{"title":"Mejoría de la hipoperfusión cerebral mediante bloqueo del ganglio estrellado en el vasoespasmo refractario","authors":"Luis Patricio Maskin, Federico Rodríguez Lucci","doi":"10.1016/j.medin.2024.502121","DOIUrl":"10.1016/j.medin.2024.502121","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 6","pages":"Article 502121"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184705","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}
Álvaro Castellanos-Ortega , María Jesús Broch Porcar , Diego Palacios-Castañeda , Vicente Gómez-Tello , Miguel Valdivia , Carlos Vicent , Isabel Madrid , Nuria Martinez , Manuel José Párraga , Elena Sancho , María del Castillo Fuentes-Dura , Rafael García-Ros
{"title":"Effect of a competence based medical education program on training quality in Intensive Care Medicine. COBALIDATION TRIAL","authors":"Álvaro Castellanos-Ortega , María Jesús Broch Porcar , Diego Palacios-Castañeda , Vicente Gómez-Tello , Miguel Valdivia , Carlos Vicent , Isabel Madrid , Nuria Martinez , Manuel José Párraga , Elena Sancho , María del Castillo Fuentes-Dura , Rafael García-Ros","doi":"10.1016/j.medin.2024.502126","DOIUrl":"10.1016/j.medin.2024.502126","url":null,"abstract":"<div><h3>Objectives</h3><div>The main objective of this study was to evaluate whether the implementation of CoBaTrICE (Competency-Based Training in Intensive Care Medicine in Europe) provides higher levels of competency in comparison with the current official time-based program in Intensive Care Medicine in Spain. Secondary objectives were: 1) To determine the percentage of critical essential performance elements (CEPE) accomplished, 2) To determine compliance with workplace-based assessments (wba).</div></div><div><h3>Design</h3><div>Multicenter cluster randomized trial.</div></div><div><h3>Setting</h3><div>Thirteen Spanish ICU Departments.</div></div><div><h3>Participants</h3><div>Thirty-six residents</div></div><div><h3>Intervention</h3><div>The implementation of CoBaTrICE included: (1) Training the trainers; (2) Wba; (3) The use of an electronic portfolio. The level of competency achieved by each participant was determined by a simulation-based Objective Structured Clinical Exam (OSCE) performed at the end of the 5th year of training period.</div></div><div><h3>Main variables of interest</h3><div>Total scoring in the five scenarios, CEPE completed, level of competency (1–5) achieved.</div></div><div><h3>Results</h3><div>A total of 119 performances from 26 residents (17 from CoBaTrICE group and 9 from control group) were analyzed in the OSCE. CoBaTrICE residents´ achieved higher levels of competency [2 (1−5) vs. 2 (1−3), p = 0.07) and higher percentages of CEPE´s accomplishment than the control group (78% vs. 71%, p = 0.09).</div></div><div><h3>Conclusions</h3><div>The CoBaTrICE group showed a better performance trend in comparison to the control group, but the differences were not statistically significant. Since the number of Wba performed was low, additional research is needed to determine the potential superiority of CoBaTrICE.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 6","pages":"Article 502126"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185279","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}
Manuel García-Delgado , Violeta Chica-Sáez , Andrea Ferreiro-Marzal , María Redondo-Orts , María Esteban-Molina , José Manuel Garrido-Jiménez , en representación de la UAMC
{"title":"Calidad y seguridad del transporte en ECMO. Aspectos prácticos derivados de nuestra experiencia","authors":"Manuel García-Delgado , Violeta Chica-Sáez , Andrea Ferreiro-Marzal , María Redondo-Orts , María Esteban-Molina , José Manuel Garrido-Jiménez , en representación de la UAMC","doi":"10.1016/j.medin.2025.502156","DOIUrl":"10.1016/j.medin.2025.502156","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 6","pages":"Article 502156"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184703","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}