Medicina intensiva最新文献

Airway management in critically ill patients. The need to adapt guidelines to our reality and adhere to them. 危重病人的气道管理。需要根据我们的实际情况调整指导方针并加以遵守。

Medicina intensiva Pub Date : 2025-10-06 DOI: 10.1016/j.medine.2025.502299

Francisco Ramón Pampín Huerta, Gonzalo Pardo Peña, Dolores Moreira Gómez, María Pilar Madruga Garrido

引用次数: 0

Primary central nervous system vasculitis. A rare disease with high mortality. 原发性中枢神经系统血管炎。一种死亡率高的罕见疾病。

Medicina intensiva Pub Date : 2025-10-04 DOI: 10.1016/j.medine.2025.502298

María Teresa Belmonte Alcaraz, Diego Martínez García, Carola Giménez-Esparza Vich

引用次数: 0

Hypernatremia and renal dysfunction after sevoflurane sedation in the intensive care unit: Three case reports 重症监护病房七氟醚镇静后的高钠血症和肾功能障碍：3例报告。

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502215

Marta Bauça Socias , Dolly Andrea Caicedo , Eva Benveniste-Pérez , Georgina de la Rosa Loppacher , Eva Montané

引用次数: 0

Update of the taxonomy of mechanical ventilation modes 机械通气方式分类的更新。

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502211

Aurio Fajardo-Campoverdi , Eduardo Mireles-Cabodevila , Alberto Medina , Miguel Ibarra-Estrada , José Baltazar-Torres , Robert Chatburn

{"title":"Update of the taxonomy of mechanical ventilation modes","authors":"Aurio Fajardo-Campoverdi , Eduardo Mireles-Cabodevila , Alberto Medina , Miguel Ibarra-Estrada , José Baltazar-Torres , Robert Chatburn","doi":"10.1016/j.medine.2025.502211","DOIUrl":"10.1016/j.medine.2025.502211","url":null,"abstract":"<div><div>The rapid technological development of mechanical ventilation<span> has resulted in increasingly complex modes, advanced monitoring capabilities and the incorporation of artificial intelligence. However, manufacturers have created a multitude of trade names, which has generated a great deal of confusion in their understanding, handling and application. This problem is exacerbated in Spanish-speaking countries due to inconsistencies in translations and variability in nomenclature between regions. This manuscript aims to provide an updated review of the taxonomic classification of ventilatory modes in order to promote standardization of terminology, especially in the Spanish-speaking clinical context, and includes changes in the taxonomy and manner of labeling modes of mechanical ventilation. This review focuses on invasive mechanical ventilation of the adult critically ill patient, although the taxonomy is also applicable to all ventilation modalities, including noninvasive, high-frequency, pediatric, and even home ventilation.</span></div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 10","pages":"Article 502211"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251665","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

Utility of airway occlusion pressure in traumatic diaphragmatic rupture 气道闭塞压在外伤性膈破裂中的应用。

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502214

Noemi Merino Pizarro , Manuel Valdivia Marchal , Carmen Bermudez Ruiz , Juan Francisco Martinez Carmona , Ashlen Rodriguez Carmona , Jose Manuel Serrano Simon

引用次数: 0

Impact of COVID-19 in the in-hospital cardiac arrest activations: Retrospective study COVID-19对院内心脏骤停激活的影响：回顾性研究

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502137

Ghali Ballout , Marta Magaldi Mendaña , Bartomeu Ramis Bou , Cristian Torres Quevedo , Adriana Capdevila Freixas , Silvia Moreno-Jurico , Enrique Jesús Carrero Cardenal , Jaime Fontanals Dotras , Comisión a la Atención a la Parada Cardiorrespiratoria del Hospital Clínic de Barcelona

