Medicina Intensiva最新文献_第5页

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

Cistitis enfisematosa en el postoperatorio de reemplazo de válvula aórtica 主动脉瓣置换术后气肿性膀胱炎

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.06.015

Iratxe Iriondo Irigoras, María Ángeles Rodríguez Esteban

引用次数: 0

Shocked and moved. Movilización precoz en el shock cardiogénico 震惊和感动。心源性休克的早期动员

IF 2.7 4区医学

Medicina Intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medin.2024.10.007

José Luis García-Garmendia

引用次数: 0

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

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 , Luis F. Pardo-Cocuy , Janneth Milena Avendaño , Daniel Molano-Franco , 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<0.05) of patients were mobilised with low doses of vasoactive drugs, 30% (95% CI: 7%–53%, p<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<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

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

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

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 , 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