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Medicina intensiva

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https://www.readbyqxmd.com/read/29548635/predicting-survival-in-geriatric-trauma-patients-a-comparison-between-the-triss-methodology-and-the-geriatric-trauma-outcome-score
#1
Jesús Abelardo Barea-Mendoza, Mario Chico-Fernández, Marcelino Sánchez-Casado, Ismael Molina-Díaz, Manuel Quintana-Díaz, José Manuel Jiménez-Moragas, Jon Pérez-Bárcena, Juan Antonio Llompart-Pou
INTRODUCTION: We compared the Geriatric Trauma Outcome Score (GTOS) with the probability of survival using the TRISS methodology (PS-TRISS) in geriatric severe trauma patients admitted to Intensive Care Units (ICU) participating in the Spanish trauma ICU registry (RETRAUCI). METHODS: Retrospective analysis from the RETRAUCI. Quantitative data were reported as median (Interquartile Range (IQR)), and categorical data as number (percentage). We analyzed the validity of the GTOS and PS-TRISS to predict survival...
March 13, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29426704/handover-in-intensive-care
#2
G Sirgo Rodríguez, M Chico Fernández, F Gordo Vidal, M García Arias, M S Holanda Peña, B Azcarate Ayerdi, E Bisbal Andrés, A Ferrándiz Sellés, P J Lorente García, M García García, P Merino de Cos, J M Allegue Gallego, A García de Lorenzo Y Mateos, J Trenado Álvarez, P Rebollo Gómez, M C Martín Delgado
Handover is a frequent and complex task that also implies the transfer of the responsibility of the care. The deficiencies in this process are associated with important gaps in clinical safety and also in patient and professional dissatisfaction, as well as increasing health cost. Efforts to standardize this process have increased in recent years, appearing numerous mnemonic tools. Despite this, local are heterogeneous and the level of training in this area is low. The purpose of this review is to highlight the importance of IT while providing a methodological structure that favors effective IT in ICU, reducing the risk associated with this process...
February 6, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/29426703/methodological-update-in-medicina-intensiva
#3
J L García Garmendia
Research in the critically ill is complex by the heterogeneity of patients, the difficulties to achieve representative sample sizes and the number of variables simultaneously involved. However, the quantity and quality of records is high as well as the relevance of the variables used, such as survival. The methodological tools have evolved to offering new perspectives and analysis models that allow extracting relevant information from the data that accompanies the critically ill patient. The need for training in methodology and interpretation of results is an important challenge for the intensivists who wish to be updated on the research developments and clinical advances in Intensive Medicine...
February 6, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/29412895/executive-summary-diagnosis-and-treatment-of-catheter-related-bloodstream-infection-clinical-guidelines-of-the-spanish-society-of-clinical-microbiology-and-infectious-diseases-seimc-and-the-spanish-society-of-intensive-care-medicine-and-coronary-units-semicyuc
#4
Fernando Chaves, José Garnacho-Montero, José Luis Del Pozo, Emilio Bouza, José Antonio Capdevila, Marina de Cueto, M Ángeles Domínguez, Jaime Esteban, Nuria Fernández-Hidalgo, Marta Fernández Sampedro, Jesús Fortún, María Guembe, Leonardo Lorente, Jose Ramón Paño, Paula Ramírez, Miguel Salavert, Miguel Sánchez, Jordi Vallés
Catheter-related bloodstream infections (CRBSI) constitute an important cause of hospital-acquired infection associated with morbidity, mortality, and cost. The aim of these guidelines is to provide updated recommendations for the diagnosis and management of CRBSI in adults. Prevention of CRBSI is excluded. Experts in the field were designated by the two participating Societies (Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica and the Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias)...
February 2018: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/29174280/physician-staffing-needs-in-critical-care-departments
#5
V Gómez Tello, J Ruiz Moreno, M Weiss, E González Marín, P Merino de Cos, N Franco Garrobo, A Alonso Ovies, J C Montejo González, T Iber, G Marx, V Córcoles González, F Gordo Vidal, E Palencia Herrejón, J Roca Guiseris
Departments of Critical Care Medicine are characterized by high medical assistance costs and great complexity. Published recommendations on determining the needs of medical staff in the DCCM are based on low levels of evidence and attribute excessive significance to the structural/welfare approach (physician-to-beds ratio), thus generating incomplete and minimalistic information. The Spanish Society of Intensive Care Medicine and Coronary Units established a Technical Committee of experts, the purpose of which was to draft recommendations regarding requirements for medical professionals in the ICU...
