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From geometric equations to dynamic strategies: advances in the personalization of mechanical ventilation through mechanical power. 从几何方程到动态策略：通过机械动力实现个性化机械通气的进展。
Medicina intensiva
Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.11.004
Alejandro González-Castro, Aurio Fajardo Campoverdi
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引用次数: 0
Correlation and concordance of HACOR and IROX scales in patients with COVID-19 pneumonia who received non-invasive ventilation in two intensive care units. 在两个重症监护病房接受无创通气治疗的 COVID-19 肺炎患者的 HACOR 和 IROX 量表的相关性和一致性。
Medicina intensiva
Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.11.007
Alberto Belenguer-Muncharaz, Irina Hermosilla-Semikina, Francisco Bernal-Julián, Héctor Hernández-Garcés, Lluís Tormo-Rodriguez, Estefanía Granero-Gasamans
{"title":"Correlation and concordance of HACOR and IROX scales in patients with COVID-19 pneumonia who received non-invasive ventilation in two intensive care units.","authors":"Alberto Belenguer-Muncharaz, Irina Hermosilla-Semikina, Francisco Bernal-Julián, Héctor Hernández-Garcés, Lluís Tormo-Rodriguez, Estefanía Granero-Gasamans","doi":"10.1016/j.medine.2024.11.007","DOIUrl":"https://doi.org/10.1016/j.medine.2024.11.007","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High flow in tracheostomized patients on their first attempt to wean from mechanical ventilation: More questions on the table. 首次尝试脱离机械通气的气管插管患者的高流量：桌面上还有更多问题。
Medicina intensiva
Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.10.007
Ignacio Fernández Ceballos, Ivan A Huespe, Indalecio Carboni Bisso, Marcos J Las Heras
{"title":"High flow in tracheostomized patients on their first attempt to wean from mechanical ventilation: More questions on the table.","authors":"Ignacio Fernández Ceballos, Ivan A Huespe, Indalecio Carboni Bisso, Marcos J Las Heras","doi":"10.1016/j.medine.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.medine.2024.10.007","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shocked and moved. Early mobilisation in cardiogenic shock. 震惊与感动。心源性休克患者的早期动员。
Medicina intensiva
Pub Date : 2024-11-19 DOI: 10.1016/j.medine.2024.11.006
José Luis García-Garmendia
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引用次数: 0
Early mobilisation in patients with shock and receiving vasoactive drugs in the intensive care unit: A systematic review and meta-analysis of observational studies. 在重症监护室接受血管活性药物治疗的休克患者的早期康复：观察性研究的系统回顾和荟萃分析。
Medicina intensiva
Pub Date : 2024-11-16 DOI: 10.1016/j.medine.2024.09.013
Henry Mauricio Parada-Gereda, Luis F Pardo-Cocuy, Janneth Milena Avendaño, Daniel Molano-Franco, Joan Ramón Masclans

Objective: The aim of the study was to assess the feasibility and safety of early mobilisation in patients with shock requiring vasoactive drugs in the intensive care unit (ICU).

Design: Systematic review and meta-analysis.

Setting: Intensive care unit (ICU).

Patients or participants: Adult patients requiring vasoactive drugs who received early mobilisation in the intensive care unit.

Interventions: A systematic search was conducted using the databases PubMed, Cochrane Library, Scopus, Medline Ovid, Science Direct, and CINAHL, including observational studies involving adult patients requiring vasoactive drugs who received early mobilisation. A meta-analysis was performed on the proportion of safety events and the proportion of early mobilisation in patients with high, moderate, and low doses of vasoactive drugs.

Main variables of interest: Feasibility, safety events, and the maximum level of activity achieved during early mobilisation.

Results: The search yielded 1875 studies, of which 8 were included in the systematic review and 5 in the meta-analysis. The results showed that 64% (95% CI: 34%-95%, p<0.05) of patients were mobilised with low doses of vasoactive drugs, 30% (95% CI: 7%-53%, p<0.05) with moderate doses, and 7% (95% CI: 3%-16%, p 0.17) with high doses. The proportion of adverse events was low, at 2% (95% CI: 1%-4%, p<0.05).

Conclusions: Early mobilisation in patients with shock and the need for vasoactive drugs is feasible and generally safe. However, there is an emphasis on the need for further high-quality research to confirm these findings.

