[Organ preservation].

Abstract:

:Maintaining organ viability from extraction to transplantation is crucial to ensure the function and survival of the graft. In recent years, maintaining organ viability has become more challenging because the shortage of donors has led to broader criteria for donor acceptability and consequently to organs with greater compromise. Organ damage occurs primarily as a result of ischemia-reperfusion injury, which is associated to additional damage from the preservation process. To minimize this damage, different techniques of organ preservation are used with the aim of optimizing organ function once perfusion is restored. Static cold storage is the most commonly used method of preservation because it is extremely simple, nearly universally available, and easy to transport. However, static cold storage may be unable to prevent the deterioration of the quality of organs from donors included under the broader criteria. In this article, we describe current preservation techniques; we place special emphasis on continuous machine perfusion.

journal_name

Med Intensiva

journal_title

Medicina intensiva

authors

Cobo JL,Del Río Gallegos F

doi

10.1016/S0210-5691(09)72196-5

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

282-92

issue

6

eissn

0210-5691

issn

1578-6749

pii

S0210-5691(09)72196-5

journal_volume

33

pub_type

杂志文章
  • [Southern European intensive care nurses' knowledge of evidence-based guidelines for preventing ventilator-associated pneumonia].

    abstract:OBJECTIVES:To assess Southern European intensive care unit nurses' knowledge about evidence-based guidelines for the prevention of ventilator-associated pneumonia and to compare these findings with a pan-European perspective. DESIGN:A sub-analysis from an observational study performed using a 9-questions, multiple-cho...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.07.012

    authors: Llauradó M,Labeau S,Vandijck D,Rello J,Rosa A,Riera A,Gallart E,Moreno R,Vandewoude K,Piñer R,Benítez ML,Blot S,Investigadores del Estudio EVIDENCE.,Colaboradores del PROCORNEU (Programa Corporativo Neumonía CIBERES).

    更新日期:2011-01-01 00:00:00

  • Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit.

    abstract:OBJECTIVE:To identify factors related to mortality in adult trauma patients, analyzing the clinical, epidemiological and therapeutic characteristics at the pre-hospital levels, in the Emergency Care Department and in Intensive Care. DESIGN:A retrospective, longitudinal descriptive study was carried out. Statistical an...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2014.06.004

    authors: González-Robledo J,Martín-González F,Moreno-García M,Sánchez-Barba M,Sánchez-Hernández F

    更新日期:2015-10-01 00:00:00

  • [MELAS: diagnostic keys and treatment in the Intensive Care Unit].

    abstract::Cerebrovascular accident in young adults is not rare and the most common causes are: cardiac embolism, arterial dissection and migraine. The unknown etiology, in spite of extensive studies, is described in the literature in about one third of patients under 45 years of age. The mitochondrial encephalomyopathy, lactic ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(08)70925-2

    authors: Gómez Seijo A,Castro Orjales MJ,Pastor Benavent JA

    更新日期:2008-04-01 00:00:00

  • Identifying and managing patient-ventilator asynchrony: An international survey.

    abstract:OBJECTIVE:To describe the main factors associated with proper recognition and management of patient-ventilator asynchrony (PVA). DESIGN:An analytical cross-sectional study was carried out. SETTING:An international study conducted in 20 countries through an online survey. PARTICIPANTS:Physicians, respiratory therapis...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2019.09.004

    authors: Ramírez II,Adasme RS,Arellano DH,Rocha ARM,Andrade FMD,Núñez-Silveira J,Montecinos NA,Dias S,Damiani LF,Gutierrez-Arias R,Lobo-Valbuena B,Gordo-Vidal F

    更新日期:2019-10-23 00:00:00

  • Management of accidental hypothermia: A narrative review.

    abstract::A narrative review is presented on the diagnosis, treatment and management of accidental hypothermia. Although all these processes form a continuum, for descriptive purposes in this manuscript the recommendations are organized into the prehospital and in-hospital settings. At prehospital level, it is advised to: a) pe...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/j.medin.2018.11.008

    authors: Avellanas Chavala ML,Ayala Gallardo M,Soteras Martínez Í,Subirats Bayego E

    更新日期:2019-12-01 00:00:00

  • [Recommendations of the Infectious Diseases Work Group (GTEI) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) and the Infections in Critically Ill Patients Study Group (GEIPC) of the Spanish Society of Infectio

    abstract::The diagnosis of influenza A/H1N1 is mainly clinical, particularly during peak or seasonal flu outbreaks. A diagnostic test should be performed in all patients with fever and flu symptoms that require hospitalization. The respiratory sample (nasal or pharyngeal exudate or deeper sample in intubated patients) should be...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.medin.2011.11.020

    authors: Rodríguez A,Alvarez-Rocha L,Sirvent JM,Zaragoza R,Nieto M,Arenzana A,Luque P,Socías L,Martín M,Navarro D,Camarena J,Lorente L,Trefler S,Vidaur L,Solé-Violán J,Barcenilla F,Pobo A,Vallés J,Ferri C,Martín-Loeches I,

