The WHO COVID-19 Clinical management: living guidance contains the Organization’s most up-to-date recommendations for the clinical management of people with COVID-19. Providing guidance that is comprehensive and holistic for the optimal care of COVID-19 patients throughout their entire illness is impor...
COVID-19/complicaciones,
COVID-19/diagnóstico,
Máscaras,
Salud Global,
Hospitalización,
Respiración Artificial,
Choque Séptico,
Lactancia Materna,
Embarazo,
Síndrome de Dificultad Respiratoria/etiología,
Neumonía Viral/etiología,
Cuidados Paliativos,
Rehabilitación,
Manejo de Atención al Paciente/organización & administración
The aim of this Intensive Care Medicine Rapid Practice Guideline (ICM‑RPG) was to formulate evidence‑based guidance for the use of dexmedetomidine for sedation in invasively mechanically ventilated adults in the intensive care unit (ICU). We adhered to the methodology for trustworthy clinical practic...
Soler-Cataluñaa, Juan José;
Piñera, Pascual;
Trigueros, Juan Antonio;
Calle, Myriam;
Casanova, Ciro;
Cosío, Borja G;
López-Campos, José Luis;
Molina, Jesús;
Almagro, Pere;
Gómez, José-Tomás;
Riesco, Juan Antonio;
Simonetm, Pere;
Rigaun, David;
Soriano, Joan B;
Ancochea, Julio;
Miravitlles, Marc.
En este artículo se presentan las recomendaciones sobre el diagnóstico y tratamiento del síndrome de agudización de la enfermedad pulmonar obstructiva crónica (EPOC) (SAE) de GesEPOC 2021. Como principales novedades, la guía propone una definición y aproximación sindrómica, una nueva clasificaci...
For patients with acute respiratory insufficiency, mechanical ("invasive") ventilation is a fundamental therapeutic measure to ensure sufficient gas exchange. Despite decades of strong research efforts, central questions on mechanical ventilation therapy are still answered incompletely. Therefore, many d...
Infection prevention and control consists of evidence-based measures intended to prevent exposure and reduce the risk of transmission of infectious agents.
The revised guidelines contain recommendations for specific administrative, environmental controls and respiratory protection, following the assessme...
Mechanical ventilation is life-saving for patients with acute respiratory insufficiency. In a German prevalence study, 13.6% of patients in intensive care units received mechanical ventilation for more than 12 hours; 20% of these patients received mechanical ventilation as treatment for acute respiratory...
Oxigenación por Membrana Extracorpórea/enfermería,
Oxigenación por Membrana Extracorpórea/instrumentación,
Oxigenación por Membrana Extracorpórea/métodos,
Respiración Artificial/instrumentación,
Respiración Artificial/enfermería,
Respiración Artificial/métodos,
Insuficiencia Respiratoria/prevención & control,
Insuficiencia Respiratoria/enfermería,
Unidades de Cuidados Intensivos/organización & administración,
Desconexión del Ventilador/instrumentación,
Desconexión del Ventilador/enfermería
Fan, E;
Del Sorbo, L;
Goligher, EC;
Hodgson, CL;
Munshi, L;
Walkey, AJ;
Adhikari, NKJ;
Amato, MBP;
Branson, R;
Brower, RG;
Ferguson, ND;
Gajic, O;
Gattinoni, L;
Hess, D;
Mancebo, J;
Meade, MO;
McAuley, DF;
Pesenti, A;
Ranieri, VM;
Rubenfeld, GD;
Rubin, E;
Seckel, M;
Slutsky, AS;
Talmor, D;
Thompson, BT;
Wunsch, H;
Uleryk, E;
Brozek, J;
Brochard, LJ.
BACKGROUND: This document provides evidence-based clinical practice guidelines on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS). METHODS: A multidisciplinary panel conducted systematic reviews and metaanalyses of the relevant research and applied Grad...
Raimondi, N;
Vial, M. R;
Calleja, J;
Quintero, A;
Cortés Alban, A;
Celis, E;
Pacheco, C;
Ugarte, S;
Añón, J. M;
Hernández, G;
Vidal, E;
Chiappero, G;
Ríos, F;
Castilleja, F;
Matos, A;
Rodriguez, E;
Antoniazzi, P;
Teles, J. M;
Dueñas, C;
Sinclair, J;
Martínez, L;
Von der Osten, I;
Vergara, J;
Jiménez, E;
Arroyo, M;
Rodriguez, C;
Torres, J;
Fernandez-Bussy, S;
Nates, J. L.
Objetivos: Proporcionar guías de traqueostomía para el paciente crítico, basadas en la evidencia científica disponible, y facilitar la identificación de áreas en las cuales se requieren mayores estudios. Métodos: Un grupo de trabajo formado con representantes de 10 países pertenecientes a la Fede...
Rhodes, A;
Evans, L. E;
Alhazzani, W;
Levy, M. M;
Antonelli, M;
Ferrer, R;
Kumar, A;
Sevransky, J. E;
Sprung, C. L;
Nunnally, M. E;
Rochwerg, B;
Rubenfeld, G. D;
Angus, D. C;
Annane, D;
Beale, R. J;
Bellinghan, G. J;
Bernard, G. R;
Chiche, J. D;
Coopersmith, C;
De Backer, D. P;
French, C. J;
Fujishima, S;
Gerlach, H;
Hidalgo, J. L;
Hollenberg, S. M;
Jones, A. E;
Karnad, D. R;
Kleinpell, R. M;
Koh, Y;
Lisboa, T. C;
Machado, F. R;
Marini, J. J;
Marshall, J. C;
Mazuski, J. E;
McIntyre, L. A;
McLean, A. S;
Mehta, S;
Moreno, R. P;
Myburgh, J;
Navalesi, P;
Nishida, O;
Osborn, T. M;
Perner, A;
Plunkett, C. M;
Ranieri, M;
Schorr, C. A;
Seckel, M. A;
Seymour, C. W;
Shieh, L;
Shukri, K. A;
Simpson, S. Q;
Singer, M;
Thompson, BT;
Townsend, SR;
Van der Poll, T;
Vincent, J. L;
Wiersinga, W. J;
Zimmerman, J. L;
Dellinger, R. P.
OBJECTIVE: To provide an update to "Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012". DESIGN: A consensus committee of 55 international experts representing 25 international organizations was convened. Nominal groups were assembled at key international meetings (for t...
Enfermedad Crónica/tratamiento farmacológico,
Sepsis/tratamiento farmacológico,
Choque Séptico/tratamiento farmacológico,
Antibacterianos/administración & dosificación,
Vasoconstrictores/uso terapéutico,
Calcitonina/uso terapéutico,
Fluidoterapia/métodos,
Evaluación Nutricional,
Planificación de Atención al Paciente,
Terapia de Reemplazo Renal,
Respiración Artificial
Girard, TD;
Alhazzani, W;
Kress, JP;
Ouellette, DR;
Schmidt, GA;
Truwit, JD;
Burns, SM;
Epstein, SK;
Esteban, A;
Fan, E;
Ferrer, M;
Fraser, GL;
Gong, MN;
Hough, CL;
Mehta, S;
Nanchal, R;
Patel, S;
Pawlik, AJ;
Schweickert, WD;
Sessler, CN;
Strøm, T;
Wilson, KC;
Morris, PE.
"BACKGROUND:
This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society and the American College of Chest Physicians.
METHODS:
A multidisciplinary pa...
