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Organ donation process: more than just guidelines and protocols. 器官捐献程序：不仅仅是指导方针和协议。
Medicina intensiva Pub Date : 2024-10-19 DOI: 10.1016/j.medine.2024.10.003
Lorena Oteiza López, Óscar Elía Mañú
{"title":"Organ donation process: more than just guidelines and protocols.","authors":"Lorena Oteiza López, Óscar Elía Mañú","doi":"10.1016/j.medine.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.medine.2024.10.003","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484574","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
Clinical experience on the use of liposomal amphotericin B in the ICU. 在重症监护室使用两性霉素 B 脂质体的临床经验。
Medicina intensiva Pub Date : 2024-10-17 DOI: 10.1016/j.medine.2024.09.005
Silvia Ramos, Isabel Solchaga-Sánchez, Alberto Calvo, Mercedes Power, Sergio García-Ramos, Patricia Piñeiro
{"title":"Clinical experience on the use of liposomal amphotericin B in the ICU.","authors":"Silvia Ramos, Isabel Solchaga-Sánchez, Alberto Calvo, Mercedes Power, Sergio García-Ramos, Patricia Piñeiro","doi":"10.1016/j.medine.2024.09.005","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.005","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484572","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
Pulmonary vein thrombosis following acute type aortic dissection. 急性型主动脉夹层后的肺静脉血栓形成。
Medicina intensiva Pub Date : 2024-10-17 DOI: 10.1016/j.medine.2024.09.011
Xiaoyang Zhou, Long Zhao, Bixin Chen
{"title":"Pulmonary vein thrombosis following acute type aortic dissection.","authors":"Xiaoyang Zhou, Long Zhao, Bixin Chen","doi":"10.1016/j.medine.2024.09.011","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.011","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484575","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 organ donation process: An ethical commitment. 器官捐献程序：道德承诺。
Medicina intensiva Pub Date : 2024-10-16 DOI: 10.1016/j.medine.2024.09.008
Francisco Del Rio Gallegos, Almudena Escribá Bárcena, Teodoro Grau Carmona, Alonso Mateos Rodriguez
{"title":"The organ donation process: An ethical commitment.","authors":"Francisco Del Rio Gallegos, Almudena Escribá Bárcena, Teodoro Grau Carmona, Alonso Mateos Rodriguez","doi":"10.1016/j.medine.2024.09.008","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.008","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484576","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
When fat-free parenteral nutrition is required: The strategy that becomes a double-edge sword. 需要无脂肪肠外营养时：成为双刃剑的策略
Medicina intensiva Pub Date : 2024-10-11 DOI: 10.1016/j.medine.2024.09.003
Marta de Antonio-Cuscó, Agustí Albalat-Torres, Lucía Picazo Moreno, Javier Mateu-de Antonio
{"title":"When fat-free parenteral nutrition is required: The strategy that becomes a double-edge sword.","authors":"Marta de Antonio-Cuscó, Agustí Albalat-Torres, Lucía Picazo Moreno, Javier Mateu-de Antonio","doi":"10.1016/j.medine.2024.09.003","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.003","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484577","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
Clinical efficacy of oXiris-continuous hemofiltration adsorption in septic shock patients: A retrospective analysis. 脓毒性休克患者使用 oXiris 连续血液滤过吸附的临床疗效：回顾性分析
Medicina intensiva Pub Date : 2024-10-10 DOI: 10.1016/j.medine.2024.09.012
Yuxin Yang, Qionglan Dong, Jianpeng Su, Hongjun Xiao, Dan Zan, Jinfeng Chen, Xue Chen, Fan Wei, Cheng Zeng, Yanyan Yong
{"title":"Clinical efficacy of oXiris-continuous hemofiltration adsorption in septic shock patients: A retrospective analysis.","authors":"Yuxin Yang, Qionglan Dong, Jianpeng Su, Hongjun Xiao, Dan Zan, Jinfeng Chen, Xue Chen, Fan Wei, Cheng Zeng, Yanyan Yong","doi":"10.1016/j.medine.2024.09.012","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.012","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the clinical impact of oXiris-continuous hemofiltration adsorption on patients with septic shock and their prognosis.</p><p><strong>Design: </strong>A retrospective study.</p><p><strong>Participants: </strong>Septic shock patients.</p><p><strong>Interventions: </strong>The oXiris group underwent hemofiltration adsorption using oXiris hemofilters and septic shock standard treatment, while the control group received septic shock standard treatment.</p><p><strong>Main variables of interest: </strong>The changes in inflammatory indicators and short-term mortality rate were evaluated. Propensity score matching (PSM) was conducted based on the 1:2 ratio between the oXiris and control groups to account for any baseline data differences.</p><p><strong>Results: </strong>Results showed that after 24 h, 48 h, and 72 h of treatment, PCT, IL-6, and hs-CRP levels in the oXiris group were significantly lower than those in the control group (P < 0.05). However, there were no significant differences in norepinephrine equivalents and organ function status (APACHE II score, SOFA score, Lac) between the two groups at the same time points. The 72-h mortality rate (21.88% vs. 34.04%) and the 7-day mortality rate (28.12% vs. 44.68%) were lower in the oXiris group compared to the control group, but not statistically significant. The 28-day mortality rate did not show a significant difference between the two groups (53.19% vs. 56.25%).</p><p><strong>Conclusions: </strong>oXiris continuous hemofiltration adsorption technology may reduce the levels of inflammatory factors in patients with septic shock; however, it does not appear to enhance organ function or improve the 28-day mortality rate in these patients.</p>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407343","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
