You searched for:"Márcio Soares"
We found (32) results for your search.Abstract
Rev Bras Ter Intensiva. 2010;22(3):274-279
DOI 10.1590/S0103-507X2010000300010
Delirium is an acute confusional state associated with increased mortality in the intensive care unit and long-term impaired functional recovery. Despite its elevated incidence and major impact in the outcomes of critically ill patients, delirium remains under-diagnosed. Presently, there are validated instruments to diagnose and monitor delirium, allowing the detection of early organ dysfunction and treatment initiation. Beyond patient's non-modifiable risk factors, there are modifiable clinical and environmental aspects that should be accessed to reduce the occurrence and severity of delirium. As recent studies demonstrate that interventions aiming to reduce sedative exposure and to improve patients' orientation associated with early mobility have proved to reduce delirium, a low incidence of delirium should be targeted and considered as a measure of quality of care in the intensive care unit (ICU).
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Rev Bras Ter Intensiva. 2009;21(3):310-314
DOI 10.1590/S0103-507X2009000300012
Glucose control is a major issue in critical care since landmark publications from the last decade leading to widespread use of strict glucose control in the clinical practice. Subsequent trials showed discordant results that lead to several questions and concerns about benefits and risks of implementing an intensive glucose control protocol. In the midst of all recent controversy, we propose that a new glycemic target -150mg/dl) should be aimed. This target glucose level could offer protection against the deleterious effects of hyperglycemia and at the same time keep patient's safety avoiding hypoglicemia. The article presents a critical review of the current literature on intensive insulin therapy in critically ill patients.
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Rev Bras Ter Intensiva. 2012;24(4):318-319
DOI 10.1590/S0103-507X2012000400003
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Rev Bras Ter Intensiva. 2008;20(3):323-324
DOI 10.1590/S0103-507X2008000300018
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Rev Bras Ter Intensiva. 2006;18(4):328-330
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Rev Bras Ter Intensiva. 2011;23(4):388-390
DOI 10.1590/S0103-507X2011000400002
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Rev Bras Ter Intensiva. 2018;30(3):398-398