Medicina intensiva最新文献

英文中文

Intestinal perforation by clam shell: An uncommon surgical emergency 蛤壳引起的肠穿孔：一种罕见的外科急诊。

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502307

Paulo Fernandes, Ana Carina Baldino, Rita Ruivo

引用次数: 0

Do we publish what we present? Analysis of publications derived from SEMICYUC congresses 我们是否发布我们所呈现的内容？对来自大会出版物的分析。

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502263

Cinta Millan-Gutierrez , Maria Gil-Arrieta , María Luisa Martínez , Juan Miguel Goyeneche , Maria Dolores Bosque , Francesc Marcano-Fernandez

Objective

To determine what proportion of oral presentations from congresses of the Spanish Society of Intensive care Medicine, Critical care, and Coronary Units (SEMICYUC) are subsequently published in scientific journals.

Design

Observational descriptive study based on the analysis of oral presentations accepted at SEMICYUC congresses every other year from 2013 to 2021, both inclusive.

Setting

National SEMICYUC congresses.

Participants

Abstracts of oral presentations accepted at SEMICYUC congresses every other year from 2013 to 2021.

Main outcome measures

The proportion of published oral presentations is the main outcome. Other outcome measures are time to publication, intensive care subspecialty, journal impact factor and quartile, methodological and design characteristics and funding.

Results

A total of 250 oral presentations were analyzed of which 81 (32.4%) resulted in a publication. "Infection" category had the highest number of oral presentations (64 presentations) and the highest number of published studies (30 publications). Randomized clinical trials (66.7%) and quasi-experimental studies (62.5%) result in the highest publication rates (p = 0,015). The average journal impact factor is 5.8 (range: 1.2–44.4).

Conclusions

Most abstracts presented as oral presentations at SEMICYUC congresses do not reach publication. Although only 32.4% of these are published, they appear in journals with an average impact factor of 5.8.

目的：确定西班牙重症医学、重症监护和冠状动脉科学会（SEMICYUC）大会上的口头报告随后在科学期刊上发表的比例。设计：观察性描述性研究，基于对2013 - 2021年每两年一次的大会口头报告的分析。地点：全国半衰会代表大会。参与者：2013年至2021年每两年一次的大会口头报告摘要。主要结果测量：发表的口头报告的比例是主要结果。其他结果指标包括发表时间、重症亚专科、期刊影响因子和四分位数、方法和设计特征以及资金。结果：共分析了250例口头报告，其中81例（32.4%）最终发表。“感染”类别有最多的口头报告（64篇）和最多的发表研究（30篇）。随机临床试验（66.7%）和准实验研究（62.5%）的发表率最高（p= 0.015）。期刊的平均影响因子为5.8（范围：1.2-44.4）。结论：大多数在大会上以口头报告形式提交的摘要都无法发表。虽然只有32.4%的论文被发表，但它们出现在平均影响因子为5.8的期刊上。

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引用次数: 0

Ultrasound detection of pulmonary metastatic disease as a cause of acute respiratory failure 超声检测肺转移性疾病作为急性呼吸衰竭的原因。

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502314

Diana Adrião , Marco Pozzi , Silvia Mongodi

引用次数: 0

Improving monitoring of patient-ventilator interaction using tracheal pressure 利用气管压力改善患者与呼吸机相互作用的监测。

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502312

Manuel Valdivia Marchal, Lorena Prados Acién, José Manuel Serrano Simón

引用次数: 0

Response to: “Airway management in critically ill patients. The need to adapt guidelines to our reality and adhere to them” 回应：“危重患者的气道管理。需要根据我们的实际情况调整指导方针并加以遵守”。

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502300

Rodrigo Albillos-Almaraz , Salvador Balboa-Palomino , Eva María Pérez-Cabo

引用次数: 0

Venous thromboembolism prophylaxis in the intensive care unit: Is there a future role for factor XI/XIa inhibitors as novel antithrombotic agents? 重症监护病房静脉血栓栓塞预防：XI/XIa因子抑制剂作为新型抗血栓药物是否有未来的作用？

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502313

Mateo Porres-Aguilar , Guillermo Cueto-Robledo

引用次数: 0

Application of a multisensory environment in the ICU: Effect on delirium and circadian rhythm regulation 多感觉环境在ICU中的应用：对谵妄和昼夜节律调节的影响。

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502347

Francisco Esteve Urbano, Gemma Vía Clavero, Carlos González López, Paola Cárdenas Campos, Herminia Torrado Santos, Rosa María Granada Vicente, Rafael Justel García

Objective

To evaluate the impact of a multisensory environmental intervention designed to simulate and synchronize physiological circadian rhythms on the incidence of delirium and other clinical outcomes in critically ill patients admitted to an intensive care unit (ICU).

Design

Pre-post quasi-experimental study without randomization, conducted between September 2023 and June 2024.