{"title":"Impact of COVID-19 in the in-hospital cardiac arrest activations: Retrospective study","authors":"Ghali Ballout , Marta Magaldi Mendaña , Bartomeu Ramis Bou , Cristian Torres Quevedo , Adriana Capdevila Freixas , Silvia Moreno-Jurico , Enrique Jesús Carrero Cardenal , Jaime Fontanals Dotras , Comisión a la Atención a la Parada Cardiorrespiratoria del Hospital Clínic de Barcelona","doi":"10.1016/j.medine.2025.502137","DOIUrl":"10.1016/j.medine.2025.502137","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze whether the characteristics of the patients treated by the in-hospital cardiorespiratory arrest team, IHCA and cardiopulmonary resuscitation (CPR) were different in the period before the COVID-19 compared to the pandemic period; also analyzing the differences between COVID+ and COVID− patients.</div></div><div><h3>Design</h3><div>Observational and retrospective study from January 1st, 2018, to December 31st, 2021.</div></div><div><h3>Setting</h3><div>Tertiary hospital.</div></div><div><h3>Patients</h3><div>All adult patients over 18 years old requiring attention from the IHCA response team.</div></div><div><h3>Interventions</h3><div>CPR maneuvers according to the advanced life support guidelines of the European Resuscitation Council published in 2015, as well as the modifications made in the COVID era (2020).</div></div><div><h3>Main variables</h3><div>Demographic and epidemiological data, activations of the IHCA response team, CA data, hospital and intensive care unit (ICU) length of stay, survival and neurological outcome at hospital discharge.</div></div><div><h3>Results</h3><div>A total of 368 patients were analyzed: 173 in the pre-pandemic group and 195 in the pandemic group. The neurological outcome was better in the pre-pandemic group, and COVID+ patients had a longer ICU length of stay. However, no differences in the response time of the CPR team or in CPR duration were found, nor in immediate survival or at hospital discharge, between both groups or between COVID+ and COVID− patients.</div></div><div><h3>Conclusions</h3><div>Changes in CPR care protocols due to the COVID-19 pandemia did not seem to affect response times from IHCA team neither immediate nor discharge survival.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 10","pages":"Article 502137"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367169","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

Definitions and consensus recommendations on critical care medicine at altitude from the Expert Committee on Critical Care Medicine at altitude of the Pan-American and Iberian Federation of Critical Care Medicine and Intensive Care 泛美和伊比利亚重症监护医学和重症监护联合会高原重症监护医学专家委员会关于高原重症监护医学的定义和共识建议。

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502256

Amilcar Tinoco-Solórzano , Adrian Avila-Hilari , Manuel Luis Avellanas-Chavala , Felipe de Jesús Montelongo , Jorge Vélez-Páez , Víctor Nieto Estrada , Antonio Viruez Soto , Daniel Molano Franco , Eduardo Castelo Tamayo , Ignacio Granda Luna , Alfonso Salazar Mendoza , Luis Mamani Cruz , Jonathan Galindo Ayala , Pablo Vásquez-Hoyos , Fausto Maldonado Coronel , Roger Huanca Payehuanca , Jorge Rosendo Sánchez Medina

{"title":"Definitions and consensus recommendations on critical care medicine at altitude from the Expert Committee on Critical Care Medicine at altitude of the Pan-American and Iberian Federation of Critical Care Medicine and Intensive Care","authors":"Amilcar Tinoco-Solórzano , Adrian Avila-Hilari , Manuel Luis Avellanas-Chavala , Felipe de Jesús Montelongo , Jorge Vélez-Páez , Víctor Nieto Estrada , Antonio Viruez Soto , Daniel Molano Franco , Eduardo Castelo Tamayo , Ignacio Granda Luna , Alfonso Salazar Mendoza , Luis Mamani Cruz , Jonathan Galindo Ayala , Pablo Vásquez-Hoyos , Fausto Maldonado Coronel , Roger Huanca Payehuanca , Jorge Rosendo Sánchez Medina","doi":"10.1016/j.medine.2025.502256","DOIUrl":"10.1016/j.medine.2025.502256","url":null,"abstract":"<div><div>The Expert Committee on Critical Care Medicine at Altitude of the Pan American and Iberian Federation of Critical Care Medicine and Intensive Care detected a lack of terms defining this critical care medicine, as well as a lack of standardization in the approach to these patients. These shortcomings can lead to errors in management, for example, in critically ill patients at risk of death who require oxygen therapy, whether invasive or non-invasively.</div><div>The objective of the Expert Committee was to develop an international consensus that would standardize terminology and establish key definitions and recommendations for the care of critically ill patients at altitude. This document includes five important definitions, four recommendations related to the management of acute respiratory failure at altitude, and a series of considerations for future research. It also establishes specific criteria that differentiate it from the traditional approach used at sea level.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 10","pages":"Article 502256"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818936","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

Is hemodynamic instability an absolute contraindication for prone position? 血流动力学不稳定是俯卧位的绝对禁忌症吗？

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502201

Marina Busico, Fernando Villarejo

引用次数: 0

Contrast media extravasation mimicking subarachnoid hemorrhage due to hypertensive encephalopathy 高血压脑病引起的类似蛛网膜下腔出血的造影剂外渗。

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502208

Gökhan Tonkaz, Merve Nur Taşdemir, Mehmet Tonkaz

引用次数: 0

Airway pressure release ventilation on veno-venous extracorporeal membrane oxigenation (ECMO) 静脉-静脉体外膜氧合（ECMO）下气道压力释放通气。

Medicina intensiva Pub Date : 2025-10-01 DOI: 10.1016/j.medine.2025.502177

Ruben Martín-Latorre, Laura de Rivas-Alcover, Àngela Poquet-Poquet

引用次数: 0