Abstract：
:These recommendations are designed to be of assistance to doctors in ICUs when making first evaluations of these patients. They are mainly intended to assist with early diagnosis, risk stratification and initial treatment. The need for individualised treatment is at present one of the main objectives in the management of Acute Coronary Syndrome (ACS), with or without ST elevation, and this is why we believe the recommendations should be of a predominantly practical nature, given that they affect decision making in the day to day practice of medicine.
journal_name
Med Intensivajournal_title
Medicina intensivaauthors
Civeira Murillo E,Del Nogal Saez F,Alvarez Ruiz AP,Ferrero Zorita J,Alcantara AG,Aguado GH,López Messa JB,Montón Rodríguez JA,Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP.doi
10.1016/j.medin.2009.07.010subject
Has Abstractpub_date
2010-01-01 00:00:00pages
22-45issue
1eissn
0210-5691issn
1578-6749pii
S0210-5691(09)00065-5journal_volume
34pub_type
共识发展会议,杂志文章,实务指引,评审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：
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To determine the epidemiological and clinical characteristics of the patients with severe sepsis/septic shock admitted to the ICU of Donostia Hospital (Guipuzcoa, Spain), analyzing the prognostic factors and comparing them with the existing data at national level. DESIGN:A prospective observational study was...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2011.10.006
更新日期：2012-05-01 00:00:00
abstract：:Burned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to repleni...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2019.07.005
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:To assess the efficacy and safety of a treatment with clopidogrel when associated or not to the treatment with tirofiban and aspirin for high-risk non-ST segment elevation myocardial infarction (non-STEMI), without early angioplasty. SETTING:Intensive Care and Coronary Unit (ICCU), in a center with no Hemody...
journal_title：Medicina intensiva
pub_type： 临床试验,杂志文章
doi：10.1016/s0210-5691(07)74801-5
更新日期：2007-05-01 00:00:00
abstract：:Most of transplanted organs are obtained from brain death (BD) donors. In neurocritical patients with catastrophic injuries and decompressive craniectomy (DC), which show a dreadful development in spite of this treatment, DC could be a futile tool to avoid natural progress to BD. We propose if cranial compressive band...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2012.12.008
更新日期：2013-04-01 00:00:00
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
更新日期：2008-04-01 00:00:00
abstract：BACKGROUND:Before deciding increases in the number or capacitance of Intensive Care Units (ICUs), or the regionalization of Units, it is essential to know their present effectiveness. OBJECTIVE:To analyze the daily occupancy rate of ICUs in Catalonia (Spain) and the frequency of denied admission due to lack of capacit...
journal_title：Medicina intensiva
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medin.2014.11.002
更新日期：2015-12-01 00:00:00
abstract：:The use of neuromuscular blockers (NMB) is a frequent practice in Intensive Care Units. However most of the experience with the use of these agents come from the operating room used to deal with patients with different characteristics from those admitted in the ICU. Recent advances on neuromonitoring and the commercia...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：
更新日期：2008-02-01 00:00:00
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
更新日期：2009-05-01 00:00:00
abstract：INTRODUCTION:Hemodynamic parameters such as the global end-diastolic volume index (GEDVI) and extravascular lung water index (EVLWI), derived by transpulmonary thermodilution, have gained increasing interest for guiding fluid therapy in critically ill patients. The proposed normal values (680-800ml/m(2) for GEDVI and 3...
journal_title：Medicina intensiva
pub_type： 杂志文章,meta分析
doi：10.1016/j.medin.2011.11.014
更新日期：2012-10-01 00:00:00
abstract：:Electrical impedance tomography has been described as a new method of monitoring critically ill patients on mechanical ventilation. It has recently gained special interest because of its applicability for monitoring ventilation and pulmonary perfusion. Its bedside and continuous implementation, and the fact that it is...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2011.05.005
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVES:This study has aimed to establish the intensivist physician's concepts and practices in this region regarding the diagnosis, management and prevention of delirium in intensive care units (ICU). DESIGN:A survey was distributed among the FEPIMCTI member societies for distribution among its medical members. R...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2010.04.003
更新日期：2010-11-01 00:00:00
abstract：:Most patients who require mechanical ventilation for longer than 24 hours, and who improve the condition leading to the indication of ventilatory support, can be weaned after passing a first spontaneous breathing test. The challenge is to improve the weaning of patients who fail that first test. We have methods that c...
