Alveolar hemorrhage due to cardiac massage
Publication date: January–February 2020Source: Medicina Intensiva (English Edition), Volume 44, Issue 1Author(s): Á. Vidal, N. Arias, J.A. Rubio (Source: Medicina Intensiva)
Source: Medicina Intensiva - January 11, 2020 Category: Intensive Care Source Type: research

Evaluation of two intensive care models in relation to successful extubation after cardiac surgery
ConclusionsThe intensivist-directed care model showed improved rates of successful extubation and shorter MV durations after cardiac surgery.ResumenObjetivoComparar el manejo entre intensivistas y cirujanos de pacientes de cirugía cardíaca en la unidad de cuidados intensivos.DiseñoEste estudio de control retrospectivo se llevó a cabo con una cohorte de pacientes adultos de cirugía cardíaca. Durante la primera fase (de marzo a agosto de 2015), los cirujanos cardíacos estuvieron a cargo del manejo médico en la unidad; y durante la segunda fase (septiembre de 2015 a juni...
Source: Medicina Intensiva - January 11, 2020 Category: Intensive Care Source Type: research

Massive Pericardial Effusion with Cardiac Tamponade
Publication date: January–February 2020Source: Medicina Intensiva (English Edition), Volume 44, Issue 1Author(s): Ching-Hui Sia, Marjorie Arong, William Kok-Fai Kong (Source: Medicina Intensiva)
Source: Medicina Intensiva - January 11, 2020 Category: Intensive Care Source Type: research

Predictive ability of the CardShock score in patients with profound cardiogenic shock undergoing venoarterial extracorporeal membrane oxygenation support
Publication date: Available online 20 December 2019Source: Medicina Intensiva (English Edition)Author(s): J.C. Sánchez-Salado, V. Lorente, O. Alegre, I. Llaó, L. Blázquez, A. Ariza-Solé (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 21, 2019 Category: Intensive Care Source Type: research

Third liver transplant: How far should we go?
Publication date: Available online 18 December 2019Source: Medicina Intensiva (English Edition)Author(s): J. Gutiérrez Gutiérrez, J. Czapka Mital, T. Grau Carmona (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 20, 2019 Category: Intensive Care Source Type: research

Perioperative Period Of Reconstructive And Burn Surgery In Intensive Care Medicine
Publication date: Available online 19 December 2019Source: Medicina Intensiva (English Edition)Author(s): M. Sánchez-Sánchez, J.R. Martínez, B. Civantos, Pablo MillánAbstractBurned patients may need prolonged admissions in the Intensive Care Service, both for initial care and for the pre and postoperative treatment of the multiple surgeries they require. The initial resuscitation of critically burned patients requires adequate monitoring to calculate the fluid therapy necessary to replenish the losses and ensure tissue perfusion, but without excesses that increase interstitial edema. In addition...
Source: Medicina Intensiva - December 20, 2019 Category: Intensive Care Source Type: research

Lung overdistension monitorization by ultrasound in a patient with severe bronchopulmonary dysplasia
Publication date: Available online 17 December 2019Source: Medicina Intensiva (English Edition)Author(s): A. Alonso-Ojembarrena (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 18, 2019 Category: Intensive Care Source Type: research

Association between obesity and mortality in adult patients receiving invasive mechanical ventilation: A systematic review and meta-analysis
ConclusionNo relationship was found between the subgroup of obese adult patients receiving IMV and the mortality variable in the ICU.ResumenObjetivoEvaluar si existe asociación entre obesidad y mortalidad en la Unidad de Cuidados Intensivos (UCI) en pacientes adultos que reciben ventilación mecánica invasiva.DiseñoRevisión sistemática con metaanálisis.ÁmbitoUCI.Fuente de datosSe realizó una búsqueda en las bases de datos MEDLINE, Cochrane Library, CINAHL y Global Health sin restricción de lenguaje, hasta el 21 de febrero del año 2017.Selecc...
Source: Medicina Intensiva - December 14, 2019 Category: Intensive Care Source Type: research

Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure
Publication date: Available online 13 December 2019Source: Medicina Intensiva (English Edition)Author(s): F.J. Martín-Sánchez, G. Llopis García, M. González-Colaço Harmand, C. Fernandez Pérez, J. González del Castillo, P. Llorens, P. Herrero, J. Jacob, V. Gil, A. Domínguez-Rodriguez, X. Rossello, O. Miró, on behalf of the OAK Registry researchers, Researchers from the OAK registry, Esther Rodríguez Adrada, María Carmen Santos, Lucía Salgado, Berenice Nayla Brizzi, María Luisa Docavo, María Suárez Cadenas, Carolina Xipel...
Source: Medicina Intensiva - December 13, 2019 Category: Intensive Care Source Type: research

Complications of tuberculous meningitis in magnetic resonance imaging in a patient with systemic lupus erythematosus
Publication date: Available online 11 December 2019Source: Medicina Intensiva (English Edition)Author(s): F.G. Márquez-Villegas, A. Elizalde-Figueroa, J.P. Venzor-Castellanos (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 11, 2019 Category: Intensive Care Source Type: research

In reply to: «The diagnosis of delirium in pediatric intensive care: A burdensome yet essential task»
Publication date: Available online 7 December 2019Source: Medicina Intensiva (English Edition)Author(s): C. Ricardo Ramírez, M. Álvarez Gómez, J.G. Franco Vásquez (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 8, 2019 Category: Intensive Care Source Type: research

Intensivist or transplants coordinator: It makes no difference
Publication date: Available online 7 December 2019Source: Medicina Intensiva (English Edition)Author(s): L. Martin-Villen, F. Cabeza-Cabeza, J.J. Egea-Guerrero (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 8, 2019 Category: Intensive Care Source Type: research

Cardiac arrest secondary to odontoid fracture
Publication date: Available online 6 December 2019Source: Medicina Intensiva (English Edition)Author(s): M. Barber Ansón, Á. Orera Pérez, E. Redondo Díez (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 7, 2019 Category: Intensive Care Source Type: research

Intensive Care Medicine: The cornerstone of the donation process in Spain
Publication date: Available online 5 December 2019Source: Medicina Intensiva (English Edition)Author(s): Domingo Daga Ruiz, Juan José Egea Guerrero (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 5, 2019 Category: Intensive Care Source Type: research

The diagnosis of delirium in pediatric intensive care: A burdensome yet essential task
Publication date: Available online 5 December 2019Source: Medicina Intensiva (English Edition)Author(s): M. Rodríguez-Rubio, E. Álvarez-Rojas, P. de la Oliva (Source: Medicina Intensiva)
Source: Medicina Intensiva - December 5, 2019 Category: Intensive Care Source Type: research

Association between storage age of transfused red blood cells and clinical outcomes in critically ill adults: A meta-analysis of randomized controlled trials
ConclusionsThe transfusion of fresher RBCs compared with older RBCs was not associated to better clinical outcomes in critically ill adults.ResumenObjetivosSe llevó a cabo un metaanálisis para evaluar el efecto de la edad de almacenamiento de las transfusiones de glóbulos rojos (GR) sobre los desenlaces clínicos en adultos críticamente enfermos.MétodosSe realizó una búsqueda exhaustiva en las bases de datos PubMed, OVID, Web of Science y Cochrane, para localizar ensayos controlados y aleatorizados (ECA) donde se comparase la transfusión de GR más recient...
Source: Medicina Intensiva - November 27, 2019 Category: Intensive Care Source Type: research

Evaluation of intensivist basic training in transthoracic echocardiography in the postoperative period of heart surgery
ConclusionsIntensivists with basic training in echocardiography are capable of performing and interpreting echocardiograms in most patients during the postoperative period of heart surgery.ResumenObjetivoLa ecocardiografía transtorácica puede cambiar significativamente el manejo en muchos pacientes críticos y se está incorporando dentro de muchas unidades de cuidados intensivos (UCI). Pocos estudios han examinado la factibilidad y el impacto de la ecocardiografía transtorácica básica realizada por intensivistas en el manejo de los pacientes críticos después de ...
Source: Medicina Intensiva - November 27, 2019 Category: Intensive Care Source Type: research

Perspectives on perfusion monitoring in septic shock after the ANDROMEDA-SHOCK trial
Publication date: December 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 9Author(s): G. Hernández, J. Bakker (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 27, 2019 Category: Intensive Care Source Type: research

The role of chronic nutritional supplements consumption in a fulminant serotonin syndrome due to citalopram intoxication
Publication date: December 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 9Author(s): I. de Dios, G. Rialp, S. Franco, M. Romero, M. Ortega, Y. Nieto (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 27, 2019 Category: Intensive Care Source Type: research

