You searched for:"Uri Adrian Prync Flato"
We found (5) results for your search.-
New anticoagulants in critical care settings
Rev Bras Ter Intensiva. 2011;23(1):68-77
Abstract
New anticoagulants in critical care settings
Rev Bras Ter Intensiva. 2011;23(1):68-77
DOI 10.1590/S0103-507X2011000100012
Views0See moreThromboembolic events commonly occur in critically ill patients, and although they do not consistently present with specific signs and symptoms, they are associated with high morbity and mortality. Antithrombotic agents are the mainstay of the prevention and treatment of venous thromboembolism, and they are also used for stroke prevention in atrial fibrillation, embolism prevention in heart failure, and anticoagulation of prosthetic valves. These drugs have been combined with antiplatelet therapy for the prevention of secondary acute coronary syndrome. Antithrombotic agents such as Aspirin, clopidogrel, vitamin K antagonists and fondaparinux, an indirect Factor Xa inhibitor, are already incorporated into our clinical practice. New small-molecule, selective Factor Xa and thrombin inhibitors that simultaneously inhibit free plasma and clot-associated factor activities have received considerable attention recently. These new oral anticoagulants are in various phases of clinical development. dabigatran, rivaroxaban and apixaban are in more advanced phases of clinical development and are already available in a number of countries. This review article highlights the studies describing the use of these three anticoagulants in an intensive care setting.
-
Review Articles
Usefulness of Extended-FAST (EFAST-Extended Focused Assessment with Sonography for Trauma) in critical care setting
Rev Bras Ter Intensiva. 2010;22(3):291-299
Abstract
Review ArticlesUsefulness of Extended-FAST (EFAST-Extended Focused Assessment with Sonography for Trauma) in critical care setting
Rev Bras Ter Intensiva. 2010;22(3):291-299
DOI 10.1590/S0103-507X2010000300012
Views0See moreTrauma is the leading cause of death in people below 45 years-old in Brazil, and responsible for one third of all intensive care unit admissions. The increasing knowledge on ultrasound diagnosis methods and its availability for life-threatening injuries (such as cardiac tamponade and abdominal cavity solid organs rupture leading to hemorrhagic shock) diagnosis and monitoring, lead to the development o the FAST (Focused Assessment with Sonography for Trauma) protocol, aimed to be used both in the emergency and intensive care unit settings. Due to its reproducibility, lack of radiation exposure, and bedside feasibility, this technology is being increasingly accepted. A new protocol extension, the Extended-FAST, provides valuable information for improved patients’ management, extending its availability from the abdominal conditions to other diagnosis such as hemothorax, pleural effusion and pneumothorax. We must underline that this technique is able to replace computed tomography and diagnostic peritoneal wash, and do not delay surgical procedure instead of perform this exam . Thus, its careful appraisal in connection with the clinical information should guide the therapeutic approaches, specially in inhospitable sites such as intensive care units in war zones, rural or distant places, were other imagery methods are not available.
-
Review Articles
Intensive care bedside echocardiography: true or a distant dream?
Rev Bras Ter Intensiva. 2009;21(4):437-445
Abstract
Review ArticlesIntensive care bedside echocardiography: true or a distant dream?
Rev Bras Ter Intensiva. 2009;21(4):437-445
DOI 10.1590/S0103-507X2009000400015
Views0See moreDuring the last few years, technological development and acquired experience advanced and the echocardiogram has become an important and useful tool in intensive care unit environment. Data obtained from semi quantitative Doppler echocardiography (transthoracic and transesophageal) evaluation has contributed to an appropriate patient monitoring and management. Echocardiography as a diagnostic, prognostic and monitoring method for fluid responsiveness assessment has become available nowadays since hand-carried ultrasound devices are portable and cheaper. Adequate training and development of appropriateness criteria for use of echocardiography in intensive care unit may lead to a standard use as a bedside tool.
-
Review Articles
Ultrasound-guided venous cannullation in critical care unit
Rev Bras Ter Intensiva. 2009;21(2):190-196
Abstract
Review ArticlesUltrasound-guided venous cannullation in critical care unit
Rev Bras Ter Intensiva. 2009;21(2):190-196
DOI 10.1590/S0103-507X2009000200012
Views0See moreUse of ultrasound introduced as part of intensive care therapy makes viable bedside invasive procedures and diagnosis. Due to portability, combined with team training, its use guarantees less complications related to insertion, as well as patients’ safety. It also reduces severe conditions related to the catheter, such as pneumothorax among others. Probably, in a near future, as purchase of ultrasound equipment becomes easier and team training more adequate, this tool will become essential in daily clinical practice.
Search
Search in:
KEY WORDS
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