Medicina Intensiva最新文献_第2页

Impacto de la seguridad del paciente en los resultados. Desde la prevención al tratamiento del síndrome post-cuidados intensivos 患者安全对疗效的影响。从预防到治疗急性期后护理综合症。

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.03.004

Carola Giménez-Esparza , María Ángeles Relucio , Kapil Laxman Nanwani-Nanwani , José Manuel Añón

{"title":"Impacto de la seguridad del paciente en los resultados. Desde la prevención al tratamiento del síndrome post-cuidados intensivos","authors":"Carola Giménez-Esparza , María Ángeles Relucio , Kapil Laxman Nanwani-Nanwani , José Manuel Añón","doi":"10.1016/j.medin.2024.03.004","DOIUrl":"10.1016/j.medin.2024.03.004","url":null,"abstract":"<div><div>Survivors of critical illness may present physical, psychological, or cognitive symptoms after hospital discharge, encompassed within what is known as post-intensive care syndrome. These alterations result from both the critical illness itself and the medical interventions surrounding it. For its prevention, the implementation of the ABCDEF bundle of measures (<strong>A</strong>ssess/treat pain, <strong>B</strong>reathing/awakening trials, <strong>C</strong>hoice of sedatives, <strong>D</strong>elirium reduction, <strong>E</strong>arly mobility and exercise, <strong>F</strong>amily) has been proposed, along with additional strategies grouped under the acronym GHIRN (<strong>G</strong>ood communication, <strong>H</strong>andout materials, <strong>R</strong>edefined ICU architectural design, <strong>R</strong>espirator, <strong>N</strong>utrition). In addition to these preventive measures during the ICU stay, high-risk patients should be identified for subsequent follow-up through multidisciplinary teams coordinated by Intensive Care Medicine Departments.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 224-236"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774997","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

Comparisons are odious 比较是可恶的

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.10.004

Marcos Valiente Fernández, Alejandro Caballo Manuel, José Ginestal Calvo, Lidia Orejon García

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When fat-free parenteral nutrition is required: The strategy that becomes a double-edge sword 当需要无脂肪的肠外营养时：这是一把双刃剑

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.08.001

Marta de Antonio-Cuscó , Agustí Albalat-Torres , Lucía Picazo Moreno , Javier Mateu-de Antonio

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A rare echocardiographic imaging of a giant atrial mass 罕见的巨大心房肿块超声心动图

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.08.009

Pingping Dong , Jianneng Pan , Xiaoyang Zhou

引用次数: 0

Un foramen oval inesperado 意外的卵圆孔

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-03-01 DOI: 10.1016/j.medin.2024.06.005

Pablo Carrión Montaner, Mario Sutil-Vega, Jordi Sans-Roselló

引用次数: 0

Fe de errores “Abordaje práctico de la sedación inhalada en el paciente crítico. Grupo de Trabajo de Sedación, Analgesia y Delirium (GTSAD) de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC) [Med Intensiva (2024) 467-476] “对危重病人吸入镇静的实际处理”。西班牙重症监护医学学会（SEMICYUC）镇静、镇痛和谵妄工作组（GTSAD） [Med Intensiva (2024) 467-476]

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-03-01 DOI: 10.1016/j.medin.2024.11.001

Sofía Contreras , Carola Giménez-Esparza Vich , Jesús Caballero , en representación del Grupo de Trabajo de Sedación, Analgesia y Delirium (GTSAD) de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)

引用次数: 0

Shock séptico por Chromobacterium violaceum tras un viaje a las islas Azores. Un patógeno fatal e inusual 紫铬杆菌在亚速尔群岛旅行后的化粪池休克。一个不寻常的，致命的病原体

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-03-01 DOI: 10.1016/j.medin.2024.09.006

Beatriz Morillo Muela, Alejandro José Martín Damián, Adela Fernández Galilea, Álvaro López López

引用次数: 0

Extracción de coágulo bronquial gigante con sonda de crioadhesión 使用冷冻粘附探针提取大支气管血块

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-03-01 DOI: 10.1016/j.medin.2024.07.002

Mónica García Simón, Cristina Sanchís Piqueras, Georgia García Fernández

引用次数: 0

Relationship between fluid overload and mortality and morbidity in pediatric intensive care unit 小儿重症监护病房液体负荷与死亡率和发病率的关系

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-03-01 DOI: 10.1016/j.medin.2024.06.017

Hilmi Bayirli , Nazan Ulgen Tekerek , Alper Koker , Oguz Dursun

{"title":"Relationship between fluid overload and mortality and morbidity in pediatric intensive care unit","authors":"Hilmi Bayirli , Nazan Ulgen Tekerek , Alper Koker , Oguz Dursun","doi":"10.1016/j.medin.2024.06.017","DOIUrl":"10.1016/j.medin.2024.06.017","url":null,"abstract":"<div><h3>Objective</h3><div>The relationship between fluid overload and clinical outcomes was investigated.</div></div><div><h3>Design</h3><div>This study is an observational and analytic study of a retrospective cohort.</div></div><div><h3>Settings</h3><div>Pediatric intensive care units.</div></div><div><h3>Patients or participants</h3><div>Between 2019 and 2021 children who needed intensive care were included in the study.</div></div><div><h3>Interventions</h3><div>No intervention.</div></div><div><h3>Main variable of interest</h3><div>Early, peak and cumulative fluid overload were evaluated.</div></div><div><h3>Results</h3><div>The mortality rate was 11.7% (68/513). When fluid overloads were examined in terms of mortality, the percentage of early fluid overload was 1.86 and 3.35, the percent of peak fluid overload was 2.87 and 5.54, and the percent of cumulative fluid overload was 3.40 and 8.16, respectively, in the survivor and the non-survivor groups. After adjustment for age, severity of illness, and other potential confounders, peak (aOR = 1.15; 95%CI 1.05−1.26; p: 0.002) and cumulative (aOR = 1.10; 95%CI 1.04−1.16; p < 0.001) fluid overloads were determined as independent risk factors associated with mortality. When the cumulative fluid overload is 10% or more, a 3.9-fold increase mortality rate was calculated. It is found that the peak and cumulative fluid overload, had significant negative correlation with intensive care unit free days and ventilator free days.</div></div><div><h3>Conclusions</h3><div>It is found that peak and cumulative fluid overload in critically ill children were independently associated with intensive care unit mortality and morbidity.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 3","pages":"Pages 125-134"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527418","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

Perspectivas actuales sobre el uso de la inteligencia artificial en la seguridad del paciente crítico 人工智能在危重病人安全中的应用现状

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-03-01 DOI: 10.1016/j.medin.2024.03.007

Jesús Abelardo Barea Mendoza , Marcos Valiente Fernandez , Alex Pardo Fernandez , Josep Gómez Álvarez

引用次数: 0