January 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/28602752/analysis-of-complications-of-prone-position-in-acute-respiratory-distress-syndrome-quality-standard-incidence-and-related-factors
#6
E Jové Ponseti, A Villarrasa Millán, D Ortiz Chinchilla
INTRODUCTION: The monitoring system based on standards of quality allows clinicians to evaluate and improve the patient's care. According to the quality indicators recommended by Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias, and due to the importance of prone position (PP) as a treatment in patients with acute respiratory distress syndrome, it is fundamental to keep accurate record of serious adverse events occurring during the prone position procedure and its posterior analysis...
June 8, 2017: Enfermería Intensiva
https://www.readbyqxmd.com/read/28389026/national-survey-on-the-indicators-of-quality-in-bioethics-of-the-semicyuc-in-the-departments-of-intensive-care-medicine-in-spain
#7
V López Camps, M A García García, M C Martín Delgado, J M Añón Elizalde, N Masnou Burrallo, O Rubio Sanchiz, A Estella García, J L Monzón Marín
INTRODUCTION: Multiple interventions are performed in critical patients admitted to Intensive Care Units (ICUs). This study explores the presence in the daily practice of ICUs of elements related to the 6 bioethics quality indicators of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units, and the participation of their members in the hospital ethics committees. MATERIALS AND METHODS: A multicenter observational study was carried out, using a survey exploring descriptive aspects of the ICUs, with 25 questions related to bioethics quality indicators, and assessing the participation of ICU members in the hospital ethics committees...
December 2017: Medicina Intensiva
https://www.readbyqxmd.com/read/27737418/guidelines-for-the-assessment-and-acceptance-of-potential-brain-dead-organ-donors
#8
Glauco Adrieno Westphal, Valter Duro Garcia, Rafael Lisboa de Souza, Cristiano Augusto Franke, Kalinca Daberkow Vieira, Viviane Renata Zaclikevis Birckholz, Miriam Cristine Machado, Eliana Régia Barbosa de Almeida, Fernando Osni Machado, Luiz Antônio da Costa Sardinha, Raquel Wanzuita, Carlos Eduardo Soares Silvado, Gerson Costa, Vera Braatz, Milton Caldeira Filho, Rodrigo Furtado, Luana Alves Tannous, André Gustavo Neves de Albuquerque, Edson Abdala
Organ transplantation is the only alternative for many patients with terminal diseases. The increasing disproportion between the high demand for organ transplants and the low rate of transplants actually performed is worrisome. Some of the causes of this disproportion are errors in the identification of potential organ donors and in the determination of contraindications by the attending staff. Therefore, the aim of the present document is to provide guidelines for intensive care multi-professional staffs for the recognition, assessment and acceptance of potential organ donors...
September 2016: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/27542686/-barriers-and-motivations-of-nurses-for-conducting-research-in-intensive-care-units-and-emergency-medical-service
#9
MULTICENTER STUDY
M Llauradó-Serra, R Güell-Baró, A Castanera-Duro, I Sandalinas, E Argilaga, M L Fortes-Del Valle, M F Jiménez-Herrera, L Bordonado-Pérez, C Fuentes-Pumarola
BACKGROUND: The implementation of evidence based practice is essential in clinical practice. However, it is still a challenge in critical care patients. AIM: To identify the barriers for conducting research that nursing professionals perceive in intensive care and medical emergency departments, as well as to investigate the areas of interest and motivations to carry out research projects. METHOD: Cross-sectional and multicentre study carried out in 4 intensive care units and in one Medical Emergency Department emergency pre-hospital carein Catalonia on 2014...
October 2016: Enfermería Intensiva
https://www.readbyqxmd.com/read/27305038/prognostic-value-of-procalcitonin-in-hospitalized-patients-with-lower-respiratory-tract-infections
#10
REVIEW
Vandack Nobre, Isabela Borges
No abstract text is available yet for this article.
