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Commentary
Leveraging a national cloud-based intensive care registry for COVID-19 surveillance, research and case-mix evaluation in Brazil
Rev Bras Ter Intensiva. 2022;34(2):205-209
Abstract
CommentaryLeveraging a national cloud-based intensive care registry for COVID-19 surveillance, research and case-mix evaluation in Brazil
Rev Bras Ter Intensiva. 2022;34(2):205-209
DOI 10.5935/0103-507X.20220016-en
Views5INTRODUCTIONLarge national databases of intensive care units (ICUs) generate valuable information for the management and guidance of public policies.() These national ICU registries were established in high-income countries more than 20 years ago. Their contribution to the understanding of case mix and outcomes of ICU patients as well as to clinical research and quality improvement […]See more -
Original Articles
Hemodynamic monitoring in the intensive care unit: a Brazilian perspective
Rev Bras Ter Intensiva. 2014;26(4):360-366
Abstract
Original ArticlesHemodynamic monitoring in the intensive care unit: a Brazilian perspective
Rev Bras Ter Intensiva. 2014;26(4):360-366
DOI 10.5935/0103-507X.20140055
Views1Objective:
In Brazil, there are no data on the preferences of intensivists regarding hemodynamic monitoring methods. The present study aimed to identify the methods used by national intensivists, the hemodynamic variables they consider important, the regional differences, the reasons for choosing a particular method, and the use of protocols and continued training.
Methods:
National intensivists were invited to answer an electronic questionnaire during three intensive care events and later, through the Associação de Medicina Intensiva Brasileira portal, between March and October 2009. Demographic data and aspects related to the respondent preferences regarding hemodynamic monitoring were researched.
Results:
In total, 211 professionals answered the questionnaire. Private hospitals showed higher availability of resources for hemodynamic monitoring than did public institutions. The pulmonary artery catheter was considered the most trusted by 56.9% of the respondents, followed by echocardiograms, at 22.3%. Cardiac output was considered the most important variable. Other variables also considered relevant were mixed/central venous oxygen saturation, pulmonary artery occlusion pressure, and right ventricular end-diastolic volume. Echocardiography was the most used method (64.5%), followed by pulmonary artery catheter (49.3%). Only half of respondents used treatment protocols, and 25% worked in continuing education programs in hemodynamic monitoring.
Conclusion:
Hemodynamic monitoring has a greater availability in intensive care units of private institutions in Brazil. Echocardiography was the most used monitoring method, but the pulmonary artery catheter remains the most reliable. The implementation of treatment protocols and continuing education programs in hemodynamic monitoring in Brazil is still insufficient.
Keywords:BrazilCardiac outputCatheterization, Swan-GanzEchocardiographyMonitoring, physiologicMonitoring/physiologyQuestionnairesSee more
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis