Acta Colombiana de Cuidado Intensivo最新文献_第6页

Formación del cuidado intensivo en Colombia: la gran encuesta 哥伦比亚的重症监护培训：一项重大调查

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.09.005

Germán D. Londoño Ruíz, Luis Carlos Triana

{"title":"Formación del cuidado intensivo en Colombia: la gran encuesta","authors":"Germán D. Londoño Ruíz, Luis Carlos Triana","doi":"10.1016/j.acci.2024.09.005","DOIUrl":"10.1016/j.acci.2024.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>The literature highlights the need to improve education in critical care medicine; Currently in Colombia there is no data that characterizes the personnel who are receiving training in intensive care.</div></div><div><h3>Design</h3><div>A descriptive study was carried out where the characteristics of intensive care training programs in Colombia were reviewed.</div></div><div><h3>Setting</h3><div>Colombian medical postgraduate educational system.</div></div><div><h3>Participants</h3><div>People in intensive care training in Colombia.</div></div><div><h3>Interventions</h3><div>A survey was applied, and a review of intensive care training programs was carried out.</div></div><div><h3>Main variables of interest</h3><div>Number of intensive care programs, first and second specialty programs, geographic distribution, base specialties of second specialty programs.</div></div><div><h3>Results</h3><div>A total of 20 intensive care training programs were found, 55% offered as a second specialty and 45% as first specialty programs. A total of 78 surveys were carried out, obtaining responses from 8 of the 9 cities where programs are offered; The base programs that are doing second specialty training in intensive care were: 38% internal medicine, 29% emergency medicine; Most respondents have access to wellness areas and there was a tendency for second specialty respondents to have more paid work compared to first specialty respondents.</div></div><div><h3>Conclusions</h3><div>There is a wide range of intensive care programs in the country, with different characteristics among them.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 35-44"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610368","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

Ensayos clínicos en UCI: «Más allá del valor p» UCI临床试验：“超越p值”

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.08.011

Jose Correa Guerrero

引用次数: 0

Rotura del septum ventricular como complicación del infarto agudo de miocardio con elevación del segmento ST: reporte de un caso 心室隔膜破裂作为急性ST段抬高心肌梗死的并发症：1例报告

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.10.001

Carlos Rebolledo Maldonado , Ricardo Luis Romero Figueroa , Mayra Manrique , Víctor Jaimes , Jorge Salazar Amaris , Claudia Pacheco Escorcia

{"title":"Rotura del septum ventricular como complicación del infarto agudo de miocardio con elevación del segmento ST: reporte de un caso","authors":"Carlos Rebolledo Maldonado , Ricardo Luis Romero Figueroa , Mayra Manrique , Víctor Jaimes , Jorge Salazar Amaris , Claudia Pacheco Escorcia","doi":"10.1016/j.acci.2024.10.001","DOIUrl":"10.1016/j.acci.2024.10.001","url":null,"abstract":"<div><div>Ventricular septal rupture as a mechanical complication after acute myocardial infarction (AMI) is rare after the use of fibrinolytic drugs, but highly fatal. It should be suspected in patients with dyspnea, chest pain, pansystolic murmur in the left sternal border and cardiogenic shock, confirming the defect, location and size through echocardiography and color Doppler. Surgical management remains the best therapeutic option compared to medical management. We present a case report of an elderly male patient with arterial hypertension who developed an anterolateral ST segment elevation myocardial infarction. Fibrinolysis with alteplase was performed and subsequently coronary angiography plus rescue percutaneous coronary intervention in the first 24hours in the anterior descending artery. On the fourth day after the onset of the clinical picture, ventricular septal rupture was documented, leading to cardiogenic shock and subsequent death.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 214-219"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610551","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

Role of ultrasonography in the evaluation of dysphagia in critically ill patients: A narrative review 超声波检查在重症患者吞咽困难评估中的作用：叙述性综述

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.09.004

Juan Sanjuan , Emanuel Cruz , María Paula Uchima-Vera , Alan Andrés Camargo-Rojasc , Gustavo Adolfo Villegas-Gomez