June 2016: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/26761474/delirium-in-intensive-care-unit-patients-under-noninvasive-ventilation-a-multinational-survey
#11
Lilian Maria Sobreira Tanaka, Jorge Ibrain Figueira Salluh, Felipe Dal-Pizzol, Bruna Brandão Barreto, Ricardo Zantieff, Eduardo Tobar, Antonio Esquinas, Lucas de Castro Quarantini, Dimitri Gusmao-Flores
OBJECTIVE: To conduct a multinational survey of intensive care unit professionals to determine the practices on delirium assessment and management, in addition to their perceptions and attitudes toward the evaluation and impact of delirium in patients requiring noninvasive ventilation. METHODS: An electronic questionnaire was created to evaluate the profiles of the respondents and their related intensive care units, the systematic delirium assessment and management and the respondents' perceptions and attitudes regarding delirium in patients requiring noninvasive ventilation...
October 2015: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25814294/-medicina-intensiva-a-task-of-all-of-us
#12
EDITORIAL
J Garnacho Montero
No abstract text is available yet for this article.
April 2015: Medicina Intensiva
https://www.readbyqxmd.com/read/25573190/occupancy-of-the-departments-of-intensive-care-medicine-in-catalonia-spain-a-prospective-analytical-cohort-study
#13
MULTICENTER STUDY
R Fernandez
BACKGROUND: Before deciding increases in the number or capacitance of Intensive Care Units (ICUs), or the regionalization of Units, it is essential to know their present effectiveness. OBJECTIVE: To analyze the daily occupancy rate of ICUs in Catalonia (Spain) and the frequency of denied admission due to lack of capacity. DESIGN: A prospective, observational multicenter study was carried out. PARTICIPANTS: A total of 35 out of 40 ICUs of Catalonia (87%)...
December 2015: Medicina Intensiva
https://www.readbyqxmd.com/read/25310791/-mechanical-ventilation-in-chronic-obstructive-pulmonary-disease
#14
Sérgio Jezler, Marcelo A Holanda, Anderson José, Suelene Aires Franca
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
June 2007: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310790/-mechanical-ventilation-in-acute-asthma-crisis
#15
Carmen Sílvia Valente Barbas, Bruno do Valle Pinheiro, Arthur Vianna, Ricardo Magaldi, Ana Casati, Anderson José, Valdelis Novis Okamoto
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
June 2007: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310789/-noninvasive-mechanical-ventilation-with-positive-pressure
#16
Guilherme P P Schettino, Marco Antonio Soares Reis, Filomena Galas, Marcelo Park, Suelene Aires Franca, Valdelis Novis Okamoto, Carlos R R Carvalho
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
June 2007: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310080/-physiotherapy-on-the-mechanically-ventilated-patients
#17
George Jerre, Marcelo A Beraldo, Thelso de Jesus Silva, Ada Gastaldi, Claudia Kondo, Fábia Leme, Fernando Guimarães, Germano Forti Junior, Jeanette J J Lucato, Joaquim M Veja, Alexandre Luque, Mauro R Tucci, Valdelis N Okamoto
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
September 2007: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310079/-intraoperative-mechanical-ventilation
#18
José Otávio Costa Auler Junior, Filomena Regina Barbosa Gomes Galas, Ludhmila Abrahão Hajjar, Suelene Aires Franca
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based Medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
September 2007: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310078/-mechanical-ventilation-of-weaning-interruption
#19
Rosane Goldwasser, Augusto Farias, Edna Estelita Freitas, Felipe Saddy, Verônica Amado, Valdelis Novis Okamoto
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
September 2007: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25310077/-mechanical-ventilation-in-the-acute-lung-injury-acute-respiratory-distress-syndrome
#20
Marcelo B P Amato, Carlos R R Carvalho, Sílvia Vieira, Alexandre Isola, Vivian Rotman, Marcelo Moock, Anderson José, Suelene Aires Franca
BACKGROUND AND OBJECTIVES: The II Brazilian Consensus Conference on Mechanical Ventilation was published in 2000. Knowledge on the field of mechanical ventilation evolved rapidly since then, with the publication of numerous clinical studies with potential impact on the ventilatory management of critically ill patients. Moreover, the evolving concept of evidence - based medicine determined the grading of clinical recommendations according to the methodological value of the studies on which they are based...
September 2007: Revista Brasileira de Terapia Intensiva
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