Medicina intensiva最新文献

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What should intensivists know about immune checkpoint inhibitors and their side effects? 关于免疫检查点抑制剂及其副作用,强化医师应该知道些什么?
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502135
Viktor Yordanov Zlatkov Aleksandrov, Fernando Martínez Sagasti, Juncal Pérez-Somarriba Moreno, Helena Huertas Mondéjar
{"title":"What should intensivists know about immune checkpoint inhibitors and their side effects?","authors":"Viktor Yordanov Zlatkov Aleksandrov,&nbsp;Fernando Martínez Sagasti,&nbsp;Juncal Pérez-Somarriba Moreno,&nbsp;Helena Huertas Mondéjar","doi":"10.1016/j.medine.2025.502135","DOIUrl":"10.1016/j.medine.2025.502135","url":null,"abstract":"<div><div>The pharmacological group of immune checkpoint-inhibitors (ICI) has revolutionized the field of oncology in the last ten years. The improvements in the survival of certain cancers thanks to these treatments comes at the cost of an increased morbidity and mortality due to certain immune related adverse events (irAE). This review will concentrate on the irAE that more frequently require intensive care unit (ICU) admission. The infectious burden of patients treated with ICI is also explored, shining light not only on the infections caused by the immunosuppression needed to manage the different irAE, but also on the specific infections arising from a unique immune dysregulation only seen in ICI treated patients.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502135"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019167","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
Neuroaspergillosis: Diagnostic in immunosuppressed patients illustrated by MRI imaging 神经疱疹:通过核磁共振成像对免疫抑制患者进行诊断。
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502151
Almudena Domínguez González, Nuria Medina Cabrera, Alejandro Hueso Mor
{"title":"Neuroaspergillosis: Diagnostic in immunosuppressed patients illustrated by MRI imaging","authors":"Almudena Domínguez González,&nbsp;Nuria Medina Cabrera,&nbsp;Alejandro Hueso Mor","doi":"10.1016/j.medine.2025.502151","DOIUrl":"10.1016/j.medine.2025.502151","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502151"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506703","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
Congenital absence of the circumflex coronary artery 先天性冠状动脉圆周缺失。
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502152
Antonio Padilla-Serrano , Carmen de la Cueva Coca , Antonio Cárdenas Cruz
{"title":"Congenital absence of the circumflex coronary artery","authors":"Antonio Padilla-Serrano ,&nbsp;Carmen de la Cueva Coca ,&nbsp;Antonio Cárdenas Cruz","doi":"10.1016/j.medine.2025.502152","DOIUrl":"10.1016/j.medine.2025.502152","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502152"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560426","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
Electrical impedance tomography for the detection and management optimization of pulmonary embolism 电阻抗断层扫描对肺栓塞的检测和优化处理。
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502134
Isabel Magaña Bru, Alicia Delgado Arroyo, Fernando Suarez Sipmann
{"title":"Electrical impedance tomography for the detection and management optimization of pulmonary embolism","authors":"Isabel Magaña Bru,&nbsp;Alicia Delgado Arroyo,&nbsp;Fernando Suarez Sipmann","doi":"10.1016/j.medine.2025.502134","DOIUrl":"10.1016/j.medine.2025.502134","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502134"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019112","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
Reply to: “Vasopressin: Why not in severe traumatic disease?” 回复:“抗利尿激素:为什么不能用于严重创伤性疾病?”
