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REMI 2003; Vol 3
REMI 2004; Vol 4
REMI 2005; Vol 5
REMI 2006; Vol 6
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REMI suscribe los principios del código HON de la Fundación Salud en la Red
REMI suscribe los principios del código HON
Compruébelo aquí

 

 

 

 

Jeff Lipman, followed by most SA intensivists is "Keep them dry and watch them die."

Noviembre 2001

  1. Epidemiology and natural history of arteriovenous malformations. Christian Stapf, J. P. Mohr,
    John Pile-Spellman, Robert A. Solomon, Ralph L. Sacco, and E. Sander Connolly, Jr.
  2. Functional evaluation of arteriovenous malformations. Nicholas C. Bambakidis, Jeffrey L. Sunshine,
    Peter F. Faulhaber, Rober W. Tarr, Warren R. Selman, and Robert A. Ratcheson
  3. Grading and surgical planning for intracranial arteriovenous malformations. Howard A. Riina and Y. Pierre Gobin
  4. Neuropsychological function and brain arteriovenous malformations: redefining eloquence as a risk for treatment. Ronald M. Lazar
  5. Anesthesia-related considerations for cerebral arteriovenous malformations.Tomoki Hashimoto and
    William L. Young
  6. Preoperative silk suture embolization of cerebral and dural arteriovenous malformations. Amir R. Dehdashti, Michel Muster, Alain Reverdin, Nicolas de Tribolet, and Daniel A. Ruefenacht
  7. Decision analysis for small, asymptomatic intracranial arteriovenous malformations. James McInerney,
    David A. Gould, John D. Birkmeyer, and Robert E. Harbaugh

Octubre 2001

Noviembre 2000

Introduction: Introduction by Dr. Andrews

  1. Journal of Neurosurgery Preview for December 2000. Experimental evaluation of the Spiegelberg intracranial pressure and intracranial compliance monitor. Technical note. Yun H. Yau, Ian R. Piper, Richard E. Clutton, and Ian R. Whittle
  2. Bedside microdialysis for early detection of cerebral hypoxia in traumatic brain injury. A. S. Sarrafzadeh, O. W. Sakowitz, T. A. Callsen, W. R. Lanksch, and A. W. Unterberg
  3. Global and regional techniques for monitoring cerebral oxidative metabolism after severe traumatic brain injury. Alex B. Valadka, Yu Furuya, Roman Hlatky, and Claudia S. Robertson
  4. Techniques of intraoperative cerebral blood flow measurement. Jonathan A. Friedman, Robert E. Anderson, and Fredric B. Meyer
  5. Clinical usefulness of bedside intracranial morphological monitoring: mobile computerized tomography in the neurosurgery intensive care unit. Report of three cases. Thorsteinn Gunnarsson and Jan Hillman

Mayo 2000

Introduction to Stroke: Treatment Options and Indications
Neal F. Kassell, M.D., and Tord D. Alden, M.D.

  1. Antiplatelet agents, carotid endarterectomy, and perioperative complications.
    Bradford B. Worrall and Karen C. Johnston
  2. Update on therapies for acute ischemic stroke.
    Dean D. Kindler, George A. Lopez, Bradford B. Worrall, and Karen C. Johnston
  3. Decompressive craniectomy for space-occupying supratentorial infarction: rationale, indications, and outcome.
    Desiree J. Lanzino and Giuseppe Lanzino
  4. Changes in cerebral blood flow and oxygen metabolism during moderate hypothermia in patients with severe middle cerebral artery infarction.
    Emanuela Keller, Thorsten Steiner, Javier Fandino, Stefan Schwab, and Werner Hacke
  5. JNS PREVIEW ARTICLE: Natural history of unruptured intracranial aneurysms: probability and risk factors for aneurysm rupture.
    Seppo Juvela, Matti Porras, and Kristiina Poussa
  6. Expression of intracellular adhesion molecule--1 linking superoxide to mobilization of granulocytes and macrophages after periarterial blood in rat femoral artery: effect of rebamipide.
    Jae Moon Choi, Chi Dae Kim, and Ki Whan Hong
  7. Evaluation of big endothelin--1 concentrations in serum and ventricular cerebrospinal fluid after early surgical compared with nonsurgical management of ruptured intracranial aneurysms.
    Andreas Gruber, Karl Roessler, Apostolos Georgopoulos, Albert Mißbichler, Raphael Bonelli, and Bernd Richling

Enero 2000

Aarabi B, Taghipour M, Haghnegahdar A, Farokhi M, Mobley L. Prognostic factors in the occurrence of posttraumatic epilepsy after penetrating head injury suffered during military service. Neurosurg Focus 8 (1): Article 1, 2000. [HTML]