{"title":"Role of ultrasonography in the evaluation of dysphagia in critically ill patients: A narrative review","authors":"Juan Sanjuan , Emanuel Cruz , María Paula Uchima-Vera , Alan Andrés Camargo-Rojasc , Gustavo Adolfo Villegas-Gomez","doi":"10.1016/j.acci.2024.09.004","DOIUrl":"10.1016/j.acci.2024.09.004","url":null,"abstract":"<div><div>Dysphagia, defined as difficulty in swallowing, significantly impacts critically ill patients, especially those in intensive care units (ICUs). It can arise from neuromuscular disorders or mechanical obstructions, often exacerbated by prolonged mechanical ventilation and other medical interventions. Dysphagia poses risks such as aspiration pneumonia, malnutrition, and prolonged hospital stays. Early detection and intervention are crucial. A comprehensive literature search was conducted using PubMed, SCOPUS, and SPRINGER databases from December 2023 to February 2024. Search terms included “screening,” “dysphagia,” “ICU,” “ultrasonography,” “swallowing function,” and “deglutition disorders.” The search yielded 43 relevant articles, which were subjected to narrative analysis. Traditional dysphagia assessment methods include bedside evaluations, swallow tests, and instrumental strategies like video fluoroscopic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES). Ultrasonography (US) emerges as a promising, non-invasive alternative for evaluating swallowing function. US can assess tongue and hyolaryngeal movements, and upper esophageal sphincter function, offering real-time feedback and aiding in diagnosis and therapeutic planning. Despite its benefits, US lacks standardized protocols and comprehensive diagnostic criteria, necessitating further research. Ultrasonography shows significant potential in evaluating and managing dysphagia in critically ill patients due to its non-invasive nature and real-time feedback capabilities. However, variations in techniques and the need for standardized diagnostic criteria present challenges. Future research should focus on standardizing ultrasound parameters and refining diagnostic criteria to enhance its reliability and accuracy. Despite these challenges, ultrasonography remains a promising tool for dysphagia assessment and intervention.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 111-123"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610552","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

Descripción de la Kocuria kristinae como agente causal de choque distributivo por sepsis en enfermedad pélvica inflamatoria en una paciente inmunocompetente: reporte de caso Kristinae作为免疫能力患者炎症性骨盆疾病中脓毒症分布性休克的致病因子的描述：病例报告

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.10.009

Jorge Eliecer Pinzón Bernal , Lina María Castro Rojas , Pedro Fernando Giraldo , Abel Yurialdy Espinoza Rios , Peter Vergara Ramírez

{"title":"Descripción de la Kocuria kristinae como agente causal de choque distributivo por sepsis en enfermedad pélvica inflamatoria en una paciente inmunocompetente: reporte de caso","authors":"Jorge Eliecer Pinzón Bernal , Lina María Castro Rojas , Pedro Fernando Giraldo , Abel Yurialdy Espinoza Rios , Peter Vergara Ramírez","doi":"10.1016/j.acci.2024.10.009","DOIUrl":"10.1016/j.acci.2024.10.009","url":null,"abstract":"<div><div>Kocuria kristinae is a gram-positive catalase-positive cocci-type microorganism that can normally be isolated from the skin and oral cavity of humans. It is not usually related to the production of infections, however, in recent years it has been found. important isolates of it that generate infections on immunocompromised patients around the world.</div><div>Pelvic inflammatory disease is a common entity in our environment, it includes a wide range of infectious processes that compromise the female genital tract that can compromise the endometrium, fallopian tubes, ovaries and even the peritoneum at the pelvic level, it is predominant in women of fertile age and sexually active. The germs commonly associated with the genesis of pelvic inflammatory disease are mainly Chlamydia trachomatis, Neisseria gonorrhoeae and Mycoplasma genitalium. However, it is important to keep in mind that up to the time of the review in our environment no cases of pelvic inflammatory disease secondary to K. kristinae have been documented in both immunosuppressed and immunocompetent patients, which is why the case report in question about an immunocompetent patient who presented a case of these characteristics becomes vitally important.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 231-234"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610458","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

