Acta Colombiana de Cuidado Intensivo最新文献_第4页

Balón de contrapulsación como terapia de estabilización arritmogénica: a propósito de un caso 抗压球作为心律失常稳定疗法：以一个案例为目的

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-04-01 DOI: 10.1016/j.acci.2024.12.002

Juan Santiago Serna-Trejos , Carlos Andrés Castro-Galvis , Adriana Estefanía Cristancho-Goyeneche , Fabian Alejandro Cadena-Noguera , Paula López-Garzón

引用次数: 0

Diseño y validación de criterios específicos para la evaluación de estándares de habilitación en la prestación de servicios de fisioterapia en unidades de cuidado intensivo adulto 设计和验证评估成人重症监护机构提供物理治疗服务资格标准的具体标准

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-04-01 DOI: 10.1016/j.acci.2025.02.001

Angela Vanessa Rodríguez , Luz Deiby Jiménez , Jhon Absalón Hernández Muñoz , Esther Cecilia Wilches-Luna

{"title":"Diseño y validación de criterios específicos para la evaluación de estándares de habilitación en la prestación de servicios de fisioterapia en unidades de cuidado intensivo adulto","authors":"Angela Vanessa Rodríguez , Luz Deiby Jiménez , Jhon Absalón Hernández Muñoz , Esther Cecilia Wilches-Luna","doi":"10.1016/j.acci.2025.02.001","DOIUrl":"10.1016/j.acci.2025.02.001","url":null,"abstract":"<div><h3>Objective</h3><div>To design and validate specific criteria for the evaluation of qualification standards in the provision of physiotherapy services in adult intensive care units.</div></div><div><h3>Method</h3><div>A descriptive and psychometric observational study was conducted that included the design and validation of the construct and content of indicators. A literature review and discussion were conducted with a panel of experts made up of intensive care physicians, nurses, physiotherapists with experience in critically ill patients, and health auditors with experience in ICUs.</div></div><div><h3>Results</h3><div>23 criteria were designed, distributed in six of the seven Enabling Standards (human talent, equipment, infrastructure, medications, priority processes and clinical history) with an overall content validity index of 94%, and a Kappa coefficient with ranges between 86.3% and 100%.</div></div><div><h3>Conclusion</h3><div>The designed instrument is highly relevant to assess the quality of the physiotherapy service in ICU and is a practical and useful tool for physiotherapists, ICU teams and health authorities, facilitating the objective assessment of quality, the identification of areas for improvement.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 283-294"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traqueostomía percutánea en cuidado intensivo: ¿cómo mejorar la seguridad del procedimiento? 经皮气管造口术在重症监护中的应用：如何提高手术的安全性？

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-04-01 DOI: 10.1016/j.acci.2024.11.005

Iván Pérez , Camilo Pérez , María-Camila Jiménez , Oscar Leonardo Torra Barajas , Johana Rendón , Jorge-Iván Alvarado Sánchez , Bladimir Alejandro Gil Valencia

{"title":"Traqueostomía percutánea en cuidado intensivo: ¿cómo mejorar la seguridad del procedimiento?","authors":"Iván Pérez , Camilo Pérez , María-Camila Jiménez , Oscar Leonardo Torra Barajas , Johana Rendón , Jorge-Iván Alvarado Sánchez , Bladimir Alejandro Gil Valencia","doi":"10.1016/j.acci.2024.11.005","DOIUrl":"10.1016/j.acci.2024.11.005","url":null,"abstract":"<div><div>Percutaneous tracheostomy (PT) is a common procedure in intensive care unit (ICU) patients. This method offers certain benefits compared to the traditional surgical technique, such as a lower infection rate. However, it is essential to consider its contraindications and potential complications. As with any procedure, following a learning curve is important to reduce the risk of complications.</div><div>The use of ultrasound provides greater safety during PT by allowing the identification of anatomical structures and increasing the likelihood of a safe puncture, especially when performed in a protocolized manner. However, specific training is required to achieve adequate anatomical identification. The use of bronchoscopy is not routine and its role has become increasingly limited to patients with distorted anatomies.</div><div>In summary, PT is a safe technique when performed by experienced personnel in the ICU, provided that there is adequate training and careful patient selection. Therefore, its practice should be part of the curriculum in critical care and intensive care medicine training programs.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 307-317"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transporte terrestre pediátrico: revisión de la literatura y propuesta mnemotécnica. ¿Cómo optimizar los recursos? 儿童地面运输：文献综述和记忆技术建议。如何优化资源？

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-04-01 DOI: 10.1016/j.acci.2024.11.006

Sara Vallejo , Nicole Builes Arbélaez , Natalia Osorio Cadavid , Natalia Lopera Sánchez , Juan Camilo Jaramillo Bustamante