Mechanical circulatory support in cardiogenic shock patients 心源性休克患者的机械循环支持。
Medicina intensiva Pub Date : 2024-10-10 DOI: 10.1016/j.medine.2024.09.006
Luis Martin-Villen , Alejandro Adsuar-Gomez , Jose Manuel Garrido-Jimenez , Jose Luis Perez-Vela , Mari Paz Fuset-Cabanes
{"title":"Mechanical circulatory support in cardiogenic shock patients","authors":"Luis Martin-Villen ,&nbsp;Alejandro Adsuar-Gomez ,&nbsp;Jose Manuel Garrido-Jimenez ,&nbsp;Jose Luis Perez-Vela ,&nbsp;Mari Paz Fuset-Cabanes","doi":"10.1016/j.medine.2024.09.006","DOIUrl":"10.1016/j.medine.2024.09.006","url":null,"abstract":"<div><div>Cardiogenic shock (CS) is a highly complex clinical condition that requires a management strategy focused on early resolution of the underlying cause and the provision of circulatory support. In cases of refractory CS, mechanical circulatory support (MCS) is employed to replace the failed cardiocirculatory system, thereby preventing the development of multiorgan failure. There are various types of MCS, and patients with CS typically require devices that are either short-term (&lt; 15 days) or intermediate-term (15–30 days). When choosing the device the underlying cause of CS, as well as the presence or absence of concomitant conditions such as failed ventricle, respiratory failure, and the intended purpose of the support should be taken into consideration. Patients with MCS require the comprehensive care indicated in complex critically ill patients with multiorgan dysfunction, with an emphasis on device monitoring and control. Different complications may arise during support management, and its withdrawal must be protocolized.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 12","pages":"Pages 714-727"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407344","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
In-hospital cardiac arrest simulation program in a cardiopulmonary critical care unit: A pilot experience 心肺重症监护病房院内心脏骤停模拟程序：试点经验。
Medicina intensiva Pub Date : 2024-10-04 DOI: 10.1016/j.medine.2024.09.004
Francesco Sbrana, Umberto Startari, Alessia Gimelli, Beatrice Dal Pino
{"title":"In-hospital cardiac arrest simulation program in a cardiopulmonary critical care unit: A pilot experience","authors":"Francesco Sbrana,&nbsp;Umberto Startari,&nbsp;Alessia Gimelli,&nbsp;Beatrice Dal Pino","doi":"10.1016/j.medine.2024.09.004","DOIUrl":"10.1016/j.medine.2024.09.004","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 12","pages":"Pages 734-736"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376446","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
New ultrasound techniques. Present and future. 超声波新技术。现在和未来。
Medicina intensiva Pub Date : 2024-10-04 DOI: 10.1016/j.medine.2024.09.010
Fernando Clau Terré, Raul Vicho Pereira, Jose Maria Ayuela Azcárate, Manuel Ruiz Bailén
{"title":"New ultrasound techniques. Present and future.","authors":"Fernando Clau Terré, Raul Vicho Pereira, Jose Maria Ayuela Azcárate, Manuel Ruiz Bailén","doi":"10.1016/j.medine.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.010","url":null,"abstract":"<p><p>The present study highlights the advances in ultrasound, especially regarding its clinical applications to critically ill patients. Artificial intelligence (AI) is crucial in automating image interpretation, improving accuracy and efficiency. Software has been developed to make it easier to perform accurate bedside ultrasound examinations, even by professionals lacking prior experience, with automatic image optimization. In addition, some applications identify cardiac structures, perform planimetry of the Doppler wave, and measure the size of vessels, which is especially useful in hemodynamic monitoring and continuous recording. The \"strain\" and \"strain rate\" parameters evaluate ventricular function, while \"auto strain\" automates its calculation from bedside images. These advances, and the automatic determination of ventricular volume, make ultrasound monitoring more precise and faster. The next step is continuous monitoring using gel devices attached to the skin.</p>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378684","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
Patient safety in the intensive care department. 重症监护室的患者安全。
Medicina intensiva Pub Date : 2024-09-26 DOI: 10.1016/j.medine.2024.09.007
María Cruz Martín-Delgado, María Bodí
{"title":"Patient safety in the intensive care department.","authors":"María Cruz Martín-Delgado, María Bodí","doi":"10.1016/j.medine.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.medine.2024.09.007","url":null,"abstract":"<p><p>Patient safety is a priority for all healthcare systems. Despite this, too many patients still suffer harm as a consequence of healthcare. Furthermore, it has a significant impact on family members, professionals and healthcare institutions, resulting in considerable economic costs. The critically ill patient is particularly vulnerable to adverse events. Numerous safe practices have been implemented, acknowledging the influence of human factors on safety and the significance of the well-being of professionals, as well as the impact of critical episodes at hospital discharge on patients and their families. Training and engagement of professionals, patients and families are of paramount importance. Recently, artificial intelligence has demonstrated its ability to enhance clinical safety. This update on \"Patient Safety\" reviews all these aspects related to one of the most pivotal dimensions of healthcare quality.</p>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335385","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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