Infección por Clostridioides difficile en el adulto 成人艰难梭菌感染

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.08.008

Fabián Muñoz Ramírez , Santiago Morón-Serrano

{"title":"Infección por Clostridioides difficile en el adulto","authors":"Fabián Muñoz Ramírez , Santiago Morón-Serrano","doi":"10.1016/j.acci.2024.08.008","DOIUrl":"10.1016/j.acci.2024.08.008","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aims to provide clear and precise information about <em>Clostridioides difficile</em> infection (CDI), with the goal of enabling physicians to understand it and proceed with timely diagnosis and treatment.</div></div><div><h3>Data Sources and Study Selection</h3><div>Databases such as PubMed, Ovid, SciELO, Embase, and MEDLINE were consulted, along with general web searches and references previously known to the authors. Studies, guidelines, and reviews addressing the epidemiology, diagnosis, treatment, and prevention of CDI were included.</div></div><div><h3>Data Extraction and Synthesis</h3><div>Data were extracted from studies analyzing clinical presentation, diagnostic methods, and therapeutic options. The data synthesis aimed to provide a comprehensive view of best practices based on current evidence.</div></div><div><h3>Conclusions</h3><div>CDI is a significant cause of gastrointestinal disease in healthcare settings, particularly following antibiotic use. Its incidence is increasing, even in young people without risk factors. Diagnosis is based on clinical suspicion and the detection of <em>C. difficile</em> toxins or toxigenic genes using molecular biology techniques or enzyme immunoassays. This review emphasizes the importance of rapid detection and the implementation of effective therapies to reduce associated morbidity.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 91-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610549","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

Monitoreo neurológico multimodal en cuidado intensivo 重症监护中的多模式神经监测

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.10.005

Jaime Sarmiento-Calderón , Diana Borré-Naranjo , Carmelo Dueñas-Castell

{"title":"Monitoreo neurológico multimodal en cuidado intensivo","authors":"Jaime Sarmiento-Calderón , Diana Borré-Naranjo , Carmelo Dueñas-Castell","doi":"10.1016/j.acci.2024.10.005","DOIUrl":"10.1016/j.acci.2024.10.005","url":null,"abstract":"<div><div>There are multiple monitoring strategies for the follow-up of patients with brain injuries admitted to the intensive care unit (ICU). These strategies begin with a neurological assessment, include imaging studies, and culminate with the implementation of cutting-edge, high-definition technologies. Clinical outcomes depend on the interpretation of the generated data. Neuromonitoring has received increasing attention in recent years. Current scientific evidence recommends practice standards for the use of neuromonitoring in critically ill patients, emphasizing the need to standardize technologies, efforts, and training necessary to integrate and interpret information from multimodal neuromonitoring (NMM). The future of neuromonitoring is oriented towards the integration and innovation of invasive and non-invasive NMM techniques. In terms of intracranial pressure (ICP), monitoring with an intraventricular catheter remains the reference technique or gold standard. Additionally, technologies for measuring cerebral oxygenation, ultrasonographic evaluations such as transcranial Doppler, optic nerve sheath measurement, and emerging techniques such as automated pupillometry and near-infrared spectroscopy (NIRS), should motivate intensivists to understand their foundation and interpretation, as well as their application to generate treatment strategies, monitor them, and impact better clinical outcomes. This review offers an updated assessment of the status of various neuromonitoring modalities and their use in different scenarios, highlighting the advantages and limitations of each method for implementation, emphasizing their utility in the ICU.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 124-141"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610555","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

Tormenta tiroidea: abordaje diagnóstico y terapéutico 甲状腺风暴：诊断和治疗方法

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.10.010

José Correa-Guerrero , Hugo Corrales Santander , Jorge Yepes Caro , Jesús Bello Simanca , Luis Rodríguez Arrieta , Alejandro Castellanos Pinedo , Elguis Rodríguez Garizabalo , Carmelo Dueñas Castell

