You searched for:"Roberto Rabello Filho"
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Review Articles
Extracorporeal membrane oxygenation: a literature review
Rev Bras Ter Intensiva. 2019;31(3):410-424
Abstract
Review ArticlesExtracorporeal membrane oxygenation: a literature review
Rev Bras Ter Intensiva. 2019;31(3):410-424
DOI 10.5935/0103-507X.20190063
Views1ABSTRACT
Extracorporeal membrane oxygenation is a modality of extracorporeal life support that allows for temporary support in pulmonary and/or cardiac failure refractory to conventional therapy. Since the first descriptions of extracorporeal membrane oxygenation, significant improvements have occurred in the device and the management of patients and, consequently, in the outcomes of critically ill patients during extracorporeal membrane oxygenation. Many important studies about the use of extracorporeal membrane oxygenation in patients with acute respiratory distress syndrome refractory to conventional clinical support, under in-hospital cardiac arrest and with cardiogenic refractory shock have been published in recent years. The objective of this literature review is to present the theoretical and practical aspects of extracorporeal membrane oxygenation support for respiratory and/or cardiac functions in critically ill patients.
Keywords:Critical careExtracorporeal membrane oxygenationheart failureRespiration, artificialRespiratory insufficiencySee more -
Commentaries
First Brazilian datathon in critical care
Rev Bras Ter Intensiva. 2018;30(1):6-8
Abstract
CommentariesFirst Brazilian datathon in critical care
Rev Bras Ter Intensiva. 2018;30(1):6-8
DOI 10.5935/0103-507X.20180006
Views1“Health is a right of all and an obligation of the State, guaranteed by socioeconomic policies that seek reduction of the risk of disease and of other grievances and universal and equal access to the actions and services in its promotion, protection and recuperation.” Constitution of the Federative Republic of Brazil, 1988[…]See more -
Review Articles
Recent advances in bedside microcirculation assessment in critically ill patients
Rev Bras Ter Intensiva. 2017;29(2):238-247
Abstract
Review ArticlesRecent advances in bedside microcirculation assessment in critically ill patients
Rev Bras Ter Intensiva. 2017;29(2):238-247
DOI 10.5935/0103-507X.20170033
Views0See moreABSTRACT
Parameters related to macrocirculation, such as the mean arterial pressure, central venous pressure, cardiac output, mixed venous saturation and central oxygen saturation, are commonly used in the hemodynamic assessment of critically ill patients. However, several studies have shown that there is a dissociation between these parameters and the state of microcirculation in this group of patients. Techniques that allow direct viewing of the microcirculation are not completely disseminated, nor are they incorporated into the clinical management of patients in shock. The numerous techniques developed for microcirculation assessment include clinical assessment (e.g., peripheral perfusion index and temperature gradient), laser Doppler flowmetry, tissue oxygen assessment electrodes, videomicroscopy (orthogonal polarization spectral imaging, sidestream dark field imaging or incident dark field illumination) and near infrared spectroscopy. In the near future, the monitoring and optimization of tissue perfusion by direct viewing and microcirculation assessment may become a goal to be achieved in the hemodynamic resuscitation of critically ill patients.
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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