    更新日期:2012-03-01 00:00:00

  • [Brain death diagnosis].

    abstract::Brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. Brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. This clinical situation appears ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-5691(09)71215-x

    authors: Escudero D

    更新日期:2009-05-01 00:00:00

  • Predictive scoring systems in multiorgan failure: A cohort study.

    abstract:OBJECTIVE:An evaluation is made of the hospital mortality predicting capacity of the main predictive scoring systems. DESIGN:A 2-year retrospective cohort study was carried out. SETTING:A third level ICU with surgical and medical patients. PATIENTS:All patients with multiorgan failure during the first day in the ICU...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2015.03.005

    authors: Sánchez-Casado M,Hostigüela-Martín VA,Raigal-Caño A,Labajo L,Gómez-Tello V,Alonso-Gómez G,Aguilera-Cerna FM

    更新日期:2016-04-01 00:00:00

  • Efficacy of an extravascular lung water-driven negative fluid balance protocol.

    abstract:OBJECTIVE:To analyze the efficacy of negative fluid balance in hypoxemic patients with an elevated extravascular lung water index (EVLWI). DESIGN:A retrospective observational study was made. SETTING:Intensive Care Unit of Virgen de las Nieves Hospital (Spain). PARTICIPANTS:Forty-four patients participated in the st...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2014.07.008

    authors: Díaz-Rubia L,Ramos-Sáez S,Vázquez-Guillamet R,Guerrero-López F,Pino-Sánchez F,García-Delgado M,Gómez-Jiménez FJ,Fernández-Mondéjar E

    更新日期:2015-08-01 00:00:00

  • [Mitochondrial dysfunction during sepsis, impact and possible regulating role of hypoxia-inducible factor-1alpha].

    abstract::There is a direct correlation between the development of the multiple organ dysfunction syndrome (MODS) and the elevated mortality associated with sepsis. The mechanisms responsible for MODS development are being studied, however, the main efforts regarding MODS evaluation have focused on oxygen delivery optimization ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/j.medin.2008.10.002

    authors: Regueira T,Andresen M,Djafarzadeh S

    更新日期:2009-11-01 00:00:00

  • [Analgesia in critical cares].

    abstract::Pain is a problem in critically ill patients. The diagnosis of the intensity of is more simple when the patient is conscious (using ad hoc scales) than in unconscious or sedated patients. In these cases the study of the physiological responses to pain can be the best way of pain monitoring. The pain management in ICU ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引

    doi:

    authors: Alfaro CG,Roldán JM,González PI,Hazaña FH,Grupo de Trabajo de Analgesia y Sedación de la SEMICYUC.

    更新日期:2008-02-01 00:00:00

  • [Safety and effectiveness of the sedoanalgesia with fentanyl and propofol. Experience in a pediatric intensive medicine unit].

    abstract:OBJECTIVE:Apply a sedoanalgesic (SA) protocol for invasive procedures (PI) in pediatric patients and evaluate its effectiveness and safety. DESIGN:Prospective observational study. SCOPE:Pediatric Intensive Care Unit (PICU) of third level hospital. PATIENTS:A total of 110 children subjected to invasive procedures und...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(07)74851-9

    authors: López JM,Valerón M,Pérez O,Consuegra E,Urquía L,Morón A,González R

    更新日期:2007-11-01 00:00:00

  • [Changes in health-related quality of life after ICU according to diagnostic category. Comparison of two measurement instruments].

    abstract:OBJECTIVE:Assessment of health related quality of life (HRQOL) before and 12 months after discharge from a mixed intensive care unit (ICU) according to diagnostic category and the relationship between both instruments. DESIGN:Prospective observational study. SETTING:The combined medical/surgical ICU in a secondary un...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(08)70942-2

    authors: Badia Castelló M,Trujillano Cabello J,Serviá Goixart L,March Llanes J,Rodríguez-Pozo A

    更新日期:2008-06-01 00:00:00

  • Temporary internal pacing.

    abstract::Technology and insertion techniques for cardiac temporary internal pacing have experienced a remarkable development over the last few years. Despite this fact, the procedure continues to have potentially fatal associated complications. Temporary internal pacing is indicated for the treatment of bradyarrhythmias or tac...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2014.02.006

    authors: Ortiz Díaz-Miguel R,Gómez Grande ML

    更新日期:2014-12-01 00:00:00

  • [Liver transplantation: influence of donor-related factors].

