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  1. Article ; Online: Proper reading of pulmonary artery vascular pressure tracings.

    Magder, S / Verscheure, Sara

    American journal of respiratory and critical care medicine

    2014  Volume 190, Issue 10, Page(s) 1196–1198

    MeSH term(s) Heart Failure/diagnosis ; Humans ; Hypertension, Pulmonary/diagnosis ; Lung Volume Measurements/methods ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Wedge Pressure/physiology
    Language English
    Publishing date 2014-11-15
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 1180953-x
    ISSN 1535-4970 ; 0003-0805 ; 1073-449X
    ISSN (online) 1535-4970
    ISSN 0003-0805 ; 1073-449X
    DOI 10.1164/rccm.201408-1526LE
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uh II Zs.80: Show issues Location:
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  2. Article ; Online: Active Expiration and the Measurement of Central Venous Pressure.

    Magder, Sheldon / Serri, Karim / Verscheure, Sara / Chauvin, Renée / Goldberg, Peter

    Journal of intensive care medicine

    2016  Volume 33, Issue 7, Page(s) 430–435

    Abstract: Purpose: To obtain a point prevalence estimate of alterations in central venous pressure (CVP) produced by active expiration in a consecutive series of intensive care patients.: Methods: We evaluated CVP tracings taken by the nurses at their morning ... ...

    Abstract Purpose: To obtain a point prevalence estimate of alterations in central venous pressure (CVP) produced by active expiration in a consecutive series of intensive care patients.
    Methods: We evaluated CVP tracings taken by the nurses at their morning shift change in a consecutive series of 60 cardiac surgery and 59 noncardiac surgery patients. We also assessed change in values due to the change in transducer level. Three physicians and a nurse instructor independently reviewed the tracings and determined whether there was evidence of forced expiration and whether it was type A, defined by decreasing CVP during expiration, or type B, defined by increasing CVP during expiration.
    Results: Agreement for CVP value was 96% between a physician and a bedside nurse. Twenty-nine percent of participants had active expiration, evenly distributed between A and B types. Active expiration was not related to the type of surgery, use of bronchodilators, and the presence of chronic obstructive lung disease or abdominal distention. Active expiration was more common in nonventilated patients and patients not receiving vasopressor drugs, suggesting they were more awake.
    Conclusion: Active expiration is common in critically ill patients. Failure to recognize it can result in important errors in the estimation of CVP and other hemodynamic measurements.
    MeSH term(s) Aged ; Central Venous Pressure/physiology ; Critical Care ; Critical Illness/nursing ; Exhalation/physiology ; Female ; Humans ; Lung/physiopathology ; Male ; Middle Aged ; Monitoring, Physiologic ; Practice Guidelines as Topic ; Pulmonary Artery/physiopathology ; Respiration, Artificial
    Language English
    Publishing date 2016-11-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632828-3
    ISSN 1525-1489 ; 0885-0666
    ISSN (online) 1525-1489
    ISSN 0885-0666
    DOI 10.1177/0885066616678578
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2158: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Volumetric capnography: lessons from the past and current clinical applications.

    Verscheure, Sara / Massion, Paul B / Verschuren, Franck / Damas, Pierre / Magder, Sheldon

    Critical care (London, England)

    2016  Volume 20, Issue 1, Page(s) 184

    Abstract: Dead space is an important component of ventilation-perfusion abnormalities. Measurement of dead space has diagnostic, prognostic and therapeutic applications. In the intensive care unit (ICU) dead space measurement can be used to guide therapy for ... ...

    Abstract Dead space is an important component of ventilation-perfusion abnormalities. Measurement of dead space has diagnostic, prognostic and therapeutic applications. In the intensive care unit (ICU) dead space measurement can be used to guide therapy for patients with acute respiratory distress syndrome (ARDS); in the emergency department it can guide thrombolytic therapy for pulmonary embolism; in peri-operative patients it can indicate the success of recruitment maneuvers. A newly available technique called volumetric capnography (Vcap) allows measurement of physiological and alveolar dead space on a regular basis at the bedside. We discuss the components of dead space, explain important differences between the Bohr and Enghoff approaches, discuss the clinical significance of arterial to end-tidal CO2 gradient and finally summarize potential clinical indications for Vcap measurements in the emergency room, operating room and ICU.
    MeSH term(s) Capnography/methods ; Capnography/standards ; Capnography/trends ; Humans ; Intensive Care Units/organization & administration ; Pulmonary Embolism/diagnosis ; Respiration, Artificial/methods ; Respiration, Artificial/standards ; Respiratory Dead Space/physiology ; Respiratory Distress Syndrome, Adult/diagnosis ; Respiratory Distress Syndrome, Adult/mortality ; Respiratory Distress Syndrome, Adult/therapy ; Thrombolytic Therapy ; Ventilation-Perfusion Ratio/physiology ; Ventilator Weaning/trends
    Language English
    Publishing date 2016--23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2051256-9
    ISSN 1466-609X ; 1466-609X
    ISSN (online) 1466-609X
    ISSN 1466-609X
    DOI 10.1186/s13054-016-1377-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Recommendations guide for the management of pediatric patients with severe SARS-COV-2/ Guía de recomendaciones para el manejo de pacientes pediátricos con enfermedad severa por SARS-COV-2

    Scheu Goncalves, Christian / Diettes González, Adriana / Wegner Araya, Adriana / Bravo Figueroa, Pablo / Drago Thibaut, Michelle / Nalegach Romero, María Elisa / Castillo Moya, Andrés / Verscheure Peralta, Felipe / Acuña Aguirre, Carlos / Díaz Rubio, Franco / Ortiz, Paula / Cordero, Jaime / Dalmazzo Álvarez, Roberto / Valverde Goñi, Cristian / Yunge Bertini, Mauricio

    Rev. Chil. Pediatr.

    Abstract: The appearance of SARS-CoV-2 from December 2019 and its rapid expansion in the world reaching ...

    Abstract The appearance of SARS-CoV-2 from December 2019 and its rapid expansion in the world reaching Pandemic status, has become a great challenge for health teams. Although the evidence of infection in children is still scarce compared to that of adults, it has become evident that at the pediatric po-pulation level, most of the time the infection is asymptomatic or mild, but not all the patients have this evolution, which has motivated the discussion in the Pediatric Critical Care teams regarding how to face these patients with a more serious disease. This consensus is the result of the work of the Pediatric Intensive Care Branch of the Chilean Society of Pediatrics, collecting the evidence available at the time of the review plus the opinion of national experts in Pediatric Intensive Care. The purpose of these recommendations is to offer teams that care for critically ill pediatric patients a guide for the diagnosis and treatment of patients who evolve with severe COVID 19, which can be applied in all Pediatric UPCs in our country, with special emphasis in those measures that have shown greater effectiveness at the level of diagnostic studies, treatment and care of health personnel.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #910821
    Database COVID19

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