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crítica care

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...
August 16, 2016: Enfermería Intensiva
Wesley Cajaíba Santos, Cássia Regina Vancini-Campanharo, Maria Carolina Barbosa Teixeira Lopes, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista
OBJECTIVE: To assess knowledge of nurses of emergency services and intensive care units about Glasgow Coma Scale. METHODS: This cross-sectional analytical study included 127 nurses of critical units of an university hospital. We used structured interview with 12 questions to evaluate their knowledge about the scale. Association of Knowledge with professionals' sociodemographic variables were verified by the Fisher-test, χ2 and likelihood ratio. RESULTS: Most of participants were women mean aged 31...
April 2016: Einstein
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
E Celis-Rodríguez, C Birchenall, M Á de la Cal, G Castorena Arellano, A Hernández, D Ceraso, J C Díaz Cortés, C Dueñas Castell, E J Jimenez, J C Meza, T Muñoz Martínez, J O Sosa García, C Pacheco Tovar, F Pálizas, J M Pardo Oviedo, D I Pinilla, F Raffán-Sanabria, N Raimondi, C Righy Shinotsuka, M Suárez, S Ugarte, S Rubiano
INTRODUCTION: Optimal management of sedation, analgesia and delirium offers comfort and security for the critical care patient, allows support measures to be applied more easily and enables an integral approach of medical care, at the same time that lowers the incidence of complications, wich translates in better patient outcomes. OBJECTIVE: To update the Guía de práctica clínica basada en la evidencia para el manejo de la sedoanalgesia en el paciente adulto críticamente enfermo published in Medicina Intensiva in 2007, and give recommendations for the management of sedation, analgesia, and delirium...
November 2013: Medicina Intensiva
V Gómez Tello, J Alvarez Rodríguez, A Núñez Reiz, J A González Sánchez, A Hernández Abadía de Barbará, M Martínez Fresneda, P Morrondo Valdeolmillos, J M Nicolás Arfelis, I Pujol Varela, M Calvete Chicharro
INTRODUCTION: Clinical Information Systems (CIS) are becoming a useful tool for managing patients and data in the ICU. However, the existing CIS differ in their capabilities and technical requirements. It is therefore essential for intensivists, as the end clients of these applications, to define the suitable minimum specifications required in order to be operative and helpful. OBJECTIVES: The Spanish Society of Intensive Care Medicine and Coronary Units, through its Organization and Management Workgroup, has designated a group of clinical and software experts to draft a document with the recommendable technical and operating requirements of these systems...
November 2011: Medicina Intensiva
(no author information available yet)
Intensive care medicine is a medical specialty that was officially established in our country in 1978, with a 5-year training program including two years of common core training followed by three years of specific training in an intensive care unit accredited for training. During this 32-year period, intensive care medicine has carried out an intense and varied activity, which has allowed its positioning as an attractive and with future specialty in the hospital setting. This document summarizes the history of the specialty, its current situation, the key role played in the programs of organ donation and transplantation of the National Transplant Organization (after more than 20 years of mutual collaboration), its training activities with the development of the National Plan of Cardiopulmonary Resuscitation, with a trajectory of more than 25 years, its interest in providing care based on quality and safety programs for the severely ill patient...
March 2011: Medicina Intensiva
Emili Díaz, Alejandro Rodríguez, Ignacio Martin-Loeches, Leonardo Lorente, María del Mar Martín, Juan Carlos Pozo, Juan Carlos Montejo, Angel Estella, Angel Arenzana, Jordi Rello
OBJECTIVE: A large proportion of patients infected with 2009 influenza A(H1N1) (A[H1N1]) are obese. Obesity has been proposed as a risk factor influencing outcome in these patients. However, its role remains unclear. We evaluate the outcome of patients who are obese and infected with A(H1N1) in the ICU, determining whether obesity is a risk factor for mortality. METHODS: This was a prospective, observational, and multicenter study performed in 144 ICUs in Spain...
February 2011: Chest
A Rodríguez, L Socías, J E Guerrero, J C Figueira, N González, E Maraví-Poma, L Lorente, M Martín, A Albaya-Moreno, A Algora-Weber, J Vallés, C León-Gil, T Lisboa, C Balasini, M Villabón, R Pérez-Padilla, D Barahona, J Rello et al.
INTRODUCTION: Pandemic Influenza A (H1N1)v infection is the first pandemic in which intensive care units (ICU) play a fundamental role. It has spread very rapidly since the first cases were diagnosed in Mexico with the subsequent spread of the virus throughout the Southern Cone and Europe during the summer season. OBJECTIVE: This study has aimed to compare the clinical presentation and outcome among the critical patients admitted to the ICU until July 31, 2009 in Spain with some series from Latin America...
March 2010: Medicina Intensiva
Juna C Michelena, Carlos Chamorro, Juan A Falcón, Sandra Garcés
Recently, the work group made up of the National Transplant Organization (Organización Nacional de Trasplantes, ONT), Spanish Society of Intensive, Critical Medicine and Coronary Units (Sociedad Española de Medicina Intensiva, Crítica y de Unidades Coronarias, SEMICYUC) and other Scientific Societies have recommended using 15 mg/kg of methyl prednisolone during the management of lung donors after brain death. This recommendation is based on descriptive and retrospective studies. However, the review of different experimental and clinical studies also suggests a potential benefit of using steroids in either thoracic or abdominal organ donors during management strategies...
June 2009: Medicina Intensiva
Pedro M Olaechea, Francisco Alvarez-Lerma, Miguel Sánchez, Antonio Torres, Mercedes Palomar, Pedro Fernández, José M Miró, José Miguel Cisneros, Manuel Torres, et al.