    abstract:OBJECTIVE:To detect donor characteristics related to graft function after orthotopic liver transplantation (OLT). DESIGN:Retrospective cohort study. CONTEXT:Polyvalent intensive care unit. PATIENTS:145 liver transplant recipients and their respective donors. INTERVENTIONS:None. MAIN VARIABLES OF INTEREST:In donors...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(08)75708-5

    authors: Seller-Pérez G,Herrera-Gutiérrez ME,Lebrón-Gallardo M,Moreno-Quintana J,Banderas-Bravo E,Quesada-García G

    更新日期:2008-11-01 00:00:00

  • Solid organ transplant training objectives for residents.

    abstract::With the aim of analyzing the current state of the educational objectives in the training of medical residents in solid organ transplantation (SOT), we conducted a review of the status of the official programs of the specialities involved in SOT, focusing particularly on lung transplantation. A survey of medical resid...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2012.03.012

    authors: Masclans JR,Vicente R,Ballesteros MA,Sabater J,Roca O,Rello J,Network PLUTO (Postoperative Lung Transplantantation).

    更新日期:2012-11-01 00:00:00

  • Physician staffing needs in critical care departments.

    abstract::Departments of Critical Care Medicine are characterized by high medical assistance costs and great complexity. Published recommendations on determining the needs of medical staff in the DCCM are based on low levels of evidence and attribute excessive significance to the structural/welfare approach (physician-to-beds r...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2017.09.013

    authors: Gómez Tello V,Ruiz Moreno J,Weiss M,González Marín E,Merino de Cos P,Franco Garrobo N,Alonso Ovies A,Montejo González JC,Iber T,Marx G,Córcoles González V,Gordo Vidal F,Palencia Herrejón E,Roca Guiseris J,en nombre de la Soci

    更新日期:2018-01-01 00:00:00

  • TLR2-TLR4/CD14 polymorphisms and predisposition to severe invasive infections by Neisseria meningitidis and Streptococcus pneumoniae.

    abstract:PURPOSE:Streptococcus pneumoniae and Neisseria meningitidis are major causes of severe invasive bacterial infections in some individuals. Apparently the genetic is a major susceptibility determinant to these infectious diseases. We study if the functional polymorphisms within genes of the innate immune system (TLR2-TLR...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2013.08.006

    authors: Tellería-Orriols JJ,García-Salido A,Varillas D,Serrano-González A,Casado-Flores J

    更新日期:2014-08-01 00:00:00

  • Hemodynamic resuscitation with fluids bolus and norepinephrine increases severity of lung damage in an experimental model of septic shock.

    abstract:OBJECTIVE:Hemodynamic resuscitation is considered a cornerstone of the initial treatment of septic shock. However, there is growing concern about its side effects. Our objective was to assess the relationship between fluid administration and norepinephrine infusion and the development of lung injury. DESIGN:Randomized...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2020.05.011

    authors: Guijo Gonzalez P,Gracia Romero MA,Gil Cano A,Garcia Rojo M,Cecconi M,Monge Garcia IM

    更新日期:2020-07-24 00:00:00

  • Advances in immunosuppression after lung transplantation.

    abstract::Immunosuppression in transplantation has experienced changes in recent years as a result of the introduction of new drugs that act upon the different pathways of the host immune response with the purpose of securing more individualized immune suppression, with fewer side effects. Although following in the steps of oth...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2012.05.011

    authors: Borro JM

    更新日期:2013-01-01 00:00:00

  • Effect upon mortality of the extension to holidays and weekends of the "ICU without walls" project. A before-after study.

    abstract:OBJECTIVE:To determine whether extension to holidays and weekends of the protocol for the early proactive detection of severity in hospital ("ICU without walls" project) results in decreased mortality among patients admitted to the ICU during those days. DESIGN:A quasi-experimental before-after study was carried out. ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2015.09.001

    authors: Abella A,Enciso V,Torrejón I,Hermosa C,Mozo T,Molina R,Janeiro D,Díaz M,Homez M,Gordo F,Salinas I

    更新日期:2016-06-01 00:00:00

  • [Severe pediatric head injuries (II): factors associated to morbidity-mortality].

    abstract:OBJECTIVE:To describe the factors associated to morbidity-mortality in pediatric patients with severe head injury (SHI). MATERIAL AND METHOD:A review was made of the patients admitted to the Pediatric Intensive Care Unit (PICU) with SHI between July 1983 and December 2009. RESULTS:Of the 389 patients with head injuri...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2011.02.006

    authors: López Álvarez JM,Valerón Lemaur ME,Pérez Quevedo O,Limiñana Cañal JM,Jiménez Bravo de Laguna A,Consuegra Llapurt E,Morón Saén de Casas A,González Jorge R

    更新日期:2011-08-01 00:00:00

  • Blood purification in the critically ill patient. Prescription tailored to the indication (including the pediatric patient).

