Definiciones y recomendaciones de consenso sobre la medicina crítica en la altitud del Comité de Expertos de Medicina Crítica en la altitud de la Federación Panamericana e Ibérica de Medicina Crítica y Terapia Intensiva
Amilcar Tinoco-Solórzano , Adrian Avila-Hilari , Manuel Luis Avellanas-Chavala , Felipe de Jesús Montelongo , Jorge Vélez-Páez , Víctor Nieto Estrada , Antonio Viruez Soto , Daniel Molano Franco , Eduardo Castelo Tamayo , Ignacio Granda Luna , Alfonso Salazar Mendoza , Luis Mamani Cruz , Jonathan Galindo Ayala , Pablo Vásquez-Hoyos , Fausto Maldonado Coronel , Roger Huanca Payehuanca , Jorge Rosendo Sánchez Medina
{"title":"Definiciones y recomendaciones de consenso sobre la medicina crítica en la altitud del Comité de Expertos de Medicina Crítica en la altitud de la Federación Panamericana e Ibérica de Medicina Crítica y Terapia Intensiva","authors":"Amilcar Tinoco-Solórzano , Adrian Avila-Hilari , Manuel Luis Avellanas-Chavala , Felipe de Jesús Montelongo , Jorge Vélez-Páez , Víctor Nieto Estrada , Antonio Viruez Soto , Daniel Molano Franco , Eduardo Castelo Tamayo , Ignacio Granda Luna , Alfonso Salazar Mendoza , Luis Mamani Cruz , Jonathan Galindo Ayala , Pablo Vásquez-Hoyos , Fausto Maldonado Coronel , Roger Huanca Payehuanca , Jorge Rosendo Sánchez Medina","doi":"10.1016/j.medin.2025.502256","DOIUrl":null,"url":null,"abstract":"<div><div>The Expert Committee on Critical Care Medicine at altitude of the Pan American and Iberian Federation of Critical Care Medicine and Intensive Care detected a lack of terms defining this critical care medicine, as well as a lack of standardization in the approach to these patients. These shortcomings can lead to errors in management, for example, in critically ill patients at risk of death who require oxygen therapy, whether invasive or non-invasively.</div><div>The objective of the expert committee was to develop an international consensus that would standardize terminology and establish key definitions and recommendations for the care of critically ill patients at altitude. This document includes five important definitions, four recommendations related to the management of acute respiratory failure at altitude, and a series of considerations for future research. It also establishes specific criteria that differentiate it from the traditional approach used at sea level.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 10","pages":"Article 502256"},"PeriodicalIF":3.1000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina Intensiva","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0210569125001202","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
The Expert Committee on Critical Care Medicine at altitude of the Pan American and Iberian Federation of Critical Care Medicine and Intensive Care detected a lack of terms defining this critical care medicine, as well as a lack of standardization in the approach to these patients. These shortcomings can lead to errors in management, for example, in critically ill patients at risk of death who require oxygen therapy, whether invasive or non-invasively.
The objective of the expert committee was to develop an international consensus that would standardize terminology and establish key definitions and recommendations for the care of critically ill patients at altitude. This document includes five important definitions, four recommendations related to the management of acute respiratory failure at altitude, and a series of considerations for future research. It also establishes specific criteria that differentiate it from the traditional approach used at sea level.
期刊介绍:
Medicina Intensiva is the journal of the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC) and of Pan American and Iberian Federation of Societies of Intensive and Critical Care Medicine. Medicina Intensiva has become the reference publication in Spanish in its field. The journal mainly publishes Original Articles, Reviews, Clinical Notes, Consensus Documents, Images, and other information relevant to the specialty. All works go through a rigorous selection process. The journal accepts submissions of articles in English and in Spanish languages. The journal follows the publication requirements of the International Committee of Medical Journal Editors (ICMJE) and the Committee on Publication Ethics (COPE).