Medicina Intensiva最新文献

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Prácticas de analgosedación y delirium en pacientes críticos de la región Panamericana e Ibérica y factores asociados a la sobresedación tras la pandemia COVID-19: resultados del estudio PANDEMIC 泛美和伊比利亚地区关键患者的镇痛和谵妄做法以及与2019冠状病毒病大流行后过量用药相关的因素:大流行病学研究结果
IF 2.7 4区 医学
Medicina Intensiva Pub Date : 2025-05-01 DOI: 10.1016/j.medin.2024.502123
Carola Giménez-Esparza Vich , Felipe Martínez , Daniela Olmos Kutscherauer , Daniel Molano , Maria del Carmen Gallardo , Enrique Mario Olivares-Durán , Jesús Caballero , Rosa Reina , Manuela García Sánchez , Federico C. Carini , Comité de Analgesia, Sedación y Delirium de la Federación Panamericana e Ibérica de Cuidados Críticos y Terapia Intensiva (FEPIMCTI)
{"title":"Prácticas de analgosedación y delirium en pacientes críticos de la región Panamericana e Ibérica y factores asociados a la sobresedación tras la pandemia COVID-19: resultados del estudio PANDEMIC","authors":"Carola Giménez-Esparza Vich ,&nbsp;Felipe Martínez ,&nbsp;Daniela Olmos Kutscherauer ,&nbsp;Daniel Molano ,&nbsp;Maria del Carmen Gallardo ,&nbsp;Enrique Mario Olivares-Durán ,&nbsp;Jesús Caballero ,&nbsp;Rosa Reina ,&nbsp;Manuela García Sánchez ,&nbsp;Federico C. Carini ,&nbsp;Comité de Analgesia, Sedación y Delirium de la Federación Panamericana e Ibérica de Cuidados Críticos y Terapia Intensiva (FEPIMCTI)","doi":"10.1016/j.medin.2024.502123","DOIUrl":"10.1016/j.medin.2024.502123","url":null,"abstract":"<div><div>Oversedation has adverse effects on critically ill patients. The Analgosedation and Delirium Committee of the FEPIMCTI (Pan-American and Iberian Federation of Critical Care Medicine and Intensive Care) conducted a cross-sectional study through a survey addressed to ICU physicians: PANDEMIC (Pan-American and Iberian Study on the Management of Analgosedation and Delirium in Critical Care [fepImCti]).</div><div>Hypothesis Worsening of these practices in the course of the pandemic and that continued afterwards, with further oversedation.</div></div><div><h3>Objectives</h3><div>Perception of analgosedation and delirium practices in Pan-American and Iberian ICUs before, during and after the COVID-19 pandemic, and factors associated with persistent oversedation after the pandemic.</div><div>Of the 1008 respondents, 25% perceived oversedation after the pandemic (95%<!--> <!-->CI: 22.4-27.8). This perception was higher in South America (35.8%; <em>P</em> <!-->&lt;<!--> <!-->.001). Main risk factor: habit acquired during the pandemic (adjusted OR [aOR]: 3.16; 95%<!--> <!-->CI: 2.24-4.45; <em>P</em> <!-->&lt;<!--> <!-->.001). Main protective factor: delirium monitoring before the pandemic (aOR: 0.70; 95%<!--> <!-->CI: 0.50-0.98; <em>P</em> <!-->=<!--> <!-->.038).</div><div>The factors identified in this study provide a basis for targeting future interventions.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 5","pages":"Article 502123"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891451","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
¿Es hora de medir la supervivencia libre de enfermedad en población oncológica crítica? 是时候衡量关键癌症人群的无疾病生存了吗?
IF 2.7 4区 医学
Medicina Intensiva Pub Date : 2025-05-01 DOI: 10.1016/j.medin.2025.502157
Elena Cuenca-Fito , Eric Mayor-Vázquez
{"title":"¿Es hora de medir la supervivencia libre de enfermedad en población oncológica crítica?","authors":"Elena Cuenca-Fito ,&nbsp;Eric Mayor-Vázquez","doi":"10.1016/j.medin.2025.502157","DOIUrl":"10.1016/j.medin.2025.502157","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 5","pages":"Article 502157"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891453","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
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
{"title":"El rol de la potencia elástica estática en la gravedad y en el pronóstico del síndrome de distrés respiratorio agudo","authors":"Sara Manrique ,&nbsp;Federico Gordo","doi":"10.1016/j.medin.2025.502160","DOIUrl":"10.1016/j.medin.2025.502160","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 5","pages":"Article 502160"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891518","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
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 ,&nbsp;Luis Felipe Damiani ,&nbsp;Gustavo Adrián Plotnikow ,&nbsp;Sebastián Consalvo ,&nbsp;Emanuel Di Salvo ,&nbsp;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
{"title":"Cánula ProtekDuo a través de prótesis pulmonar Melody puente a trasplante cardiopulmonar","authors":"Carlos Domínguez-Massa ,&nbsp;Manuel Pérez-Guillén ,&nbsp;Juan Bautista Martínez-León","doi":"10.1016/j.medin.2024.502119","DOIUrl":"10.1016/j.medin.2024.502119","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 5","pages":"Article 502119"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891516","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
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
{"title":"Pseudoaneurisma ventricular gigante tras infarto agudo de miocardio","authors":"Javier Ceña Carazo,&nbsp;Marlene Feo González,&nbsp;Adolfo Iñiguez de Diego","doi":"10.1016/j.medin.2024.502120","DOIUrl":"10.1016/j.medin.2024.502120","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 5","pages":"Article 502120"},"PeriodicalIF":2.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891593","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
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
{"title":"Las grietas del corazón: hallazgo de dos complicaciones mecánicas mortales","authors":"Alberto Garrido Callén,&nbsp;Irene Fernández Muñoz,&nbsp;Marta Martín Muñoz","doi":"10.1016/j.medin.2024.07.004","DOIUrl":"10.1016/j.medin.2024.07.004","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 253-254"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738688","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
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
{"title":"Pulmonary vein thrombosis following acute type aortic dissection","authors":"Xiaoyang Zhou ,&nbsp;Long Zhao ,&nbsp;Bixin Chen","doi":"10.1016/j.medin.2024.08.008","DOIUrl":"10.1016/j.medin.2024.08.008","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 255-256"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738689","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
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
{"title":"Desobediencia académica","authors":"Marcos Valiente Fernández,&nbsp;Francisco de Paula Delgado Moya,&nbsp;Amanda Lesmes González de Aledo,&nbsp;Isaías Martín Badía","doi":"10.1016/j.medin.2024.10.006","DOIUrl":"10.1016/j.medin.2024.10.006","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Page 250"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738687","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
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
{"title":"Recursos humanos y materiales dirigidos en un programa de atención al paciente traumático potencialmente grave en urgencias","authors":"Alejandro Arturo Caballo Manuel,&nbsp;Carlos García Fuentes,&nbsp;Jesús Barea Mendoza,&nbsp;Susana Bermejo-Aznáres,&nbsp;Mario Chico-Fernández","doi":"10.1016/j.medin.2024.09.004","DOIUrl":"10.1016/j.medin.2024.09.004","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 245-247"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739138","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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