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Antecedente de trastorno mental en la UCI e interconsulta a psiquiatría

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
A. Fernández Trujillo, C. López Ortiz, O. Cuñat Rodriguez, B. del Hoyo Buxo, F.J. Parrilla, A. Serrano-Blanco, J.J. Berrade Zubiri
Med Intensiva. 2022;46:559-67

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The epidemiology and outcomes of adult rapid response team patients in a tertiary care hospital in India

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
V. Arora, D. Juneja, O. Singh, A. Singh, D. Tiwari, A. Gupta
Med Intensiva. 2022;46:577-80

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Analytic review and meta-analysis of awake prone positioning in patients with Covid-19

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
R. Santa Cruz, C. Irrazábal, L. Gonzalez, A. Geloso, C. Nuñez, R. Cornejo
Med Intensiva. 2022;46:580-2

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Tribulations of conducting critically ill cancer patients research: Lessons from a failed septic shock trial and Murphy's law

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
M.P. Reyes, J.A. Cuenca, J. Heatter, P.R. Martin, D.H.d. Villalobos, J.L. Nates
Med Intensiva. 2022;46:582-5

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Secuelas en niños con enfermedad grave vinculada a SARS-CoV-2 que precisaron Cuidados Intensivos: descripción y comparación con otros motivos de ingreso

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
I. Leoz Gordillo, J. García Remiro, C. Barbero Peco, A. Alonso Pérez, A. García Salido, A. González Brabin, M. Cabrero Hernández, M. Nieto Moro
Med Intensiva. 2022;46:585-7

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Efectos de la vacunación contra la COVID-19 en la evolución de los pacientes críticos

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
G. Morales Varas, M. Sánchez Casado, R. Padilla Peinado, F. Morán Gallego, M. Buj Vicente, A. Rodríguez Villamizar
Med Intensiva. 2022;46:588-90

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The midline venous catheter in critically ill COVID-19 patients

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
P. Blanco, L. Figueroa, M.F. Menéndez, B. Berrueta
Med Intensiva. 2022;46:591-3

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Ample evidence suggests SARS-CoV-2 triggers polyradiculitis

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
J. Finsterer, F.A. Scorza
Med Intensiva. 2022;46:594-5

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Reply to “Ample evidence suggests SARS-CoV-2 triggers polyradiculitis”

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
A. Esteban Molina, M. Mata Martínez, P. Sánchez Chueca
Med Intensiva. 2022;46:595

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Laceración traumática de aorta torácica por herida de arma blanca

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
M. Barber Ansón, A. Orera Pérez, P. López Sala
Med Intensiva. 2022;46:596-7

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Absceso epidural por Nocardia abscessus

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
M.V. Martínez de Pinillos Sánchez, T. Amat Serna, M.M. Gordillo Resina
Med Intensiva. 2022;46:598-600

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Diagnóstico de infarto pulmonar por ecografía torácica en paciente con tromboembolismo pulmonar masivo

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
P.E. Edroso Jarne, A. Matute Guerrero, R. Vicho Pereira
Med Intensiva. 2022;46:601-2

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Early brain magnetic resonance imaging findings after an episode of out-of-hospital cardiac arrest

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
A. Jiménez-Ruiz, M. García-Grimshaw, I. Reyes-Melo
Med Intensiva. 2022;46:603-4

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Jordi Mancebo Cortés MD, PhD

Último número Revista Medicina Intensiva - Mar, 04/10/2022 - 10:45
L. Blanch, F. Gordo
Med Intensiva. 2022;46:605-6

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Judge rebukes expert witness in injured baby case for series of failings

British Medical Journal - Lun, 03/10/2022 - 17:26
A leading neuroradiologist who was an expert witness in an injured baby case has been strongly criticised by the judge in the case, who said that Robin Sellar “had not read the relevant documents, not fully read the literature . . . and had misread and misinterpreted the relevant research.”1Sellar, a professor at Edinburgh University, was an expert witness in a case brought by Hertfordshire County Council against a mother and father over their 7 week old baby’s serious brain injuries. The council brought care proceedings against the parents, based on a report it commissioned from a consultant neuroradiologist named only as Dr N, who said he could not “recall ever having seen such an injury as a result of an episode of domestic impact trauma.”However, Dr N’s report was based on incomplete information early in the case, and four consultant paediatric neuroradiologists at Great Ormond Street Hospital later produced...

Labour pains left behind by a united and confident party conference

British Medical Journal - Lun, 03/10/2022 - 17:06
Labour Party conferences have been factional and unsettled affairs for some years. Health campaigning in the Corbyn era was largely against fictional NHS privatisation. And fights then between the dominant hard left and the centrists made the annual conference atmospheres tense, if not actually unpleasant.This was not so in Liverpool last week. For the first time in many years Labour actually seemed, sounded, and acted like a prospective party of government. This was all helped by the government’s self-immolation over the mini-budget, which hit the bond and sterling markets hard.AnnouncementsLabour’s conference saw big pledges on the NHS.1 Shadow chancellor Rachel Reeves promised that reversing the cut to the 45 p top rate of tax will fund a variety of increases in NHS workforce training. The money would fund a doubling of district nurses qualifying every year, 5000 new health visitors, and additional 10 000 nurse and midwife placements each year.More...

Why it is important to discuss what antidepressants do

British Medical Journal - Lun, 03/10/2022 - 16:51
Kendrick and Collinson suggest that we overstepped the data in discussion of the relevance of our serotonin paper to antidepressant use.12 The serotonin hypothesis was propagated by drug companies and academics as a rationale for why people should take antidepressants. It is still widely disseminated,3 but the evidence is unconvincing. No other biological hypotheses for depression are proved or accepted.4If there is no conclusive evidence that antidepressants work by reversing an underlying abnormality, we must consider other plausible explanations for how they might work. We know antidepressants, like other psychoactive drugs, produce subtle mental changes,5 including emotional numbing.6 These are likely to affect depressive symptoms and might, along with physical effects, produce amplified placebo effects (which are not refuted by the paper cited, as there is good evidence of unblinding7 and expectation effects in antidepressant studies).8 We suspect that few patients are currently given this information.The antidepressant trials mentioned routinely...

Sixty seconds on . . . the “twindemic”

British Medical Journal - Lun, 03/10/2022 - 10:36
An epidemic of twins?Although the rate of multiple births in the UK has been rising over the past 20 years, it’s starting to slow down, in line with singleton births.1 But this isn’t about twins. We’re talking about the dual epidemics of flu and covid-19 which will be in circulation this winter.Oh, brother!Indeed. Public health officials are certainly getting worried. Last week the UK Health Security Agency urged parents to vaccinate their 2 and 3 year old children against flu this year, because of fears over a lack of natural immunity caused by reduced exposure during the pandemic.2 All those eligible for a flu vaccine should also book their jab, it said.The deadly twins?Possibly. An analysis by health analytics company Airfinity has estimated that hospitals in England could see more than 7500 people admitted to hospital every week in January 2023 with covid-19 or flu (under different scenarios, such as...
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