAP" bundle

Med. intensiva; 38 (4), 2014
"BACKGROUND: ""Zero-VAP"" is a proposal for the implementation of a simultaneous multimodal intervention in Spanish intensive care units (ICU) consisting of a bundle of ventilator-associated pneumonia (VAP) prevention measures. METHODS/DESIGN: An initiative of the Spanish Societies of Intensive Care Med...

Guideline for stress ulcer prophylaxis in the intensive care unit

Dan. med. j; 61 (3), 2014
Stress ulcer prophylaxis (SUP) is commonly used in the intensive care unit (ICU), and is recommended in the Surviving Sepsis Campaign guidelines 2012. The present guideline from the Danish Society of Intensive Care Medicine and the Danish Society of Anesthesiology and Intensive Care Medicine sums up curr...

Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit

Crit. care med; 41 (1), 2013
OBJECTIVE: To revise the "Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult" published in Critical Care Medicine in 2002. METHODS: The American College of Critical Care Medicine assembled a 20-person, multidisciplinary, multi-institutional task for...

Guía de práctica Clínica sobre el manejo de la enfermedad meningócocica invasiva

Optimizar el manejo clínico de la EMI en la población infantojuvenil, con recomendaciones orientadas a lograr la detección precoz y una rápida instauración del tratamiento que permitan reducir la elevada morbilidad y mortalidad asociadas a la enfermedad; Ofrecer a los profesionales sanitarios que de...

Diagnosis and Management of Community-Acquired Pneumonia in Adults

Am. fam. physician; 83 (11), 2011
Community-acquired pneumonia is diagnosed by clinical features (e.g., cough, fever, pleuritic chest pain) and by lung imaging, usually an infiltrate seen on chest radiography. Initial evaluation should determine the need for hospitalization versus outpatient management using validated mortality or severi...

Summary of the international clinical guidelines for the management of hospital-acquired and ventilator-acquired pneumonia

ERJ open res; 4 (2), 2008
Nosocomial pneumonia is a frequent infection that is classified into two groups [1]: HAP, which develops in hospitalised patients after 48 h of admission, and does not require (but may include) artificial ventilation at the time of diagnosis [2, 3]; and VAP, which occurs in intensive care unit (ICU) pati...