Gumersindo Gónzalez Díaz

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INTRODUCTION Hypercapnic coma secondary to acute respiratory failure (ARF) is considered to be a contraindication to the use of treatment with noninvasive positive-pressure ventilation (NPPV). However, intubation exposes these patients to the risk of complications such as nosocomial pneumonia, sepsis, and even death. PATIENTS AND METHODS We performed a(More)
OBJECTIVES The objective of this study was to assess the effectiveness of noninvasive motion ventilation (NIMV) in patients with chronic obstructive pulmonary disease (COPD), having infectious exacerbation and severe hypercapnic neurological dysfunction in the emergency room. DESIGN This is a prospective interventional study. SETTING The study setting(More)
Although Intensive Care Medicine is a young specialty compared with other medical disciplines, it current ly plays a key role in the process of care for many pat ients. Experience has shown that professionals with specific t raining in Intensive Care Medicine are needed to provide high quality care to crit ically il l pat ients. In Europe, important steps(More)
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