Medicina Intensiva最新文献

Las grietas del corazón: hallazgo de dos complicaciones mecánicas mortales

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.07.004

Alberto Garrido Callén, Irene Fernández Muñoz, Marta Martín Muñoz

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Pulmonary vein thrombosis following acute type aortic dissection

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.08.008

Xiaoyang Zhou , Long Zhao , Bixin Chen

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Desobediencia académica

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.10.006

Marcos Valiente Fernández, Francisco de Paula Delgado Moya, Amanda Lesmes González de Aledo, Isaías Martín Badía

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Recursos humanos y materiales dirigidos en un programa de atención al paciente traumático potencialmente grave en urgencias

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.09.004

Alejandro Arturo Caballo Manuel, Carlos García Fuentes, Jesús Barea Mendoza, Susana Bermejo-Aznáres, Mario Chico-Fernández

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The association between body temperature and 28-day mortality in sepsis patients: A retrospective observational study

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.08.011

Wei Yang , Dan Zhou , Hui Peng , Huilin Jiang , Weifeng Chen

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¿Cómo implicar al paciente y familia en la mejora de la seguridad en los servicios de medicina intensiva?

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.05.020

Olga Rubio Sanchiz , Joan Escarrabill , Joan Fernando Peidró , Anne Sophie Gresle

{"title":"¿Cómo implicar al paciente y familia en la mejora de la seguridad en los servicios de medicina intensiva?","authors":"Olga Rubio Sanchiz , Joan Escarrabill , Joan Fernando Peidró , Anne Sophie Gresle","doi":"10.1016/j.medin.2024.05.020","DOIUrl":"10.1016/j.medin.2024.05.020","url":null,"abstract":"<div><div>Patient safety is a priority for health systems and is especially relevant for critically ill patients. Despite its relevance in recent years, many patients suffer adverse events with harm and negative repercussions for professionals and institutions.</div><div>Numerous safe practices have been promoted and strategies have been developed that have been incorporated into institutional policies and thereby improving the safety culture. But there are still underdeveloped strategies, such as incorporating the participation of patients and family members in their safety.</div><div>Until recently, the patient and family have been considered as a passive part in the reception of health services, not as an active part, much less as a possible opportunity to improve safety against errors that occur during care.</div><div>The critically ill patient and/or family members must be informed and, ideally, trained to facilitate active participation in their safety. It is not about transferring responsibility, but about facilitating and promoting their participation by reinforcing their safety. And professionals must be committed to their safety and facilitate the conditions to encourage their participation.We provide tools and reflections to help professionals implement the participation of patients and family members in safety as they pass through intensive medicine services.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 237-244"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caring to care: Nurturing ICU healthcare professionals’ wellbeing for enhanced patient safety

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.02.014

Emilio Rodriguez-Ruiz , Martina Maria Cornelia van Mol , Joseph Maria Latour , Kristina Fuest

引用次数: 0

Cistitis enfisematosa en el postoperatorio de reemplazo de válvula aórtica 主动脉瓣置换术后气肿性膀胱炎

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.06.015

Iratxe Iriondo Irigoras, María Ángeles Rodríguez Esteban

引用次数: 0

Shocked and moved. Movilización precoz en el shock cardiogénico

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.10.007

José Luis García-Garmendia

引用次数: 0

Early mobilisation in patients with shock and receiving vasoactive drugs in the intensive care unit: A systematic review and meta-analysis of observational studies

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.09.002

Henry Mauricio Parada-Gereda , Luis F. Pardo-Cocuy , Janneth Milena Avendaño , Daniel Molano-Franco , Joan Ramón Masclans

{"title":"Early mobilisation in patients with shock and receiving vasoactive drugs in the intensive care unit: A systematic review and meta-analysis of observational studies","authors":"Henry Mauricio Parada-Gereda , Luis F. Pardo-Cocuy , Janneth Milena Avendaño , Daniel Molano-Franco , Joan Ramón Masclans","doi":"10.1016/j.medin.2024.09.002","DOIUrl":"10.1016/j.medin.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of the study was to assess the feasibility and safety of early mobilisation in patients with shock requiring vasoactive drugs in the intensive care unit (ICU).</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Setting</h3><div>Intensive care unit (ICU).</div></div><div><h3>Patients or participants</h3><div>Adult patients requiring vasoactive drugs who received early mobilisation in the intensive care unit.</div></div><div><h3>Interventions</h3><div>A systematic search was conducted using the databases PubMed, Cochrane Library, Scopus, Medline Ovid, Science Direct, and CINAHL, including observational studies involving adult patients requiring vasoactive drugs who received early mobilisation. A meta-analysis was performed on the proportion of safety events and the proportion of early mobilisation in patients with high, moderate, and low doses of vasoactive drugs.</div></div><div><h3>Main variables of interest</h3><div>Feasibility, safety events, and the maximum level of activity achieved during early mobilisation.</div></div><div><h3>Results</h3><div>The search yielded 1875 studies, of which 8 were included in the systematic review and 5 in the meta-analysis. The results showed that 64% (95% CI: 34%–95%, p<0.05) of patients were mobilised with low doses of vasoactive drugs, 30% (95% CI: 7%–53%, p<0.05) with moderate doses, and 7% (95% CI: 3%–16%, p 0.17) with high doses. The proportion of adverse events was low, at 2% (95% CI: 1%–4%, p<0.05).</div></div><div><h3>Conclusions</h3><div>Early mobilisation in patients with shock and the need for vasoactive drugs is feasible and generally safe. However, there is an emphasis on the need for further high-quality research to confirm these findings.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 193-204"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0