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Biomedical subjects

D R Miranda

Publications and source records attributed to D R Miranda.

6 recordsLinked to original sources

Critically examining intensive care.

The economic recession of the last decade brought intensive care systems under the light of cost-effectiveness analysis, making use of several instruments available in medical practice, and others adapted from for-profit enterprises. The present concept of intensive care, particularly its functional and organizational interactions with traditional specialties, is at the brink of an important revaluation. Studies of the cost-effectiveness of therapeutic actions may be grossly biased if they do not consider the complete process of care (before, during, and after treatment), analyzing even its smallest elements.

Cost-Benefit Analysis

Intermittent mandatory ventilation. A method to expand clinical applications.

The described modification of the Cameco URS-701 ventilator increases the frequency possibilities from zero to 40, without interfering with the ventilator pattern of each cycle and satisfies the required conditions for a classical IMV-system. Moreover it can provide longer periods of controlled ventilation alternating with periods of spontaneous respiration. This adaptation, mainly consisting of the introduction of a timer in the electrical circuit of the machine, provides us with a safe IMV system on our Engstrom 150 type ventilator and leads to a broader concept of IMV.

Humans