Medicina intensiva
-
The Pan-American and Iberian Federation of Critical Medicine and Intensive Therapy, A. C. (FEPIMCTI), has prepared its Strategic Plan for the next 5 years. ⋯ Their main values refer to equity, professionalism, respect and social solidarity. The implementation of the Strategic Plan in a collaborative manner must serve as a driving force for change to position FEPIMCTI as a relevant Scientific Society in the Critical Medicine of its member countries.
-
To validate the diagnostic ability of six different scores to predict massive bleeding in a prehospital setting. ⋯ In the prehospital setting the application of any the six scoring systems predicts the presence of massive hemorrhage and allows the activation of massive transfusion protocols while the patient is transferred to a hospital.
-
Observational Study
Liberal red blood cell transfusions impair quality of life after cardiac surgery.
The optimal blood management after cardiac surgery remains controversial. Moreover, blood transfusions may have an impact on long-term outcomes. ⋯ Liberal red blood cell transfusions increase the risk of impaired HRQoL after cardiac surgery.
-
Observational Study
Impact and safety of open lung biopsy in patients with acute respiratory distress syndrome (ARDS).
Acute respiratory distress syndrome (ARDS) is an inflammatory lung disorder, and its pathological hallmark is diffuse alveolar damage (DAD). Given that open lung biopsy (OLB) can sometimes result in severe side effects, it is rarely performed in patients with ARDS. ⋯ The information provided by OLB performed at the bedside in ARDS patients of unknown etiology could be relevant, as it may optimize treatment. The risk associated with OLB seems to be acceptable.