Ricardo Viegas Cremonese

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OBJECTIVE To evaluate the predictive value of central venous saturation to detect extubation failure in difficult-to-wean patients. DESIGN Cohort, multicentric, clinical study. SETTING Three medical-surgical intensive care units. PATIENTS All difficult-to-wean patients (defined as failure to tolerate the first 2-hr T-tube trial), mechanically(More)
OBJECTIVE To determine whether the predictive accuracy of clinical judgment alone can be improved by supplementing it with an objective weaning protocol as a decision support tool. METHODS This was a multicenter prospective cohort study carried out at three medical/surgical ICUs. The study involved all consecutive difficult-to-wean ICU patients (failure(More)
BACKGROUND Cancer patients may require intensive care support for postoperative care, complications associated with underlying malignancy, or toxicities related to cancer therapy. The higher mortality rates found in this population than in the population of ICU patients without cancer may be attributable to confounding due to a higher prevalence of multiple(More)
INTRODUCTION Implementation of a weaning protocol is related to better patient prognosis. However, new approaches may take several years to become the standard of care in daily practice. We conducted a prospective cohort study to investigate the effectiveness of a multifaceted strategy to implement a protocol to wean patients from mechanical ventilation(More)
Methods A unicenter prospective cohort study was conducted in a mixed medical-surgical ICU in southern Brazil between April 2008 and May 2013. All consecutive neurocritical care patients admitted during the study period were followed up. Stepwise Cox and logistic regressions were performed to identify factors associated with ICU mortality and poor(More)
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