[High nutritional risk by three variants of NUTRIC score in critically ventilated patients].

Introduction: variants of the NUTRIC score with or without inflammatory biomarkers, modified without interleukin 6 (IL-6) (NUTRICm), with C-reactive protein (CRP) instead of IL-6, dichotomous (NUTRICpcr1) or in tertiles (NUTRICpcr2), were proposed to assess nutritional risk (NR) in critical patients. However, the assessment of the high NR might not be uniform between these scores. Objectives: to compare the assessment of the high NR by NUTRICm and the two variants of the NUTRICpcr.

[COVID-19 and herpesvirus encephalitis].

Introduction: The SARS-CoV-2 virus, which causes COVID-19, could give rise to damage the nervous system. Many studies have been conducted on this topic, but few have focused specifically on encephalitis. The effect of SARS-CoV-2 on the clinical expression of other neurotropic viruses, such as Herpesviridae, is unknown.

Value of the urea/creatinine index in isolated urine to estimate severe protein hypercatabolism in ventilated patients.

Objective: To study the ability of the urea/creatinine index to identify severe protein catabolism from the isolated urine of critically ventilated patients.

Methods: This was a prospective, observational study. It included 52 patients without kidney failure.

Bacillus cereus bacteremia in a patient with an abdominal stab wound.

Bacillus cereus is a gram positive microorganism commonly involved in gastrointestinal infection but capable of causing severe infections and bacteremia. We describe here a case of bacteremia caused by B. cereus in a previously healthy young woman admitted to the intensive care unit following emergency surgery due to a penetrating abdominal stab wound and subsequent hepatic lesion.

[Relationship between the NUTRIC nutritional risk scale and protein hypercatabolism in critically ventilated patients].

Introduction: the Nutrition Risk in Critically Ill (NUTRIC) score does not include a variable that objectively estimates protein hypercatabolism (PHC), one of the main metabolic changes experienced by critical patients.

Objective: to evaluate the correlation of the NUTRIC score with PHC in critically ventilated patients.

Materials And Methods: prospective, observational study.

Diagnostic value of procalcitonin in ventilator-associated pneumonia.

Background And Objective: Procalcitonin (PCT) can help the early diagnosis of bacterial infections and estimate the response obtained. The objective is to study the value of PCT for the diagnosis of ventilator-associated pneumonia (VAP).

Patients And Method: Prospective and observational study, carried out for 18 months, in a polyvalent Intensive Care Unit (ICU).

[APACHE II and SAPS II as predictors of brain death development in neurocritical care patients].

Aim: To assess the prognostic value of APACHE II and SAPS II scales to predict brain death evolution of neurocritical care patients.

Patients And Methods: Retrospective observational study performed in a tertiary hospital. Include 508 patients over 16 years old, hospitalized in ICU for at least 24 hours.

[Study of two variants of nutritional risk score “NUTRIC” in ventilated critical patients].

Introduction: The NUTRIC score was proposed to assess the risk of adverse events potentially modifiable through nutritional intervention in critically ill patients. This score uses interleukin-6 (IL-6), a biomarker not always available.

Objective: To study two variants of the score in patients with assisted mechanical ventilation (AMV): NUTRIC-1 without IL-6 and NUTRIC-2 with CRP as biomarker.

Exhaled breath condensate pH in mechanically ventilated patients.

Objectives: In this prospective clinical trial we aimed to answer if spontaneous exhaled breath condensate (EBC) in the trap of the expiratory arm of the ventilator could replace EBC collected by coolant chamber standardized with Argon as an inert gas. Second, if EBC pH could predict ventilator associated pneumonia (VAP) and mortality.

Patients: We included 34 critically ill patients (males = 26), aged = 54.

[Usefulness of procalcitonin upon admission to intensive care in the diagnosis and prognosis of sepsis].

Objective: To assess the usefulness of procalcitonin (PCT) upon admission to the Intensive Care Unit (ICU) in the diagnosis and prognosis of sepsis

Design: A 12-month prospective observational cohort study was carried out

Setting: An 11-bed polyvalent ICU Belonging to a University hospital

Patients: Fifty patients with systemic inflammatory response syndrome (SIRS) were included. The mean age of the patients was 51.66 years, and 68% of them were males

Variables Of Interest: Upon admission, the concentration of PCT and C-reactive protein (CRP) was assessed.

[C-reactive protein as a marker of mortality in intensive care unit].

Objective: To determine C-reactive protein (CRP) prognostic value and in patients admitted to the intensive care unit (ICU).

Design: Retrospective cohort study.

Patients: A total of 879 patients admitted to the ICU for any cause over a 2-year period and who were hospitalized at least for 24 hours were studied.

[Acridine orange staining method in the diagnosis of catheter-related bloodstream infections].

Objective: To study if the utility of acridine orange (AO) staining method on blood extracted through intravenous device (ID) is a reliable method to diagnose catheter-related bloodstream infection (CRB).

Design: Prospective and observational study.

Patients: Patients with central ID and clinical data consistent with CRB who gave their consent to participate.

[Preoperative diclofenac does not reduce pain of laparoscopic cholecystectomy].

Objective: To study the safety and efficacy of diclofenac for preemptive analgesia in the first 24 hours after elective laparoscopic cholecystectomy (ELC).

Patients And Methods: This prospective, randomized, placebo-controlled, double-blind study enrolled 90 patients of both sexes undergoing ECL. The patients were 17 to 76 years old and weighed between 45 and 100 Kg (ASA I and II).

[Oral levofloxacin versus intravenous ceftriaxone and amoxicillin/clavulanic acid in the treatment of community-acquired pneumonia that requires hospitalization].

Background: Levofloxacin, an antibiotic from the quinolone family, which is used with success in the ambulatory treatment of patients with community-acquired pneumonia, has been recently introduced to the pharmaceutical market. The purpose of this study was to compare the effectiveness and tolerance of oral (v.o.

[Effect of topical and oral diclofenac on superficial thrombophlebitis caused by intravenous infusion].

Background: Until present time, suggested treatments for superficial thrombophlebitis induced by intravenous infusion (TFSI), are of uncertain effectiveness and most of them or empirical and not fully researched. The aim of this report is to study the effectiveness and safety of the topical and oral administration of diclofenac in the treatment of TFSI.

Patients And Methods: In this prospective study 120 patients both female and male were included.

[Intestinal infarct caused by giant cell arteritis].

Arteritis of giant cells compromising extracranial and particularly intestinal tissues is not frequent. Therefore, it is common practice to make the diagnosis retrospectively after analyzing the surgical sample. A case is presented of an 83 year old woman admitted to the Clinical Department with a clinical course of 3 days of evolution characterized by fever and pain in the left hemiabdomen.

[Evaluation of two methods to avoid the nephropathy associated with radiologic contrast].

Unlabelled: Our objective was to establish the efficacy of two methods to avoid contrast associated nephropathy (C.A.N).

[Nalbuphine. Comparison of 2 therapeutic regimens for the control of postoperative pain].

The therapeutical efficiency and the undesirable effects of Nalbuphine administered to control postoperative pain were compared. Two groups of patients were studied: one group received 10 mg endovenously every 4 h during the first 12 h of the postoperative phase and every 6 h during the following 12 h while the other group received 20 mg with the same intervals. The following variants were evaluated: pain, systolic arterial tension, cardiac frequency, respiratory frequency and undesirable effects.