{"title":"Transporte terrestre pediátrico: revisión de la literatura y propuesta mnemotécnica. ¿Cómo optimizar los recursos?","authors":"Sara Vallejo , Nicole Builes Arbélaez , Natalia Osorio Cadavid , Natalia Lopera Sánchez , Juan Camilo Jaramillo Bustamante","doi":"10.1016/j.acci.2024.11.006","DOIUrl":"10.1016/j.acci.2024.11.006","url":null,"abstract":"<div><div>Pediatric ground transportation is an essential component of the emergency medical care system. It requires a collaborative effort between pre-hospital care services, receptor hospitals and coordinating centers in order to maximize human and material resources and provide similar care to an emergency department or intensive care unit. In low- and middle-income countries, such as some Latin American countries, ground transportation presents a greater challenge for various reasons such as the current absence of a national coordination system, the lack of protocolized practices, and the complex topographic conditions of some locations. Identifying and addressing the specific challenges associated with this type of transportation, along with the implementation of effective strategies, can improve outcomes and ensure greater quality of care. This article will review the specific challenges that are associated with pediatric ground transportation in Colombia. This will include discussion of transport from a lower to a higher level of complexity, a complete initial evaluation, patient stabilization and safe transportation until admission to the hospital. Finally, a mnemonic proposal is made to improve the quality when doing it.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 318-324"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cuidados críticos obstétricos en una ciudad de mediano tamaño con recursos limitados: estudio retrospectivo 资源有限的中型城市的关键产科护理：回顾性研究

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-04-01 DOI: 10.1016/j.acci.2024.11.004

Francisco Camargo-Assis , Reginaldo Medrano Díaz , Jorge Racedo , Valentina Medina Hernández , Alina Hernández Fabra

{"title":"Cuidados críticos obstétricos en una ciudad de mediano tamaño con recursos limitados: estudio retrospectivo","authors":"Francisco Camargo-Assis , Reginaldo Medrano Díaz , Jorge Racedo , Valentina Medina Hernández , Alina Hernández Fabra","doi":"10.1016/j.acci.2024.11.004","DOIUrl":"10.1016/j.acci.2024.11.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess demographic and clinicopathological features of obstetric patients admitted to the ICU in middle sized city, to discern the challenges and needs in critical obstetric care within the country.</div></div><div><h3>Materials and methods</h3><div>A retrospective cohort study was conducted at Clínica Materno Infantil Casa del Niño, encompassing all pregnant women admitted to the ICU from June 2014 to August 2018. We analyzed demographics, obstetric history, admission characteristics, and outcomes from electronic medical records. Logistic regression determined associations between admission characteristics and outcomes, including maternal mortality and ICU length of stay (LOS).</div></div><div><h3>Results</h3><div>Of 59.985 pregnant women, 0.52% (309) were admitted to the ICU. Predominant admission causes were hypertensive pregnancy disorders (80.5%) and pospartum hypovolemic shock (7.0%). The average maternal age was 25.4 years, with most admissions in the late preterm period. The ICU stay averaged 4.3 days, maternal mortality rate was 1.56%. Resource utilization included emergency cesarean delivery (83.6%), vasopressor therapy (21.0%), blood product requirement (16.73%), with some patients requiring mechanical ventilation and invasive monitoring.</div></div><div><h3>Conclusions</h3><div>The study report the obstetric care spectrum within ICU settings in a resource-limited environment, underscoring the necessity for improved antenatal care and enhanced response capacity within the ICU. The findings advocate for focused management strategies in critical care, implying healthcare policy reforms and practice changes in similar settings.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 252-260"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144255169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rationale for the use of ventricular assist devices in myocardial infarction: A narrative review 在心肌梗死中使用心室辅助装置的理由：一个叙述性的回顾

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-04-01 DOI: 10.1016/j.acci.2025.01.003

Juan Sanjuan , Kevin Gómez , Pamela Pabon , Gustavo Adolfo Villegas-Gomez

{"title":"Rationale for the use of ventricular assist devices in myocardial infarction: A narrative review","authors":"Juan Sanjuan , Kevin Gómez , Pamela Pabon , Gustavo Adolfo Villegas-Gomez","doi":"10.1016/j.acci.2025.01.003","DOIUrl":"10.1016/j.acci.2025.01.003","url":null,"abstract":"<div><div>Cardiogenic shock (CS) complicates 5–10% of myocardial infarction (MI) cases and remains a significant challenge despite advances in pharmacologic and revascularization techniques. Ventricular assist devices (VADs) have emerged as critical tools to improve hemodynamic stability, reduce myocardial workload, and enhance survival outcomes in these patients.</div><div>This narrative review analyzed 61 studies from 2010 to 2024, focusing on the role of VADs in MI-related CS. Data were obtained from PubMed, Medline, and Cochrane Library, emphasizing device efficacy, complications, and clinical outcomes. Inclusion criteria targeted randomized trials, observational studies, and meta-analyses evaluating intra-aortic balloon pumps, Impella, TandemHeart, and ECMO.</div><div>VADs provide varying degrees of circulatory support, with Impella and TandemHeart outperforming intra-aortic balloon pumps in reducing myocardial workload. ECMO offers comprehensive support but carries higher risks of complications such as limb ischemia and infection. Early VAD deployment improves survival, particularly in patients with INTERMACS profiles 1 and 2. However, complications such as bleeding, thrombosis, and infection remain prevalent, requiring precise patient selection and timely intervention.</div><div>VADs represent an evolving paradigm in the management of MI complicated by CS. While their benefits are evident, challenges related to complications and high costs persist. Continued innovation in device design, patient stratification protocols, and therapeutic integration is essential to optimize outcomes.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 2","pages":"Pages 336-349"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Síndrome de Guillain-Barré asociado a cirugía de revascularización coronaria. Reporte de caso 与冠状动脉搭桥手术相关的格林-巴利综合征。病例报告