Compatibility of drugs administered as Y-site infusion in intensive care units: A systematic review
ConclusionsThis review provides new reliable evidence about the physicochemical stability of drugs commonly used in the critical care setting. The study contributes to the safe administration of intravenous drugs in critical patients with a view to avoiding adverse events in this frail population.ResumenObjetivosRecopilar la información publicada sobre estabilidad de los fármacos usados en el paciente crítico, evaluar la calidad de los datos publicados y generar una tabla de compatibilidad con información actualizada.Diseño1) Se realizó una búsqueda sistemática en las...
Source: Medicina Intensiva - November 25, 2019 Category: Intensive Care Source Type: research

Diagnostic performance of high sensitivity troponin in non-ST elevation acute coronary syndrome
ConclusionsHigh-sensitivity troponin T improves diagnostic performance compared with conventional troponin assay, shortens the time to diagnosis, and identifies a larger number of patients with smaller myocardial infarctions.ResumenObjetivoLos objetivos del estudio son evaluar el rendimiento diagnóstico de la troponina cardiaca T de alta sensibilidad (TnTc-hs) en pacientes con sospecha de síndrome coronario agudo sin elevación del segmento ST (SCASEST), confirmar si permite acortar el tiempo hasta el diagnóstico y analizar las consecuencias clínicas derivadas de su utilización.M&ea...
Source: Medicina Intensiva - November 22, 2019 Category: Intensive Care Source Type: research

Evidence-based clinical practice guidelines for the management of sedoanalgesia and delirium in critically ill adult patients
Publication date: Available online 21 November 2019Source: Medicina Intensiva (English Edition)Author(s): E. Celis-Rodríguez, J.C. Díaz Cortés, Y.R. Cárdenas Bolívar, J.A. Carrizosa González, D.-I. Pinilla, L.E. Ferrer Záccaro, C. Birchenall, J. Caballero López, B.M. Argüello, G. Castillo Abrego, G. Castorena Arellano, C. Dueñas Castell, J.M. Jáuregui Solórzano, R. Leal, J.M. Pardo Oviedo, M. Arroyo, F. Raffán-Sanabria, N. Raimondi, R. Reina, D.R. Rodríguez LimaAbstractGiven the importance of the management of sedation, analgesi...
Source: Medicina Intensiva - November 22, 2019 Category: Intensive Care Source Type: research

Attitudes of healthcare professionals towards cardiopulmonary resuscitation: Results of a survey
Publication date: Available online 18 November 2019Source: Medicina Intensiva (English Edition)Author(s): J.M. Navalpotro-Pascual, J.B. Lopez-Messa, C. Fernández-Pérez, M. Prieto-González (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 19, 2019 Category: Intensive Care Source Type: research

Management of accidental hypothermia: A narrative review
Publication date: Available online 15 November 2019Source: Medicina Intensiva (English Edition)Author(s): M.L. Avellanas Chavala, M. Ayala Gallardo, Í. Soteras Martínez, E. Subirats BayegoAbstractA narrative review is presented on the diagnosis, treatment and management of accidental hypothermia. Although all these processes form a continuum, for descriptive purposes in this manuscript the recommendations are organized into the prehospital and in-hospital settings.At prehospital level, it is advised to: (a) perform high-quality cardiopulmonary resuscitation for cardiac arrest patients, regardless of body temp...
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Translation and cultural adaptation process to Spanish of the Preschool Confusion Assessment Method for the Intensive Care Unit
Publication date: Available online 15 November 2019Source: Medicina Intensiva (English Edition)Author(s): M.I. Figueroa-Ramos, C.M. Arroyo-Novoa, R.L. García-DeJesús, C.S. Sepúlveda-Santiago, S.S. Solís-Báez, E.W. Ely, H. Smith (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Update and recommendations in decision making referred to limitation of advanced life support treatment
Publication date: Available online 15 November 2019Source: Medicina Intensiva (English Edition)Author(s): Á. Estella, I. Saralegui, O. Rubio Sanchiz, A. Hernández-Tejedor, V. López Camps, M.C. Martín, L. Cabré Pericas, N. Masnou Burralló, M. Recuerda Nuñez, J.L. MonzónAbstractThe Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) Bioethics Working Group has developed recommendations on the Limitation of Advanced Life Support Treatment (LLST) decisions, with the aim of reducing variability in clinical practice and of improving end of ...
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

