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

authors： Martín Delgado MC,Avilés-Jurado FX,Álvarez Escudero J,Aldecoa Álvarez-Santuyano C,de Haro López C,Díaz de Cerio Canduela P,Ferrandis Perepérez E,Ferrando Ortolá C,Ferrer Roca R,Hernández Tejedor A,López Álvarez F,Monedero Rodríguez

更新日期：2020-11-01 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

authors： Cinesi Gómez C,Peñuelas Rodríguez Ó,Luján Torné M,Egea Santaolalla C,Masa Jiménez JF,García Fernández J,Carratalá Perales JM,Heili-Frades SB,Ferrer Monreal M,de Andrés Nilsson JM,Lista Arias E,Sánchez Rocamora JL,Garrote JI,Zam

更新日期：2020-10-01 00:00:00

abstract：OBJECTIVE:No data are available on blood caspase-8 concentrations (the initiator caspase in the extrinsic apoptosis pathway) in septic patients. The present study thus describes the blood caspase-8 concentrations in survivors and non-survivors, and examines the possible association between blood caspase-8 concentration...

journal_title：Medicina intensiva

authors： Lorente L,Martín MM,Ortiz-López R,González-Rivero AF,Pérez-Cejas A,Martín M,Gonzalez V,Pérez A,Rodin M,Jiménez A

更新日期：2020-08-22 00:00:00

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

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

abstract：OBJECTIVE:To analyze the incidents related to patient safety (IRSP) and their risk factors during in-hospital transfer (IHT) of critical patients after the application of a protocol, and to evaluate safety during transfer using quality indicators. DESIGN:A prospective, observational and non-intervention cohort study w...

journal_title：Medicina intensiva

authors： Catalán-Ibars RM,Martín-Delgado MC,Puigoriol-Juvanteny E,Zapater-Casanova E,Lopez-Alabern M,Lopera-Caballero JL,González de Velasco JP,Coll-Solà M,Juanola-Codina M,Roger-Casals N

更新日期：2020-07-15 00:00:00

abstract：:Sepsis is a major public health problem and a leading cause of death in the world, where delay in the beginning of treatment, along with clinical guidelines non-adherence have been proved to be associated with higher mortality. Machine Learning is increasingly being adopted in developing innovative Clinical Decision S...

journal_title：Medicina intensiva

authors： Ocampo-Quintero N,Vidal-Cortés P,Del Río Carbajo L,Fdez-Riverola F,Reboiro-Jato M,Glez-Peña D

更新日期：2020-05-29 00:00:00

abstract：:Thoracic surgery has undergone significant advances in recent years related to anesthetic and surgical techniques and the prevention and management of complications related to the procedure. This has allowed improvements in patient clinical outcomes in surgeries of this kind. Despite the above, thoracic surgery, espec...

journal_title：Medicina intensiva

authors： Muñoz de Cabo C,Hermoso Alarza F,Cossio Rodriguez AM,Martín Delgado MC

更新日期：2020-04-01 00:00:00

abstract：OBJECTIVES:To gather all published information about the stability of drugs commonly used in Intensive Care Units (ICU); evaluate the methodology of published data; and generate a compatibility table. DESIGN:i) A systematic review was conducted searching the following databases: Medline, Stabilis, Handbook of Injectab...

journal_title：Medicina intensiva

authors： Castells Lao G,Rodríguez Reyes M,Roura Turet J,Prat Dot M,Soy Muner D,López Cabezas C

更新日期：2020-03-01 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

authors： Sánchez-Sánchez M,Martínez JR,Civantos B,Millán P

更新日期：2020-03-01 00:00:00

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

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

更新日期：2019-12-01 00:00:00

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

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

abstract：BACKGROUND:The optimal blood management after cardiac surgery remains controversial. Moreover, blood transfusions may have an impact on long-term outcomes. OBJECTIVE:The aim of this study is to characterize the impact of liberal red blood cell transfusions on Health-Related Quality of life (HRQoL) after cardiac surger...

journal_title：Medicina intensiva

authors： González-Pérez A,Al-Sibai JZ,Álvarez-Fernández P,Martínez-Camblor P,Argüello-Junquera M,García-Gala JM,Martínez-Revuelta E,Silva J,Morís C,Albaiceta GM

