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"documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Intensiva. 2000;24:257-63" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2068 "formatos" => array:3 [ "EPUB" => 162 "HTML" => 1067 "PDF" => 839 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "La patología cerebrovascular aguda en las Áreas de Cuidados Críticos y Urgencias de Andalucía. Análisis clínicos-epidemiológicos y de práctica médica. Proyecto EVASCAN" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "257" "paginaFinal" => "263" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Acute Cerebrovascular Disease in Andalousian Critical Care and Emergency Areas. An Analysis on Clinical, Epidemiological and Medical Practice Aspects. Evascan Project" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:2 [ 0 => array:2 [ "autoresLista" => "P. Navarrete Navarro, A. Garcíw Alcántara, F. Murillo Cabezas, G. Vázquez Mata, S. Fernández Fern´ndez, J.M. Jiménez Moragas, I. Galindo Ángel, R. Rivera Fernández, J.M. Domínguez Roldán, E. Pino de Moya, B. Nacle López, M.<span class="elsevierStyleSup">a</span> A. Muñoz Sánchez" "autores" => array:12 [ 0 => array:2 [ "nombre" => "P. Navarrete" "apellidos" => "Navarro" ] 1 => array:2 [ "nombre" => "A. Garcíw" "apellidos" => "Alcántara" ] 2 => array:2 [ "nombre" => "F. Murillo" "apellidos" => "Cabezas" ] 3 => array:2 [ "nombre" => "G. Vázquez" "apellidos" => "Mata" ] 4 => array:2 [ "nombre" => "S. Fernández" "apellidos" => "Fern´ndez" ] 5 => array:2 [ "nombre" => "J.M. Jiménez" "apellidos" => "Moragas" ] 6 => array:2 [ "nombre" => "I. Galindo" "apellidos" => "Ángel" ] 7 => array:2 [ "nombre" => "R. Rivera" "apellidos" => "Fernández" ] 8 => array:2 [ "nombre" => "J.M. Domínguez" "apellidos" => "Roldán" ] 9 => array:2 [ "nombre" => "E. Pino de" "apellidos" => "Moya" ] 10 => array:2 [ "nombre" => "B. Nacle" "apellidos" => "López" ] 11 => array:2 [ "nombre" => "M.<span class="elsevierStyleSup">a</span> A. Muñoz" "apellidos" => "Sánchez" ] ] ] 1 => array:2 [ "autoresLista" => "Grupo Evascan" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Grupo" "apellidos" => "Evascan" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100795994?idApp=WMIE" "url" => "/02105691/0000002400000006/v1_201304241157/S0210569100795994/v1_201304241157/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Uso de rocuronio en la secuencia rápida de inducción-intubación de los pacientes críticos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "253" "paginaFinal" => "256" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Chamorro, J.L. Martínez-Melgar, M.A. Romera, R. Ruiz de Luna, N. De La Calle, J.M. Borrallo" "autores" => array:6 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Chamorro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Martínez-Melgar" ] 2 => array:2 [ "nombre" => "M.A." "apellidos" => "Romera" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Ruiz de Luna" ] 4 => array:2 [ "nombre" => "N." "apellidos" => "De La Calle" ] 5 => array:2 [ "nombre" => "J.M." "apellidos" => "Borrallo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Medicina Intensiva. Clínica Puerta de Hierro. Madrid." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. C. Chamorro. Servicio de Medicina Intensiva. Clínica Puerta de Hierro. C/ S. Martín de Porres, 4. 