Medicina intensiva最新文献_第9页

Caring to care: Nurturing ICU healthcare professionals’ wellbeing for enhanced patient safety 关爱护理：培养重症监护室医护人员的健康，提高患者安全。

Medicina intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medine.2024.03.008

Emilio Rodriguez-Ruiz , Martina Maria Cornelia van Mol , Joseph Maria Latour , Kristina Fuest

{"title":"Caring to care: Nurturing ICU healthcare professionals’ wellbeing for enhanced patient safety","authors":"Emilio Rodriguez-Ruiz , Martina Maria Cornelia van Mol , Joseph Maria Latour , Kristina Fuest","doi":"10.1016/j.medine.2024.03.008","DOIUrl":"10.1016/j.medine.2024.03.008","url":null,"abstract":"<div><div>Healthcare professionals working in the Intensive Care Unit<span><span><span> (ICU) care for patients suffering from a critical illness and their relatives. Working within a team of people with different personalities, competencies, and specialties, with constraints and demands might contribute to a working environment that is prone to conflicts and disagreements. This highlights that the ICU is a stressful place that can threaten healthcare professionals’ wellbeing. This article aims to address the concept of wellbeing by describing how the stressful ICU work-environment threatens the wellbeing of health professionals and discussing how this situation jeopardizes </span>patient safety. To promote wellbeing, it is imperative to explore actionable interventions such as improve communication skills, educational sessions on stress management, or </span>mindfulness. Promoting ICU healthcare professionals’ wellbeing through evidence-based strategies will not only increase their personal resilience but might contribute to a safer and more efficient patient care.</span></div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 4","pages":"Pages 216-223"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140791201","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

How to involve the patient and family in improving safety in intensive medicine services (SMI)? 如何让患者和家属参与改善重症医学服务（SMI）的安全性？

Medicina intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medine.2024.06.012

Olga Rubio Sanchiz , Joan Escarrabill , Joan Fernando Peidró , Anne Sophie Gresle

{"title":"How to involve the patient and family in improving safety in intensive medicine services (SMI)?","authors":"Olga Rubio Sanchiz , Joan Escarrabill , Joan Fernando Peidró , Anne Sophie Gresle","doi":"10.1016/j.medine.2024.06.012","DOIUrl":"10.1016/j.medine.2024.06.012","url":null,"abstract":"<div><div>Patient safety is a priority for health systems and is especially relevant for critically ill patients. Despite its relevance in recent years, many patients suffer adverse events with harm and negative repercussions for professionals and institutions.</div><div>Numerous safe practices have been promoted and strategies have been developed that have been incorporated into institutional policies and thereby improving the safety culture. But there are still underdeveloped strategies, such as incorporating the participation of patients and family members in their safety.</div><div>Until recently, the patient and family have been considered as a passive part in the reception of health services, not as an active part, much less as a possible opportunity to improve safety against errors that occur during care.</div><div>The critically ill patient and/or family members must be informed and, ideally, trained to facilitate active participation in their safety. It is not about transferring responsibility, but about facilitating and promoting their participation by reinforcing their safety. And professionals must be committed to their safety and facilitate the conditions to encourage their participation.</div><div>We provide tools and reflections to help professionals implement the participation of patients and family members in safety as they pass through intensive medicine services.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 4","pages":"Pages 237-244"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305042","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}

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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 : 2025-04-01 DOI: 10.1016/j.medine.2024.08.004

Wei Yang , Dan Zhou , Hui Peng , Huilin Jiang , Weifeng Chen

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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 : 2025-04-01 DOI: 10.1016/j.medine.2024.09.003

Marta de Antonio-Cuscó , Agustí Albalat-Torres , Lucía Picazo Moreno , Javier Mateu-de Antonio

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Academic disobey 学术不服从。

Medicina intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medine.2024.10.008

Marcos Valiente Fernández, Francisco de Paula Delgado Moya, Amanda Lesmes González de Aledo, Isaías Martín Badía

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Impact of patient safety on outcomes. From prevention to the treatment of post-intensive care syndrome 患者安全对疗效的影响。从预防到治疗重症监护后综合征。

Medicina intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medine.2024.04.008

Carola Giménez-Esparza , María Ángeles Relucio , Kapil Laxman Nanwani-Nanwani , José Manuel Añón

