Diagnosis and management of arrhythmias in pregnancy

Diagnosis and management of arrhythmias in pregnancy   Abstract Arrhythmias are the most common cardiac complications occurring in pregnancy. Although the majority of palpitations in pregnancy may be explained by atrial or ventricular premature complexes, the full spectrum of arrhythmias can occur. In this article, we establish a systematic approach to the evaluation and management […]

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2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization

2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization La enfermedad de las arterias coronarias sigue siendo una de las principales causas de morbilidad y mortalidad a nivel mundial. La revascularización coronaria es una opción terapéutica importante en el manejo de pacientes con enfermedad arterial coronaria. La guía de revascularización de arterias coronarias de 2021 proporciona recomendaciones basadas en […]

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JCS/JHFS 2021 Guideline Focused Update on Diagnosis and Treatment of Acute and Chronic Heart Failure

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 […]

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1-hour t-piece spontaneous breathing trial vs 1-hour zero pressure support spontaneous breathing trial and reintubation at day 7

1-hour t-piece spontaneous breathing trial vs 1-hour zero pressure support spontaneous breathing trial and reintubation at day 7: A non-inferiority approach Highlights • It remains uncertain that T-piece and zero PS spontaneous breathing trials led to similar rates of successful extubation. • No patient disconnection from the ventilator can facilitate monitoring, and could prevent aerosols […]

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2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway

2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway Las pautas de práctica son recomendaciones desarrolladas sistemáticamente que ayudan al médico y al paciente a tomar decisiones sobre la atención médica. Estas recomendaciones pueden adoptarse, modificarse o rechazarse de acuerdo con las necesidades y limitaciones clínicas y no pretenden reemplazar las políticas […]

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Imaging Acute Stroke: From One-Size-Fit-All to Biomarkers

Imaging Acute Stroke: From One-Size-Fit-All to Biomarkers Abstract In acute stroke management, time window has been rigidly used as a guide for decades and the reperfusion treatment is only available in the first few limited hours. Recently, imaging-based selection of patients has successfully expanded the treatment window out to 16 and even 24 h in […]

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Renal Replacement Techniques in Septic Shock

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) […]

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Antibiotics in the pipeline: a literature review (2017–2020)

Antibiotics in the pipeline: a literature review (2017–2020) Abstract Introduction Antimicrobial resistance (AMR) is an emerging global threat. It increases mortality and morbidity and strains healthcare systems. Health care professionals can counter the rising AMR by promoting antibiotic stewardship and facilitating new drug development. Even with the economic and scientific challenges, it is reassuring that […]

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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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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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