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Evidencias COVID-19

Cochrane - Colección Especial - cuidados críticos (desconexión de la ventilación

The use of non-invasive ventilation (mask ventilation) is encouraging as a method that makes it easier to separate adults from conventional ventilators. Interest has emerged in the use of NPPV to facilitate early endotracheal extubation and decrease complications associated with prolonged intubation. Patients with acute respiratory failure often require endotracheal intubation and mechanical ventilation (invasive positive pressure ventilation) to sustain life. Complications of mechanical ...

Evidencias COVID-19

Cochrane - Colección Especial - cuidados críticos (asistencia respiratoria y ventilación mecánica)

In summary, the present systematic review provides evidence that the use of high levels of PEEP does not reduce mortality before hospital discharge, although the forest plot indicated a trend towards a mortality benefit in the higher‐PEEP group. Moreover, in practice, we cannot recommend the routine use of high levels of PEEP in patients with ALI and ARDS because no agreement has been reached among the various studies reported here as to which group of patients should receive that specific ...

Evidencias COVID-19

Cochrane - Colección Especial - cuidados críticos (tratamiento farmacológico)

The other alternative drugs for children hospitalised with severe and very severe community-acquired pneumonia are co‐amoxyclavulanic acid and cefuroxime. Until more studies are available, these can be used as second‐line therapies. For treatment of patients with community-acquired pneumonia in ambulatory settings, amoxycillin is an alternative to co‐trimoxazole. With limited data on other antibiotics, co‐amoxyclavulanic acid and cefpodoxime may be alternative second‐line drugs. ...

NICE

National Institute for Health and Clinical Excellence (NICE)

The EXOGEN ultrasound bone healing system to treat long bone fractures with non-union is associated with an estimated cost saving of £2,407 per patient compared with current management, through avoiding surgery. [2019] There is some radiological evidence of improved healing when the EXOGEN ultrasound bone healing system is used for long bone fractures with delayed healing (no radiological evidence of healing after approximately 3 months). There are substantial uncertainties about the rate at ...

Too Much Medicine - theBMJ [Demasiada Medicina-TheBMJ]

Wiener R. BMJ 2013;347:f5131

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