The donation and transplant divulgation process of 21st century: Social media experience from “Coordinación Sectorial de Trasplantes de Sevilla-Huelva”
Publication date: Available online 14 November 2019Source: Medicina Intensiva (English Edition)Author(s): J.J. Egea-Guerrero, L. Martín-Villén, Z. Ruiz de Azúa-López, F. Maroto Monserrat, J.A. Sanchez-Román, F. Cabeza-Cabeza (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Portable gamma-camera for the diagnosis of brain death diagnosis
ConclusionsA portable gamma-camera could be a useful and feasible tool for the diagnosis of BD.ResumenObjetivoEvaluar la factibilidad del empleo de la minigammacámara portátil Sentinella®, para el diagnóstico de muerte encefálica (ME).DiseñoEstudio observacional, prospectivo, de factibilidad.ÁmbitoUnidad de cuidados intensivos de un hospital de tercer nivel.PacientesDesde enero a diciembre de 2017 se registraron de forma consecutiva los pacientes mayores de edad que tras su ingreso en unidad de cuidados intensivos fueron diagnosticados de ME según criterios clínic...
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

The right to become an organ and tissue donor at the end of life of critically ill patient
Publication date: Available online 14 November 2019Source: Medicina Intensiva (English Edition)Author(s): D. Daga-Ruiz, J.M. Perez-Villares, L. Martín-Villén, J.J. Egea-Guerrero (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Mechanical ventilation in critically ill burn patient with inhalation injury: Can we avoid it?
Publication date: Available online 14 November 2019Source: Medicina Intensiva (English Edition)Author(s): L. Cachafeiro Fuciños, M. Sánchez Sánchez, A. García de Lorenzo y Mateos (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Evaluation of the thoracic compression technique using APPs. Do they help or hinder cardiopulmonary resuscitation?
ConclusionsCardiopulmonary resuscitation guided by phone APPs did not improve the overall quality of compressions during resuscitation, though it improved the percentage of compressions performed at the correct rate.ResumenObjetivoEvaluar la calidad de la reanimación cardiopulmonar (RCP) de personas no expertas guiada por una aplicación móvil con retroalimentación en tiempo real.DiseñoEstudio cuasi-experimental de corte transversal.ParticipantesUna muestra de 113 estudiantes de enfermería sin experiencia ni formación en RCP participaron en el estudio.IntervencionesSe realiza...
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Listening to professionals, patients and relatives: Study about the visiting system in an Intensive Care Unit
Publication date: Available online 15 November 2019Source: Medicina Intensiva (English Edition)Author(s): V. Arnaiz Arnaiz, M.T. Esteban Galbete, P.M. Olaechea Astigarraga, M.J. Legarreta Olabarrieta (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Reply to “The right to become an organ and tissue donor at the end of life of critically ill patient”
Publication date: Available online 15 November 2019Source: Medicina Intensiva (English Edition)Author(s): Á. Estella (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research

Comprehensive echocardiographic assessment of takotsubo cardiomyopathy case due to opioids withdrawal
Publication date: Available online 11 November 2019Source: Medicina Intensiva (English Edition)Author(s): I. Keituqwa Yáñez, S. Nicolás Franco, A. Arcís Conesa (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 13, 2019 Category: Intensive Care Source Type: research

Massive hemoptisis as complication of cathetering right with Swan-Ganz catheter
Publication date: Available online 11 November 2019Source: Medicina Intensiva (English Edition)Author(s): C. Amorós Verdú, A. Baeza Román, F.J. Coves Orts (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 13, 2019 Category: Intensive Care Source Type: research

Vascular perforation by central venous catheter
Publication date: Available online 10 November 2019Source: Medicina Intensiva (English Edition)Author(s): P. Escudero-Acha, A. González-Castro, C. Blanco Huelga (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 12, 2019 Category: Intensive Care Source Type: research

Esophageal stenosis secondary to aortic dissection
Publication date: Available online 8 November 2019Source: Medicina Intensiva (English Edition)Author(s): M. Valiente Fernández, J.D. Czapka Mital, J.L. Pérez Vela (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 10, 2019 Category: Intensive Care Source Type: research

