Luciano Santana-Cabrera

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Decompressive craniectomy (DC) is a useful technique for the treatment of traumatic brain injuries (TBI) with intracranial hypertension (ICHT) resistant to medical treatment, increasing survival, although its role in the functional prognosis of patients is not defined. It is also a technique that is not without complications, and may increase the patient's(More)
Unilateral dilated pupil in a critical patient under sedation is an important clinical sign that requires prompt evaluation. An exhaustive assessment must be performed, including neurological examination and imaging tests, and pharmacological causes must be ruled out. We describe a case of unilateral fixed dilated pupil secondary to the administration of a(More)
OBJECTIVES To assess what are the reasons for discrepancies between the amount of nutrients delivered, prescribed and theoretical requirements, in an intensive care unit. DESIGN Prospective cohort study over a 5 months period. SETTING Intensive Care Unit of the Insular University Hospital in Gran Canaria. PATIENTS Adult patients who were prescribed(More)
Levosimendan—calcium sensitizer—increases myocardial contractility without increasing oxygen requirements, and also induces peripheral and coronary vasodilation through the opening of ATP-sensitive potassium channels in vascular smooth muscle. Because levosimendan does not increase intracellular calcium levels, it is less likely than traditional inotropes(More)
BACKGROUNDS AND OBJECTIVE The true role of the age in the prognosis of patients admitted in the ICU is not known. This work analyzes the influence of age on the duration of the stay and mortality of patients who remain in an Intensive Care Unit (ICU) for a long period of time. PATIENTS AND METHOD A retrospective, observational study was performed with(More)