更新日期：2019-04-01 00:00:00

abstract：:Extracorporeal membrane oxygenation (ECMO) support is indicated in patients who are refractory to treatment, those with cardiogenic shock or respiratory failure and those with exacerbations eligible for heart and lung transplantation. Physician experience and quantity of necessary resources are reasons why regionaliza...

journal_title：Medicina intensiva

authors： Burgueño P,González C,Sarralde A,Gordo F

更新日期：2019-03-01 00:00:00

abstract：AIM:To determine the risk of microbiological contamination with hospital use high- and low-flow bubbling humidifiers. METHODS:A systematic literature review was carried out in 6 databases. Observational or experimental studies published between 1990 and 2016 were selected, written in English or Spanish, and in which m...

journal_title：Medicina intensiva

authors： de la Fuente-Sancho I,Romeu-Bordas Ó,Fernández-Aedo I,Vallejo De la Hoz G,Ballesteros-Peña S

更新日期：2019-01-01 00:00:00

abstract：:Cancer patients are a vulnerable group exposed to numerous and serious risks beyond cancer itself. In recent years, the prognosis of these individuals has improved substantially thanks to several advances such as immunotherapy, targeted molecular therapies, surgical techniques, or developments in support treatment. Th...

journal_title：Medicina intensiva

authors： Carmona-Bayonas A,Gordo F,Beato C,Castaño Pérez J,Jiménez-Fonseca P,Virizuela Echaburu J,Garnacho-Montero J

更新日期：2018-01-01 00:00:00

abstract：INTRODUCTION:Real body weight and height are essential data to be obtained in all critically ill patients (CIP), due to their influence in the designing of therapies and monitoring. Visual estimation is a very inaccurate practice. No precise descriptions of anthropometric measurements among CIP are available in the cli...

journal_title：Medicina intensiva

authors： García-Martínez MA,Cherednichenko T,Hidalgo Encinas Y,Catalá Espinosa AI,Arrascaeta Llanes A,Acosta Escribano JA

更新日期：2018-01-01 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

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

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

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

abstract：OBJECTIVE:To assess the impact of gender upon the prognosis and medical care in a regional acute ST-elevation myocardial infarction management network. DESIGN:An observational study was made of consecutive patients entered in a prospective database. SCOPE:The Catalan acute ST-elevation myocardial infarction managemen...

journal_title：Medicina intensiva

authors： Fernández-Rodríguez D,Regueiro A,Cevallos J,Bosch X,Freixa X,Trilla M,Brugaletta S,Martín-Yuste V,Sabaté M,Bosa-Ojeda F,Masotti M,en representación de los investigadores del Registro Codi Infart.

更新日期：2017-03-01 00:00:00

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

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

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

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

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

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

abstract：OBJECTIVES:1) To assess the prevalence of pain during nursing care procedures, and 2) to evaluate the usefulness of certain vital signs and the bispectral index (BIS) in detecting pain. METHODS:A prospective, observational analytical study was made of procedures (endotracheal aspiration and mobilization with turning) ...

journal_title：Medicina intensiva

authors： Robleda G,Roche-Campo F,Membrilla-Martínez L,Fernández-Lucio A,Villamor-Vázquez M,Merten A,Gich I,Mancebo J,Català-Puigbó E,Baños JE

更新日期：2016-03-01 00:00:00

abstract：OBJECTIVE:To determine the clinical characteristics and prognostic factors of patients with severe sepsis/septic shock admitted to the Intensive Care Unit of Donostia University Hospital (Guipuzcoa, Spain). DESIGN:A prospective, observational study was carried out during a consecutive 6-year period (1st February 2008-...

journal_title：Medicina intensiva

authors： Azkárate I,Choperena G,Salas E,Sebastián R,Lara G,Elósegui I,Barrutia L,Eguibar I,Salaberria R

更新日期：2016-01-01 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

authors： Fernandez R,Clinical Management Working Group of the Societat Catalana de Medicina Intensiva i Crítica.