Reply to “Influenza vaccination and critical patient protection: Responsibility of healthcare workers”
Publication date: Available online 8 November 2019Source: Medicina Intensiva (English Edition)Author(s): J. Marin-Corral, R. Muñoz-Bermúdez, F. Álvarez-Lerma (Source: Medicina Intensiva)
Source: Medicina Intensiva - November 10, 2019 Category: Intensive Care Source Type: research

The intensive care unit in the postoperative period of major abdominal surgery
Publication date: Available online 7 November 2019Source: Medicina Intensiva (English Edition)Author(s): A.M. Puppo Moreno, A. Abella Alvarez, S. Morales Conde, M. Pérez Flecha, M.Á. García UreñaAbstractDespite low mortality in patients undergoing major abdominal surgery, the number of high-risk patients is increasing and has become a health problem. At present, surgery is understood as a continuous process, in which numerous guidelines added to less invasive techniques offering a lesser physiological impact upon patients with serious comorbidities are responsible for the final outcome. The prev...
Source: Medicina Intensiva - November 7, 2019 Category: Intensive Care Source Type: research

Interhospital sepsis code in Catalonia (Spain): territorial model for initial care of patients with sepsis
Publication date: Available online 30 October 2019Source: Medicina Intensiva (English Edition)Author(s): J.C. Yébenes, C. Lorencio, E. Esteban, L. Espinosa, J.M. Badia, J.A. Capdevila, B. Cisteró, S. Moreno, E. Calbo, X. Jiménez-Fábrega, M. Clèries, M.T. Faixedas, R. Ferrer, E. Vela, C. Medina, A. Rodríguez, C. Netto, E. Armero, M. Solsona, R. LopezAbstractSepsis is a syndromic entity with high prevalence and mortality. The management of sepsis is standardized and exhibits time-dependent efficiency. However, the management of patients with sepsis is complex. The heterogeneity of th...
Source: Medicina Intensiva - October 31, 2019 Category: Intensive Care Source Type: research

Risk-adjusted early invasive strategy in patients with non-ST-segment elevation acute coronary syndrome in Intensive Cardiac Care Units
ConclusionsThe EIS was performed in a minority of NSTEACS admitted to ICCU, being associated with better outcomes.ResumenObjetivoLas guías de práctica clínica recomiendan la estrategia invasiva precoz ajustada al riesgo (EIPAR) en pacientes con Síndrome Coronario Agudo sin elevación del segmento ST (SCASEST). El objetivo fue analizar la aplicación de la EIPAR, sus condicionantes e impacto sobre el pronóstico en pacientes con SCASEST ingresados en Unidades de Cuidados Intensivos Cardiológicos (UCIC).DiseñoEstudio de cohortes prospectivo.ÁmbitoUCIC de 8 ho...
Source: Medicina Intensiva - October 31, 2019 Category: Intensive Care Source Type: research

Amiodarone does not affect brain injury in a rat model of transient forebrain ischemia
ConclusionsThe administration of amiodarone immediately after transient forebrain ischemia did not worsen spatial cognitive function or neuronal survival in the hippocampal CA1 region in rats. The current results must be applied with caution in humans. However, they indicate that the potential neurotoxicity induced by amiodarone during resuscitation after cardiac arrest may be negligible.ResumenObjetivosLa amiodarona puede causar neurotoxicidad que afecte a los desenlaces de los pacientes si se usa durante la reanimación cardiopulmonar (RCP), si bien este fármaco se ha prescrito habitualmente a pacientes dura...
Source: Medicina Intensiva - October 26, 2019 Category: Intensive Care Source Type: research

Is mortality in elderly septic patients as high as expected? Long-term mortality in a surgical sample cohort
ConclusionsThe results indicate that there is no significant difference in mortality among the different age groups. About 50% of the elderly patients survive a septic process. There is a close relationship between the number of affected organs and days of dysfunction, the use of interventional techniques and long-term mortality.ResumenObjetivoDeterminar las diferencias en la mortalidad a corto y largo plazo en pacientes sèc)pticos ancianos con síndrome de disfunción multiorgánica, y cuáles son los factores de riesgo determinantes de esta.Materiales y mèc)todosEstudio retrospectivo...
Source: Medicina Intensiva - October 26, 2019 Category: Intensive Care Source Type: research

