III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Hemodynamics/Shock/Sepsis   Introduction: Pulmonary Embolism (PE) is a major cause of acute mortality and long-term morbidity.() Anticoagulation and systemic thrombolysis are the initial treatment methods but can be associated with hemorrhagic side effects, excluding a significant portion of patients from these strategies.() The EkoSonic Endovascular System (EKOS), an ultrasound- facilitated, catheter-directed, low-dose fibrinolysis therapy, emerges as a valuable option.(,) Objective: To describe […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Infection Introduction: Knowledge of hand hygiene as a measure to prevent Health Care-Related Infections is old, however, this action is still neglected by many health professionals, putting other patients and society in general at risk after leaving the hospital. hospital unit, being responsible for community infections1. We live today, even more so after a pandemic, in the era of patient safety […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Infection Introduction: Although it is a compulsory communication disease, Rocky Mountain spotted fever is of great concern from the point of view of health law when analyzing the incidence in conjunction with the mortality rate along with the difficulty of diagnosis and the period of about 15 days for the real compatibility confirmation.() Thus, there is a need to create coping […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Cardiology Introduction: Although an experienced clinician can predict the likely outcome of attempting to wean the patient from mechanical ventilation, it is desirable to have predictive indices that can be easily measured and widely applied.(1) In this scenario there is a need to understand whether peripheral muscle strength can be a predictor after cardiac surgery. Objective: To evaluate the impact of […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Cardiology Introduction: Occurrences of cardiorespiratory arrest outside the hospital are serious and represent a major public health problem. According to the Brazilian Society of Cardiology, cardiovascular diseases are the most responsible for deaths in Brazil, totaling from January to June 2023 approximately 179,656 deaths. Such numbers demonstrate the importance of offering the lay population adequate training on first aid in these […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Cardiology Introduction: The Intensive Care Unit (ICU) is a complex care unit that aims to safely and effectively care for the patient who needs careful attention, in order to achieve clinical improvement. Among the treatment modalities used in the ICU, several technologies can be included, either to replace or to help the patients’ vital functions, inserting the support of drungs and […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Cardiology Introduction: After Cardiac Surgery (CS) patients require mechanical ventilation (MV) due to intraoperative and postoperative factors.() These factors may contribute to a prolonged period of MV, which may be associated with worse outcomes.(,) These factors are already known in other patient profiles, but this gap still exists when dealing with CS. Objective: To stratify the risk factors for mechanical ventilation […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Palliative care Introduction: Palliative Care (PC) promotes quality of life in the face of life-threatening illnesses, providing physical, psychosocial and spiritual assistance to patients and their families. When approached within the training academy, within nursing students, it is still a little explored theme, thus requesting means that facilitate the approach. Educational technological products, in the context of health, are instruments that […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology Introduction: About 35% of patients admitted to Intensive Care Units (ICU) require mechanical ventilation. Prolonged mechanical ventilation predisposes patients to increased risks of MV- associated pneumonia, tracheal ischemia, lung damage, and diaphragmatic dysfunction. Such problems increase the risk of mortality and complications. Among the proposed treatments in these cases, inspiratory muscle training has been used as a means of improving […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology Introduction: Musculoskeletal dysfunction results in disability and mortality in patients with Chronic Obstructive Pulmonary Disease (COPD). () Body mass, weight and height influence quadriceps muscle thickness. Thus, the thigh sonographic index (IST) becomes a reliable parameter in the assessment of muscle mass by ultrasound in COPD.() Objective: Analyze anterior thigh muscle thickness from the adjusted thigh sonographic index in patients […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology   Introduction: The ICU Mobility Scale (IMS) was developed to provide a structured method to collect mobility data, to assist physical therapists monitoring recovery, to help researchers objectively quantify mobility milestones, and to compare the levels of mobility achieved in different studies. However, so far, there are no data that mobility assessed by this scale is capable of predicting mortality […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology Introduction: The major cause of mortality in patients affected by COVID-19 disease is the development of acute respiratory distress syndrome (SARS-CoV-2) due to the intense inflammatory process that affects the lungs associated with thrombotic events in the microcirculation, promoting refractory hypoxemia and multiple dysfunctions of organs. The screening of suspected or confirmed patients is based on clinical, radiological and laboratory […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology Introduction: COVID-19 is an infection that can cause Acute Respiratory Distress Syndrome (ARDS).() Prone positioning in patients with ARDS has been shown to be beneficial in mechanically ventilated individuals.() However, the classification between responders and non-responders to the maneuver based on gas exchange, either by improving oxygenation or reducing PaCO2, does not predict mortality, but factors related to the reduction […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology   Introduction: The weaning phase in mechanically ventilated patients with COVID-19 seems to be difficult. Many patients seem to present an unappropriated muscular effort response to variation on pressure support (PS).(,) This fact can leads to lung injury.() requiring high sedative doses4 resulting in a difficult in weaning process and long mechanical ventilation length. Objective: Assess the variation of respiratory […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology   Introduction: COVID-19 has affected thousands of people and was declared a pandemic by the World Health Organization in March 2020. One of the most affected organs is the lung, and the inflammatory process caused by the SARS-CoV-2 virus can impair gas exchange, resulting in acute hypoxemic respiratory failure and, in some cases, Acute Respiratory Distress Syndrome (ARDS).(,) Non-invasive mechanical […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Pneumology Introduction: In assisted mechanical ventilation, the work of breathing (WOB) should be shared by patient and ventilator.(,) In PAV+, there is an association between respiratory muscle pressure and the pressure generated by the ventilator.(,,) There are still knowledge deficits about the influence of different types of inspiratory efforts on mechanical ventilator outputs during PAV+ assistance. Objective: To evaluate how the […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Neurology Introduction: Acute Intermittent Porphyria (AIP) is one subtype, out of eight, that encompasses the porphyria. Each subtype is secondary to a defect in the pathway of Heme synthesis. AIP is an autosomal-dominant disease, manifested in less than 10% of individuals with the mutation. The clinical presentation varies, and involves a range of symptoms from abdominal pain to important muscular paralysis, […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Surgery and Trauma   Introduction: There is an expected relationship between Anion Gap (AG) elevation and serum bicarbonate variation (deltaBic).() Thus, we can assess whether there are other associated metabolic disorders by calculating deltaAG/deltaBic.() Altered values can indicate early on whether there are other associated disorders and suggest possible etiologies with more accuracy and appropriate care.() Objective: We aimed to characterize […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Surgery and Trauma   Introduction: The impact of COVID-19 on post-operative recovery from cancer surgeries, which most times cannot wait, needs to be understood to inform sound clinical decision- making during and after any pandemics.(,) Objective: The aim of this study was to define the impact on 28-day mortality and morbidity of surgical oncology patients during the COVID-19 pandemic. Methods: Cohort […]

III Einstein International Symposium on Intensive Care and the XXX International Symposium on Mechanical Ventilation. Aug 16-18, 2023. Category: Safety / Quality / Management   Introduction: In recent years, there has been great interest in Artificial Intelligence (AI) applications in healthcare. However, the issues related to AI’s implementation, ethical use, and safety are not consensual and have not yet been adequately addressed.() Objective: Report the experience of the Einstein Network for Critically Ill Patients, focusing on the dilemmas and possible […]