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Medicina crítica y de cuidados intensivos

El tratamiento de pacientes en estado crítico, que incluye la ventilación mecánica, el apoyo hemodinámico, el tratamiento de la sepsis, la insuficiencia orgánica y las innovaciones en las prácticas de las unidades de cuidados intensivos

4 artículos

Artículos

Developing a clinical pathway for noninvasive ventilation

This qualitative study developed a clinical pathway for noninvasive ventilation (NIV) tailored for an adult critical care unit in a specific private hospital in Gauteng, South Africa. The pathway's components were identified through a three-phase research design involving local multidisciplinary team input and literature review. The goal was to standardize NIV initiation and management; however, the pathway's effectiveness was not evaluated in this study, limiting its generalizability beyond the specific institution.

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Medicina crítica y de cuidados intensivos 30 sept 2025, 18:25:30

Preventing acute kidney injury and its longer-term impact in the critically ill

This narrative review discusses strategies for preventing acute kidney injury (AKI) in critically ill patients, including biomarkers for early diagnosis, discussion of AKI-CKD transition, and the selection of appropriate endpoints for prevention trials. The review highlights the importance of prevention due to AKI's impact on short- and long-term outcomes and emphasizes implementing proven strategies in clinical practice.

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Medicina crítica y de cuidados intensivos 20 sept 2025, 17:18:48

Evaluation of bacterial co-infections of the respiratory tract in COVID-19 patients admitted to ICU

The study found a high prevalence of bacterial co-infections (100%) in COVID-19 patients admitted to the ICU, with Acinetobacter baumannii and Staphylococcus aureus being the most common pathogens. These bacterial isolates exhibited high resistance rates to multiple antibiotics, raising concerns about treatment options and patient outcomes.

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Medicina crítica y de cuidados intensivos 14 jul 2025, 11:19:55

International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

These guidelines provide 39 evidence-based recommendations for using POCUS in critically ill neonates and children across various applications, including cardiac, lung, vascular, cerebral, and abdominal assessments. The recommendations are categorized by required training level (basic, medium, or evolved) and aim to optimize POCUS use, training programs, and future research, particularly given the current limitations in evidence quality.

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Medicina crítica y de cuidados intensivos 14 jul 2025, 11:19:52