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Caring to care: Nurturing ICU healthcare professionals’ wellbeing for enhanced patient safety 照顾到照顾：培养ICU医护人员的福祉，以提高患者的安全
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
{"title":"Caring to care: Nurturing ICU healthcare professionals’ wellbeing for enhanced patient safety","authors":"Emilio Rodriguez-Ruiz ,&nbsp;Martina Maria Cornelia van Mol ,&nbsp;Joseph Maria Latour ,&nbsp;Kristina Fuest","doi":"10.1016/j.medin.2024.02.014","DOIUrl":"10.1016/j.medin.2024.02.014","url":null,"abstract":"<div><div>Healthcare professionals working in the Intensive Care Unit (ICU) care for patients suffering from a critical illness and their relatives. Working within a team of people with different personalities, competencies, and specialties, with constraints and demands might contribute to a working environment that is prone to conflicts and disagreements. This highlights that the ICU is a stressful place that can threaten healthcare professionals’ wellbeing. This article aims to address the concept of wellbeing by describing how the stressful ICU work-environment threatens the wellbeing of health professionals and discussing how this situation jeopardizes patient safety. To promote wellbeing, it is imperative to explore actionable interventions such as improve communication skills, educational sessions on stress management, or mindfulness. Promoting ICU healthcare professionals’ wellbeing through evidence-based strategies will not only increase their personal resilience but might contribute to a safer and more efficient patient care.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 216-223"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739136","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
Early mobilisation in patients with shock and receiving vasoactive drugs in the intensive care unit: A systematic review and meta-analysis of observational studies 在重症监护室接受血管活性药物治疗的休克患者的早期活动：观察性研究的系统回顾和荟萃分析
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 ,&nbsp;Luis F. Pardo-Cocuy ,&nbsp;Janneth Milena Avendaño ,&nbsp;Daniel Molano-Franco ,&nbsp;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<!--> <!-->&lt;<!--> <!-->0.05) of patients were mobilised with low doses of vasoactive drugs, 30% (95% CI: 7%–53%, p<!--> <!-->&lt;<!--> <!-->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<!--> <!-->&lt;<!--> <!-->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
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
{"title":"Comparisons are odious","authors":"Marcos Valiente Fernández,&nbsp;Alejandro Caballo Manuel,&nbsp;José Ginestal Calvo,&nbsp;Lidia Orejon García","doi":"10.1016/j.medin.2024.10.004","DOIUrl":"10.1016/j.medin.2024.10.004","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Page 249"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738686","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
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
{"title":"When fat-free parenteral nutrition is required: The strategy that becomes a double-edge sword","authors":"Marta de Antonio-Cuscó ,&nbsp;Agustí Albalat-Torres ,&nbsp;Lucía Picazo Moreno ,&nbsp;Javier Mateu-de Antonio","doi":"10.1016/j.medin.2024.08.001","DOIUrl":"10.1016/j.medin.2024.08.001","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 248-249"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739139","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
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
{"title":"A rare echocardiographic imaging of a giant atrial mass","authors":"Pingping Dong ,&nbsp;Jianneng Pan ,&nbsp;Xiaoyang Zhou","doi":"10.1016/j.medin.2024.08.009","DOIUrl":"10.1016/j.medin.2024.08.009","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 257-258"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737848","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
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 ,&nbsp;María Ángeles Relucio ,&nbsp;Kapil Laxman Nanwani-Nanwani ,&nbsp;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
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
{"title":"Un foramen oval inesperado","authors":"Pablo Carrión Montaner,&nbsp;Mario Sutil-Vega,&nbsp;Jordi Sans-Roselló","doi":"10.1016/j.medin.2024.06.005","DOIUrl":"10.1016/j.medin.2024.06.005","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 3","pages":"Page 186"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847906","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
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)
{"title":"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]","authors":"Sofía Contreras ,&nbsp;Carola Giménez-Esparza Vich ,&nbsp;Jesús Caballero ,&nbsp;en representación del Grupo de Trabajo de Sedación, Analgesia y Delirium (GTSAD) de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)","doi":"10.1016/j.medin.2024.11.001","DOIUrl":"10.1016/j.medin.2024.11.001","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 3","pages":"Page 190"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
{"title":"Shock séptico por Chromobacterium violaceum tras un viaje a las islas Azores. Un patógeno fatal e inusual","authors":"Beatriz Morillo Muela,&nbsp;Alejandro José Martín Damián,&nbsp;Adela Fernández Galilea,&nbsp;Álvaro López López","doi":"10.1016/j.medin.2024.09.006","DOIUrl":"10.1016/j.medin.2024.09.006","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 3","pages":"Pages 183-184"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527425","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
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
{"title":"Extracción de coágulo bronquial gigante con sonda de crioadhesión","authors":"Mónica García Simón,&nbsp;Cristina Sanchís Piqueras,&nbsp;Georgia García Fernández","doi":"10.1016/j.medin.2024.07.002","DOIUrl":"10.1016/j.medin.2024.07.002","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 3","pages":"Page 189"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526953","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
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