- Pulmonary
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Prolonged intensive care: muscular functional, and nutritional insights from the COVID-19 pandemic
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Miguel Ángel Martínez-Camacho, Robert Alexander Jones-Baro, Alberto Gómez-González, Dalia Sahian Lugo-García, Pía Carolina Gallardo Astorga, Andrea Melo-Villalobos, Bárbara Kassandra Gonzalez-Rodriguez, Ángel Augusto Pérez-Calatayud
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Acute Crit Care. 2024;39(1):47-60. Published online February 2, 2024
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DOI: https://doi.org/10.4266/acc.2023.01284
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Abstract
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- During the coronavirus disease 2019 (COVID-19) pandemic, clinical staff learned how to manage patients enduring extended stays in an intensive care unit (ICU). COVID-19 patients requiring critical care in an ICU face a high risk of experiencing prolonged intensive care (PIC). The use of invasive mechanical ventilation in individuals with severe acute respiratory distress syndrome can cause numerous complications that influence both short-term and long-term morbidity and mortality. Those risks underscore the importance of proactively addressing functional complications. Mitigating secondary complications unrelated to the primary pathology of admission is imperative in minimizing the risk of PIC. Therefore, incorporating strategies to do that into daily ICU practice for both COVID-19 patients and those critically ill from other conditions is significantly important.
- Pulmonary
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Asynchronies during invasive mechanical ventilation: narrative review and update
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Santiago Nicolás Saavedra, Patrick Valentino Sepúlveda Barisich, José Benito Parra Maldonado, Romina Belén Lumini, Alberto Gómez-González, Adrián Gallardo
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Acute Crit Care. 2022;37(4):491-501. Published online November 30, 2022
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DOI: https://doi.org/10.4266/acc.2022.01158
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Abstract
PDFSupplementary Material
- Invasive mechanical ventilation is a frequent therapy in critically ill patients in critical care units. To achieve favorable outcomes, patient and ventilator interaction must be adequate. However, many clinical situations could attempt against this principle and generate a mismatch between these two actors. These asynchronies can lead the patient to worst outcomes; that is why it is vital to recognize and treat these entities as soon as possible. Early detection and recognition of the different asynchronies could favor the reduction of the days of mechanical ventilation, the days of hospital stay, and intensive care and improve clinical results.
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Citations
Citations to this article as recorded by
- Patient Self-Inflicted Lung Injury—A Narrative Review of Pathophysiology, Early Recognition, and Management Options
Peter Sklienka, Michal Frelich, Filip Burša Journal of Personalized Medicine.2023; 13(4): 593. CrossRef - Actualización sobre sedoanalgesia en paciente bajo ventilación mecánica
Onan Emanuel Gregorio Revista de Postgrados de Medicina.2022; 1(1): 27. CrossRef
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