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Sobrecarga hídrica em crianças submetidas à ventilação mecânica

Overview of attention for article published in Revista Brasileira de Terapia Intensiva, September 2017
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Title
Sobrecarga hídrica em crianças submetidas à ventilação mecânica
Published in
Revista Brasileira de Terapia Intensiva, September 2017
DOI 10.5935/0103-507x.20170045
Pubmed ID
Authors

Clarice Laroque Sinott Lopes, Jefferson Pedro Piva

Abstract

Patients admitted to an intensive care unit are prone to cumulated fluid overload and receive intravenous volumes through the aggressive resuscitation recommended for septic shock treatment, as well as other fluid sources related to medications and nutritional support. The liberal liquid supply strategy has been associated with higher morbidity and mortality. Although there are few prospective pediatric studies, new strategies are being proposed. This non-systematic review discusses the pathophysiology of fluid overload, its consequences, and the available therapeutic strategies. During systemic inflammatory response syndrome, the endothelial glycocalyx is damaged, favoring fluid extravasation and resulting in interstitial edema. Extravasation to the third space results in longer mechanical ventilation, a greater need for renal replacement therapy, and longer intensive care unit and hospital stays, among other changes. Proper hemodynamic monitoring, as well as cautious infusion of fluids, can minimize these damages. Once cumulative fluid overload is established, treatment with long-term use of loop diuretics may lead to resistance to these medications. Strategies that can reduce intensive care unit morbidity and mortality include the early use of vasopressors (norepinephrine) to improve cardiac output and renal perfusion, the use of a combination of diuretics and aminophylline to induce diuresis, and the use of sedation and early mobilization protocols.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 82 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 82 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 11 13%
Student > Master 9 11%
Student > Doctoral Student 7 9%
Student > Bachelor 5 6%
Researcher 4 5%
Other 10 12%
Unknown 36 44%
Readers by discipline Count As %
Medicine and Dentistry 31 38%
Nursing and Health Professions 9 11%
Biochemistry, Genetics and Molecular Biology 1 1%
Agricultural and Biological Sciences 1 1%
Engineering 1 1%
Other 0 0%
Unknown 39 48%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 October 2017.
All research outputs
#22,778,604
of 25,394,764 outputs
Outputs from Revista Brasileira de Terapia Intensiva
#283
of 350 outputs
Outputs of similar age
#289,178
of 328,940 outputs
Outputs of similar age from Revista Brasileira de Terapia Intensiva
#3
of 5 outputs
Altmetric has tracked 25,394,764 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 350 research outputs from this source. They receive a mean Attention Score of 3.5. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 328,940 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 5 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.