Pub Date : 2025-03-03DOI: 10.1016/j.medine.2025.502152
Antonio Padilla-Serrano, Carmen de la Cueva Coca, Antonio Cárdenas Cruz
{"title":"Congenital absence of the circumflex coronary artery.","authors":"Antonio Padilla-Serrano, Carmen de la Cueva Coca, Antonio Cárdenas Cruz","doi":"10.1016/j.medine.2025.502152","DOIUrl":"https://doi.org/10.1016/j.medine.2025.502152","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":" ","pages":"502152"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560426","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}
{"title":"Septic shock due to Chromobacterium violaceum after a trip to Azores Islands. A fatal and unusual pathogen","authors":"Beatriz Morillo Muela, Alejandro José Martín Damián, Adela Fernández Galilea, Álvaro López López","doi":"10.1016/j.medine.2024.11.002","DOIUrl":"10.1016/j.medine.2024.11.002","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 3","pages":"Pages 183-184"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735444","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}
Pub Date : 2025-03-01DOI: 10.1016/j.medine.2024.04.012
María Jesús Broch Porcar, Álvaro Castellanos-Ortega
Clinical simulation in Intensive Care Medicine is a crucial tool to strengthen patient safety. It focuses on the complexity of the Intensive Care Unit, where challenging clinical situations require rapid decision making and the use of invasive techniques that can increase the risk of errors and compromise safety. Clinical simulation, by mimicking clinical contexts, is presented as essential for developing technical and non-technical skills and enhancing teamwork in a safe environment, without harm to the patient. in situ simulation is a valuable approach to practice in realistic environments and to address latent security threats. Other simulation methods as virtual reality and tele-simulation are gaining more and more acceptance. Herein, we provide current data on the clinical utility of clinical simulation related to improved safety in the practice of techniques and procedures, as well as improvements of teamwork performance and outcomes. Finally, we propose the needs for future research.
{"title":"Patient safety, what does clinical simulation and teaching innovation contribute?","authors":"María Jesús Broch Porcar, Álvaro Castellanos-Ortega","doi":"10.1016/j.medine.2024.04.012","DOIUrl":"10.1016/j.medine.2024.04.012","url":null,"abstract":"<div><div><span>Clinical simulation in Intensive Care<span><span> Medicine is a crucial tool to strengthen patient safety. It focuses on the complexity of the </span>Intensive Care Unit, where challenging clinical situations require rapid decision making and the use of invasive techniques that can increase the risk of errors and compromise safety. Clinical simulation, by mimicking clinical contexts, is presented as essential for developing technical and non-technical skills and enhancing teamwork in a safe environment, without harm to the patient. </span></span><em>in situ</em> simulation is a valuable approach to practice in realistic environments and to address latent security threats. Other simulation methods as virtual reality and tele-simulation are gaining more and more acceptance. Herein, we provide current data on the clinical utility of clinical simulation related to improved safety in the practice of techniques and procedures, as well as improvements of teamwork performance and outcomes. Finally, we propose the needs for future research.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 3","pages":"Pages 165-173"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141156027","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}
Pub Date : 2025-03-01DOI: 10.1016/j.medine.2024.09.012
Yuxin Yang, Qionglan Dong, Jianpeng Su, Hongjun Xiao, Dan Zan, Jinfeng Chen, Xue Chen, Fan Wei, Cheng Zeng, Yanyan Yong
Objective
This study aimed to assess the clinical impact of oXiris-continuous hemofiltration adsorption on patients with septic shock and their prognosis.
Design
A retrospective study.
Participants
Septic shock patients.
Interventions
The oXiris group underwent hemofiltration adsorption using oXiris hemofilters and septic shock standard treatment, while the control group received septic shock standard treatment.
Main variables of interest
The changes in inflammatory indicators and short-term mortality rate were evaluated. Propensity score matching (PSM) was conducted based on the 1:2 ratio between the oXiris and control groups to account for any baseline data differences.
Results
Results showed that after 24 h, 48 h, and 72 h of treatment, PCT, IL-6, and hs-CRP levels in the oXiris group were significantly lower than those in the control group (P < 0.05). However, there were no significant differences in norepinephrine equivalents and organ function status (APACHE II score, SOFA score, Lac) between the two groups at the same time points. The 72-h mortality rate (21.88% vs. 34.04%) and the 7-day mortality rate (28.12% vs. 44.68%) were lower in the oXiris group compared to the control group, but not statistically significant. The 28-day mortality rate did not show a significant difference between the two groups (53.19% vs. 56.25%).
Conclusions
oXiris continuous hemofiltration adsorption technology may reduce the levels of inflammatory factors in patients with septic shock; however, it does not appear to enhance organ function or improve the 28-day mortality rate in these patients.
