Publications by authors named "Federico Gordo Vidal"
Article Synopsis
- Patient-ventilator asynchrony is a common issue in mechanically ventilated patients, but many healthcare professionals struggle to identify and manage it effectively.
- A 36-hour training program was implemented for healthcare professionals from 20 hospitals in Latin America and Spain, which included a mix of live lectures and daily follow-up sessions over a month.
- Results showed a significant improvement in participants' understanding and management of patient-ventilator asynchrony, with performance maintained one month after the training.
Article Synopsis
- The study aimed to evaluate how common elevated mechanical power (MP) values are in critically ill patients on invasive mechanical ventilation.
- It analyzed data from 372 patients across 133 Critical Care Units, revealing higher MP in pressure-controlled (PC) ventilation compared to volume-controlled (VC) ventilation, but no significant difference in the prevalence of high MP (>17J/min) between the two methods.
- The findings suggest a notable number of patients may face the risk of high MP, indicating a need for careful monitoring in ventilated patients, despite the lack of a significant difference in high MP prevalence based on the ventilation type.
Aim: To translate and culturally adapt the FRAIL scale into Spanish and perform a preliminary test of diagnostic accuracy in patients admitted to intensive care units.
Design: Cross-sectional diagnostic study.
Methods: Five intensive care units (ICU) in Spain were participated.
Effect of a low versus intermediate tidal volume strategy on pulmonary complications in patients at risk of acute respiratory distress syndrome-a randomized clinical trial.
Candelaria de Haro Ary Serpa Neto Gemma Gomà Maria Elena González Alfonso Ortega Federico Gordo-Vidal
Front Med (Lausanne)
June 2023
Article Synopsis
- A study was conducted to compare low tidal volume (V) versus intermediate V ventilation strategies in patients at risk for acute respiratory distress syndrome (ARDS) to see which one better prevents lung complications.
- The trial involved 98 patients who were randomly assigned to either low V (≤ 6 mL/kg) or intermediate V (> 8 mL/kg) settings for invasive ventilation, with the primary focus on ARDS development over the first week.
- Results indicated no significant difference in ARDS incidence, pneumonia, atelectasis, or length of ICU stay between the two groups, leading to the conclusion that a low V strategy does not offer advantages over an intermediate V strategy for these patients.
Article Synopsis
- The primary treatment for severe asthma exacerbations with respiratory failure includes both invasive and non-invasive ventilatory support alongside asthma medications, with mortality rates of 6.5% to 10.3% for those needing invasive ventilation.
- Significant improvements in asthma management have led to a decrease in mortality rates, but in critical cases where conventional treatments fail, advanced options like ECMO and ECCO2R are necessary.
- ECMO can reduce ventilator-associated lung injury and allow for important diagnostic procedures, while ECCO2R has gained popularity as an alternative treatment for both children and adults with severe respiratory failure due to asthma.
Article Synopsis
- The study investigates the timing of intubation in patients with SARS-CoV-2 pneumonia, suggesting that delaying intubation increases the risk of mortality, especially in cases of acute respiratory failure.
- Data from 4,198 patients across 73 ICUs revealed that patients who were intubated earlier (within 24 hours) experienced lower mortality rates compared to those who were intubated later (37% vs. 32%).
- The findings support early intubation as a protective factor against death in COVID-19 pneumonia patients, emphasizing the importance of timely intervention in critical care settings.
This research aims to describe the perspectives of health care professionals, patients, and family members regarding spiritual care options in intensive care units (ICUs). Participants were recruited consecutively from January to August 2019, during which time data collection was conducted. A total of 1211 Spanish-language questionnaires were collected from 41 ICUs in Spain and Latin America.
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- The text discusses the importance of preventing cardiac arrests in hospitals and highlights the implementation of Rapid Response Systems (RRS) as a strategy to address this issue, noting a lack of research specifically in Spain.
- A nationwide survey was conducted with 62 healthcare professionals in Spain, revealing that while many institutions have Rapid Response Teams (RRT), only a small percentage activate them early despite having the necessary equipment and training.
- Findings indicate variability in training and monitoring practices related to RRT and suggest the need for improved communication and quality indicators to enhance emergency response efforts in Spanish hospitals.
Background: Intravenous drug administration is associated with potential complications, such as phlebitis. The physiochemical characteristics of the infusate play a very important role in some of these problems.
Aim: The aim of this study was to standardize the dilutions of intravenous drugs most commonly used in hospitalized adult patients and to characterize their pH, osmolarity and cytotoxic nature to better guide the selection of the most appropriate vascular access.
Article Synopsis
- Up to 25% of patients with acute pancreatitis develop severe complications, necessitating a multidisciplinary approach and interventional measures like surgery to reduce mortality rates.
- A study analyzed 44 patients with severe acute pancreatitis from a database of over 1,000, focusing on ICU admissions and treatment methods based on international guidelines.
- The results showed a mortality rate of 9.1%, with various treatments including drainage, endoscopic procedures, and surgeries, highlighting the need for best practice guidelines in managing complex cases in lower-volume hospitals.
Article Synopsis
- * The study involved seven patients who underwent VARD for various conditions related to pancreatitis, with an average hospital stay of 30 days and a mean procedure time of 63 minutes, resulting in no intraoperative complications.
- * While most patients had extended ICU stays, the procedure proved effective with no fatalities, and there’s potential to use VARD for other retroperitoneal collections beyond just pancreatic issues.
The utility of steroids is a frequent topic of debate in any disease in which an inflammatory component is associated. The physiological rationale for the use of antiinflammatory agents has an important base that is supported by experimental studies in both animals and human beings. However, up to now, its efficiency has not been made clear in the clinical practice.
View Article and Find Full Text PDFSpain has a rate of 34.4 donors per million population, making it the country with the highest rate of organ donation all over the world. In spite of these values, need of lungs for transplantation is always greater than the number of organs obtained.
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- The study assessed the effectiveness of a new arterial cannulation protocol in an intensive care unit by comparing results before and after its implementation.
- In the first phase, it was found that many catheters were not properly sutured (44%) and accidental withdrawals occurred in 15% of cases.
- After implementing the protocol, 98% of catheters were sutured correctly, and accidental withdrawals dropped to 4%, indicating a significant improvement in safety and technique adherence.
Article Synopsis
- The study evaluates how ICU admission and mechanical ventilation affect patients' quality of life over time, using Barthel's functional scale to assess independence in daily activities.
- Out of 135 patients studied, 80 survived one month post-ICU, and after a year, 45 were interviewed, showing varying levels of quality of life and independence recovery.
- Results reveal that patients with lower pre-ICU quality of life lost more independence initially but often regained their previous functionality after a year, though many had differing subjective experiences of their ICU stay.
Article Synopsis
- - The study aimed to analyze demographic data and establish reference standards for long-term mechanical ventilation, focusing on complications like pneumonia and accidental extubation over a period from 1998 to 2000 in a critical care unit with 12 beds.
- - Out of 1058 patients admitted to the critical care unit, 287 (27%) required mechanical ventilation, with the majority (70%) needing it due to acute respiratory failure, and the average age of these patients was 68 years.
- - The study found an accidental extubation incidence of 15.7 per 1000 days of mechanical ventilation, which correlated with longer ventilation times and higher pneumonia rates but did not affect overall mortality rates; pneumonia occurred at a rate of