Medicina Intensiva最新文献_第10页

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 泛美和伊比利亚关键海拔医学和强化治疗联合会关键海拔医学专家委员会关于关键海拔医学的共识定义和建议

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 Epub Date: 2025-06-28 DOI: 10.1016/j.medin.2025.502256

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":"10.1016/j.medin.2025.502256","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":3.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189703","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

Hypernatremia and renal dysfunction after sevoflurane sedation in the intensive care unit: Three case reports 重症监护病房七氟醚镇静后的高钠血症和肾功能障碍：3例报告

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medin.2025.502215

Marta Bauça Socias , Dolly Andrea Caicedo , Eva Benveniste-Pérez , Georgina de la Rosa Loppacher , Eva Montané

引用次数: 0

Ventilación con liberación de presión en la vía aérea y membrana de oxigenación extracorpórea (ECMO) con configuración veno-venosa 气道减压通风和体外氧合膜（ECMO），静脉对静脉配置

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 Epub Date: 2025-03-17 DOI: 10.1016/j.medin.2025.502177

Ruben Martín-Latorre, Laura de Rivas-Alcover, Àngela Poquet-Poquet

引用次数: 0

Utility of airway occlusion pressure in traumatic diaphragmatic rupture 气道闭塞压在外伤性膈破裂中的应用

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medin.2025.502214

Noemi Merino Pizarro , Manuel Valdivia Marchal , Carmen Bermudez Ruiz , Juan Francisco Martinez Carmona , Ashlen Rodriguez Carmona , Jose Manuel Serrano Simon

引用次数: 0

¿Es la inestabilidad hemodinámica una contraindicación absoluta para la posición prono? 血流动力学不稳定性是前位的绝对禁忌吗？

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 Epub Date: 2025-03-28 DOI: 10.1016/j.medin.2025.502201

Marina Busico, Fernando Villarejo

引用次数: 0

Comparison of non-invasive ventilation on bilevel pressure mode and CPAP in the treatment of COVID-19 related acute respiratory failure. A propensity score–matched analysis 双水平压力模式无创通气与CPAP治疗COVID-19相关急性呼吸衰竭的比较倾向评分匹配分析

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medin.2025.502146

Andrés Carrillo-Alcaraz , Miguel Guia , Laura Lopez-Gomez , Pablo Bayoumy , Aurea Higon-Cañigral , Elena Carrasco González , Pilar Tornero Yepez , Juan Miguel Sánchez-Nieto

{"title":"Comparison of non-invasive ventilation on bilevel pressure mode and CPAP in the treatment of COVID-19 related acute respiratory failure. A propensity score–matched analysis","authors":"Andrés Carrillo-Alcaraz , Miguel Guia , Laura Lopez-Gomez , Pablo Bayoumy , Aurea Higon-Cañigral , Elena Carrasco González , Pilar Tornero Yepez , Juan Miguel Sánchez-Nieto","doi":"10.1016/j.medin.2025.502146","DOIUrl":"10.1016/j.medin.2025.502146","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to analyze the differences in the effectiveness and complications of CPAP versus non-invasive ventilation on bilevel positive airway pressure (BiPAP) in the treatment of COVID-19 associated acute respiratory failure (ARF).</div></div><div><h3>Design</h3><div>Retrospective observational study.</div></div><div><h3>Setting</h3><div>ICU.</div></div><div><h3>Patients</h3><div>All COVID-19 patients, admitted to an ICU between March 2020 and February 2023, who required CPAP or BiPAP were analyzed.</div></div><div><h3>Interventions</h3><div>Use of CPAP or BiPAP in COVID-19 associated ARF.</div></div><div><h3>Main variables of interest</h3><div>Initial clinical variables, CPAP and BiPAP failure rate, complications, in-hospital mortality.</div></div><div><h3>Results</h3><div>429 patients were analyzed, of whom 328 (76.5%) initially received CPAP and 101 (23.5%) BiPAP. Initial respiratory rate was 30 ± 8 in the CPAP group and 34 ± 9 in BiPAP (p < 0.001), while PaO<sub>2</sub>/FiO<sub>2</sub> was 120 ± 26 and 111 ± 24 mmHg (p = 0.001), respectively. The most frequent complication related to the device was claustrophobia/discomfort, 23.2% in CPAP and 25.7% in BiPAP (p = 0.596), while the most frequent complications not related to the device were severe ARDS, 58.6% and 70.1% (p = 0.044), and hyperglycemia, 44.5% and 37.6%, respectively (p = 0.221). After adjusting by propensity score matched analysis, neither failure of the device (OR 1.37, CI 95% 0.72–2.62) nor in-hospital mortality (OR 1.57, CI 95% 0.73–3.42) differed between both groups.</div></div><div><h3>Conclusions</h3><div>Either non-invasive ventilatory device failure or mortality rate differed in patients initially treated with CPAP versus BiPAP.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 10","pages":"Article 502146"},"PeriodicalIF":3.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189700","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

