Rotational thromboelastometry (ROTEM) profile in a cohort of asystole donors
ConclusionsThe ROTEM assays revealed severe alterations of the clot formation parameters and a high incidence of hyperfibrinolysis.ResumenIntroducciónLa hipoperfusión juega un papel central en el shock, y es un desencadenante de la coagulopatía. El estudio del perfil ROTEM durante la parada cardíaca prolongada podría ofrecer nuevos conocimientos sobre la fisiopatología de la coagulopatía por shock.ObjetivoDescribir el perfil de tromboelastometría rotacional en una cohorte de donantes en asistolia y determinar la incidencia de hiperfibrinólisis.DiseñoCohortes prospectivo. Incluimos 18 pacientes ingresados tras par...
Source: Medicina Intensiva - June 21, 2019 Category: Intensive Care Source Type: research
Evaluation of the vasoactive-inotropic score, mid-regional pro-adrenomedullin and cardiac troponin I as predictors of low cardiac output syndrome in children after congenital heart disease surgery
ConclusionsThe VIS score at 2 h post-CPB was identified as an independent early predictor of LCOS. This predictive value was not increased when associated with LCOS cardiac biomarkers. The VIS score was more useful than IS post-CPB in making early therapeutic decisions in clinical practice post-CPB.ResumenObjetivoEstudiar el valor predictivo de la escala inotrópica (IS) y la escala vasoactiva-inotrópica (VIS) en el síndrome de bajo gasto cardiaco (SBGC) en niños poscirugía de cardiopatías congèc)nitas mediante bypass cardiopulmonar (BCP). Determinar si adrenomedulina (MR-proADM) y troponina cardiaca-I (cTn-I) a...
Source: Medicina Intensiva - June 21, 2019 Category: Intensive Care Source Type: research
The thumbs angle used in the novel infant chest compression technique (new two-thumb technique, nTTT) can influence the quality parameters of resuscitation
Publication date: Available online 20 June 2019Source: Medicina Intensiva (English Edition)Author(s): L. Szarpak, J. Smereka, J.R. Ladny, K. Ruetzler (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 21, 2019 Category: Intensive Care Source Type: research
Kidney transplantation in the Intensive Care Unit: Graft evaluation using imaging tests
Publication date: Available online 2 June 2019Source: Medicina Intensiva (English Edition)Author(s): A.J. Roldán-Reina, J.J. Egea-Guerrero, N. Palomo-López, D.X. Cuenca-Apolo, M. Adriaensens-Pérez, L. Martín-Villén (Source: Medicina Intensiva)
Source: Medicina Intensiva - June 3, 2019 Category: Intensive Care Source Type: research
Infused cardioplegia index: A new tool to improve myocardial protection. A cohort study
ConclusionsThe infused cardioplegia index presents an inverse relationship with the development of post-operative low cardiac output syndrome. This index could form part of new strategies aimed at optimizing cardio-protection. The total volume of intermittent cardioplegia, especially that of maintenance, should probably be individualized, adjusting for ischemia time and left ventricle mass index.ResumenObjetivoLa cardioprotección es esencial en la revascularización coronaria quirúrgica. En este estudio exploramos la relación existente entre el tiempo que una masa miocárdica permanece en situación de isquemia y la dos...
Source: Medicina Intensiva - June 2, 2019 Category: Intensive Care Source Type: research
SCIWORA, an injury to know and diagnose
Publication date: Available online 20 May 2019Source: Medicina Intensiva (English Edition)Author(s): R. Viejo Moreno, C. Benito Puncel, Z. Eguileor Marín (Source: Medicina Intensiva)
Source: Medicina Intensiva - May 21, 2019 Category: Intensive Care Source Type: research
Practical document on the management of hyponatremia in critically ill patients
Publication date: Available online 20 May 2019Source: Medicina Intensiva (English Edition)Author(s): M.J. Broch Porcar, B. Rodríguez Cubillo, J.M. Domínguez-Roldán, L. Álvarez Rocha, M.Á. Ballesteros Sanz, M. Cervera Montes, M. Chico Fernández, J.H. de Gea García, P. Enríquez Giraudo, A. García de Lorenzo y Mateos, R. Gómez López, R. Guerrero Pavón, F. López Sánchez, J.A. Llompart-Pou, S. Lubillo Montenegro, Z. Molina Collado, P. Ramírez Galleymore, M. Riveiro Vilaboa, A. Sánchez Corral, M.E. Herrera-GutiérrezAbstractHyponatremia is the most prevalent electrolyte disorder in Intensive Care Units. It is ass...