    abstract::We maintain a dynamic position on extracorporeal blood purification therapies (EBPT). Continuous therapies are of choice in the hemodynamically unstable patient. We recommend their early introduction in the course of the disease, and starting with a dose of 30-35mL/kg/h. Above all, however, daily re-evaluation is requ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2016.05.009

    authors: Sanchez-Izquierdo Riera JA,Montoiro Allué R,Tomasa Irriguible T,Palencia Herrejón E,Cota Delgado F,Pérez Calvo C

    更新日期:2016-10-01 00:00:00

  • [Incidence, characteristics and outcome of barotrauma during open lung ventilation].

    abstract:OBJECTIVE:To describe the incidence and main clinical characteristics of barotrauma during open lung ventilation (OLV). DESIGN:A retrospective, observational, descriptive study was made of 100 patients with acute respiratory failure and bilateral pulmonary infiltrates. INTERVENTIONS:1) A lung recruitment maneuver (LR...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2011.10.011

    authors: Gil Cano A,Monge García MI,Gracia Romero M,Díaz Monrové JC

    更新日期:2012-06-01 00:00:00

  • Analysis of the nutritional management practices in intensive care: Identification of needs for improvement.

    abstract:OBJECTIVES:To analyze the nutritional management practices in Intensive Care (ICU) to detect the need for improvement actions. Re-evaluate the process after implementation of improvement actions. DESIGN:Prospective observational study in 3 phases: 1) observation; 2) analysis, proposal development and dissemination; 3)...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2015.04.010

    authors: Lázaro-Martín NI,Catalán-González M,García-Fuentes C,Terceros-Almanza L,Montejo-González JC

    更新日期:2015-12-01 00:00:00

  • [MARS (Molecular Absorbent Recirculating System) as hepatic extracorporeal care in serious acute liver failure of alcoholic etiology].

    abstract::Acute liver failure with criteria of seriousness and alcoholic etiology is a picture of worldwide distribution, with an elevated mortality, of approximately 50%, that requires admission to the ICU. Acute serious alcoholic hepatitis is defined by a Maddrey score value > 32 and/or spontaneous encephalopathy. Together wi...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(06)74556-9

    authors: Mora JM,Olmedo R,Curiel E,Muñoz J,Herrera M,Séller G

    更新日期:2006-11-01 00:00:00

  • Main information requests of family members of patients in Intensive Care Units.

    abstract:OBJECTIVE:To compile an inventory of information requests prioritized by the family members, to find out which professionals them consider able to respond these requests, and to explore the differences in perception between family members and professionals. DESIGN:Qualitative analysis of content validation and descrip...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medin.2017.09.007

    authors: Velasco Bueno JM,Alonso-Ovies A,Heras La Calle G,Zaforteza Lallemand C,Equipo de investigación del Proyecto HUCI (Humanizando los Cuidados Intensivos).

    更新日期:2018-01-01 00:00:00

  • Innovation and technology transfer in the health sciences: a cross-sectional perspective.

    abstract::This article is based on the strategic reflection and discussion that took place on occasion of the first conference on innovation and technology transfer in the health sciences organized by the REGIC-ENS-FENIN-SEMICYUC and held in Madrid in the Instituto de Salud Carlos III on May 7th, 2013, with the aim of promoting...

    journal_title:Medicina intensiva

    pub_type:

    doi:10.1016/j.medin.2014.04.012

    authors: Blanch L,Guerra L,Lanuza A,Palomar G

    更新日期:2014-11-01 00:00:00

  • [ (REgistro de TRAuma grave de la provincia de TOledo): general view and mortality].

    abstract:OBJECTIVE:To analyze the management and progression of the critical trauma patient. DESIGN:A retrospective, descriptive analysis. SETTING:The ICU in the province of Toledo. PATIENTS:All patients with traumatic injury admitted during the 2001-2007 period (7 years). MAIN VARIABLES OF INTEREST:These include the variab...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.02.002

    authors: Marina-Martínez L,Sánchez-Casado M,Hortiguela-Martin V,Taberna-Izquierdo MA,Raigal-Caño A,Pedrosa-Guerrero A,Quintana-Díaz M,Rodríguez-Villar S

    更新日期:2010-08-01 00:00:00

  • [Takotsubo cardiomyopathy: transient apical dysfunction of the left ventricle].

    abstract::Transient apical dysfunction syndrome, ballooning or Takotsubo cardiomyopathy is a recently described syndrome. It is a disease with a partially known mechanism, characterized by the morphology adopted by the left ventricle secondary to hypokinesis and dyskinesis of the apical segments and hypercontractibility of the ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-5691(07)74793-9

    authors: Obón Azuara B,Ortas Nadal MR,Gutiérrez Cía I,Villanueva Anadón B

    更新日期:2007-04-01 00:00:00