Medicina intensiva最新文献

{"title":"On frailty, quality of life and post-ICU syndrome","authors":"Arantxa Mas Serra","doi":"10.1016/j.medine.2024.04.015","DOIUrl":"10.1016/j.medine.2024.04.015","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 375-376"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909632","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}

{"title":"Hydrocephalus treatment monitoring on transcranial and abdominal ultrasound","authors":"Pablo Blanco , Liliana Figueroa , Gustavo Ottaviano","doi":"10.1016/j.medine.2023.12.008","DOIUrl":"10.1016/j.medine.2023.12.008","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 433-434"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736971","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}

{"title":"Spontaneous air cerebral embolism secondary to pulmonary vulnerability","authors":"Alejandra Carmen Nasarre Puyuelo , Daniel Saénz Abad , José María Ferreras Amez","doi":"10.1016/j.medine.2024.01.006","DOIUrl":"10.1016/j.medine.2024.01.006","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 431-432"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934929","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}

{"title":"Cistitis enfisematosa en el postoperatorio de reemplazo de válvula aórtica","authors":"Iratxe Iriondo Irigoras, M. Á. Rodríguez Esteban","doi":"10.1016/j.medin.2024.06.015","DOIUrl":"https://doi.org/10.1016/j.medin.2024.06.015","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843383","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}

{"title":"Assessment of early traumatic mortality using post-mortem computed tomography","authors":"Lidia Orejón García , Laín Ibáñez Sanz , Marcos Valiente Fernández , Francisco de Paula Delgado Moya , Elena Martinez Chamorro , Mario Chico Fernández","doi":"10.1016/j.medine.2024.01.005","DOIUrl":"10.1016/j.medine.2024.01.005","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 424-426"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944832","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}

{"title":"Factors associated with vasoplegic shock in the postoperative period of cardiac surgery and influence on morbidity and mortality of the use of arginine vasopressin as rescue therapy","authors":"María Barrera Sánchez,&nbsp;Cristina Royo Villa,&nbsp;Pablo Ruiz de Gopegui Miguelena,&nbsp;Pablo Gutiérrez Ibañes,&nbsp;Andrés Carrillo López","doi":"10.1016/j.medine.2024.04.003","DOIUrl":"10.1016/j.medine.2024.04.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Analyzing associated factors with vasoplegic shock in the postoperative period of Cardiac Surgery. Analyzing the influence of vasopressin as rescue therapy to first-line treatment with norepinephrine.</p></div><div><h3>Design</h3><p>Cohort, prospective and observational study.</p></div><div><h3>Setting</h3><p>Main hospital Postoperative Cardiac ICU.</p></div><div><h3>Patients</h3><p>Patients undergoing cardiac surgery with subsequent ICU admission from January 2021 to December 2022.</p></div><div><h3>Interventions</h3><p>Record of presurgical, perioperative and ICU discharge clinical variables.</p></div><div><h3>Main variables of interest</h3><p>chronic treatment, presence of vasoplegic shock, need for vasopressin, cardiopulmonary bypass time, mortality.</p></div><div><h3>Results</h3><p>773 patients met the inclusion criteria. The average age was 67.3, with predominance of males (65.7%). Post-CPB vasoplegia was documented in 94 patients (12.2%). In multivariate analysis, vasoplegia was associated with age, female sex, presurgical creatinine levels, cardiopulmonary bypass time, lactate level upon admission to the ICU, and need for prothrombin complex transfusion. Of the patients who developed vasoplegia, 18 (19%) required rescue vasopressin, associated with pre-surgical intake of ACEIs/ARBs, worse Euroscore score and longer cardiopulmonary bypass time. Refractory vasoplegia with vasopressin requirement was associated with increased morbidity and mortality.</p></div><div><h3>Conclusions</h3><p>Postcardiopulmonary bypass vasoplegia is associated with increased mortality and morbidity. Shortening cardiopulmonary bypass times and minimizing products blood transfusion could reduce its development. Removing ACEIs and ARBs prior to surgery could reduce the incidence of refractory vasoplegia requiring rescue with vasopressin. The first-line treatment is norepinephrine and rescue treatment with VSP is a good choice in refractory situations. The first-line treatment of this syndrome is norepinephrine, although rescue with vasopressin is a good complement in refractory situations.</p></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 392-402"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867143","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}

