Frailty in patients over 65 years of age admitted to Intensive Care Units (FRAIL-ICU)
ConclusionsFrailty was present in 35% of the patients admitted to the ICU, and was associated with mortality.ResumenObjetivoEstimar la prevalencia de fragilidad en pacientes ingresados en cuidados intensivos (UCI) y su impacto sobre la mortalidad intra UCI, al mes y a los 6 meses.DiseñoEstudio de cohorte prospectiva.ÁmbitoUCI polivalentes españolas.IntervenciónNinguna.Pacientes y métodosPacientes ≥ 65 años ingresados en UCI > 24 horas. Se recogieron las variables al ingreso y la situación basal por teléfono al mes y a los 6 meses del alta de UCI.Variables de interés principalEdad, sexo, ...
Source: Medicina Intensiva - June 29, 2019 Category: Intensive Care Source Type: research

Endobronchial treatment of persistent pneumothorax in acute respiratory distress syndrome
Publication date: Available online 28 June 2019Source: Medicina Intensiva (English Edition)Author(s): J. Tejero Aranguren, F. Ruiz Ferrón, M. Colmenero Ruiz (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 29, 2019 Category: Intensive Care Source Type: research

Concordance of the ions and GAP anion obtained by gasometry vs standard laboratory in critical care
ConclusionsPoor concordance was observed between the ion values as determined by biochemistry and blood gases; the two methods are therefore not interchangeable. Kappa agreement with normality limits was good for sodium and potassium, and weak for chlorine. Possible validity was noted in orienting the classification within the ion limits, with the exception of chlorine. No agreement was recorded in relation to the anion GAP, even that corrected for albumin.ResumenObjetivoEvaluar las diferencias observadas en la determinación de los iones y del anión GAP obtenidos por gasometría (POC) y por bioquímica de laboratorio, y ...
Source: Medicina Intensiva - June 27, 2019 Category: Intensive Care Source Type: research

Influenza vaccination and critical patient protection: Responsibility of healthcare workers
Publication date: Available online 24 June 2019Source: Medicina Intensiva (English Edition)Author(s): M. López-Gobernado, D. Villalba Gil, A. Pérez-Rubio, J.M. Eiros (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 25, 2019 Category: Intensive Care Source Type: research

Traumatic coagulopathies
Publication date: Available online 24 June 2019Source: Medicina Intensiva (English Edition)Author(s): M. Chico Fernández, C. Mudarra Reche (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 25, 2019 Category: Intensive Care Source Type: research

Electroencephalographic monitoring in the critically ill patient: What useful information can it contribute?
This study summarizes the indications, usage and methodology of continuous EEG monitoring in the intensive care unit, with the aim of allowing practitioners to become familiarized the technique.ResumenLa monitorización es crucial en el cuidado del paciente crítico. Detecta disfunciones orgánicas y provee orientación en el abordaje terapéutico. Los intensivistas monitorizan habitualmente la función de varios sistemas orgánicos y el cerebro no es la excepción. La monitorización EEG continuo es una vía no invasiva e ininterrumpida para valorar la actividad eléctrica cortical con aceptable resolución espacial y exc...
Source: Medicina Intensiva - June 25, 2019 Category: Intensive Care Source Type: research

Pulmonary vein stenosis after valve replacement surgery
Publication date: Available online 24 June 2019Source: Medicina Intensiva (English Edition)Author(s): M. Sevilla Martínez, A. Fernández Carmona, S. Silvente Fernández (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 25, 2019 Category: Intensive Care Source Type: research

Results of the modification of an acute pancreatitis management protocol in Intensive Care medicine
ConclusionsThe implementation of a protocol could result in decreased mortality among AP patients admitted to the ICU.ResumenObjetivoConocer si la implantación de un protocolo para el manejo de la pancreatitis aguda (PA) en Medicina Intensiva (MI) redundó en la mejora de los resultados clínicos.DiseñoSerie de casos, observacional, retrospectivo, con un diseño antes-después.Periodo de estudio1/01/2001-31/12/2016, dividido en 2 periodos (preprotocolo 2001-2007; posprotocolo 2008-2016).ÁmbitoUn servicio de MI con 48 camas y población de 700.000 habitantes.ParticipantesPacientes ingresados en MI con PA. No hubo criteri...
Source: Medicina Intensiva - June 25, 2019 Category: Intensive Care Source Type: research

Temporary inferior vena cava filters in major trauma
Publication date: Available online 24 June 2019Source: Medicina Intensiva (English Edition)Author(s): M.Á. Ballesteros, J.A. Llompart-Pou, J.J. Egea-Guerrero (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 25, 2019 Category: Intensive Care Source Type: research

Is it useful to assess patient frailty upon admission to the Intensive Care Unit (ICU)?
Publication date: Available online 22 June 2019Source: Medicina Intensiva (English Edition)Author(s): O. Rubio Sanchiz, R. Fernández Fernández (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 24, 2019 Category: Intensive Care Source Type: research

Stellate ganglion block as rescue therapy in refractory vasospasm after subarachnoid hemorrhage
Publication date: Available online 21 June 2019Source: Medicina Intensiva (English Edition)Author(s): J. Sánchez Arguiano, M.A. Hernández-Hernández, R.A. Jáuregui Solórzano, S. Maldonado-Vega, A. González Mandly, J. Burón Mediavilla (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 22, 2019 Category: Intensive Care Source Type: research

Prognostic utility of the multiorgan failure scores and inotropic index in the postoperative of cardiac transplantation in children
Publication date: Available online 21 June 2019Source: Medicina Intensiva (English Edition)Author(s): J. López, M. Slöcker, E. Heras, D. Ríos, L. Barrio, R. Cebrián, D. Gómez, J. López-Herce (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 22, 2019 Category: Intensive Care Source Type: research

Laryngeal injury in closed cervical traumatism
Publication date: Available online 22 June 2019Source: Medicina Intensiva (English Edition)Author(s): R. Viejo-Moreno, C. García-Fuentes, C. Mudarra-Reche, L.J. Terceros-Almanza, M. Chico-Fernández (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 22, 2019 Category: Intensive Care Source Type: research

“Snake eye” and “pencil-like” signs together with diaphragmatic paralysis in a patient with anterior spinal cord ischemia
Publication date: Available online 20 June 2019Source: Medicina Intensiva (English Edition)Author(s): M.J. Martínez Tébar, A. Baeza Román, G. Julia Mejia Olmos (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 21, 2019 Category: Intensive Care Source Type: research

Real and spurious hypoxemia in a patient with extreme hyperleukocytosis
Publication date: Available online 20 June 2019Source: Medicina Intensiva (English Edition)Author(s): M. Angulo, D. Machado, L. Larrosa, A. Biestro (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 21, 2019 Category: Intensive Care Source Type: research