研究目的该研究旨在评估重症监护室（ICU）中需要血管活性药物的休克患者早期移动的可行性和安全性：设计：系统回顾和荟萃分析：重症监护室（ICU）.患者或参与者：患者或参与者：需要使用血管活性药物并在重症监护室接受早期动员的成人患者：使用 PubMed、Cochrane Library、Scopus、Medline Ovid、Science Direct 和 CINAHL 等数据库进行了系统检索，其中包括需要使用血管活性药物并接受早期移动的成年患者的观察性研究。对使用高、中、低剂量血管活性药物的患者发生安全事件的比例和早期动员的比例进行了荟萃分析：主要关注变量：可行性、安全事件以及早期活动时达到的最大活动量：结果：搜索结果包括 1875 项研究，其中 8 项纳入系统综述，5 项纳入荟萃分析。结果表明，64%（95% CI：34%-95%，pConclusions.）的研究结果表明，在早期康复过程中，患者的活动能力达到了最高水平：对需要使用血管活性药物的休克患者进行早期动员是可行的，而且总体上是安全的。但需要强调的是，需要进一步开展高质量的研究来证实这些发现。
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引用次数: 0
The association between body temperature and 28-day mortality in sepsis patients: A retrospective observational study. 败血症患者体温与 28 天死亡率之间的关系：回顾性观察研究
Medicina intensiva
Pub Date : 2024-11-16 DOI: 10.1016/j.medine.2024.08.004
Wei Yang, Dan Zhou, Hui Peng, Huilin Jiang, Weifeng Chen

Objective: This study explored the association between body temperature and 28-day septic ICU hospital mortality.

Design: Retrospective cohort analysis.

Setting: 208 ICUs in the United States.

Patients or participants: Sepsis patients from 2014-2015 eICU Collaborative Research Database.

Interventions: Binary logistic regression models, Generalized Additive Model (GAM), Two-Piece Binary Logistic Regression Model.

Main variables of interest: Body temperature, 28-day inpatient mortality.

Results: Nonlinear relationship observed; hypothermia (≤36.67 ℃) associated with increased mortality (adjusted OR = 0.74, 95% CI: 0.70-0.80, p < 0.0001).

Conclusions: Hypothermia in sepsis correlates with higher mortality; rewarming's potential benefit warrants further exploration.

研究目的本研究探讨了体温与脓毒症重症监护病房 28 天住院死亡率之间的关系：设计：回顾性队列分析：患者或参与者：来自 2014-2015 年 eICU 合作研究数据库的脓毒症患者：干预措施：二元逻辑回归模型、广义相加模型（GAM）、二元逻辑回归模型：体温、28 天住院死亡率：结果：观察到非线性关系；体温过低（≤36.67 ℃）与死亡率增加有关（调整后 OR = 0.74，95% CI：0.70-0.80，P 结论：脓毒症患者体温过低（≤36.67 ℃）与死亡率增加有关：脓毒症患者体温过低与死亡率升高有关；值得进一步探讨复温的潜在益处。
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引用次数: 0
Inhaled sedation in the ICU. Still a long road ahead. 重症监护室中的吸入镇静剂。前路依然漫长
Medicina intensiva
Pub Date : 2024-11-12 DOI: 10.1016/j.medine.2024.11.003
Hernán Aguirre-Bermeo, Pedro D Wendel-García, Óscar Peñuelas, Ferran Roche-Campo
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引用次数: 0
Sepsis associated to contamination of propofol infusion by Pantoea agglomerans. A case series. 与异丙酚输液受到泛变形杆菌污染有关的败血症。病例系列。
Medicina intensiva
Pub Date : 2024-11-11 DOI: 10.1016/j.medine.2024.10.006
Marlene Feo González, Maite Arlabán Carpintero, Lucía Corta Iriarte, Adolfo Íñiguez de Diego, Johanna Marcela Abril Victorino, Verónica Calleja Muñoz
{"title":"Sepsis associated to contamination of propofol infusion by Pantoea agglomerans. A case series.","authors":"Marlene Feo González, Maite Arlabán Carpintero, Lucía Corta Iriarte, Adolfo Íñiguez de Diego, Johanna Marcela Abril Victorino, Verónica Calleja Muñoz","doi":"10.1016/j.medine.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.medine.2024.10.006","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early identification of a knotted peripherally inserted central venous catheter 外周插入式中心静脉导管打结的早期识别。
Medicina intensiva
Pub Date : 2024-11-01 DOI: 10.1016/j.medine.2024.03.009
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引用次数: 0
Pictures in Medicina Intensiva. Endogenous endophthalmitis in a meningococcal meningitis case 重症医学》中的图片。脑膜炎球菌性脑膜炎病例中的内源性眼内炎
Medicina intensiva
Pub Date : 2024-11-01 DOI: 10.1016/j.medine.2024.04.007
{"title":"Pictures in Medicina Intensiva. Endogenous endophthalmitis in a meningococcal meningitis case","authors":"","doi":"10.1016/j.medine.2024.04.007","DOIUrl":"10.1016/j.medine.2024.04.007","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"48 11","pages":"Page e20"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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