Journal of Clinical Studies & Medical Case Reports
Background: After cardiac arrest (CA), global cerebral ischemia results in brain tissue damage, i... more Background: After cardiac arrest (CA), global cerebral ischemia results in brain tissue damage, inducing post-anoxic movement disorders (PMD) in some survivors. There are no current consensus recommendations to treat refractory PMD. Case Report: A 72-year-old male, smoker, presented with confusion, fever, and dyspnea. Progressive respiratory failure led to hemodynamic compromise and subsequent CA. He was resuscitated for 15 minutes but remained in a vegetative state. Magnetic resonance imaging (MRI) was normal and serial electroencephalograms were uncontributive. Median nerve somatosensory evoked potentials showed normal N20 waves. Six weeks after CA, while in a persistent vegetative state, the patient developed myoclonus and choreoathetosis requiring the resumption of sedatives to avoid ventilator asynchronies. A significant reduction in PMD was obtained with tetrabenazine, allowing withdrawal of the sedatives. Conclusion: In our case, tetrabenazine seemed to provide a better effec...
Background Urine output is widely used as one of the criteria for the diagnosis and staging of ac... more Background Urine output is widely used as one of the criteria for the diagnosis and staging of acute renal failure, but few studies have specifically assessed the role of oliguria as a marker of acute renal failure or outcomes in general intensive care unit (ICU) patients. Using a large multinational database, we therefore evaluated the occurrence of oliguria (defined as a urine output < 0.5 ml/kg/h) in acutely ill patients and its association with the need for renal replacement therapy (RRT) and outcome. Methods International observational study. All adult (> 16 years) patients in the ICON audit who had a urine output measurement on the day of admission were included. To investigate the association between oliguria and mortality, we used a multilevel analysis. Results Of the 8292 patients included, 2050 (24.7%) were oliguric during the first 24 h of admission. Patients with oliguria on admission who had at least one additional 24-h urine output recorded during their ICU stay ...
Journal of Clinical Studies & Medical Case Reports
Background: After cardiac arrest (CA), global cerebral ischemia results in brain tissue damage, i... more Background: After cardiac arrest (CA), global cerebral ischemia results in brain tissue damage, inducing post-anoxic movement disorders (PMD) in some survivors. There are no current consensus recommendations to treat refractory PMD. Case Report: A 72-year-old male, smoker, presented with confusion, fever, and dyspnea. Progressive respiratory failure led to hemodynamic compromise and subsequent CA. He was resuscitated for 15 minutes but remained in a vegetative state. Magnetic resonance imaging (MRI) was normal and serial electroencephalograms were uncontributive. Median nerve somatosensory evoked potentials showed normal N20 waves. Six weeks after CA, while in a persistent vegetative state, the patient developed myoclonus and choreoathetosis requiring the resumption of sedatives to avoid ventilator asynchronies. A significant reduction in PMD was obtained with tetrabenazine, allowing withdrawal of the sedatives. Conclusion: In our case, tetrabenazine seemed to provide a better effec...
Background Urine output is widely used as one of the criteria for the diagnosis and staging of ac... more Background Urine output is widely used as one of the criteria for the diagnosis and staging of acute renal failure, but few studies have specifically assessed the role of oliguria as a marker of acute renal failure or outcomes in general intensive care unit (ICU) patients. Using a large multinational database, we therefore evaluated the occurrence of oliguria (defined as a urine output < 0.5 ml/kg/h) in acutely ill patients and its association with the need for renal replacement therapy (RRT) and outcome. Methods International observational study. All adult (> 16 years) patients in the ICON audit who had a urine output measurement on the day of admission were included. To investigate the association between oliguria and mortality, we used a multilevel analysis. Results Of the 8292 patients included, 2050 (24.7%) were oliguric during the first 24 h of admission. Patients with oliguria on admission who had at least one additional 24-h urine output recorded during their ICU stay ...
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Papers by Rocio Rimachi