Search results for " Critica"

The Reason of Imagination. The Blazing Worlds of Margaret Cavendish and Siri Hustvedt

2020

One of the peculiarities of 17th and 18th centuries literature is the link between knowledge and imagination, a relationship in which narration sometimes accompanies science, sometimes goes beyond it. The idea of imagination as a true means of knowledge is the subject of Margaret Cavendish’s best known work, The Blazing World (1666), where her alter ego is free to built a whole social and philosophical system based on corporality and subjectivity. From the same conception of imagination starts Siri Hustvedt when in 2014 rewrites The Blazing World: the story of an artist who still in the twentieth century tries to face the overwhelming misogyny with the performance of the body and the theory…

Le burn-out en réanimation : évaluation, prévention et dispositifs d’intervention

2020

Les professionnels de réanimation sont confrontés de façon répétitives et intenses à de nombreux facteurs de stress les rendant plus vulnérables au développement d’un burn-out. Le burn-out constitue le stade final d’une rupture d’adaptation suite à un déséquilibre entre les exigences professionnelles et les ressources de l’individu. Il affecte directement la santé mentale et physique des professionnels et est associé à une diminution de la qualité et de la sécurité des soins et à une augmentation des départs des professionnels les plus expérimentés pour d’autres services. En réanimation de nombreuses études ont été menées sur les professionnels et les organisations lancent des appels à l’ac…

Implementation of veno-venous extracorporeal membrane oxygenation in a COVID-19 convalescent

2020

Oleic Acid-Injection in Pigs As a Model for Acute Respiratory Distress Syndrome

2018

The acute respiratory distress syndrome is a relevant intensive care disease with an incidence ranging between 2.2% and 19% of intensive care unit patients. Despite treatment advances over the last decades, ARDS patients still suffer mortality rates between 35 and 40%. There is still a need for further research to improve the outcome of patients suffering from ARDS. One problem is that no single animal model can mimic the complex pathomechanism of the acute respiratory distress syndrome, but several models exist to study different parts of it. Oleic acid injection (OAI)-induced lung injury is a well-established model for studying ventilation strategies, lung mechanics and ventilation/perfus…

Composite femoro-tibial bypass as alternative solution in complicated revascolarization: Case report

2021

Introduction Peripheral Arterial Disease (PAD) in diabetic patients is a significant cause of Morbility. Long arterial occlusion in patient previously treated can require unusual and complex solution. Herein we report a case of complicated bypass in diabetic patient with history of bypass for bilateral popliteal aneurysm. Presentation of case A 51-year-old male, smoker, with hypertension and diabetes mellitus was referred to our hospital for rest pain in left limb and peripheral cyanosis. Ultrasound doppler (US) showed an occlusion after common femoral artery with patency of Anterior-tibial artery (ATA) two centimeters after the origin. The unavailability of adequate autologous conduit nece…

Speckle tracking analysis in intensive care unit: A toy or a tool?

2018

The use of conventional echocardiography in the intensive care unit (ICU) is today established to assess left and right ventricular systolic function, for preload determination and procedural guidance. Next step in ICU echocardiography could be the use of novel ultrasound techniques such as strain echocardiography to assist in the management of patients with acute coronary syndrome, heart failure, or pulmonary embolism. This review has gathered the available evidence supporting the incremental value of strain in the diagnostic workup of cardiac diseases treated in ICU.

Parathyroid hormone serum concentration kinetic profile in critically ill patients undergoing continuous renal replacement therapies: a prospective o…

2021

Introduction: Elevated serum parathormone (PTH) levels have been observed in acute kidney injury and are related to calcium-phosphate metabolism disturbance, decreased renal production of 1,25 dihydroxyvitamin D3, impaired renal PTH excretion, and other renal-independent factors. There are no data regarding PTH concentration kinetics in critically ill patients undergoing continuous renal replacement therapies (CRRT) in an intensive care setting. The primary objective of this study was to investigate trends in PTH serum levels in critically ill patients with multiorgan failure undergoing CRRT, by performing periodic PTH measurements in the acute phase of critical illness. Material and method…

Epidemiología de la transfusión sanguínea en los Servicios de Medicina Intensiva en España: «Transfusion Day»

2022

Objective To describe the transfusion practice in the ICUs in Spain, according to national and international recommendations (guidelines).DesignProspective, cross-sectional, multi-centre study.ScopeData collection was carried out by means of a questionnaire sent electronically to the Heads of Service of 111 ICUs in Spain.Participants1,448 patients were included, aged 61.8 (SD 15.7) years, 66.2% male, with an SOFA of 4.7 ± 3.8 and average stay of 10.62 ± 17.49 days.VariablesDemographic and clinical variables of the patients were collected, as well as variables related to the transfusion act.ResultsOf the 1,448 patients, 9.9% received al least one transfusion of any blood product, 3.7% fresh …

A systematic approach to ultrasound-guided central venous catheter placement—desirable modifications

2017

Infraclavicular access to the axillary vein-new possibilities for the catheterization of the central veins in the intensive care unit

2016

Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditionally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. For this reason, the axillary vein seems to be a rational alternative approach. In this narrative review, we evaluate the usefulness of the infraclavicular access to the axillary vein. The existing evidence suggests that infraclavicular approach to the axillary vein is a reliable method of central vein catheterization, especially when performed with ultrasound guidance.