28035 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Use of Rocuronium in the Rapid Sequence of Induction-Intubation Among Critically Ill Patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "1999-12-20" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec82345" "palabras" => array:5 [ 0 => "rocuronio" 1 => "succinil-colina" 2 => "intubación traqueal" 3 => "paciente crítico" 4 => "bloqueo neuromuscular" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec82346" "palabras" => array:5 [ 0 => "Rocuronium" 1 => "succinylcholine" 2 => "tracheal intubation" 3 => "critically ill patient" 4 => "neuromuscular blockade" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la eficacia y seguridad del rocuronio, el bloqueador neuromuscular no despolarizante comercializado de mayor rapidez de acción, en la secuencia rápida de inducción-intubación de pacientes críticos.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo sobre pacientes críticos ingresados en la Unidad de Cuidados Intensivos con indicación de intubación urgente. Tras la inducción anestésica y la administración de 50 mg de rocuronio, se valoró a los 60 segundos las condiciones de intubación orotraqueal mediante la escala de Krieg. Se analizaron las alteraciones hemodinámicas producidas por la administración del rocuronio.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron 26 pacientes, con necesidad de intubación urgente por insuficiencia respiratoria aguda (13), disminución del nivel de conciencia (12) y shock hemorrágico (1). A los 60 segundos de la administración del rocuronio las condiciones de intubación fueron consideradas excelentes en 22 casos, buenas en 3, y no posible en 1 caso. No hubo cambios hemodinámicos significativos salvo el ascenso de la frecuencia cardíaca en el primer minuto de 103 (18) lpm a 113 (14) (p < 0,05).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El rocuronio es un fármaco eficaz y seguro para la intubación urgente de los pacientes críticos.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the efficacy and safety of rocuronium, the fastest nondepolarizing commercially available neuromuscular blocking agent for the rapid sequence of induction-intubation among critically ill patients.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Prospective trial on critical patients admitted to the Intensive Care Unit necessitating emergency intubation. After induction of anaesthesia and the administration of 50 mg rocuronium the orotracheal intubation conditions were evaluated at 60 seconds by means of the Krieg scale. The hemodynamic changes originated by the administration of rocuronium were analyzed.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Twenty-six patients requiring emergency intubation because of acute respiratory failure (13), decrease in the consciousness level (12) and hemorrhagic shock (1) were studied. At 60 seconds after the administration of rocuronium, the intubation conditions were considered excellent in 22 cases, good in 3, and not possible in 1 case. There were no significant hemodynamic changes with the exception of an increase in the heart rate in the first minute of 103 bpm to 113 (14) (p < 0.05).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Rocuronium is an efficacious and safe drug for the emergency intubation of critically ill patients.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Uso racional de los bloqueantes neuromusculares en la Unidad de Cuidados Intensivos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.A. Estecha" 1 => "C.A. De La Cruz" 2 => "C. 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año/Mes | Html | Total | |
