Showing papers in "Medicina Intensiva in 2020"

TL;DR: The consensus between 18 scientific societies and 5 institutes / chairs of bioethics and palliative care of a framework document of reference for general ethical recommendations in this context of crisis is reached.

TL;DR: The Spanish Society of Intensive, Critical Medicine and Coronary Units (SEMICYUC) has prepared this series of basic recommendations for patient care in the context of the pandemic.

TL;DR: The objective of this Contingency Plan is to provide the Spanish Intensive Medicine Services with a tool to programme optimal response strategies and estimate the magnitude of the problem and identify the necessary human and material resources.

TL;DR: While most people with COVID-19 develop only mild or uncomplicated illness, approximately 14% develop severe disease that requires hospitalization and oxygen support, and 5% require admission to an intensive care unit.

TL;DR: In view of the exceptional public health situation caused by the COVID-19 pandemic, a consensus work has been promoted from the ethics group of the Spanish Society of Intensive, Critical Medicine and Coronary Units, with the objective of finding some answers from ethics to the crossroads between the increase of people with intensive care needs and the effective availability of means.

TL;DR: The use of assembly algorithms,such as SGB, for the generation of a customized model for sepsis yields more accurate 1-year mortality prediction than the traditional scoring systems such as SAPS II, SOFA or OASIS.

TL;DR: In this paper, caracteristicas clinicas y respiratorias of a cohort of 43 patients with COVID-19 tras 28 dias de evolucion.

TL;DR: In the largest number of cases described to date of hospitalized patients with SARS-CoV-2 disease (2019-nCoViD), 26% required care in an intensive care unit (ICU) and this pandemic is causing an unprecedented mobilization of the scientific community.

TL;DR: The clinical and respiratory characteristics of a cohort of 43 patients with COVID-19 after an evolutive period of 28 days were described, finding that 95% of the patients required IMV and 85% received ventilation in prone decubitus.

TL;DR: a Departamento de Docencia e Investigación, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

TL;DR: The objectives of this plan are to estimate the magnitude of the problem and identify the necessary human and material resources, and to provide the Spanish Intensive Medicine Services with a tool to programme optimal response strategies.

TL;DR: Helmet CPAP during pronation was feasible and safe in COVID-19 ARDS managed outside the ICU and sedation with dexmedetomidine safely improved comfort.

TL;DR: A group of 24 intensivists from 9 countries of the Pan-American and Iberian Federation of Societies of Critical Medicine and Intensive Therapy met to develop the guidelines, addressing the most relevant management and intervention aspects based on the recent literature.

TL;DR: The use of video laryngoscope for intubation in ICU settings results in better visualization of the glottis and a higher incidence of successful intubations attempts.

TL;DR: These weeks of crisis are witnessing an unprecedented phenomenon in the healthcare setting: apart from the great volume of scientific articles which the specialized journals are quick to publish, professionals are continuously receiving different intervention protocols from national and international centers, video tutorials and expert opinions that have become an invaluable source of information provided they know how to use it adequately.

TL;DR: The main novel finding was the association between serum nitrate levels and mortality in COVID-19 patients controlling for the SOFA or APACHE-II scores, though larger studies are needed to confirm this observation.

TL;DR: A narrative literature review aims to gather the main contributions in the area of intensive care to date in relation to the epidemiology, clinic, diagnosis and management of the new coronavirus of 2019-nCoViD.

TL;DR: The clinical and biochemical characteristics of a consecutive cohort of patients with polymerase chain reaction (PCR) proven symptomatic Covid-19 infection admitted to the intensive care unit (ICU) are presented.

TL;DR: Las recomendaciones en la toma de decisiones de limitacion de tratamientos de soporte vital are elaborado con la aspiracion de disminuir the variabilidad en la practica clinica observada y de contribuir a the mejora of los cuidados al final of the vida del paciente critico.

TL;DR: Delayed ICU admission, comorbidities and the severity of critical illness determine the prognosis of HIV-infected patients admitted to the ICU and should receive the same level of care as non-HIV- infected patients, regardless of their immunological or nutritional condition.

TL;DR: La escala COMFORT B logro ser adaptada al idioma espanol y mostro ser valida para determinar y cuantificar el grado de confort en un grupo de ninos ingresados en una unidad de cuidados pediatricos espanola.

TL;DR: Algunas de sus aplicaciones, adaptadas al paciente crítico with COVID-19, are described, con el objetivo of proporcionar una guía a los médicos responsables.

TL;DR: El proyecto «Sobresedacion Zero» pretende ser una herramienta docente, practica y de concienciacion colectiva de comodidad, seguridad and gestion para maximizar el resultado clinico and minimizar los efectos perjudiciales of the sedacion excesiva.

TL;DR: The SOFA score and Moreno PIRO score showed the best accuracy in predicting in-hospital mortality among septic patients admitted to the ICU.

TL;DR: In this paper, the authors present an overview about indications and contraindications of tracheotomy, be it by puncture or open, clarifying its respective advantages and enumerating the ideal conditions under which they should be performed, as well as the necessary steps.