Juan Gabriel Posadas-Calleja

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The ventilatory management of patients with acute respiratory failure is supported by good evidence, aiming to reduce lung injury by pressure limitation and reducing the duration of ventilatory support by regular assessment for discontinuation. Certain patient groups, however, due to their altered physiology or disease-specific complications, may require(More)
The clearance of alveolar fluid depends on the anatomic and physiologic integrity of alveolar epithelial barrier. The vectorial transport of sodium begins at the apical surface in the type II cell through amiloride-sensitive sodium channel. Sodium is pumping by Na, K-ATPasa from the basolateral surface of type II cell to the interstice. Water passes through(More)
CONTEXT Traditional manual/dictated discharge summaries are inaccurate, inconsistent and untimely. Computer-enabled discharge communications may improve information transfer by providing a standardised document that immediately links acute and community healthcare providers. OBJECTIVE To conduct a systematic review evaluating the efficacy of(More)
A case of central pontine myelinolysis following hypoglycemia is reported. The case was a 26- year-old female. Diabetes mellitus was found when she was 8 years old and she has hypertension and renal failure. She suffered a severe hypoglycemia at an unknown time. After the episode she developed a vegetative state. A magnetic resonance scan showed features(More)
Mechanical ventilation plays a central role in the critical care setting; but its use is closely related with some life threatening complications as nosocomial pneumonia and low cardiac performance. One of the most severe complications is called ventilator-associated lung injury (VALI) and it includes: Barotrauma, volutrauma, atelectrauma, biotrauma and(More)
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