journal_title：Medicina intensiva
pub_type： 杂志文章,评审
doi：10.1016/j.medin.2012.08.008
更新日期：2013-12-01 00:00:00
abstract：AIM:A study is made of the influence of alcohol and/or drug abuse upon traumatismo recurrence, with an analysis of the influence of such abuse upon the time to appearance of first injury in patients without antecedents of trauma. DESIGN:A prospective observational study was made. SETTING:Trauma patients admitted to t...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2012.04.010
更新日期：2013-01-01 00:00:00
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
更新日期：2018-01-01 00:00:00
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
更新日期：2008-11-01 00:00:00
abstract：:Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus, that was first recognized in Wuhan, China, in December 2019. Currently, the World Health Organization (WHO) has defined the infection as a global pandemic and there is a health and social emergency for the mana...
journal_title：Medicina intensiva
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/j.medin.2020.03.005
更新日期：2020-10-01 00:00:00
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
更新日期：2012-03-01 00:00:00
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
更新日期：2011-08-01 00:00:00
abstract：:In 1994, an American-European Consensus Conference (AECC) formalized the criteria for the diagnosis of the acute respiratory distress syndrome (ARDS). Although that definition is simple to apply in the clinical setting, it has been challenged over the years in several studies since the assessment of the oxygenation de...
journal_title：Medicina intensiva
pub_type： 共识发展会议,杂志文章
doi：10.1016/j.medin.2012.08.010
更新日期：2012-11-01 00:00:00
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
更新日期：2007-11-01 00:00:00
abstract：OBJECTIVE:To assess the incidence and prognostic value of acute renal function deterioration (ARFD) in patients with acute heart disease. SETTING:Coronary Care Unit in a tertiary university hospital. DESIGN:Retrospective study. PARTICIPANTS:One hundred consecutive patients admitted during 2004. INTERVENTIONS:No ran...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(08)70932-x
更新日期：2008-05-01 00:00:00
abstract：:The specialty of Intensive Care Medicine was established over twenty years ago in Spain as part of the MIR (Resident training) system. The European Union allows for free circulation of its workers and the multilateral recognition of their university degrees as well as their postgraduate training. Unfortunately, our sp...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2010.11.002
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:This article reviews the utility and applicability of available systems in order to calculate general and quality costs in clinical services settings. METHODS:Review of techniques to calculate costs in Intensive Care Units (ICUs) according to analytical accounting approaches. RESULTS:The methodological deve...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/s0210-5691(06)74498-9
更新日期：2006-05-01 00:00:00
abstract：:Second level therapeutic maneuvres for controlling intracranial hypertension (ICH) proposed by the European Brain Injury Consortium and the American Association of Neurological Surgeons include barbiturates, moderate hypothermia and more recently the decompressive craniectomy (DC).In most patients, ICP can be maintain...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2010.09.011
更新日期：2011-04-01 00:00:00
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
更新日期：2007-04-01 00:00:00
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
更新日期：2015-10-01 00:00:00
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
更新日期：2015-08-01 00:00:00
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
更新日期：2006-11-01 00:00:00
abstract：:The current COVID-19 pandemic has rendered up to 15% of patients under mechanical ventilation. Because the subsequent tracheotomy is a frequent procedure, the three societies mostly involved (SEMICYUC, SEDAR and SEORL-CCC) have setup a consensus paper that offers an overview about indications and contraindications of ...
journal_title：Medicina intensiva
pub_type： 杂志文章
doi：10.1016/j.medin.2020.05.002
更新日期：2020-11-01 00:00:00
