Publications by authors named "H Robayo-Amortegui"
Article Synopsis
- Venereal syphilis, caused by the bacteria Treponema pallidum, can escalate to serious complications like tertiary syphilis, which affects the heart decades after the initial infection.
- A case study highlights a 46-year-old woman who developed life-threatening cardiac issues, including an ascending aortic aneurysm and severe aortic valve damage, due to untreated late-stage syphilis.
- She underwent surgery to repair her aorta and replace the damaged valve, receiving antibiotics and intensive care; her recovery was satisfactory with no complications reported three months later.
Acute heart failure, advanced cardiac failure, cardiac surgery, and sepsis are conditions that require simultaneous treatment to stimulate contractility and/or reduce systemic vascular resistance, with levosimendan and milrinone being treatment options. This research's aim is to review the current indications and evidence for these medications across various scenarios. Evidence suggests that levosimendan is a non-inferior alternative to dobutamine and superior to milrinone in treating low cardiac output syndrome following cardiac surgery.
View Article and Find Full Text PDFObjective: To assess the predictive capacity of the Rapid Shallow Breathing Index (RSBI) for success in spontaneous breathing trials (SBT) and extubation in critically ill patients. We evaluated the association between RSBI, duration of mechanical ventilation, and ventilator-free time at 28 days.
Design: Prospective multicenter observational study.
Background: The SARS-CoV-2 pandemic resulted in shortages of supplies, which limited the use of extracorporeal membrane oxygenation (ECMO) support. As a contingency strategy, polypropylene (PP) oxygenation membranes were used. This study describes the clinical outcomes in patients on ECMO with PP compared to poly-methylpentene (PMP) oxygenation membranes.
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