Clinical Practice Guidelines for Sever Non-hospital Pneumonia.

Clinical Practice Guidelines for Sever Non-hospital Pneumonia. This pulmonary infectious disease can be acquired in the community and is not related with the in-hospital environment. It can present clinical symptoms within the first 48 hours of hospital admission or 7 days after leaving the institution. This document includes a review and analysis of essential clinical aspects, predisposing factors, complementary studies y treatment, stressing the therapy with antibiotics. It includes assessment guidelines focused on the most important aspects to be accomplished

Clinical Practice Guidelines for Cerebrovascular Disease Treatment

Clinical Practice Guidelines for Cerebrovascular Disease Treatment. Even when this term makes reference to the whole process affecting part of cerebral vessel system and cerebral tissue, this document focuses on the cerebrovascular or acute neurological event abruptly affecting the cerebral tissue and the neurological condition of the patient. This condition is usually cause by an abrupt vessel occlusion, of thrombotic or embolic origin, or by subarachnoid or intraventricular intraparenchymatous hemorrhage, of aneurism origin, related with hypertension or with a tumour or arteriovenous defects. The main concepts, classification and conduct are reviewed, stressing the cerebrovascular accident. It includes assessment guidelines focused on the most important aspects to be accomplished

Clinical Practice Guidelines for Encephalic Death Treatment

Clinical Practice Guidelines for Encephalic Death Treatment. It has been defined as the irreversible ceasing of all encephalic functions (cerebral hemispheres, of the encephalic stalk and cerebellum). This document includes the diagnostic criteria and its workflow and comments on the diagnostic tests and its legal aspects. It includes assessment guidelines focused on the most important aspects to be accomplished

Clinical Practice Guidelines for Severe Sepsis Treatment.

Clinical Practice Guidelines for Severe Sepsis Treatment. It is a syndrome of inflammatory systemic response caused by documented infection (clinical and/or microbiological), associated with organic dysfunction (respiratory, renal, hepatic, cardiovascular, haematological and neurological), hypotension or hypoperfusion. This document includes a review and update of the concept, risk factors, diagnosis and treatment. It includes assessment guidelines focused on the most important aspects to be accomplished

Clinical Practice Guidelines for Potential Donors Management

Clinical Practice Guidelines for Potential Donors Management. It has been defined as the patient in Glasgow coma with scale higher or equal to 8 who doesn´t present contradictions for transplant (possible donor) and who has been diagnosed of encephalic death. This document reviews and updates concepts, lists indications and contraindications for different organs donation, clinical assessment of the donor and its treatment. It includes assessment guidelines focused on the most important aspects to be accomplished

Conversion of Intermediate Therapies into Intensive Therapies.

<strong>Background:</strong> Intensive care units are dedicated to the prevention, diagnosis and treatment of the physiopathologic conditions that threaten life. Its function in health services is essential. Given the created conditions in the country, it was oriented the conversion of intermediate therapies to intensive therapies. <strong>Objectives:</strong> to characterize the clinic intensive therapy service ,and to determine its benefits according to the change. <strong>Methods:</strong> A descriptive and prospective study that characterizes variables of organizing interest and assistance, teaching and administrative results expressed in frequencies, percentages and measures. <strong>Results and Conclusions:</strong> Human and material resources were distributed; there were 483 admitted with a standard stay of 2,34 days and a necropsia percentage of 95,15%; a total pathological clinic correlation of 96,66%, and partial of 3,34%. The nosocomial sepsis was of 4,5 per 100 patients; people’s satisfaction was of 78,57% with a very well criteria and 21,42% with well. The main cause of attendance was the cerebrovascular disease with 71,84%, with the inclusion of up dated techniques and treatment in its diagnosis. It was observed an adequate morbidity and mobility. It was achieved positive results in teaching and researching fields.<strong><br /></strong

One year work experience in a municipal Intensive Therapy Unit.

Background: The Municipal Intensive Care Units were created in the year 2004, to better the urgency attention in the primary health level. Objective: To characterize the functioning of a Municipal Intensive Care Unit. Method: A descriptive, prospective study that included 348 patients that were received in the unit during the year 2004. The following variables were analized: patients evolution, distribution by diseases, and evolution of the diseases. Results and Conclusions: The number of remissions to the hospital dropped; 183 patients weresent to their homes, 165 were remitted to the Provincial Hospital of Cienfuegos and three of them died in the unit. The angina pectoris was the first cause of admission, followed by cardiac arritmias and cerebrovascular disease.</strong

One year work experience in a municipal Intensive Therapy Unit.

Background: The Municipal Intensive Care Units were created in the year 2004, to better the urgency attention in the primary health level. Objective: To characterize the functioning of a Municipal Intensive Care Unit. Method: A descriptive, prospective study that included 348 patients that were received in the unit during the year 2004. The following variables were analized: patients evolution, distribution by diseases, and evolution of the diseases. Results and Conclusions: The number of remissions to the hospital dropped; 183 patients weresent to their homes, 165 were remitted to the Provincial Hospital of Cienfuegos and three of them died in the unit. The angina pectoris was the first cause of admission, followed by cardiac arritmias and cerebrovascular disease.</strong