Source: Medicina Intensiva - May 21, 2019 Category: Intensive Care Source Type: research
A new chest compression technique in infants
ConclusionsThe quality of chest compressions with the new method (thumbs with closed fists) is similar to that afforded by the traditional method.ResumenObjetivoComparar en un maniquí de lactante la calidad de las compresiones torácicas según el método tradicional (MT) o según la nueva técnica de 2 pulgares con puños cerrados (NM).DiseñoEstudio controlado, aleatorizado y cruzado en profesionales.ÁmbitoHospital Universitario con UCI Pediátrica del norte de España.ParticipantesResidentes y enfermeros de Pediatría, habiendo superado un curso de RCP básica y avanzada pediátrica.IntervencionesAnálisis cuantitativ...
Source: Medicina Intensiva - May 19, 2019 Category: Intensive Care Source Type: research
Experimental models in traumatic brain injury: From animal models to in vitro assays
Publication date: Available online 18 May 2019Source: Medicina Intensiva (English Edition)Author(s): L. Sempere, A. Rodríguez-Rodríguez, L. Boyero, J.J. Egea-GuerreroAbstractTraumatic brain Injury (TBI) is a major public healthcare concern, affecting people of all ages. Despite advances in the diagnosis, monitoring and clinical management of TBI, many unresolved questions remain regarding its physiopathology. In an attempt to understand the pathological features of TBI and to evaluate single potential therapeutic strategies, various animal models have been developed to simulate the mechanisms of action and the clinical m...
Source: Medicina Intensiva - May 19, 2019 Category: Intensive Care Source Type: research
Bleeding from internal mammary artery related to prolonged cardiopulmonary resuscitation
Publication date: Available online 19 May 2019Source: Medicina Intensiva (English Edition)Author(s): V. Arnaiz Arnaiz, C. Berástegi Santamaría, P.M. Olaechea Astigarraga (Source: Medicina Intensiva)
Source: Medicina Intensiva - May 19, 2019 Category: Intensive Care Source Type: research
Should intensive care admission be restricted to the most severely ill patients?
Publication date: Available online 19 May 2019Source: Medicina Intensiva (English Edition)Author(s): R. Fernandez, J.M. Alcoverro, I. Catalán, O. Rubio, S. Cano, C. Subirà (Source: Medicina Intensiva)
Source: Medicina Intensiva - May 19, 2019 Category: Intensive Care Source Type: research
Hematological complications in children subjected to extracorporeal membrane oxygenation
ConclusionsChildren treated with ECLS present high blood product needs. The main factors related to transfusions were postoperative period, bleeding at the start of ECLS, revision surgery, transthoracic cannulation, and the impossibility of suspending extracorporeal circulation. Children with bleeding suffered greater mortality than the rest of the patients.ResumenObjetivosAnalizar las complicaciones hematológicas y las necesidades transfusionales en niños tratados con oxigenación por membrana extracorpórea (ECMO).DiseñoEstudio retrospectivo.ÁmbitoUnidad de cuidados intensivos pediátricos.PacientesNiños menores de ...
Source: Medicina Intensiva - May 8, 2019 Category: Intensive Care Source Type: research
Pretransplant predictors of early mortality in adult recipients of liver transplantation in the MELD-Na Era
ConclusionsIn LTR due to decompensated cirrhosis, the MELD-Na score, age>60 years, and height <163 cm are independent predictors of early mortality. These factors provide a better classification model than the MELD-Na score for early post-transplant mortality.ResumenObjetivosIdentificar predictores pretrasplante de mortalidad precoz (90 días postrasplante) y evaluar su capacidad discriminante en receptores adultos de trasplante hepático (RTH).DiseñoEstudio observacional, retrospectivo, de casos y controles anidados sobre una cohorte consecutiva de RTH.ÁmbitoHospital Universitario.PacientesDesde enero de 2003 a...
Source: Medicina Intensiva - May 7, 2019 Category: Intensive Care Source Type: research
Respiratory muscle strength and state of consciousness values measured prior to the decanulation in different levels of complexity. A longitudinal prospective case series study
ConclusionThere are differences in the values of PEFC and GCS observed when decannulating between different areas. A considerable number of patients are decannulated with values of PEFC and maximum expiratory pressure below the suggested cut-off points as predictors of failure in the literature. No patient in our series was decanulated with an GCS < 8, this reflects the importance that the treating team gives to the state of consciousness prior to decannulation.ResumenObjetivoDescribir las variables relacionadas con la capacidad tusígena efectiva y el estado de la conciencia medidas previo a la decanulación...
Source: Medicina Intensiva - May 3, 2019 Category: Intensive Care Source Type: research
Reducing the use of physical restraints, a pending and emerging matter at the ICU
Publication date: Available online 2 May 2019Source: Medicina Intensiva (English Edition)Author(s): M. Acevedo-Nuevo, G. Via-Clavero, Grupo de Trabajo Analgesia, Sedación, Contenciones y Delirio de la Sociedad Española de Enfermería Intensiva y Unidades Coronarias (Source: Medicina Intensiva)
Source: Medicina Intensiva - May 3, 2019 Category: Intensive Care Source Type: research