更新日期：2015-12-01 00:00:00

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

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

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

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

abstract：OBJECTIVE:To analyze the profile, incidence of life support therapy limitation (LSTL) and donation potential in neurocritical patients. STUDY DESIGN:A multicenter prospective study was carried out. SETTING:Nine hospitals authorized for organ harvesting for transplantation. PATIENTS:All patients consecutively admitte...

journal_title：Medicina intensiva

authors： Bodí MA,Pont T,Sandiumenge A,Oliver E,Gener J,Badía M,Mestre J,Muñoz E,Esquirol X,Llauradó M,Twose J,Quintana S

更新日期：2015-08-01 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

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

abstract：OBJECTIVE:To compare the results of quality monitoring after the implementation of improvement strategies in the respiratory intensive care unit (RICU). DESIGN:A prospective, comparative, longitudinal and interventional study was carried out. SETTING:The RICU of Hospital General de México (Mexico). PATIENTS:All pati...

journal_title：Medicina intensiva

authors： Álvarez Maldonado P,Cueto Robledo G,Cicero Sabido R

更新日期：2015-04-01 00:00:00

abstract：:The benefit of enteral nutrition in critically ill patients has been demonstrated by several studies, especially when it is started early, in the first 24-48h of stay in the Intensive Care Unit, and this practice is currently advised by the main clinical guidelines. The start of enteral nutrition is controversial in p...

journal_title：Medicina intensiva

authors： Flordelís Lasierra JL,Pérez-Vela JL,Montejo González JC

更新日期：2015-01-01 00:00:00

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

authors： Ortiz Díaz-Miguel R,Gómez Grande ML

更新日期：2014-12-01 00:00:00

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

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

更新日期：2014-11-01 00:00:00

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

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

abstract：OBJECTIVE:A comparison was made of the oxidative stress (OS) levels of patients with either viral or bacterial severe community-acquired pneumonia (sCAP) and of patients without infection (healthy volunteers (HV) and patients with acute myocardial infarction (AMI)). DESIGN:A prospective observational study was made. ...

journal_title：Medicina intensiva

authors： Trefler S,Rodríguez A,Martín-Loeches I,Sanchez V,Marín J,Llauradó M,Romeu M,Díaz E,Nogués R,Giralt M

更新日期：2014-03-01 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

authors： Frutos-Vivar F,Esteban A

更新日期：2013-12-01 00:00:00

abstract：:In 2004 was published the first edition of the "Surviving sepsis campaign" guidelines for the management of severe sepsis and septic shock, opening a new era in the treatment of this syndrome. The paradox is that guidelines application have produced positive results despite including in some cases treatments proven in...

journal_title：Medicina intensiva

authors： Palencia Herrejón E,Bueno García B

更新日期：2013-12-01 00:00:00

abstract：PURPOSE:Chemokines are a large superfamily of small proteins that function not only in leukocyte trafficking, but are also necessary for linkage between innate and adaptive immunity. Little is known about their role in septic shock. We hypothesized that serum levels of the most important chemokines are related to organ...

journal_title：Medicina intensiva

authors： de Pablo R,Monserrat J,Prieto A,Alvarez-Mon M

更新日期：2013-11-01 00:00:00

abstract：OBJECTIVES:To identify the organs most susceptible to develop multiorgan dysfunction syndrome (MODS) in patients with sepsis due to secondary peritonitis, and to determine the outcome and mortality predicting utility of the SOFA (Sequential Organ Failure Assessment) system. DESIGN:A prospective, observational cohort s...

journal_title：Medicina intensiva

authors： Hernández-Palazón J,Fuentes-García D,Burguillos-López S,Domenech-Asensi P,Sansano-Sánchez TV,Acosta-Villegas F

更新日期：2013-10-01 00:00:00

abstract：OBJECTIVE:To determine the results of the implementation of a protocol in an intensive care unit (ICU) referred to critically ill patients requiring a prolonged artificial airway. DESIGN:A prospective, observational cohort study was carried out. INTERVENTION:Management strategies were established on the airway by end...

journal_title：Medicina intensiva

authors： Prieto-González M,López-Messa JB,Moradillo-González S,Franzón-Laz ZM,Ortega-Sáez M,Poncela-Blanco M,Alonso-Castañeira I,Andrés-de Llano J

更新日期：2013-08-01 00:00:00