Recent studies have shown that early attention in patients with serious infections is associated with a better outcome. Assistance in intensive care units (ICU) can effectively provide this attention; hence patients should be admitted to the ICU as soon as possible, before clinical deterioration becomes irreversible. The objective of this article is to compile the recommendations for evaluating disease severity in patients with infections and describe the criteria for ICU admission, updating the criteria published 10 years ago...
June 2009: Enfermedades Infecciosas y Microbiología Clínica
M C Martín, Ll Cabré, J Ruiz, Ll Blanch, J Blanco, F Castillo, P Galdós, J Roca, R M Saura
The utility of using quality indicators as a tool to measure the common practice and evaluate efficacy of measures established to improve quality has been demonstrated, making it possible to identify and make known the improvements carried out. The project "Quality indicators in the critical patient" has been conducted by the Spanish Society of Intensive and Critical Medicine (SEMICYUC) under the methodological management of the Foundation Avedis Donabedian (FAD) of Barcelona. Its objective was to develop key indicators in the care of the critical patient, considering the following as added values: reaching an agreement on the quality criteria in these patients and providing the professionals with a potent and reliable instrument for clinical evaluation and management, introducing common evaluation methods that make it possible to unify the measure, making a comparative evaluation (benchmarking), having information that makes it possible to develop quality plans (quantitative, objective, reliable and valid data) and having a system that assures total quality of care to the critical patient...
January 2008: Medicina Intensiva
A García-Labattut, F Tena, J Díaz, R Pajares, J Sandoval, J González, M A Taberna, A García, H Abdel-Hadi, F J Pérez, L Fernández, M Vázquez
AIM: To determine degree of public awareness regarding the activities and health care professionals that comprise intensive care units (ICUs) in the autonomous community of Castilla y León. DESIGN: Questionaire in the form of a true-false test dealing with a) description of an ICU; b) description of ICU patients, and c) degrees and qualifications held by ICU physicians. LOCATION: Waiting rooms of outpatient clinics and ICUs of 9 hospitals in Castilla y León...
March 2006: Medicina Intensiva
T Grau, A Bonet
OBJECTIVE: To assess enteral nutrition complications in a prospective cohort of patients admitted to the ICU. MATERIAL AND METHODS: Prospective, multicenter study of patients admitted to the ICU and that received enteral nutrition (EN). Demographical data, main diagnosis, and nutritional and severity indexes were included. Complications were previously defined and were categorized as gastrointestinal or infectious. An independent group managed the databases and performed the statistical analysis...
July 2005: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
A Bonet, T Grau
OBJECTIVE: To assess parenteral nutrition complications in a prospective cohort of patients admitted to the ICU. MATERIAL AND METHODS: Prospective, multicenter study of patients admitted to the ICU and that received total parenteral nutrition (TPN). A 14-item questionnaire was done. Total number of admissions and TPN-treated patients were recorded. Demographical data, diagnosis, APACHE II, multiorgan dysfunction index and TPN indications were included. Each complication was previously defined and was related to the route, administration, serum electrolytes unbalances, active ingredients, liver dysfunction, and nosocomial infections...
July 2005: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
R Jordà Marcos, A Torres Martí, F J Ariza Cardenal, F Alvarez Lerma, F Barcenilla Gaite
INTRODUCTION: Given the sanitary repercussion of serious intrahospital pneumonia (SIP), representatives of three scientific societies (SEMICYUC; SEPAR and SEIMC) have developed during 2002 and 2003 a practical guide for its treatment. METHOD: A task force was constituted to value five clinical situations related with the treatment of SIP: 1) critical revision of the existent guidelines and groups of risk definition; 2) entry criteria in ICU for SIP; 3) SIP treatment in function of the groups of risk; 4) special situations in SIP treatment, and 5) control treatment...
October 2004: Enfermedades Infecciosas y Microbiología Clínica
(no author information available yet)
BACKGROUND AND OBJECTIVE: We aimed to determine the clinical usefulness of transcranial Doppler (TCD) in critical neurological patients. PATIENTS AND METHOD: Prospective, multicenter study of 66 patients (44 men) with acute neurologic disorders (16 brain injury, 25 subarachnoid hemorrhage, 15 intracerebral hemorrhage, 2 ischemic stroke, 2 metabolic encephalopaty, 5 brain ischemia after cardiac arrest, and another pathology), admitted to 7 intensive care units. Data collection was performed during one month from 8 AM to 5 PM...
March 1, 2003: Medicina Clínica
F Alvarez-Lerma, A Torres, F Rodríguez De Castro
No abstract text is available yet for this article.
December 2001: Enfermedades Infecciosas y Microbiología Clínica
J F Solsona, G Miro, M Ferrer, L Cabré, A Torres, et al.
No abstract text is available yet for this article.
September 2001: Archivos de Bronconeumología
(no author information available yet)
Aim of the study was to describe the characteristics, the strategies and the degree of control of pain and lower limb ulcers in a sample of 959 patients with c.l.i. (chronic limb ischaemia) admitted to 38 medical and surgical italian vascular wards and recruited into a multicenter controlled trial. Data presented in this article refer to the patient situation before the hospital admission. Data on the ulcer and the nursing history on ulcers medication, pain experienced and pain control were collected at hospital admission...
January 1997: Rivista Dell'infermiere
(no author information available yet)
OBJECTIVE: To draw a picture of the different practices adopted for the diagnosis, specific treatment and general care of critical leg ischaemia (CLI) in the light of the recommendations of the recent Consensus Document. DESIGN: Prospective observational study. SETTING: A representative sample of vascular and general surgery, angiology, general medicine departments of the Italian National Health Service. SUBJECTS: Patients with leg ischaemia considered as chronic and critical according to the definition and diagnostic criteria adopted in each centre...
January 1996: European Journal of Vascular and Endovascular Surgery
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