Emergencia

Non-resuscitation fluid in excess of hydration requirements is associated with higher mortality in critically ill children

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 […]

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Diagnostic Value of Thromboelastography (TEG) for the Diagnosis of Death in Infected Patients

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 […]

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Manifesto on the overuse of SABA in the management of asthma: new approaches and new strategies

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 […]

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Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021

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 […]

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Comprehensive Assessment of Fluid Status by Point-of-Care Ultrasonography

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 […]

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The SIC protocol: A seven-step strategy to minimize complications potentially related to the insertion of centrally inserted central catheters

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, […]

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Are Fourth-Year Medical Students as Prepared to Manage Unstable Patients as They Are to Manage Stable Patients?

Are Fourth-Year Medical Students as Prepared to Manage Unstable Patients as They Are to Manage Stable Patients? Abstract Purpose To evaluate the fourth-year medical student’s assessment and management of an unstable patient. Method The authors compared the performance of fourth-year medical students in a clinical performance examination (CPX) across a spectrum of simulated stable conditions […]

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Portal Hypertension and Ascites: Patient-and Population-centered Clinical Practice Guidelines by the Italian Association for the Study of the Liver (AISF)

Abstract Portal hypertension and ascites are two crucial events in the natural history of liver cirrhosis, whose appearance marks a downward shift in the prognosis of the disease. Over the years, several international and national societies have issued clinical practice guidelines for the diagnosis and management of portal hypertension and ascites. The present document addresses […]

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Secuelas gastrointestinales de COVID-19

Huang y sus colegas informaron recientemente que hasta el 76% de los pacientes dados de alta después de la hospitalización por COVID-19 tenían al menos un síntoma que persistía 6 meses después del inicio de la enfermedad, que incluía fatiga o debilidad muscular (63%), dificultades para dormir (26%), y ansiedad o depresión (23%). Además, más del 50% […]

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El fenómeno de Raynaud

Resumen El fenómeno de Raynaud (FR) es una afección vasoespástica común que afecta aproximadamente a 5% de la población general. La mayoría de los individuos tiene FR primario; sin embargo, la enfermedad de Raynaud también puede ocurrir como consecuencia de una amplia gama de afecciones médicas subyacentes y terapias con medicamentos.   El FR es […]

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