Medicina intensiva最新文献

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From geometric equations to dynamic strategies: advances in the personalization of mechanical ventilation through mechanical power. 从几何方程到动态策略:通过机械动力实现个性化机械通气的进展。
Medicina intensiva Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.11.004
Alejandro González-Castro, Aurio Fajardo Campoverdi
{"title":"From geometric equations to dynamic strategies: advances in the personalization of mechanical ventilation through mechanical power.","authors":"Alejandro González-Castro, Aurio Fajardo Campoverdi","doi":"10.1016/j.medine.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.medine.2024.11.004","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation and concordance of HACOR and IROX scales in patients with COVID-19 pneumonia who received non-invasive ventilation in two intensive care units. 在两个重症监护病房接受无创通气治疗的 COVID-19 肺炎患者的 HACOR 和 IROX 量表的相关性和一致性。
Medicina intensiva Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.11.007
Alberto Belenguer-Muncharaz, Irina Hermosilla-Semikina, Francisco Bernal-Julián, Héctor Hernández-Garcés, Lluís Tormo-Rodriguez, Estefanía Granero-Gasamans
{"title":"Correlation and concordance of HACOR and IROX scales in patients with COVID-19 pneumonia who received non-invasive ventilation in two intensive care units.","authors":"Alberto Belenguer-Muncharaz, Irina Hermosilla-Semikina, Francisco Bernal-Julián, Héctor Hernández-Garcés, Lluís Tormo-Rodriguez, Estefanía Granero-Gasamans","doi":"10.1016/j.medine.2024.11.007","DOIUrl":"https://doi.org/10.1016/j.medine.2024.11.007","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High flow in tracheostomized patients on their first attempt to wean from mechanical ventilation: More questions on the table. 首次尝试脱离机械通气的气管插管患者的高流量:桌面上还有更多问题。
Medicina intensiva Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.10.007
Ignacio Fernández Ceballos, Ivan A Huespe, Indalecio Carboni Bisso, Marcos J Las Heras
{"title":"High flow in tracheostomized patients on their first attempt to wean from mechanical ventilation: More questions on the table.","authors":"Ignacio Fernández Ceballos, Ivan A Huespe, Indalecio Carboni Bisso, Marcos J Las Heras","doi":"10.1016/j.medine.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.medine.2024.10.007","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shocked and moved. Early mobilisation in cardiogenic shock. 震惊与感动。心源性休克患者的早期动员。
Medicina intensiva Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.11.006
José Luis García-Garmendia
{"title":"Shocked and moved. Early mobilisation in cardiogenic shock.","authors":"José Luis García-Garmendia","doi":"10.1016/j.medine.2024.11.006","DOIUrl":"https://doi.org/10.1016/j.medine.2024.11.006","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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康复:观察性研究的系统回顾和荟萃分析。
Medicina intensiva Pub Date : 2024-11-16 DOI: 10.1016/j.medine.2024.09.013
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.medine.2024.09.013","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.013","url":null,"abstract":"<p><strong>Objective: </strong>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).</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Setting: </strong>Intensive care unit (ICU).</p><p><strong>Patients or participants: </strong>Adult patients requiring vasoactive drugs who received early mobilisation in the intensive care unit.</p><p><strong>Interventions: </strong>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.</p><p><strong>Main variables of interest: </strong>Feasibility, safety events, and the maximum level of activity achieved during early mobilisation.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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:回顾性观察研究
Medicina intensiva Pub Date : 2024-11-16 DOI: 10.1016/j.medine.2024.08.004
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.medine.2024.08.004","DOIUrl":"https://doi.org/10.1016/j.medine.2024.08.004","url":null,"abstract":"<p><strong>Objective: </strong>This study explored the association between body temperature and 28-day septic ICU hospital mortality.</p><p><strong>Design: </strong>Retrospective cohort analysis.</p><p><strong>Setting: </strong>208 ICUs in the United States.</p><p><strong>Patients or participants: </strong>Sepsis patients from 2014-2015 eICU Collaborative Research Database.</p><p><strong>Interventions: </strong>Binary logistic regression models, Generalized Additive Model (GAM), Two-Piece Binary Logistic Regression Model.</p><p><strong>Main variables of interest: </strong>Body temperature, 28-day inpatient mortality.</p><p><strong>Results: </strong>Nonlinear relationship observed; hypothermia (≤36.67 ℃) associated with increased mortality (adjusted OR = 0.74, 95% CI: 0.70-0.80, p < 0.0001).</p><p><strong>Conclusions: </strong>Hypothermia in sepsis correlates with higher mortality; rewarming's potential benefit warrants further exploration.</p>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inhaled sedation in the ICU. Still a long road ahead. 重症监护室中的吸入镇静剂。前路依然漫长
Medicina intensiva Pub Date : 2024-11-12 DOI: 10.1016/j.medine.2024.11.003
Hernán Aguirre-Bermeo, Pedro D Wendel-García, Óscar Peñuelas, Ferran Roche-Campo
{"title":"Inhaled sedation in the ICU. Still a long road ahead.","authors":"Hernán Aguirre-Bermeo, Pedro D Wendel-García, Óscar Peñuelas, Ferran Roche-Campo","doi":"10.1016/j.medine.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.medine.2024.11.003","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sepsis associated to contamination of propofol infusion by Pantoea agglomerans. A case series. 与异丙酚输液受到泛变形杆菌污染有关的败血症。病例系列。
Medicina intensiva Pub Date : 2024-11-11 DOI: 10.1016/j.medine.2024.10.006
Marlene Feo González, Maite Arlabán Carpintero, Lucía Corta Iriarte, Adolfo Íñiguez de Diego, Johanna Marcela Abril Victorino, Verónica Calleja Muñoz
{"title":"Sepsis associated to contamination of propofol infusion by Pantoea agglomerans. A case series.","authors":"Marlene Feo González, Maite Arlabán Carpintero, Lucía Corta Iriarte, Adolfo Íñiguez de Diego, Johanna Marcela Abril Victorino, Verónica Calleja Muñoz","doi":"10.1016/j.medine.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.medine.2024.10.006","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early identification of a knotted peripherally inserted central venous catheter 外周插入式中心静脉导管打结的早期识别。
Medicina intensiva Pub Date : 2024-11-01 DOI: 10.1016/j.medine.2024.03.009
{"title":"Early identification of a knotted peripherally inserted central venous catheter","authors":"","doi":"10.1016/j.medine.2024.03.009","DOIUrl":"10.1016/j.medine.2024.03.009","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 11","pages":"Pages 675-676"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pictures in Medicina Intensiva. Endogenous endophthalmitis in a meningococcal meningitis case 重症医学》中的图片。脑膜炎球菌性脑膜炎病例中的内源性眼内炎
Medicina intensiva Pub Date : 2024-11-01 DOI: 10.1016/j.medine.2024.04.007
{"title":"Pictures in Medicina Intensiva. Endogenous endophthalmitis in a meningococcal meningitis case","authors":"","doi":"10.1016/j.medine.2024.04.007","DOIUrl":"10.1016/j.medine.2024.04.007","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 11","pages":"Page e20"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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