Medicina Intensiva最新文献_第3页

El rol de la potencia elástica estática en la gravedad y en el pronóstico del síndrome de distrés respiratorio agudo 静态弹性力在严重程度和急性呼吸窘迫综合征预后中的作用

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-05-01 DOI: 10.1016/j.medin.2025.502160

Sara Manrique , Federico Gordo

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Esfuerzos respiratorios inefectivos y sus potenciales consecuencias durante la ventilación mecánica 机械通气过程中无效的呼吸力及其潜在后果

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-05-01 DOI: 10.1016/j.medin.2024.502133

Mauro Robertino Del Bono , Luis Felipe Damiani , Gustavo Adrián Plotnikow , Sebastián Consalvo , Emanuel Di Salvo , Gastón Murias

{"title":"Esfuerzos respiratorios inefectivos y sus potenciales consecuencias durante la ventilación mecánica","authors":"Mauro Robertino Del Bono , Luis Felipe Damiani , Gustavo Adrián Plotnikow , Sebastián Consalvo , Emanuel Di Salvo , Gastón Murias","doi":"10.1016/j.medin.2024.502133","DOIUrl":"10.1016/j.medin.2024.502133","url":null,"abstract":"<div><div>The implementation of invasive mechanical ventilation (IMV) in critically ill patients involves two crucial moments: the total control phase, affected among other things by the use of analgesics and sedatives, and the transition phase to spontaneous ventilation, which seeks to shorten IMV times and where optimizing patient-ventilator interaction is one of the main challenges. Ineffective inspiratory efforts (IEE) arise when there is no coordination between patient effort and ventilator support. IIE are common in different ventilatory modes and are associated with worse clinical outcomes: dyspnea, increased sedation requirements, increased IMV days and longer intensive care unit (ICU) and hospital stay. These are manifested graphically as an abrupt decrease in expiratory flow, being more frequent during expiration. However, and taking into consideration that it is still unknown whether this association is causal or rather a marker of disease severity, recognizing the potential physiological consequences, reviewing diagnostic methods and implementing detection and treatment strategies that can limit them, seems reasonable.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 5","pages":"Article 502133"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891473","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

Cánula ProtekDuo a través de prótesis pulmonar Melody puente a trasplante cardiopulmonar ProtekDuo管通过肺假体旋律桥心肺移植

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-05-01 DOI: 10.1016/j.medin.2024.502119

Carlos Domínguez-Massa , Manuel Pérez-Guillén , Juan Bautista Martínez-León

引用次数: 0

Pseudoaneurisma ventricular gigante tras infarto agudo de miocardio 急性心肌梗死后的巨型假动脉瘤

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-05-01 DOI: 10.1016/j.medin.2024.502120

Javier Ceña Carazo, Marlene Feo González, Adolfo Iñiguez de Diego

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Las grietas del corazón: hallazgo de dos complicaciones mecánicas mortales 心脏裂纹：发现两种致命的机械并发症

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

引用次数: 0

Pulmonary vein thrombosis following acute type aortic dissection 急性主动脉夹层后肺静脉血栓形成

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

引用次数: 0

Desobediencia académica 学术违规

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

引用次数: 0

Recursos humanos y materiales dirigidos en un programa de atención al paciente traumático potencialmente grave en urgencias 在紧急情况下为可能严重的创伤患者提供护理的人力和物力资源

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

引用次数: 0

The association between body temperature and 28-day mortality in sepsis patients: A retrospective observational study 败血症患者体温与28天死亡率之间的关系：一项回顾性观察性研究

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

引用次数: 0

¿Cómo implicar al paciente y familia en la mejora de la seguridad en los servicios de medicina intensiva? 如何让患者和家属参与改善重症监护服务的安全？

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