JCS/JHFS 2021 Guideline Focused Update on Diagnosis and Treatment of Acute and Chronic Heart Failure El cambio principal en esta edición revisada es la integración de las pautas de tratamiento de insuficiencia cardíaca anteriores, que se separaron en insuficiencia cardíaca aguda e insuficiencia cardíaca crónica. Este cambio se basó en el reconocimiento de que separar las […]
Recategorization of Non-Aspirin Nonsteroidal Anti-inflammatory Drugs According to Clinical Relevance: Abandoning the Traditional NSAID Terminology Abstract Non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used to treat pain, fever, and inflammation. Historically, NSAIDs have been categorized as traditional NSAIDs and newer cyclooxygenase (COX)-2 inhibitors (coxibs). However, traditional NSAIDs also inhibit the COX-1 and COX-2 enzyme isoforms […]
2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain El dolor de pecho es una de las razones más comunes por las que las personas buscan atención médica. Esta guía se desarrolló para la evaluación del dolor torácico agudo o estable en entornos ambulatorios y de urgencias, haciendo hincapié en el diagnóstico de dolor […]
Renal Replacement Techniques in Septic Shock Abstract Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response to an infection; it carries a risk for mortality, considerably exceeding that of a mere infection. Sepsis is the leading cause for acute kidney injury (AKI) and the requirement for renal replacement therapy (RRT) […]
Non-resuscitation fluid in excess of hydration requirements is associated with higher mortality in critically ill children Abstract Background Large volumes of non-resuscitation fluids are often administered to critically ill children. We hypothesize that excess maintenance fluid is a significant contributor to non-resuscitation fluid and that non-resuscitation fluid administered beyond hydration requirements is associated with worse […]
Diagnostic Value of Thromboelastography (TEG) for the Diagnosis of Death in Infected Patients Abstract In this study, we want to investigate the clinical value of each index of thromboelastography (TEG) on the prognosis of infected patients. The clinical baseline data and TEG test results of 431 infected patients in our hospital’s emergency department between January […]
Manifesto on the overuse of SABA in the management of asthma: new approaches and new strategies Abstract The risks of overusing short-acting β2-agonists (SABA), including an increase in asthma-related deaths, are many and well known. The Global Initiative on Asthma (GINA) 2019 and 2020 updates recommend as-needed inhaled corticosteroid (ICS)/formoterol as the preferred rescue medication […]
Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 Screening and early treatment Screening for patients with sepsis and septic shock Recommendation 1. For hospitals and health systems, we recommend using a performance improvement programme for sepsis, including sepsis screening for acutely ill, high-risk patients and standard operating procedures for treatment Strong […]
Comprehensive Assessment of Fluid Status by Point-of-Care Ultrasonography The management of complex fluid and electrolyte disorders is central to the practice of nephrologists. The sensitivity of physical examination alone to determine fluid status is limited, precluding accurate clinical decision making. Point-of-care ultrasonography (POCUS) is emerging as a valuable, noninvasive, bedside diagnostic tool for objective evaluation […]
The SIC protocol: A seven-step strategy to minimize complications potentially related to the insertion of centrally inserted central catheters Abstract Insertion of central venous catheters in the cervico-thoracic area is potentially associated with the risk of immediate/early untoward events, some of them negligible (repeated punctures), some relevant (accidental arterial puncture), and some severe (pneumothorax). Furthermore, […]