Safety of aerosol therapy in children during noninvasive ventilation with helmet and total face mask
ConclusionsThe probability of suffering an adverse effect related to nebulization is extremely low when using a helmet or TFM. Inhaled therapy with TFM may shorten PICU stay in some patients.ResumenObjetivoEvaluar las consecuencias de la medicación nebulizada en pacientes con ventilación no invasiva (VNI) con mascarilla facial total (MFT) y casco.DiseñoEstudio analítico descriptivo sobre una cohorte prospectiva de pacientes.ÁmbitoUCIP de hospital de tercer nivel.PacientesTodos los pacientes ingresados en UCIP (muestreo consecutivo) con VNI con casco o MFT durante 29 meses. No se excluyero...
Source: Medicina Intensiva - October 26, 2019 Category: Intensive Care Source Type: research

Severity scores should incorporate limitations on life support for predicting mortality
Publication date: November 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 8Author(s): Rafael Fernandez, Lara Ventura, Caroline Macharete, Ignacio Catalan, Silvia Cano, Josep-Maria Alcoverro, Carles Subira, Jaume Masclans, Gina Rognoni, Olga Rubio (Source: Medicina Intensiva)
Source: Medicina Intensiva - October 26, 2019 Category: Intensive Care Source Type: research

Lymphopenic hospital acquired sepsis (L-HAS): An immunological phenotype conferring higher risk of mortality
Publication date: November 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 8Author(s): C. López-Mestanza, D. Andaluz-Ojeda, J.R. Gómez-López, J.F. Bermejo-Martín (Source: Medicina Intensiva)
Source: Medicina Intensiva - October 26, 2019 Category: Intensive Care Source Type: research

Cytokine release syndrome. Reviewing a new entity in the intensive care unit
Publication date: November 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 8Author(s): Alejandra García Roche, Cándido Díaz Lagares, Elena Élez, Ricard Ferrer RocaAbstractImmunotherapy seeks to harness the power of the immune system to eradicate malignant tissues. Despite impressive therapeutic success, however, it can be accompanied by severe adverse effects such as cytokine release syndrome (CRS). These therapies cause the release of a great amount of cytokines, with IL-6 playing a central role, that can potentially lead to multiple organ dysfunction. The diagnosis is based ...
Source: Medicina Intensiva - October 26, 2019 Category: Intensive Care Source Type: research

Evaluation of a dental brushing protocol with aspiration in patients hospitalized in an intensive care unit using image and microbiological analyzes: Pilot study: Evaluación de un protocolo de cepillado dental con aspiración en pacientes hospitalizados en la unidad de cuidados intensivos utilizando análisis de imagen y microbiología: estudio piloto
Publication date: Available online 16 October 2019Source: Medicina Intensiva (English Edition)Author(s): T.B. Santos Zambrano, A.C. Poletto, B. Gonçalves Dias, R. Guayato Nomura, W. Junior Trevisan, R.S. Couto de Almeida (Source: Medicina Intensiva)
Source: Medicina Intensiva - October 16, 2019 Category: Intensive Care Source Type: research

Postoperative management in the Intensive Care Unit of head and neck surgery patients
Publication date: Available online 15 October 2019Source: Medicina Intensiva (English Edition)Author(s): L. Alcázar Sánchez-Elvira, S. Bacian Martínez, L. del Toro Gil, V. Gómez TelloAbstractPatient care after major head and neck surgery has changed in recent years. Tumors are the most common reasons for this type of surgery, though it is also used to treat benign conditions.Recent advances in equipment and surgical techniques have improved the postoperative course in this field, allowing early recovery, less pain and infection, a shorter hospital stay, and even better aesthetic results. This is...
Source: Medicina Intensiva - October 16, 2019 Category: Intensive Care Source Type: research

Can we justify the use of physical and mechanical restraint in pediatric patients admitted to the Intensive Care Unit?: [[es]]¿Está justificado el uso de contenciones físicas y mecánicas en el paciente pediátrico ingresado en una unidad de cuidados intensivos?
Publication date: Available online 12 October 2019Source: Medicina Intensiva (English Edition)Author(s): A. Bosch-Alcaraz, G. Via-Clavero (Source: Medicina Intensiva)
Source: Medicina Intensiva - October 13, 2019 Category: Intensive Care Source Type: research