Levy ML. Outcome prediction following penetrating craniocerebral injury in a civilian population: aggressive surgical management in patients with admission Glasgow Coma Scale scores of 6 to 15. Neurosurg Focus 8 (1): Article 2, 2000. [HTML]

Kim A, Wang MY, Griffith PM, Summers S, Levy ML. Analysis of pediatric head injury from falls. Neurosurg Focus 8 (1): Article 3, 2000. [HTML]

Larson PS, Reisner A, Morassutti DJ, Abdulhadi B, Harpring JE. Traumatic intracranial aneurysms. Neurosurg Focus 8 (1): Article 4, 2000. [HTML]

Kraus JF, Peek-Asa C, McArthur D. The independent effect of gender on outcomes following traumatic brain injury: a preliminary investigation. Neurosurg Focus 8 (1): Article 5, 2000. [HTML]

Farace E, Alves WM. Do women fare worse? A metaanalysis of gender differences in outcome after traumatic brain injury. Neurosurg Focus 8 (1): Article 6, 2000. [HTML]

Kamano S. Are steroids really ineffective for severely head injured patients? Neurosurg Focus 8 (1):Article 7, 2000.  [HTML]

Moreno JA, Mesalles E, Gener J, Tomasa A, Ley A, Roca J, Fernández-Llamazares J. Evaluating the outcome of severe head injury with transcranial Doppler ultrasonography. Neurosurg Focus 8 (1):Article 8, 2000. [HTML]

 

Transplantes:

Evans DW. Brain death is a recent invention. BMJ 2002; 325: 598. [HTML]
Potts M. Fear has basis in reason. BMJ 2002; 325: 598. [HTML]
Gray C. Reviews of Books: Margaret Locks: "Twice Dead: Organ Transplants and the Reinvention of Death". BMJ 2002; 324: 1401. [HTML]
Hoffenberg R. Christiaan Barnard: his first transplants and their impact on concepts of death. BMJ 2001; 323: 1478-1480. [HTML]

Report of the Ad Hoc Committee of the Harvard Medical School to examine the definition of brain death. JAMA 1968; 205: 337-340. [Medline]

President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research. Guidelines for the determination of death. JAMA 1981; 246: 2184-2186. [Medline]

Shewmon DA. Chronic "brain death": meta-analysis and conceptual consequences. Neurology 1998; 51: 1538-1545. [Abstract]

Capron AM. Brain death: well settled yet not unresolved. N Engl J Med 2001; 344: 1244-1246. [Texto completo]

Wijdicks EFM. The diagnosis of brain death. N Engl J Med 2001;344:1215-1221. [Full Text] [HTML]

Cranston, R. E., Rockoff, M. A., Thompson, J. E., Larson, M. D., Gray, A. T., Truog, R. D., Robinson, W. M., Broyde, M. J., Wijdicks, E. F.M., Capron, A. M. (2001). The Diagnosis of Brain Death. N Engl J Med 345: 616-618. [Full Text]

Baumgartner, H., Gerstenbrand, F. (2002). Diagnosing brain death without a neurologist. BMJ 324: 1471-1472. [Full Text]

Swash, M., Beresford, R. (2002). Brain death: Still-unresolved issues worldwide. Neurology 58: 9-10. [Full Text]

Wijdicks, E. F.M. (2002). Brain death worldwide: Accepted fact but no global consensus in diagnostic criteria. Neurology 58: 20-25. [Abstract] [Full text]

Coimbra CG. Implications of ischemic penumbra for the diagnosis of brain death. Braz J Med Biol Res 1999; 32: 1479-1487. [Medline]

Burns JM, Login IS. Brain death worldwide: Accepted fact but no global consensus in diagnostic criteria. Neurology 2002; 59: 470-471. [HTML] MEDLINE (letters)

Michael Swash, MD, FRCP and Richard Beresford, MD. Brain death: Still-unresolved issues worldwide. Neurology 2002; 58: 9-10. MEDLINE (EDITORIAL)

Wijdicks EFM. Brain death worldwide: accepted fact but no global consensus in diagnostic criteria. Neurology . 2002; 58: 20–25.  [Abstract/Full Text]

Shewmon DA. Chronic "brain death": Meta-analysis and conceptual consequences. Neurology . 1998; 51: 1538–1545. [Abstract]

Lazar NM, Shernie S, Webster GC, Dickens BM. Bioethics for clinicians: 24. Brain death. CMAJ 2001;164(6):833-6. [Abstract/Full Text]