{"title":"Current situation and characteristics of centers specialized in management of aneurysmal subarachnoid hemorrhage in Spain","authors":"Marta Bueso Navarro ,&nbsp;Arturo Zabalegui Pérez ,&nbsp;Aaron Blandino Ortiz ,&nbsp;Bárbara Vidal Tegedor ,&nbsp;Laura Galarza Barrachina ,&nbsp;representing the REMOS study investigators","doi":"10.1016/j.medine.2024.02.016","DOIUrl":"10.1016/j.medine.2024.02.016","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 426-428"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140735109","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}

{"title":"Changes in pulmonary mechanics from supine to prone position measured through esophageal manometry in critically ill patients with COVID-19 severe acute respiratory distress syndrome","authors":"Ismael Maldonado-Beltrán ,&nbsp;Martín Armando Ríos-Ayala ,&nbsp;Iván Armando Osuna-Padilla ,&nbsp;Nadia Carolina Rodríguez-Moguel ,&nbsp;Gustavo Lugo-Goytia ,&nbsp;Carmen Margarita Hernández-Cárdenas","doi":"10.1016/j.medine.2023.07.013","DOIUrl":"10.1016/j.medine.2023.07.013","url":null,"abstract":"<div><h3>Objective</h3><p>To describe changes in pulmonary mechanics<span><span> when changing from supine position (SP) to </span>prone position<span> (PP) in mechanically ventilated (MV) patients with Acute Respiratory Distress Syndrome (ARDS) due to severe COVID-19.</span></span></p></div><div><h3>Design</h3><p>Retrospective cohort.</p></div><div><h3>Setting</h3><p>Intensive Care Unit of the National Institute of Respiratory Diseases (Mexico City).</p></div><div><h3>Patients</h3><p>COVID-19 patients on MV due to ARDS, with criteria for PP.</p></div><div><h3>Intervention</h3><p><span>Measurement of pulmonary mechanics in patients on SP to PP, using esophageal </span>manometry.</p></div><div><h3>Main variables of interest</h3><p>Changes in lung and thoracic wall mechanics in SP and PP</p></div><div><h3>Results</h3><p>Nineteen patients were included. Changes during first prone positioning were reported. Reductions in lung stress (10.6 vs 7.7, p<!--> <!-->=<!--> <!-->0.02), lung strain (0.74 vs 0.57, p<!--> <!-->=<!--> <!-->0.02), lung elastance (p<!--> <!-->=<!--> <!-->0.01), chest wall elastance (p<!--> <!-->=<!--> <!-->0.003) and relation of respiratory system elastances (p<!--> <!-->=<!--> <!-->0.001) were observed between patients when changing from SP to PP. No differences were observed in driving pressure (p<!--> <!-->=<!--> <span>0.19) and transpulmonary pressure during inspiration (p</span> <!-->=<!--> <!-->0.70).</p></div><div><h3>Conclusions</h3><p>Changes in pulmonary mechanics were observed when patients were comparing values of supine position with measurements obtained 24<!--> <span>h after prone positioning. Esophageal pressure monitoring may facilitate ventilator management despite patient positioning.</span></p></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 386-391"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10372867","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}

{"title":"The open data revolution: Enhancing healthcare in intensive care units","authors":"Sergio Muñoz-Lezcano ,&nbsp;Carmen de la Fuente ,&nbsp;Ángel Estella ,&nbsp;Rosario Amaya-Villar ,&nbsp;Antonio M. Puppo-Moreno ,&nbsp;Miguel Ángel Armengol-de la Hoz ,&nbsp;José Garnacho-Montero","doi":"10.1016/j.medine.2024.03.011","DOIUrl":"10.1016/j.medine.2024.03.011","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 7","pages":"Pages 421-423"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140788188","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}

{"title":"Intramyocardial edema as an atypical manifestation of capillary leak syndrome.","authors":"Montserrat Rodríguez Gómez, María Calle Romero, Sara Domingo Marín","doi":"10.1016/j.medine.2024.06.010","DOIUrl":"https://doi.org/10.1016/j.medine.2024.06.010","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474090","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}