7 results

Assessment of clinical and epidemiological characteristics of patients with and without sepsis in intensive care units of a tertiary hospital

Luis Gustavo Morello ORCID logo , Líbera Maria Dalla-Costa ORCID logo , Rafael Mialski Fontana ORCID logo , Ana Cristina Schmidt de Oliveira Netto ORCID logo , Ricardo Rasmussen Petterle ORCID logo , Danieli Conte ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4476

ABSTRACT Objective To describe the clinical and epidemiological features of patients with and without sepsis at critical care units of a public hospital. Methods A cross-sectional study was carried out from May 2012 to April 2013. Clinical and laboratory data of patients with and without sepsis in the intensive care units were reviewed of medical records. Results We evaluated 466 patients, 58% were men, median age was 40 years, and 146 (31%) of them were diagnosed with sepsis. The overall […]

Near-infrared spectroscopy parameters in patients undergoing continuous venovenous hemodiafiltration

Renato Carneiro de Freitas Chaves ORCID logo , Philipe Franco do Amaral Tafner ORCID logo , Felipe Ko Chen ORCID logo , Letícia Bagatini Meneghini ORCID logo , Thiago Domingos Corrêa ORCID logo , Roberto Rabello Filho ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4439

ABSTRACT Objective To investigate the impacts of continuous venovenous hemodiafiltration on the microcirculation in patients with acute kidney injury. Methods A prospective observational pilot study conducted in a 40-bed, open clinical-surgical intensive care unit of a private tertiary care hospital located in the city of São Paulo (SP), Brazil. Microcirculation was assessed using near-infrared spectroscopy by means of a 15mm probe placed over the thenar eminence. Vascular occlusion test was performed on the forearm to be submitted to near-infrared spectroscopy […]

Indications, clinical outcomes and complications of 1,949 flexible bronchoscopies

Altair da Silva Costa Jr ORCID logo , Paulo Rogerio Scordamaglio ORCID logo , Iunis Suzuki ORCID logo , Addy Lidvina Mejia Palomino ORCID logo , Marcia Jacomelli ORCID logo

DOI: 10.31744/einstein_journal/2018AO4380

ABSTRACT Objective To describe indications, clinical outcomes and complications of flexible bronchoscopy. Methods A descriptive observational study of bronchoscopies performed at the endoscopy service of Hospital Israelita Albert Einstein . Demographic (age, gender and origin) and medical (indications and results of endoscopy and diagnostic tests, such as biopsy collection, lavage, cytology and culture) data were analyzed. Electronic medical records with incomplete data or reporting interventional procedures were excluded. Results Over a three-year period (2013 to 2016), a total of 1,949 […]

Pharmacotherapeutic follow-up in a respiratory intensive care unit: description and analysis of results

Ana Carolina de Souza e Silva, Domingos Sávio de Carvalho Sousa, Eunice Bobô de Carvalho Perraud, Fátima Rosane de Almeida Oliveira, Bruna Cristina Cardoso Martins

DOI: 10.1590/S1679-45082018AO4112

ABSTRACT Objective: To describe and evaluate the pharmacotherapeutic follow-up by a clinical pharmacist in an intensive care unit. Methods: A descriptive and cross-sectional study carried out from August to October 2016. The data were collected through a form, and pharmacotherapeutic follow-up conducted by a clinical pharmacist at the respiratory intensive care unit of a tertiary hospital. The problems recorded in the prescriptions were quantified, classified and evaluated according to severity; the recommendations made by the pharmacist were analyzed considering the […]

Interventions of the clinical pharmacist in an Intermediate Care Unit for elderly patients

Stéphanie de Souza Costa Viana, Tiago Arantes, Sabrina Corrêa da Costa Ribeiro

DOI: 10.1590/S1679-45082017AO3894

ABSTRACT Objective To discuss the role of the clinical pharmacist in hospital care of critical elderly patients. Methods Critical patients aged 60 years and over admitted by the clinical staff to an Intermediate Care Unit were followed-up for 4 months regarding their drug therapies. Medical prescriptions were reviewed daily on the basis of patients’ clinical conditions, with the view to identify opportunities for optimization of drug therapies, contributing to safer prescribing, reduced discomfort and correct and rational use of drugs. […]

Predictive factors of atrial fibrillation after coronary artery bypass grafting

Cynthia de Oliveira Folla, Cinthia Cristina de Santana Melo, Rita de Cassia Gengo e Silva

DOI: 10.1590/s1679-45082016ao3673

ABSTRACTObjectiveTo analyze predictive demographic and perioperative variables of postoperative atrial fibrillation in patients who underwent exclusively coronary artery bypass grafting.Methods This was a retrospective cohort. We randomly selected 105 medical records of patients who underwent exclusively coronary artery bypass grafting in 2014. Demographic, clinical (preoperative and immediate postoperative) data and related with surgical procedure were collected from medical records. The occurrence of postoperative atrial fibrillation was considered until the third day after the surgery. Variables were analyzed using descriptive and […]

Should we treat fever in critically ill patients? A summary of the current evidence from three randomized controlled trials

Ary Serpa Neto, Victor Galvão Moura Pereira, Giancarlo Colombo, Farah Christina de la Cruz Scarin, Camila Menezes Souza Pessoa, Leonardo Lima Rocha

DOI: 10.1590/S1679-45082014RW2785

Fever is a nonspecific response to various types of infectious or non-infectious insult and its significance in disease remains an enigma. Our aim was to summarize the current evidence for the use of antipyretic therapy in critically ill patients. We performed systematic review and meta-analysis of publications from 1966 to 2013. The MEDLINE and CENTRAL databases were searched for studies on antipyresis in critically ill patients. The meta-analysis was limited to: randomized controlled trials; adult human critically ill patients; treatment […]