引用次数: 0

Rabdomiólisis asociada a fenoverina: reporte de caso 与苯诺维林有关的Rabdomiolysis：案例报告

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.07.003

Felipe Arturo Valenzo Hernández , Sofía Jiménez Lomas , Martín Iván Patiño Rosillo , Dulce Guadalupe Márquez Jiménez

{"title":"Rabdomiólisis asociada a fenoverina: reporte de caso","authors":"Felipe Arturo Valenzo Hernández , Sofía Jiménez Lomas , Martín Iván Patiño Rosillo , Dulce Guadalupe Márquez Jiménez","doi":"10.1016/j.acci.2024.07.003","DOIUrl":"10.1016/j.acci.2024.07.003","url":null,"abstract":"<div><div>Rhabdomyolysis is a syndrome characterized by muscle destruction and the release of intracellular contents into the plasma, this being one of the main potential causes of nephrotoxicity. Being a syndrome, its etiology is diverse; however, little has been described about rhabdomyolysis secondary to the consumption of HMG-CoA reductase inhibitor drugs such as Phenoverine.</div><div>The case of a 54-year-old female patient with no significant history is described, with a clinical picture characterized by asthenia, adynamia, muscle pain, arthralgia, and serum creatine kinase (CPK) of 53,032IU/L, after the consumption of Phenoverine, complying with diagnostic criteria for rhabdomyolysis secondary to drug use. After the initial evaluation, conservative management was established, based on nephroprotective measures, presenting satisfactory improvement, with resolution of rhabdomyolysis and acute kidney injury.</div><div>The objective of this article is to report the case of rhabdomyolysis secondary to the use of this frequently used antispasmodic agent, and of which this complication is underestimated, which can become so serious and leave permanent kidney damage as a consequence.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 174-177"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610451","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

Sepsis and septic shock associated with tuberculosis “Landouzy's tifobacilosis”: A dark and unpredictable enemy – From pathophysiology to clinical implications 与结核病 "Landouzy's tifobacilosis "相关的败血症和脓毒性休克：难以预测的黑暗敌人--从病理生理学到临床意义

Acta Colombiana de Cuidado Intensivo Pub Date : 2025-01-01 DOI: 10.1016/j.acci.2024.06.002

Jose Dario Portillo-Miño , José Leonel Zambrano-Urbano , Diego Fernando Taramuel-Gómez , Franco Andrés Montenegro-Coral , Nasly Violedy Ipia Ordoñez , Luis Guillermo Andino-Bucheli , Leopoldo Javier Eraso-García , Hector Fabio Sanchez-Galvez , Jorge Ignacio Martínez-Díaz

{"title":"Sepsis and septic shock associated with tuberculosis “Landouzy's tifobacilosis”: A dark and unpredictable enemy – From pathophysiology to clinical implications","authors":"Jose Dario Portillo-Miño , José Leonel Zambrano-Urbano , Diego Fernando Taramuel-Gómez , Franco Andrés Montenegro-Coral , Nasly Violedy Ipia Ordoñez , Luis Guillermo Andino-Bucheli , Leopoldo Javier Eraso-García , Hector Fabio Sanchez-Galvez , Jorge Ignacio Martínez-Díaz","doi":"10.1016/j.acci.2024.06.002","DOIUrl":"10.1016/j.acci.2024.06.002","url":null,"abstract":"<div><div><span>Sepsis and septic shock associated with tuberculosis are such critical diseases that are life-threatening to the patient. TB bacteremia has been associated with </span>sepsis and septic shock, especially in immunosuppressed patients with high mortality. In this sense, it has been seen that 1 in 4 patients infected with human immunodeficiency virus (HIV) hospitalized for sepsis had TB bacteremia. Acute forms of tuberculosis can progress in severity and between 1 and 3% of cases require an Intensive Care Unit (ICU) and high mortality. Given this scenario, the authors consider it pertinent to carry out this Review article, which allows a diagnostic and therapeutic approach to this acute form of TB to provide key aspects of the disease that are decisive in saving the lives of patients in critical condition.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 71-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690506","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