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.06.001

Karla Patricia Ramos, Mariano Chávez, José Gamero, Kevin Hernández, Humberto Fuentes, Noel Díaz Robles

引用次数: 0

Manejo nutricional de los pacientes en situación de pandemia por infección por SARS-CoV-2 en un centro de referencia 在转诊中心对SARS-CoV-2大流行患者进行营养管理

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.10.003

Luisa Fernanda Torres , Julieth Lorena Cuenca , Juan Sanjuan , Rodolfo Soto

{"title":"Manejo nutricional de los pacientes en situación de pandemia por infección por SARS-CoV-2 en un centro de referencia","authors":"Luisa Fernanda Torres , Julieth Lorena Cuenca , Juan Sanjuan , Rodolfo Soto","doi":"10.1016/j.acci.2024.10.003","DOIUrl":"10.1016/j.acci.2024.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>In response to the emerging COVID-19 virus, each healthcare specialist faces unique challenges, and nutrition was no exception. Nutritional support plays a critical role in managing COVID-19 patients, who are at high risk of sarcopenia and malnutrition. It is essential to characterize, evaluate, and implement appropriate strategies to manage the disease from a nutritional perspective, thereby preventing complications.</div></div><div><h3>Materials and methods</h3><div>This was a retrospective, observational, cross-sectional study of adult patients with SARS-CoV-2 infection, managed by the nutritional support group. The objective of this study was to describe the general characteristics and nutritional management of patients with COVID-19 in the intensive care unit (ICU) during the period from March 1, 2020, to November 30, 2021.</div></div><div><h3>Results</h3><div>A total of 442 patients with SARS-CoV-2 infection who required invasive mechanical ventilation (IMV) and nutritional support were included. Of these, 69.9% were men, and 30.1% were women, with an average age of 63 years. Mortality was 46.8%. Most patients were overweight. The nutritional strategy was initiated within 48h in 81.2% of cases. The most used nutritional formulas were hyperproteic formulas with modified, concentrated carbohydrates.</div></div><div><h3>Conclusions</h3><div>Enteral therapy was the most frequently used method in our cohort of patients with severe COVID-19 and ventilatory failure. No modifications were made during prone and supination therapy, and the outcomes were similar to those reported in the literature.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 45-51"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lesión pulmonar y diafragmática inducida por la ventilación mecánica: conceptos básicos y revisión de las estrategias de manejo 机械通风引起的肺和隔膜损伤：基本概念和管理战略审查

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.08.005

Theno Alexandro Turrubiates Hernández , Gabriela María Mora Martínez , Amalia Angélica Reyes Pérez , Ramón Ulises Soberano Burguete , Gustavo Adrián Soto Hernández , Oscar Olvera Reyes , Brenda Lizbeth González Zúñiga , Rodolfo Antonio Valerio Aguirre , Pavel Osmar Cruz Martínez , Eric Santiago Sánchez Martínez

{"title":"Lesión pulmonar y diafragmática inducida por la ventilación mecánica: conceptos básicos y revisión de las estrategias de manejo","authors":"Theno Alexandro Turrubiates Hernández , Gabriela María Mora Martínez , Amalia Angélica Reyes Pérez , Ramón Ulises Soberano Burguete , Gustavo Adrián Soto Hernández , Oscar Olvera Reyes , Brenda Lizbeth González Zúñiga , Rodolfo Antonio Valerio Aguirre , Pavel Osmar Cruz Martínez , Eric Santiago Sánchez Martínez","doi":"10.1016/j.acci.2024.08.005","DOIUrl":"10.1016/j.acci.2024.08.005","url":null,"abstract":"<div><div>ARDS is an alteration between the capillary and the alveolus due to an inflammatory process accompanied by lung injury. Ventilatory support during ARDS seeks to stabilize the clinical situation, however, it can cause alterations and complications. The ideal is to apply VM seeking to avoid these adverse effects, in addition to improving oxygenation and giving time to manage the primary cause. Therefore, lung protection strategies seek to minimize lung damage, with lower ventilation volumes and pressures. The damage can be at the pulmonary and diaphragmatic level with invasive and non-invasive ventilation, this increases the morbidity and mortality of patients in the ICU. The objective of this work is to review the concepts of protective mechanical ventilation at the pulmonary and diaphragmatic level, including management strategies, in addition to evaluating the predictors that modify the generation of these complications and their impact on mortality.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 82-90"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corazón, amiodarona y glándula tiroides: la tormenta perfecta. A propósito de un caso 心脏、肌痛和甲状腺：完美的风暴。关于一个案例

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.08.003

Santiago Sierra-Castillo , David Aristizábal-Colorado , Danilo Weir-Restrepo , Alin Abreu-Lomba , Jairo A. Gandara-Ricardo

引用次数: 0