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Head of Department, Intensive Care Unit Hospital Universitario del Henares
Grupo de Investigación en Patología Crítica Facultad de Medicina, Universidad Francisco de Vitoria, Pozuelo de Alarcón
Professor of Physiology Facultad de Medicina, Grado de Medicina, Universidad Francisco de Vitoria, Pozuelo de Alarcón
This article aims to address patient-family-centred care programmes, starting from their origins and discussing new protocols. Critically ill patients entail a great complexity of care. ICU staff has focused on their care, with family members and surrogates put aside for decades. In recent years, we are witnessing a paradigm shift led by nursing teams (Clark and Guzzetta 2017; D
READ MOREChronic obstructive pulmonary disease and asthma are pathologies par excellence with an obstructive pattern. It is important to understand the fundamentals of mechanical ventilation management in these patients. Therefore, it is crucial to perform proper measurement of respiratory mechanics in patients with obstructive pathology Introduction and Justification Chronic obstructive p
READ MOREThe critically ill patient should be framed within sustainable medicine. It is crucial to mitigate the causes so that we do not have to adapt to the undesirable effects of the unsustainability of our clinical practice. We propose a simultaneous approach to sustainability in people, products, processes, and our planet. Introduction and Justification GREEN ICU (GREater ENvironmental susta
READ MOREIn this article, the authors aim to summarise the current management of delirium, emphasising new publications and possible new studies that will shed light on delirium management strategy. Introduction According to an updated nomenclature of delirium after an interdisciplinary panel of experts from ten medical societies (Slooter et al. 2020), delirium refers to a clinical state characterised...
READ MOREThe transmission of information (TOI) in extremely variable environments, such as the ICU, is crucial. The content and how it is transmitted can be decisive in the safe care of the critical patient. Introduction In an Intensive Care Unit (ICU), we attend people with a wide range of pathologies. All the information obtained from monitoring our critical patients, diagnostic...
READ MOREIn this article, we aim to summarise the current management of Post Intensive Care Syndrome (PICS) and Post-Intensive Care Syndrome – Family (PICS-F), understanding the need for continuum assessment and support throughout critical disease. Illustrating PICS People who have been admitted to an Intensive Care Unit report a reduced quality of life for up to twelve years following critical...
READ MOREClinical decision support systems (CDSS) are today, a reality. More complex, useful systems will be developed in the near future, forging CDSS an essential part of ICU monitoring. However, we need to understand the algorithms embedded in CDSS and to assess them correctly. They will need to first prove their worthiness before becoming indispensable. Healthcare professionals working in the...
READ MOREThe future delivered In this article, we aim to summarise the developments in mechanical ventilation that we believe are shaping the present and will shape the future ahead. Introduction Many centuries ago, Socrates stated that “the secret of change is to focus all of your energy, not on fighting the old, but on building the new.” Nowadays, we may relate his quote wi
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