Potts, M. (2001). Debating the criteria for brain death. Can Med Assoc J 165: 269-269. [Full Text]

Lopez-Navidad, A., Wijdicks, E. F. M., Bernat, J. L., Crisci, C., Lang, C. J. G., Shewmon, D. A. (1999). Chronic ""brain death"": meta-analysis and conceptual consequences. Neurology 53: 1369-1369. [Full Text]

  • Estadísticas de transplante y donación
  • Diagnóstico de muerte encefálica
  • Legislación sobre muerte encefálica
  • ¿Son válidos el concepto y el diagnóstico de muerte encefálica?
  • Donación en asistolia
  • ¿Incentivos económicos a la donación de órganos?
  • Conferencia de consenso SEMICYUC sobre muerte encefálica, año 2000

 

Búsqueda en Medline Factor VII en cirrosis: Factor VII OR rFVIIa AND cirrhosis (76 hallazgos el 25 enero 2003)

Evidence based clinical practice guideline for managing an acute exacerbation of asthma.

Complete Summary    Full Text   Brief Summary   

cuidadosintensivos.com: Página de enfermería y Cuidados Intensivos

Fisterra: Medicina de atención Primaria... y mucho más

Collectio Medica (colección de enlaces a webs médicas)

Limitación terapéutica en cuidados intensivos      511
V Trenchs Sáinz de la Maza. FJ Cambra Lasaosa. A Palomeque Rico. J Balcells Ramírez. C Seriñá Ramírez. MªT Hermana Tezanos. Grupo de Trabajo en Limitación Terapéutica.
Resumen  Texto completo  PDF

Decisiones de limitación del esfuerzo terapéutico en recién nacidos críticos: estudio multicéntrico      547
Grupo de Trabajo de la Sociedad Española de Neonatología sobre Limitación del Esfuerzo Terapéutico y Cuidados Paliativos en recién nacidos.
Resumen  Texto completo  PDF

http://db.doyma.es/cgi-bin/wdbcgi.exe/doyma/press.plantilla?ident=23655&mail=Si

 

Dang D, Johantgen ME, Pronovost PJ, Jenckes MW, Bass EB. Postoperative complications: does intensive care unit staff nursing make a difference? Heart Lung 2002 May-Jun;31(3):219-28. [Resumen Medline]
Amaravadi RK, Dimick JB, Pronovost PJ, Lipsett PA. ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Med 2000; 26: 1857-1862. [Resumen Medline]
Pronovost PJ, Dang D, Dorman T, Lipsett PA, Garrett E, Jenckes M, Bass EB. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract 2001 Sep-Oct;4(5):199-206. [Resumen Medline]

 

LEY 34/2002, de 11 de julio, de servicios de la sociedad de la información y de comercio electrónico.
[PDF 16 pag, 104K]

Controversias publicadas en otras revistas
Gestión: Hospitales sin Unidades de Cuidados Intensivos [BMJ] [RCP] [Recomendaciones RCP]
Neurología: Fibrinolisis en el ictus [BMJ] [BMJ]
Transplante: ¿Incentivos económicos a la donación de órganos? [AMA[BMJ] [BMJ] [Postura de la Transplantation Society]
Gestión: ¿Unidades de dolor torácico en urgencias? [BMJ]
 
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Archivo REMI
Neumonía adquirida en la comunidad
Sepsis
Meningitis

 

Gestión:
Opinión Medicina Intensiva, junio 2002:
Las horas críticas que transcurren fuera de las Unidades de Críticos: Medicina Intensiva fuera de la UCI
Original Internet Journal of Emergency and Intensive Care Medicine, 2002:
UCIs abiertas o cerradas: impacto de la presencia física continua de especialistas en Medicina Intensiva
Neumología:
Revisión Pulmonary & Critical Care Update, agosto 2002:
Status asmático
Revisión Pulmonary Perspectives, marzo 2002:
Embolia gaseosa
Neurología:
Toxicología:
Editorial Medicina Intensiva, junio 2002:
Tratamiento de las intoxicaciones por metanol y por etilenglicol
[Sugiere nuevos artículos]

 

Medicina Clínica, 2  2001 ; 116: 63-74
Revisión
Inhibidores directos de la trombina: su papel en el tratamiento de la trombosis arterial y venosa
Eduardo Rocha.Ramón Lecumberri.Carlos Panizo.

Revista Iberoamericana de Trombosis y Hemostasia, suplemento 1  2000 ; 13: 28-52
Simposio
Nuevos fármacos antitrombóticos
G. Irún.E. Grau.