Setting

Adult Intensive Care Unit in a tertiary university hospital.

Patients

538 consecutive patients were included: 251 during the control period and 287 after implementation of the intervention.

Intervention

Installation of the SHX® environmental stimulation system, which provides programmed transitions of light, image, and sound simulating sunrise and sunset, aimed at supporting circadian synchronization.

Main outcome variables

Incidence of delirium (assessed using the CAM-ICU tool), levels of sedation-agitation (RASS scale), and daily consumption of sedative drugs per day of ICU stay.

Results

A non-significant reduction in the incidence of delirium was observed (14.3% vs. 9.1%; P = .075), along with a significant redistribution in sedation-agitation levels (P < .001) and a significant decrease in daily midazolam consumption per day of stay (9.6 mg vs. 3.8 mg; P = .019).

Conclusions

The implementation of a multisensory environment synchronized with the circadian rhythm was associated with improvements in delirium-related outcomes, sedation-agitation profiles, and benzodiazepine use. These findings support the use of non-pharmacological environmental interventions as complementary tools in the prevention of ICU delirium.

目的：评估模拟和同步生理昼夜节律的多感官环境干预对重症监护病房（ICU）重症患者谵妄发生率和其他临床结局的影响。设计：2023年9月至2024年6月进行无随机分组的前后准实验研究。环境：三级大学医院的成人重症监护室。患者：连续纳入538例患者：对照组251例，干预实施后287例。干预措施：安装SHX®环境刺激系统，该系统提供模拟日出和日落的程序化光、图像和声音转换，旨在支持昼夜节律同步。主要结局变量：谵妄发生率（使用CAM-ICU工具评估），镇静-躁动水平（RASS量表），以及每天在ICU住院期间镇静药物的每日消耗量。结果：谵妄发生率无显著降低（14.3% vs. 9.1%; P = ）。075)，以及镇静-躁动水平的显著重新分布(P 结论：与昼夜节律同步的多感官环境的实施与谵妄相关结局、镇静-躁动特征和苯二氮卓类药物使用的改善有关。这些发现支持使用非药物环境干预作为预防ICU谵妄的补充工具。

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引用次数: 0

Acute respiratory distress syndrome in the pediatric patient 儿科患者急性呼吸窘迫综合征。

Medicina intensiva

Pub Date : 2026-02-01 DOI: 10.1016/j.medine.2025.502350

Susana Reyes-Domínguez , Ana Abril-Molina , Raúl Montero-Yéboles , Vicente Modesto i Alapont

Pediatric acute respiratory distress syndrome (PARDS) is the clinical expression of severe non-cardiogenic pulmonary edema.

The agreed-upon definition shares common criteria with those for adults, but also includes differences determined by the particular characteristics inherent to pediatric patients. The definition of PARDS does not require bilateral infiltrates on the chest X-ray; hypoxemia can be identified non-invasively using the blood oxygen saturation/fraction of inspired oxygen (S/F) ratio; it is stratified into two groups (mild-moderate and severe) after a stabilization period of at least 4 h; and the oxygenation index and the oxygenation-saturation ratio are used in intubated patients.

Optimized respiratory support settings should prevent lung injury and allow for early identification of patients requiring extracorporeal membrane oxygenation (ECMO). This article seeks to conduct a critical analysis of PARS. A precise diagnosis of this syndrome remains challenging.

小儿急性呼吸窘迫综合征（PARDS）是严重非心源性肺水肿的临床表现。商定的定义与成人的定义有共同的标准，但也包括由儿科患者固有的特定特征决定的差异。PARDS的定义不需要胸片上的双侧浸润；低氧血症可通过血氧饱和度/吸入氧分数（S/F）比无创诊断；在至少4 h的稳定期后分为两组（轻度-中度和重度）；插管患者采用氧合指数和氧饱和度比值。优化的呼吸支持设置应防止肺损伤，并允许早期识别需要体外膜氧合（ECMO）的患者。本文试图对PARS进行批判性分析。这种综合征的精确诊断仍然具有挑战性。

引用次数: 0

Hemodynamic monitoring in shock: from essentials to advanced approaches. 休克中的血流动力学监测：从基本方法到高级方法。

Medicina intensiva

Pub Date : 2026-01-31 DOI: 10.1016/j.medine.2026.502390

Patricia Escudero-Acha, Rodrigo Albillos-Almaraz, Miguel Pajares Calvo, José Antonio Fernández-Ratero

引用次数: 0

Early-term mortality risk factors of acute type A aortic dissection surgery. 急性A型主动脉夹层手术早期死亡危险因素分析

Medicina intensiva

Pub Date : 2026-01-31 DOI: 10.1016/j.medine.2026.502394

Mesut Engin, Ufuk Aydın, Yusuf Ata

引用次数: 0

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