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 6, 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 recientes frente a otros más antiguos en adultos críticamente enf...
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 una cirugía cardíaca. Por ello, nosotros evaluamos l...
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 bases de datos Medline, Stabilis, Handbook on I...
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.MétodoSe trata de un estudio observacio...
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, analgesia and delirium in Intensive Care Units, and in order to update the previously publ...
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 temperature; (b)...
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 life care in critically ill patients.The concept...
Source: Medicina Intensiva - November 16, 2019 Category: Intensive Care Source Type: research