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It cannot be determined whether the administration of omega 3 fatty acids and antioxidants as part of nutritional intake in patients with ARDS improves long-term survival.
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento farmacológico)
Omega 3 fatty acids (known as DHA and EPA) are found in fish oils and can have an anti-inflammatory effect. The review authors examined the reported results and effects of nutritional changes in studies of adult patients with ARDS. It cannot be determined whether omega 3 fatty acids and antioxidants reduce the length of stay in the ICU and the number of days on a respirator, or whether they improve oxygenation. It is also unclear whether this type of nutrition results in more harm. The results ...
ver más ... 2019Evidence was found that the alpha2 agonist dexmedetomidine may shorten the duration of delirium, although this small effect (compared to placebo)
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento farmacológico)
Thise was observed in pairwise analysis based on a single study and was not observed in the results of the network meta-analysis. - Alpha2 agonists were also better classified for the duration of mechanical respiratory support and the length of the ICU stay, while the CHE inhibitor rivastigmine was associated with a longer ICU stay. - No evidence was found of a difference between placebo and any drug in terms of delusion-free and coma-free days, coma days, use of physical restraint, length of ...
ver más ... 2019The currently available evidence is insufficient to determine the effectiveness of corticosteroids for people with influenza.
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento farmacológico)
There is one RCT of adjunctive corticosteroid therapy for treating people with community‐acquired pneumonia, but the number of people with laboratory‐confirmed influenza in the treatment and placebo arms was too small to draw conclusions regarding the effect of corticosteroids in this group, and we did not include it in our meta‐analyses of observational studies. The certainty of the available evidence from observational studies was very low, with confounding by indication a major ...
ver más ... 2019It is recommended to be based on the stepped care model for the identification and management of depression in children and young people from 5 to 18 years old. It aims to improve the recognition and ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Stepped care The stepped‑care model of depression draws attention to the different needs of children and young people with depression – depending on the characteristics of their depression and their personal and social circumstances – and the responses that are required from services. It provides a framework in which to organise the provision of services that support both healthcare professionals and patients and their parents or carers in identifying and accessing the most effective ...
ver más ... 2019This clinical guideline describes methods of preventing, identifying, diagnosing and treating delirium. In particular, the guideline focuses on preventing delirium in people identified to be at risk, ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Indicators of delirium: at presentation - At presentation, assess people at risk for recent (within hours or days) changes or fluctuations in behaviour. These may be reported by the person at risk, or a carer or relative. Be particularly vigilant for behaviour indicating hypoactive delirium (marked*). These behaviour changes may affect: a) Cognitive function: for example, worsened concentration*, slow responses*, confusion. b) Perception: for example, visual or auditory hallucinations. c) ...
ver más ... 2019