{"title":"¿Es hora de medir la supervivencia libre de enfermedad en población oncológica crítica?","authors":"Elena Cuenca-Fito , 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}
{"title":"El rol de la potencia elástica estática en la gravedad y en el pronóstico del síndrome de distrés respiratorio agudo","authors":"Sara Manrique , 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}
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}
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, Carlos García Fuentes, Jesús Barea Mendoza, Susana Bermejo-Aznáres, 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}
Wei Yang , Dan Zhou , Hui Peng , Huilin Jiang , Weifeng Chen
{"title":"The association between body temperature and 28-day mortality in sepsis patients: A retrospective observational study","authors":"Wei Yang , Dan Zhou , Hui Peng , Huilin Jiang , Weifeng Chen","doi":"10.1016/j.medin.2024.08.011","DOIUrl":"10.1016/j.medin.2024.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored the association between body temperature and 28-day septic ICU hospital mortality.</div></div><div><h3>Design</h3><div>Retrospective cohort analysis.</div></div><div><h3>Setting</h3><div>208 ICUs in the United States.</div></div><div><h3>Patients or participants</h3><div>Sepsis patients from 2014–2015 eICU Collaborative Research Database.</div></div><div><h3>Interventions</h3><div>Binary logistic regression models, Generalized Additive Model (GAM), Two-Piece Binary Logistic Regression Model.</div></div><div><h3>Main variables of interest</h3><div>Body temperature, 28-day inpatient mortality.</div></div><div><h3>Results</h3><div>Nonlinear relationship observed; hypothermia (≤36.67 ℃) associated with increased mortality (adjusted OR = 0.74, 95% CI: 0.70–0.80, p < 0.0001).</div></div><div><h3>Conclusions</h3><div>Hypothermia in sepsis correlates with higher mortality; rewarming's potential benefit warrants further exploration.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 205-215"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739135","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}