VLADIMIR FENCL, ANTONÍN JABOR, ANTONÍN KAZDA, and JAMES FIGGE
Diagnosis of Metabolic Acid-Base Disturbances in Critically Ill Patients
Am. J. Respir. Crit. Care Med. 2000; 162: 2246-2251. [Abstract] [Full text] [Online Data Supplement]  

Intensive Care Society UK:

Weaning and Long Term Ventilation
Download  Executive Summary (PDF)
Download The Report (PDF)

Intensive Care Society Statement on the use of Activated Protein C
Many members have asked the Society for guidance on the use of activated protein C (aPC). This issue has come to the forefront since the European Commission granted Marketing Authorisation for XigrisÔ [drotrecogin alfa (activated)] in the UK.
Download ICS Statement

Nuevas tendencias en la depuración extrarrenal del paciente crítico con fracaso renal agudo 404
JA Sanchez-Izquierdo Riera. J Maynar Moliner .
Texto completo  PDF 

Análisis de coste-efectividad de la ventilación mecánica y del tratamiento intensivo de pacientes en situación crítica 391
JM Rodriguez Roldan. P Alonso Cuesta. J López Martínez. F del Nogal Sáez. MJ Jiménez Martín. J Suárez Saiz.
Resumen  Texto completo  PDF

Am J Emerg Med 1999 Mar;17(2):141-3

Complications of emergency intubation with and without paralysis.

Li J, Murphy-Lavoie H, Bugas C, Martinez J, Preston C.

Accident Room, Charity Hospital, New Orleans, LA, USA.

Expert and definitive airway management is fundamental to the practice of emergency medicine. In critically ill patients, rapid sedation and paralysis, also known as rapid-sequence intubation, is used to facilitate endotracheal intubation in order to minimize aspiration, airway trauma, and other complications of airway management. An alternative method of emergent endotracheal intubation, intubation minus paralysis, is performed without the use of neuromuscular blocking agents. The present study compared complications of these two techniques in the emergency setting. Sixty-seven intubations minus paralysis were prospectively compared with 166 rapid-sequence intubations. Complications were greater in number and severity in the nonparalyzed group and included aspiration (15%), airway trauma (28%), and death (3%). None of these difficulties were observed in the rapid-sequence group (P < .0001). These results show that rapid-sequence intubation when compared with intubation minus paralysis significantly reduces complications of emergency airway management and should be made available to emergency physicians trained in its use.
Related Articles

SOMIAMA 2002: www.somiama.com/somiama/somiama/reuniones4.html

Aug 2002
FDA CLINICAL REVIEW DROTRECOGIN ALFA (ACTIVATED) [RECOMBINANT HUMAN ACTIVATED PROTEIN C (rhAPC)] XIGRISTM BLA...
[http://www.fda.gov/cber/review/droteli112101r1.pdf]
Clinical Review - Drotrecogin alfa (activated),Xigris, Eli Lilly
Aug 2002
BLA# 125029/0 LILLY rhAPC FDA CLINICAL REVIEW 78 Morbidity Analyses The figure below is a side-by-side comparison of morbidity and functional status between rhAPC and placebo at day 28. In descending order are proportion of patients who: died, were still...
[http://www.fda.gov/cber/review/droteli112101r1p2.pdf]

100 diapositivas: http://www.fda.gov/ohrms/dockets/ac/01/slides/3797s1_01_Lilly-CORE/sld001.htm

Postgraduate Medicine february 2002:

EVALUATING THE COMATOSE PATIENT
Rapid neurologic assessment is key to appropriate management
Coma is a medical emergency that calls for prompt action. Awareness of possible causes and steps in neurologic evaluation can guide appropriate therapy.
Khalid Malik, MBBS, David C. Hess, MD

SEDATION AND ANALGESIA IN INTENSIVE CARE
Medications attenuate stress response in critical illness
Indications for sedatives, analgesics, and neuromuscular blocking agents, as well as techniques to monitor drug efficacy and adverse effects.
Amy R. Blanchard, MD

Ultrasound locating devices for placing central venous catheters (NO 49)

NICE has issued guidance to the NHS in England and Wales on the use of ultrasound locating devices for placing central venous catheters. Listed below are key documents for this appraisal; click on the title to link to the relevant document.

2002/050 NICE issues guidance in two specialist areas to improve choice and care for NHS patients in England and Wales

NICE has issued guidance to the NHS on home versus hospital haemodialysis for patients with end stage renal failure and the use of ultra sound locating devices for the placement of central venous catheters.