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2024 Noviembre | 129 | 23 | 152 |
2024 Octubre | 312 | 112 | 424 |
2024 Septiembre | 136 | 79 | 215 |
2024 Agosto | 128 | 114 | 242 |
2024 Julio | 136 | 95 | 231 |
2024 Junio | 126 | 93 | 219 |
2024 Mayo | 129 | 107 | 236 |
2024 Abril | 132 | 95 | 227 |
2024 Marzo | 105 | 124 | 229 |
2024 Febrero | 81 | 91 | 172 |
2024 Enero | 107 | 82 | 189 |
2023 Diciembre | 100 | 77 | 177 |
2023 Noviembre | 73 | 63 | 136 |
2023 Octubre | 119 | 48 | 167 |
2023 Septiembre | 115 | 71 | 186 |
2023 Agosto | 97 | 32 | 129 |
2023 Julio | 144 | 70 | 214 |
2023 Junio | 131 | 49 | 180 |
2023 Mayo | 51 | 33 | 84 |
2023 Abril | 96 | 50 | 146 |
2023 Marzo | 105 | 85 | 190 |
2023 Febrero | 118 | 86 | 204 |
2023 Enero | 104 | 61 | 165 |
2022 Diciembre | 76 | 57 | 133 |
2022 Noviembre | 113 | 57 | 170 |
2022 Octubre | 114 | 44 | 158 |
2022 Septiembre | 63 | 50 | 113 |
2022 Agosto | 119 | 68 | 187 |
2022 Julio | 84 | 44 | 128 |
2022 Junio | 60 | 55 | 115 |
2022 Mayo | 50 | 57 | 107 |
2022 Abril | 38 | 62 | 100 |
2022 Marzo | 42 | 74 | 116 |
2022 Febrero | 44 | 38 | 82 |
2022 Enero | 54 | 51 | 105 |
2021 Diciembre | 41 | 64 | 105 |
2021 Noviembre | 82 | 70 | 152 |
2021 Octubre | 67 | 50 | 117 |
2021 Septiembre | 57 | 60 | 117 |
2021 Agosto | 56 | 44 | 100 |
2021 Julio | 49 | 51 | 100 |
2021 Junio | 57 | 77 | 134 |
2021 Mayo | 52 | 69 | 121 |
2021 Abril | 100 | 136 | 236 |
2021 Marzo | 78 | 62 | 140 |
2021 Febrero | 85 | 43 | 128 |
2021 Enero | 62 | 60 | 122 |
2020 Diciembre | 70 | 57 | 127 |
2020 Noviembre | 67 | 41 | 108 |
2020 Octubre | 59 | 59 | 118 |
2020 Septiembre | 45 | 36 | 81 |
2020 Agosto | 49 | 27 | 76 |
2020 Julio | 44 | 36 | 80 |
2020 Junio | 38 | 26 | 64 |
2020 Mayo | 43 | 41 | 84 |
2020 Abril | 78 | 52 | 130 |
2020 Marzo | 24 | 22 | 46 |
2020 Febrero | 86 | 90 | 176 |
2020 Enero | 36 | 30 | 66 |
2019 Diciembre | 39 | 60 | 99 |
2019 Noviembre | 43 | 52 | 95 |
2019 Octubre | 23 | 40 | 63 |
2019 Septiembre | 22 | 54 | 76 |
2019 Agosto | 26 | 71 | 97 |
2019 Julio | 31 | 65 | 96 |
2019 Junio | 38 | 53 | 91 |
2019 Mayo | 66 | 133 | 199 |
2019 Abril | 91 | 123 | 214 |
2019 Marzo | 28 | 70 | 98 |
2019 Febrero | 30 | 58 | 88 |
2019 Enero | 30 | 62 | 92 |
2018 Diciembre | 39 | 82 | 121 |
2018 Noviembre | 80 | 65 | 145 |
2018 Octubre | 13 | 32 | 45 |
2018 Septiembre | 12 | 10 | 22 |
2018 Agosto | 11 | 25 | 36 |
2018 Julio | 18 | 22 | 40 |
2018 Junio | 14 | 27 | 41 |
2018 Mayo | 10 | 17 | 27 |
2018 Abril | 17 | 26 | 43 |
2018 Marzo | 18 | 23 | 41 |
2018 Febrero | 16 | 18 | 34 |
2018 Enero | 16 | 22 | 38 |
2017 Diciembre | 16 | 16 | 32 |
2017 Noviembre | 14 | 19 | 33 |
2017 Octubre | 15 | 27 | 42 |
2017 Septiembre | 21 | 23 | 44 |
2017 Agosto | 17 | 19 | 36 |
2017 Julio | 15 | 28 | 43 |
2017 Junio | 19 | 23 | 42 |
2017 Mayo | 22 | 41 | 63 |
2017 Abril | 26 | 20 | 46 |
2017 Marzo | 14 | 67 | 81 |
2017 Febrero | 13 | 26 | 39 |
2017 Enero | 11 | 27 | 38 |
2016 Diciembre | 23 | 20 | 43 |
2016 Noviembre | 35 | 37 | 72 |
2016 Octubre | 43 | 35 | 78 |
2016 Septiembre | 55 | 69 | 124 |
2016 Agosto | 53 | 28 | 81 |
2016 Julio | 43 | 33 | 76 |