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It is not recommended to use physical airway examination tests for the detection of airway difficulties in apparently normal adult patients during anaesthesia or acute conditions.
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (asistencia respiratoria y ventilación mecánica)
The unanticipated difficult airway is a potentially life‐threatening event during anaesthesia or acute conditions. An unsuccessfully managed upper airway is associated with serious morbidity and mortality Several bedside screening tests are used in clinical practice to identify those at high risk of difficult airway. Their accuracy and benefit however, remains unclear. The tests evaluated in this review included the Mallampati test, the modified Mallampati test, the Wilson risk score, the ...
ver más ... 2018Early rehabilitation of critically ill patients has some benefits in functional status, muscle strength, duration of mechanical ventilation, walking capacity at discharge and health-related quality ...
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
Some patients with COVID-19 will become critically ill and need treatment in an intensive care unit. They may develop physical complications, such as muscle weakness, which is commonly referred to as Intensive Care Unit-Acquired Weakness (ICU-AW). Physical rehabilitation and early mobilization might be used to manage this ICU-AW. In this systematic review, the authors searched for randomized trials, crossover trials and case-control studies that evaluated rehabilitation or early mobilization ...
ver más ... 2018Liberal fluid therapy is not recommended in children with sepsis or septic shock as it could increase the mortality rate in hospital and at four-week follow-up.
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento con líquidos y vasopresores)
There are no studies comparing liberal versus conservative fluid therapy in adults. Sepsis and septic shock are life-threatening complications of an infection, which are associated with high morbidity and mortality in children and adults. Liquid treatment is considered a critical intervention during the initial treatment of sepsis. The objective of this review was to evaluate the evidence on whether conservative or liberal fluid treatment can improve clinical outcomes in patients with sepsis ...
ver más ... 2018There is uncertainty of the overall effect of rehabilitation of critically ill adults, in particular its optimum dose, intensity, frequency and duration.
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
Some patients with COVID-19 will become critically ill and need treatment in an intensive care unit. They may develop physical complications, such as muscle weakness, which is commonly referred to as Intensive Care Unit-Acquired Weakness (ICU-AW). Physical rehabilitation and early mobilization might be used to manage this ICU-AW. In this systematic review, the authors searched for randomized trials, crossover trials and case-control studies that evaluated rehabilitation or early mobilization ...
ver más ... 2018In general, bedside airway tests have relatively low sensitivity and limited accuracy, so their effectiveness is uncertain
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
In this Cochrane systematic review, the authors searched for studies of the accuracy of airway assessment tests in adults. They did not restrict their searches by date, type or language of publication and did them in December 2016. They included 127 cohort type studies and 6 case-control studies (total: 844,206 participants). These evaluated seven different pre-specified index tests, as well as 69 that had not been pre-specified, and 32 combinations of test. They also identified 27 studies that ...
ver más ... 2018