Full guidance on the use of ultrasound locating devices for placing central venous catheters

This document shows the full guidance on the use of ultrasound locating devices for placing central venous catheters

Information for patients: Guidance on the use of ultrasound locating devices for placing central venous catheters

This is patient's leaflet on the use of ultrasound locating devices for placing central venous cathetersSummary: Guidance on the use of ultrasound locating devices for placing central venous catheters


Nuevas recomendaciones RCP (Latorre, MI 200209):

http://db2.doyma.es/pdf/64/64v26n07a13036816pdf001.pdf 

EpiInfo 2002 (windows)

http://www.cdc.gov/epiinfo/tutorials/Epi%20Info%202002%20Exercises.pdf

Exercises in Adobe Acrobat (PDF) format
Exercises in Microsoft Word (DOC) format

Necessary files to be used with exercises (zipped) (Unzip in Epi_Info Directory)

Additional Tutorials

Sources listed below are not officially associated with the Centers for Disease Control and Prevention.  Contributions to this page are welcome.

Tutorial for Epi Info 2000 Users, created by the Northern Health Information Partnership

Multimedia Epi Info Training Modules, created by the University of Nebraska


Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Patients in Septic Shock
Crit Care Med 2002 June; 30(6):1365-1378. [PDF]

PedsCCM: The Pediatric Critical Care Website

Airways for Anyone

How to find the good and avoid the bad or ugly: a short guide to tools for rating quality of health information on the internet Commentary: On the way to quality
Petra Wilson and Ahmad Risk
BMJ 2002; 324: 598-602. [Full text] [PDF]

Examination of instruments used to rate quality of health information on the internet: chronicle of a voyage with an unclear destination
Anna Gagliardi and Alejandro R Jadad
BMJ 2002; 324: 569-573. [Abstract] [Full text] [PDF]

Evidence base of clinical diagnosis: Evaluation of diagnostic procedures
J André Knottnerus, Chris van Weel, and Jean W M Muris
BMJ 2002; 324: 477-480. [Full text] [PDF]

Evidence base of clinical diagnosis: The architecture of diagnostic research
D L Sackett and R B Haynes
BMJ 2002; 324: 539-541. [Full text] [PDF] [extra: List of DLS's potential conflicts] 

Evidence base of clinical diagnosis: Designing studies to ensure that estimates of test accuracy are transferable
Les Irwig, Patrick Bossuyt, Paul Glasziou, Constantine Gatsonis, and Jeroen Lijmer
BMJ 2002; 324: 669-671. [Full text] [PDF]

Evidence base of clinical diagnosis: Clinical problem solving and diagnostic decision making: selective review of the cognitive literature
Arthur S Elstein and Alan Schwarz
BMJ 2002; 324: 729-732. [Full text] [PDF]

Evidence base of clinical diagnosis: Rational, cost effective use of investigations in clinical practice
Ron Winkens and Geert-Jan Dinant
BMJ 2002; 324: 783-785. [Full text] [PDF]

Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors
Sue Horrocks, Elizabeth Anderson, and Chris Salisbury
BMJ 2002; 324: 819-823. [Abstract] [Full text] [PDF] [extra: Additional tables]

Explaining risks: turning numerical data into meaningful pictures
Adrian Edwards, Glyn Elwyn, and Al Mulley
BMJ 2002; 324: 827-830. [Full text] [PDF]

Global nursing shortages
James Buchan
BMJ 2002; 324: 751-752. [Full text] [PDF]  

 

Revisión en Archivos de Bronconeumología, julio 2002:
Beta-agonistas en el asma agudo: iv o inhalados? inhalación continua o intermitente? nebulización o dosificador?

Revisión en Saint Francis Journal of Medicine, 1999:
Manejo del delirium tremens en UCI

Editorial en Medicina Intensiva, junio 2002:
Tratamiento de las intoxicaciones por metanol y por etilenglicol

 

Original en Internet Journal of Emergency and Intensive Care Medicine, 2002:
UCIs abiertas o cerradas: impacto de la presencia física continua de especialistas en Medicina Intensiva

Opinión en Medicina Intensiva, junio 2002:
Las horas críticas que transcurren fuera de las Unidades de Críticos: Medicina Intensiva fuera de la UCI

Revisión en Hospital Practice, marzo 2002:
Errores en la medición de la tensión arterial

Revisión en Hospital Practice, marzo 2002:
Manejo de las úlceras por presión

Revisión en Emergency Medicine Journal, julio 2002:
Sedación pediátrica de emergencia

Revisión en Archives on Disease of Childhood, octubre 1997:
Sedación para procedimientos en Pediatría


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última modificación: 01/07/2007