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The groups of patients for whom prone positioning is not beneficial is uncertain.
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
Some patients with COVID-19 will become critically ill and develop acute respiratory distress syndrome (ARDS). They may require mechanical ventilation (MV) in an intensive care unit (ICU). They might be placed in the prone position for this, rather than in a supine or recumbent position. In this Cochrane systematic review, the authors searched for randomized trials of the effects of using a prone position rather than a supine or semi-recumbent position during conventional MV for adults with ...
ver más ... 2015It is uncertain if there is a difference between pressure-controlled ventilation and volume-controlled ventilation for adults with acute respiratory failure
Evidencias COVID-19
Coronavirus (COVID-19): Evidence Collection. Evidence Aid
Some patients with COVID-19 will develop respiratory failure and need help with their breathing. This might be provided by mechanical ventilation (MV) in an intensive care unit (ICU), but this can cause complications. Techniques used to prevent these complications are different ways for controlling the pressure or volume of air delivered by MV. In this Cochrane systematic review, the authors searched for randomized and quasi-randomized trials which compared pressure-controlled ventilation ...
ver más ... 2015There is uncertainty about the effectiveness of physical rehabilitation for patients with critical illness myopathy or polyneuropathy.
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 (ICU). Critical illness myopathy (CIM) and polyneuropathy (CIP) weakness are common in ICU patients and physical rehabilitation may be used to try to improve their activities of daily living when they leave the ICU. In this Cochrane systematic review, the authors searched for randomized and quasi-randomized trials of the effects of physical rehabilitation for people with CIP/CIM on activities of ...
ver más ... 2015No evidence was found of the efficacy of using extracorporeal respiratory membrane oxygenation to improve survival in the adult population compared to conventional cardiac and respiratory support
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento de la hipoxemia)
Among critically ill adult patients, death rates are as high as 50% for those with acute heart failure and 30% to 40% for those diagnosed with severe respiratory failure. Severe hypoxemia and / or hypercapnia as a result of acute respiratory distress syndrome (ARDS), primary graft dysfunction after lung transplantation, and direct trauma are common conditions treated with support of respiratory extracorporeal membrane oxygenation (OMEC). The use of OMEC in adults has been controversial since it ...
ver más ... 2015The use of short-course antibiotic therapy is recommended in severe adult patients with hospital-acquired pneumonia.
Evidencias COVID-19
Cochrane - Colección Especial - cuidados críticos (tratamiento farmacológico)
Overall, for patients with ventilator-associated pneumonia (NAR), a short course of seven or eight days of antibiotics compared to a prolonged course of 10 to 15 days increased days without antibiotics within 28 days (2 studies; N = 431; mean difference [DM] 4.02 days; 95% confidence interval [CI]: 2.26 to 5.78) and reduced recurrence of NAR due to multidrug resistant microorganisms (1 study; N = 110 odds ratio [OR] 0.44, 95% CI 0.21 to 0.95), without negatively affecting mortality and other ...
ver más ... 2015