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502220
Juan Carlos Ruíz-Rodríguez , Ana Ochagavia , Lluís Zapata , Ricard Ferrer
{"title":"Reply to: “Vasopressin: Why not in severe traumatic disease?”","authors":"Juan Carlos Ruíz-Rodríguez ,&nbsp;Ana Ochagavia ,&nbsp;Lluís Zapata ,&nbsp;Ricard Ferrer","doi":"10.1016/j.medine.2025.502220","DOIUrl":"10.1016/j.medine.2025.502220","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502220"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334703","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
Predictive performance of ROX index and its variations for NIV failure ROX指数的预测性能及其对NIV故障的变化。
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502136
Lada Lijović , Tomislav Radočaj , Nataša Kovač , Marinko Vučić , Paul Elbers
{"title":"Predictive performance of ROX index and its variations for NIV failure","authors":"Lada Lijović ,&nbsp;Tomislav Radočaj ,&nbsp;Nataša Kovač ,&nbsp;Marinko Vučić ,&nbsp;Paul Elbers","doi":"10.1016/j.medine.2025.502136","DOIUrl":"10.1016/j.medine.2025.502136","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether the ROX index and its variations can predict the risk of intubation in ICU patients receiving NIV ventilation using large public ICU databases.</div></div><div><h3>Design</h3><div>Retrospective observational cohort study.</div></div><div><h3>Setting</h3><div>Patient data was extracted from both the AmsterdamUMCdb and the MIMIC-IV ICU databases, which contained data related to 20,109 and 50,920 unique patients.</div></div><div><h3>Patients</h3><div>Non-invasively mechanically ventilated.</div></div><div><h3>Interventions</h3><div>Retrospective review of variables.</div></div><div><h3>Main variables of interest</h3><div>To assess the predictive values of models for each index, the ROX and its variations mROX, ROX-HR and mROX-HR were calculated based on mean values of SpO<sub>2</sub>, respiratory rate, FiO<sub>2</sub> and PaO<sub>2</sub> from 2-h windows within the first 12 h of NIV.</div></div><div><h3>Results</h3><div>3344 patients were eligible for analysis of which 1344 were intubated, died or returned to NIV within 24 h of ending NIV. NIV failure group had higher SOFA scores and higher CRP levels at admission. There was no difference in duration of NIV therapy or 28-day mortality, but patients who failed NIV had longer length of stay. The best performing index was ROX with an AUROC of 0.626 at 10−12 h. All other indices for all other time windows were less discriminating.</div></div><div><h3>Conclusions</h3><div>The performance of ROX index and its variations to predict NIV failure in ICU patients across large public ICU databases was moderate at best and cannot currently be recommended for clinical decision support.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502136"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985899","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
Diagnosis of colitis by ultrasound in an Intensive Care Unit 重症监护病房中结肠炎的超声诊断。
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2024.502115
C.M. Marín Marín , P. García Moreno , R. Vicho Pereira
{"title":"Diagnosis of colitis by ultrasound in an Intensive Care Unit","authors":"C.M. Marín Marín ,&nbsp;P. García Moreno ,&nbsp;R. Vicho Pereira","doi":"10.1016/j.medine.2024.502115","DOIUrl":"10.1016/j.medine.2024.502115","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502115"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477314","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
Vasopressin: Why not in severe traumatic disease? 抗利尿激素:为什么不能用于严重创伤性疾病?
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502173
Jesús Abelardo Barea-Mendoza , Juan Antonio Llompart-Pou , Adrian Marcos-Morales , Mario Chico-Fernández
{"title":"Vasopressin: Why not in severe traumatic disease?","authors":"Jesús Abelardo Barea-Mendoza ,&nbsp;Juan Antonio Llompart-Pou ,&nbsp;Adrian Marcos-Morales ,&nbsp;Mario Chico-Fernández","doi":"10.1016/j.medine.2025.502173","DOIUrl":"10.1016/j.medine.2025.502173","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502173"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030132","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
Safety and efficacy of beta-blockers and amiodarone in the management of new-onset atrial fibrillation in critically ill patients with sepsis β受体阻滞剂和胺碘酮在脓毒症危重患者新发心房颤动治疗中的安全性和有效性。
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502159
Alfonso Canabal Berlanga
{"title":"Safety and efficacy of beta-blockers and amiodarone in the management of new-onset atrial fibrillation in critically ill patients with sepsis","authors":"Alfonso Canabal Berlanga","doi":"10.1016/j.medine.2025.502159","DOIUrl":"10.1016/j.medine.2025.502159","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502159"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257462","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
Optimal hemoglobin levels in the neurocritical patient: Are we there yet? 神经危重症患者的最佳血红蛋白水平:我们达到了吗?
Medicina intensiva Pub Date : 2025-07-01 DOI: 10.1016/j.medine.2025.502162
Manuel Quintana-Diaz , Daniel Agustin Godoy
{"title":"Optimal hemoglobin levels in the neurocritical patient: Are we there yet?","authors":"Manuel Quintana-Diaz ,&nbsp;Daniel Agustin Godoy","doi":"10.1016/j.medine.2025.502162","DOIUrl":"10.1016/j.medine.2025.502162","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 7","pages":"Article 502162"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060025","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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