{"title":"Clinical efficacy of oXiris-continuous hemofiltration adsorption in septic shock patients: A retrospective analysis","authors":"Yuxin Yang, Qionglan Dong, Jianpeng Su, Hongjun Xiao, Dan Zan, Jinfeng Chen, Xue Chen, Fan Wei, Cheng Zeng, Yanyan Yong","doi":"10.1016/j.medine.2024.09.012","DOIUrl":"10.1016/j.medine.2024.09.012","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the clinical impact of oXiris-continuous hemofiltration adsorption on patients with septic shock and their prognosis.</div></div><div><h3>Design</h3><div>A retrospective study.</div></div><div><h3>Participants</h3><div>Septic shock patients.</div></div><div><h3>Interventions</h3><div>The oXiris group underwent hemofiltration adsorption using oXiris hemofilters and septic shock standard treatment, while the control group received septic shock standard treatment.</div></div><div><h3>Main variables of interest</h3><div>The changes in inflammatory indicators and short-term mortality rate were evaluated. Propensity score matching (PSM) was conducted based on the 1:2 ratio between the oXiris and control groups to account for any baseline data differences.</div></div><div><h3>Results</h3><div>Results showed that after 24 h, 48 h, and 72 h of treatment, PCT, IL-6, and hs-CRP levels in the oXiris group were significantly lower than those in the control group (P < 0.05). However, there were no significant differences in norepinephrine equivalents and organ function status (APACHE II score, SOFA score, Lac) between the two groups at the same time points. The 72-h mortality rate (21.88% vs. 34.04%) and the 7-day mortality rate (28.12% vs. 44.68%) were lower in the oXiris group compared to the control group, but not statistically significant. The 28-day mortality rate did not show a significant difference between the two groups (53.19% vs. 56.25%).</div></div><div><h3>Conclusions</h3><div>oXiris continuous hemofiltration adsorption technology may reduce the levels of inflammatory factors in patients with septic shock; however, it does not appear to enhance organ function or improve the 28-day mortality rate in these patients.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 3","pages":"Pages 135-144"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.medine.2024.10.002
Manuel Fernández Caro , Manuel Casado Méndez , Francisco Javier Rodríguez Martorell , Antonio Manuel Puppo Moreno
{"title":"Guided reversal of dabigatran in massive hemorrhagic shock","authors":"Manuel Fernández Caro , Manuel Casado Méndez , Francisco Javier Rodríguez Martorell , Antonio Manuel Puppo Moreno","doi":"10.1016/j.medine.2024.10.002","DOIUrl":"10.1016/j.medine.2024.10.002","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 3","pages":"Pages 181-182"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515540","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}
Pub Date : 2025-03-01DOI: 10.1016/j.medine.2024.07.012
Mónica García Simón, Cristina Sanchís Piqueras, Georgia García Fernández
{"title":"Removal of giant bronchial clot with cryoadhesion probe","authors":"Mónica García Simón, Cristina Sanchís Piqueras, Georgia García Fernández","doi":"10.1016/j.medine.2024.07.012","DOIUrl":"10.1016/j.medine.2024.07.012","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 3","pages":"Page 189"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019978","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}
Intensive Care Units (ICUs) have undergone enhancements in patient safety, and artificial intelligence (AI) emerges as a disruptive technology offering novel opportunities. While the published evidence is limited and presents methodological issues, certain areas show promise, such as decision support systems, detection of adverse events, and prescription error identification. The application of AI in safety may pursue predictive or diagnostic objectives. Implementing AI-based systems necessitates procedures to ensure secure assistance, addressing challenges including trust in such systems, biases, data quality, scalability, and ethical and confidentiality considerations.
The development and application of AI demand thorough testing, encompassing retrospective data assessments, real-time validation with prospective cohorts, and efficacy demonstration in clinical trials. Algorithmic transparency and explainability are essential, with active involvement of clinical professionals being crucial in the implementation process.
{"title":"Current perspectives on the use of artificial intelligence in critical patient safety","authors":"Jesús Abelardo Barea Mendoza , Marcos Valiente Fernandez , Alex Pardo Fernandez , Josep Gómez Álvarez","doi":"10.1016/j.medine.2024.04.002","DOIUrl":"10.1016/j.medine.2024.04.002","url":null,"abstract":"<div><div>Intensive Care Units<span> (ICUs) have undergone enhancements in patient safety<span><span>, and artificial intelligence (AI) emerges as a disruptive technology offering novel opportunities. While the published evidence is limited and presents methodological issues, certain areas show promise, such as decision support systems, detection of adverse events, and prescription error identification. The application of AI in safety may pursue predictive or </span>diagnostic objectives. Implementing AI-based systems necessitates procedures to ensure secure assistance, addressing challenges including trust in such systems, biases, data quality, scalability, and ethical and confidentiality considerations.</span></span></div><div>The development and application of AI demand thorough testing, encompassing retrospective data assessments, real-time validation with prospective cohorts, and efficacy demonstration in clinical trials. Algorithmic transparency and explainability are essential, with active involvement of clinical professionals being crucial in the implementation process.</div></div>","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 3","pages":"Pages 154-164"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873238","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}
Pub Date : 2025-03-01DOI: 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":"10.1016/j.medine.2024.11.007","url":null,"abstract":"","PeriodicalId":94139,"journal":{"name":"Medicina intensiva","volume":"49 3","pages":"Pages 177-180"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","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}
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