Endobronchial actinomycosis Endobronchial actinomycosis

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medin.2025.502228

Chih-Jung Chang , Yi-Han Hsiao

引用次数: 0

Actualización de la taxonomía de los modos de ventilación mecánica 更新机械通风模式分类法

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-10-01 Epub Date: 2025-04-22 DOI: 10.1016/j.medin.2025.502211

Aurio Fajardo-Campoverdi , Eduardo Mireles-Cabodevila , Alberto Medina , Miguel Ibarra-Estrada , José Baltazar-Torres , Robert Chatburn

{"title":"Actualización de la taxonomía de los modos de ventilación mecánica","authors":"Aurio Fajardo-Campoverdi , Eduardo Mireles-Cabodevila , Alberto Medina , Miguel Ibarra-Estrada , José Baltazar-Torres , Robert Chatburn","doi":"10.1016/j.medin.2025.502211","DOIUrl":"10.1016/j.medin.2025.502211","url":null,"abstract":"<div><div>The rapid technological development of mechanical ventilation has resulted in increasingly complex modes, advanced monitoring capabilities and the incorporation of artificial intelligence. However, manufacturers have created a multitude of trade names, which has generated a great deal of confusion in their understanding, handling and application. This problem is exacerbated in Spanish-speaking countries due to inconsistencies in translations and variability in nomenclature between regions. This manuscript aims to provide an updated review of the taxonomic classification of ventilatory modes in order to promote standardization of terminology, especially in the Spanish-speaking clinical context, and includes changes in the taxonomy and manner of labeling modes of mechanical ventilation. This review focuses on invasive mechanical ventilation of the adult critically ill patient, although the taxonomy is also applicable to all ventilation modalities, including noninvasive, high-frequency, pediatric, and even home ventilation.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 10","pages":"Article 502211"},"PeriodicalIF":3.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189702","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

La inteligencia artificial en medicina intensiva, la revolución gradual 人工智能在重症监护中的渐进式革命

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-09-01 Epub Date: 2025-02-12 DOI: 10.1016/j.medin.2025.502164

Alejandro González-Castro

引用次数: 0

Reformulación de los análisis aleatorios de seguridad en tiempo real durante la pandemia SARS-CoV-2 在SARS-CoV-2大流行期间重新设计实时随机安全分析

IF 3.1 4区医学

Medicina Intensiva Pub Date : 2025-09-01 Epub Date: 2025-01-29 DOI: 10.1016/j.medin.2024.502117

Gonzalo Sirgo , Manuel A. Samper , Julen Berrueta , Joana Cañellas , Alejandro Rodríguez , María Bodí

{"title":"Reformulación de los análisis aleatorios de seguridad en tiempo real durante la pandemia SARS-CoV-2","authors":"Gonzalo Sirgo , Manuel A. Samper , Julen Berrueta , Joana Cañellas , Alejandro Rodríguez , María Bodí","doi":"10.1016/j.medin.2024.502117","DOIUrl":"10.1016/j.medin.2024.502117","url":null,"abstract":"<div><h3>Introduction</h3><div>From a safety perspective, the pandemic imposed atypical work dynamics that led to noticeable gaps in clinical safety across all levels of health care.</div></div><div><h3>Objectives</h3><div>To verify that Real-Time Random Safety Analyses (AASTRE) are feasible and useful in a high-pressure care setting.</div></div><div><h3>Design</h3><div>Prospective study (January to September 2022).</div></div><div><h3>Setting</h3><div>University hospital with 350 beds. Two mixed ICUs (12 and 14 beds).</div></div><div><h3>Interventions</h3><div>Two safety audits per week were planned to determine the feasibility and usefulness of the 32 safety measures (grouped into 8 blocks).</div></div><div><h3>Main variables of interest</h3><div>1) Feasibility: Proportion of completed audits compared to scheduled audits and time spent. 2)Utility: Changes in the care process made as a result of implementing AASTRE.</div></div><div><h3>Results</h3><div>A total of 390 patient-days were analyzed (179 were non-COVID patients and 49 were COVID patients). In the COVID patient subgroup, age, ICU stay, SAPS-3, and ICU mortality were significantly higher compared to the non-COVID patient subgroup. Regarding feasibility, 93.8% of planned rounds were carried out with an average audit time of 25±8minutes. Overall, changes in the care process were made in 11.8% of the measures analyzed.</div></div><div><h3>Conclusions</h3><div>In a high-complexity care environment, AASTRE proved to be a feasible and useful tool with only two interventions per week lasting less than 30minutes. Overall, AASTRE allowed unsafe situations to be turned safe in more than 10% of the evaluations.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 9","pages":"Article 502117"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921201","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