{"title":"Impact of patient safety on outcomes. From prevention to the treatment of post-intensive care syndrome","authors":"Carola Giménez-Esparza , María Ángeles Relucio , Kapil Laxman Nanwani-Nanwani , José Manuel Añón","doi":"10.1016/j.medine.2024.04.008","DOIUrl":"10.1016/j.medine.2024.04.008","url":null,"abstract":"<div><div><span><span>Survivors of critical illness may present physical, psychological, or cognitive symptoms after </span>hospital discharge<span>, encompassed within what is known as post-intensive care syndrome. These alterations result from both the critical illness itself and the medical interventions surrounding it. For its prevention, the implementation of the ABCDEF bundle (</span></span><strong>A</strong>ssess/treat pain, <strong>B</strong>reathing/awakening trials, <strong>C</strong>hoice of sedatives, <strong>D</strong>elirium reduction, <strong>E</strong>arly mobility and exercise, <strong>F</strong>amily) has been proposed, along with additional strategies grouped under the acronym GHIRN (<strong>G</strong>ood communication, <strong>H</strong>andout materials, <strong>R</strong><span>edefined ICU architectural design, </span><strong>R</strong>espirator, <strong>N</strong><span><span>utrition). In addition to these preventive measures during the ICU stay, high-risk patients should be identified for subsequent follow-up through multidisciplinary teams coordinated by </span>Intensive Care Medicine Departments.</span></div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 4","pages":"Pages 224-236"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767854","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}

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Material and human resources invested in a program aimed at potentially critical trauma patients in the emergency department 为一项针对潜在危重创伤患者的计划投入物力和人力。

Medicina intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medine.2024.11.001

Alejandro Arturo Caballo Manuel, Carlos García Fuentes, Jesús Barea Mendoza, Susana Bermejo-Aznáres, Mario Chico-Fernández

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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 : 2025-04-01 DOI: 10.1016/j.medine.2024.11.006

José Luis García-Garmendia

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Comparisons are odious 比较是可恶的

Medicina intensiva Pub Date : 2025-04-01 DOI: 10.1016/j.medine.2024.10.010

Marcos Valiente Fernández, Alejandro Caballo Manuel, José Ginestal Calvo, Lidia Orejon García

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β-lactam antibiotics to prevent ventilator-associated pneumonia (VAP) in coma patients: A systematic review and meta-analysis of randomized controlled trials. β-内酰胺抗生素预防昏迷患者呼吸机相关性肺炎（VAP）：随机对照试验的系统回顾和荟萃分析

Medicina intensiva Pub Date : 2025-03-25 DOI: 10.1016/j.medine.2025.502199

Edinson Dante Meregildo-Rodriguez, Mariano Ortiz-Pizarro, Martha Genara Asmat-Rubio, Carlos Geraldo Fernandez-Narváez, Gustavo Adolfo Vásquez-Tirado

{"title":"β-lactam antibiotics to prevent ventilator-associated pneumonia (VAP) in coma patients: A systematic review and meta-analysis of randomized controlled trials.","authors":"Edinson Dante Meregildo-Rodriguez, Mariano Ortiz-Pizarro, Martha Genara Asmat-Rubio, Carlos Geraldo Fernandez-Narváez, Gustavo Adolfo Vásquez-Tirado","doi":"10.1016/j.medine.2025.502199","DOIUrl":"https://doi.org/10.1016/j.medine.2025.502199","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of parenteral β-lactam antibiotics on outcomes related to ventilator-associated pneumonia (VAP) in adult patients in coma due to acute brain injury (ABI).</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Setting: </strong>Randomized controlled trials (RCTs) published up toSeptember 30, 2024.</p><p><strong>Patients or participants: </strong>Adult patients in coma due to ABI.</p><p><strong>Interventions: </strong>Parenteral β-lactam antibiotics.</p><p><strong>Main variables of interest: </strong>Incidence and outcomes related to VAP.</p><p><strong>Results: </strong>Three RCTs involving 483 patients met inclusion criteria; 231 patients received β-lactam prophylaxis. Among these, there were 115 cases of early-onset VAP (EO-VAP), 49 of late-onset VAP (LO-VAP), and 102 deaths. All studies were conducted in Europe. Causes of coma included trauma, stroke, and CO poisoning. Intravenous β-lactams (ampicillin/sulbactam, cefuroxime, and ceftriaxone) reduced EO-VAP risk by 57% (RR 0.43; 95% CI 0.30-0.61), and all-VAP by 35% (RR 0.65; 95% CI 0.53-0.80). No impact was observed on LO-VAP (RR 0.95; 95% CI 0.54-1.67), 28-day mortality (RR 0.76; 95% CI 0.53-1.09), intubation duration (SMD -0.13; 95% CI -0.46-0.21), or ICU length of stay (SMD -0.22; 95% CI -0.55-0.12). Heterogeneity and the risk of bias were low, with high overall evidence certainty.</p><p><strong>Conclusions: </strong>In adult patients in coma due to ABI, intravenous β-lactam antibiotics reduce EO-VAP and all-VAP risk.</p>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":"502199"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723048","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