Application of a mindfulness program among healthcare professionals in an intensive care unit: Effect on burnout, empathy and self-compassion
ConclusionsIn the population described, this program showed a decrease in emotional exhaustion and an increase in self-compassion — these being factors that can produce well-being and exert a positive impact upon burnout in this vulnerable group.ResumenObjetivoEvaluar el efecto de un programa de entrenamiento en mindfulness sobre el burnout, el mindfulness, la empatía y la autocompasión en profesionales de la salud de un servicio de medicina intensiva de un hospital terciario.DiseñoEstudio longitudinal de diseño intrasujeto pre-post intervención.ÁmbitoServicio de medicina intensiva de un hospital de tercer nivel de...
Source: Medicina Intensiva - April 10, 2019 Category: Intensive Care Source Type: research
Recurrent subdural hematoma
Publication date: Available online 8 April 2019Source: Medicina Intensiva (English Edition)Author(s): J. Sánchez Arguiano, M. Arlabán Carpintero, Y. Peñasco Martín (Source: Medicina Intensiva)
Source: Medicina Intensiva - April 9, 2019 Category: Intensive Care Source Type: research
Disappearance of cerebral diastolic flow after an unexpected complication
Publication date: Available online 9 April 2019Source: Medicina Intensiva (English Edition)Author(s): M. Arroyo Diez, A. Zabalegui Pérez, G. Kaminsky (Source: Medicina Intensiva)
Source: Medicina Intensiva - April 9, 2019 Category: Intensive Care Source Type: research
Bening pneumoperitoneum in patient trying non invasive mechanical ventilation and gastrostomy
Publication date: Available online 7 April 2019Source: Medicina Intensiva (English Edition)Author(s): L. González Cubillo, A. Vallejo de la Cueva, A. Martín López (Source: Medicina Intensiva)
Source: Medicina Intensiva - April 8, 2019 Category: Intensive Care Source Type: research
Tell me what you need. I hear you
Publication date: Available online 6 April 2019Source: Medicina Intensiva (English Edition)Author(s): Á. Alonso-Ovies, G. Heras la Calle (Source: Medicina Intensiva)
Source: Medicina Intensiva - April 8, 2019 Category: Intensive Care Source Type: research
Conventional monitoring is not sufficient to assess respiratory effort during assisted ventilation
ConclusionsCalculated and measured parameters of respiratory effort showed unacceptable differences in clinical practice.ResumenObjetivoAnalizar la relación y concordancia entre el esfuerzo respiratorio calculado con las señales del respirador (Pmus) y el medido con presión esofágica (Pes), en ventilación mecánica con diferentes niveles de asistencia respiratoria.DiseñoEstudio prospectivo de una cohorte.ÁmbitoUnidad de cuidados intensivos polivalente en 2 hospitales terciarios.PacientesPacientes en fase de retirada de la ventilación mecánica.IntervencionesLa presión en la vía aérea, esofágica y flujo respirat...
Source: Medicina Intensiva - April 8, 2019 Category: Intensive Care Source Type: research
Impact and safety of open lung biopsy in patients with acute respiratory distress syndrome (ARDS)
ConclusionThe information provided by OLB performed at the bedside in ARDS patients of unknown etiology could be relevant, as it may optimize treatment. The risk associated with OLB seems to be acceptable.ResumenIntroducciónEl síndrome de dificultad respiratoria aguda (ARDS, acute respiratory distress syndrome) es una enfermedad pulmonar inflamatoria y su característica distintiva patológica es el daño alveolar difuso (DAD, diffuse alveolar damage). Dado que la biopsia pulmonar abierta (OLB, open lung biopsy) a veces puede dar lugar a efectos secundarios graves, rara vez se realiza en pacientes con SDRA.ObjetivosLos o...
Source: Medicina Intensiva - March 30, 2019 Category: Intensive Care Source Type: research
Liberal red blood cell transfusions impair quality of life after cardiac surgery
ConclusionsLiberal red blood cell transfusions increase the risk of impaired HRQoL after cardiac surgery.ResumenAntecedentesEl manejo óptimo de la sangre después de cirugía cardíaca sigue siendo controvertido.ObjetivoAnalizar el impacto de la transfusión liberal de concentrado de hematíes (CdH) sobre la calidad de vida relacionada con la salud (CVRS) después de la cirugía cardíaca.MétodosSe estudió una cohorte de 205 pacientes consecutivos. Se registraron las características basales y los datos clínicos, y se evaluó la CVRS utilizando el EuroQoL-5D, 6 meses después del alta de la UCI. Se añadió una pregunt...
Source: Medicina Intensiva - March 30, 2019 Category: Intensive Care Source Type: research
Agitated saline echo testing: Two useful indications in critical care patients
Publication date: March 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 2Author(s): P. Blanco, G. Bello (Source: Medicina Intensiva)
Source: Medicina Intensiva - March 7, 2019 Category: Intensive Care Source Type: research
Lung ultrasound in hypoxic patient with veno-arterial ECMO
Publication date: March 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 2Author(s): L. Martin-Villen, E. Jimenez-Martinez, R. Martin-Bermudez (Source: Medicina Intensiva)
Source: Medicina Intensiva - March 7, 2019 Category: Intensive Care Source Type: research
Evaluation and closure of the series on methodology in Intensive Care Medicine
Publication date: March 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 2Author(s): J.L. García GarmendiaAbstractThe series of updates on methodology for research in critically ill patients has addressed the difficulties caused by the characteristics of patients of this kind, bioethics, the interpretation of results, and methodological error. New statistical methods for causality research, meta-analysis and big data analysis have also been described. The last update refers to the horizon for new research in the field of critical care. We close the series with the hope of having provided a global vision ...
Source: Medicina Intensiva - March 7, 2019 Category: Intensive Care Source Type: research
Is there a role for iron supplementation in critically ill patients?
Publication date: March 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 2Author(s): M. Muñoz, S. Gómez-Ramírez (Source: Medicina Intensiva)
Source: Medicina Intensiva - March 7, 2019 Category: Intensive Care Source Type: research
A rare case of emphysematous osteomyelitis of spine in uncontrolled diabetes mellitus
Publication date: March 2019Source: Medicina Intensiva (English Edition), Volume 43, Issue 2Author(s): S. Garg, M. Gupta, P.N. Choudhry (Source: Medicina Intensiva)
Source: Medicina Intensiva - March 7, 2019 Category: Intensive Care Source Type: research
Lack of correlation between left ventricular outflow tract velocity time integral and stroke volume index in mechanically ventilated patients
ConclusionsLVOT VTI could be a complementary hemodynamic evaluation in selected patients, but does not eliminate the need for invasive monitoring at the present time. The weak correlation between LVOT VTI and invasive monitoring deserves additional assessment to identify the factors affecting this disagreement.ResumenObjetivoEvaluar la correlación entre la integral velocidad tiempo del tracto de salida del ventrículo izquierdo (IVT TSVI) y el índice volumen sistólico (IVS) calculado por métodos de termodilución en pacientes ventilados críticamente enfermos.DiseñoSe realizó un estudio prospectivo, descriptivo y mul...
Source: Medicina Intensiva - March 7, 2019 Category: Intensive Care Source Type: research
Susac's syndrome. A case of autoimmune encephalitis
Publication date: Available online 21 February 2019Source: Medicina Intensiva (English Edition)Author(s): D. Mora López, A. Tristancho Garzon, M. Guzmam Llorente, C. Jiménez Conde, A. Montero Urbina, P. Oliva Fernandez (Source: Medicina Intensiva)
Source: Medicina Intensiva - February 22, 2019 Category: Intensive Care Source Type: research
