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)
OBJECTIVE The aim of this study was to evaluate the safety and outcomes of decompressive craniectomy (DC) after intravenous tissue plasminogen activator (IV tPA) administration for malignant cerebral infarction. METHODS We retrospectively reviewed patients who underwent DC for malignant cerebral infarction. We compared fourteen patients who underwent DC… (More)
OBJECTIVE To analyze the epidemiological and prognostic differences between critical surgical patients admitted to intensive care unit (ICU) according to length of stay in the ICU. MATERIALS AND METHODS Retrospective observational study on patients with surgical pathology admitted to ICU of a tertiary hospital, during 7 years, with a stay ≥ 5 days. The… (More)
We report the case of a woman, with severe respiratory impairment as a debut of acute myeloid leukemia who suspecting a pulmonary leukostasis, leukoapheresis was applied.
OBJECTIVE To compare outcomes of critically ill patients transferred from another island compared to those patients with direct admission from Emergency Department to intensive care unit (ICU). PATIENTS AND METHODS Retrospective study of prospectively collected data during 8 years. The population studied was all critical adult patients transferred from… (More)
EDITORIAL Intensive care medicine is a complex process with important repercussions for patients' families. A systematic approach that incorporates family care is one of the pillars of humanized care. Beyond human aspects, this philosophy is associated with pragmatic outcomes and better communication and family satisfaction with care. Some authors have… (More)