Assessing Outcomes of Patients Subject to Intensive Care to Facilitate Organ Donation: A Spanish Multicenter Prospective Study.

Intensive Care to facilitate Organ Donation (ICOD) consists of the initiation or continuation of intensive care measures in patients with a devastating brain injury (DBI) in whom curative treatment is deemed futile and death by neurological criteria (DNC) is foreseen, to incorporate organ donation into their end-of-life plans. In this study we evaluate the outcomes of patients subject to ICOD and identify radiological and clinical factors associated with progression to DNC. In this first prospective multicenter study we tested by multivariate regression the association of clinical and radiological severity features with progression to DNC.

Evaluation and Clinical Impact of Biofire FilmArray Pneumonia Panel Plus in ICU-Hospitalized COVID-19 Patients.

Microbiological diagnosis by using commercial multiplex quantitative PCR systems provides great advantages over the conventional culture. In this work, the Biofire FilmArray Pneumonia Panel Plus (FAPP+) was used to test 144 low respiratory tract samples from 105 COVID-19 patients admitted to an Intensive Care Unit (ICU), detecting 78 pathogens in 59 (41%) samples. The molecular panel was evaluated by using the conventional culture (CC) as comparator, which isolated 42 pathogens in 40 (27.

Malignancies in Deceased Organ Donors: The Spanish Experience.

Background: To better define the risk of malignancy transmission through organ transplantation, we review the Spanish experience on donor malignancies.

Methods: We analyzed the outcomes of recipients of organs obtained from deceased donors diagnosed with a malignancy during 2013-2018. The risk of malignancy transmission was classified as proposed by the Council of Europe.

Clinico-radiological related to early brain death factors.

Objective: To identify clinical and radiological factors associated to early evolution to brain death (BD), defined as occurring within the first 24 h.

Design: A retrospective cohort study was made covering the period 2015-2017.

Setting: An adult Intensive Care Unit (ICU).

Clinico-radiological related to early brain death factors.

Objective: To identify clinical and radiological factors associated to early evolution to brain death (BD), defined as occurring within the first 24 hours.

Design: A retrospective cohort study was made covering the period 2015-2017.

Setting: An adult Intensive Care Unit (ICU).

Extensively drug-resistant Acinetobacter baumannii carrying bla and armA in a hospital after an intervention in the intensive care unit which ended a long-standing endemicity.

The aim of the study was to evaluate for a long time the effectiveness of an intervention designed to reduce carbapenem-resistant Acinetobacter baumannii (CRAB) and its impact on colistin usage in the ICU of a tertiary hospital in Spain. The rate of carbapenem resistance declined drastically during the period of study (2015 to 2018), from 93.57 to 74.

Expanding the Donor Pool Through Intensive Care to Facilitate Organ Donation: Results of a Spanish Multicenter Study.

Background: Intensive Care to facilitate Organ Donation (ICOD) may help to increase the donor pool. We describe the Spanish experience with ICOD.

Methods: Achieving Comprehensive Coordination in Organ Donation (ACCORD)-Spain consisted of an audit of the donation pathway from patients who died as a result of a devastating brain injury (possible donors) in 68 hospitals during November 1, 2014, to April 30, 2015.

End-of-life practices in patients with devastating brain injury in Spain: implications for organ donation.

Objective: To describe end-of-life care practices relevant to organ donation in patients with devastating brain injury in Spain.

Design: A multicenter prospective study of a retrospective cohort.

Period: 1 November 2014 to 30 April 2015.

[Visitation policy, design and comfort in Spanish intensive care units].

Objective: To determine the design and comfort in the Intensive Care Units (ICUs), by analysing visiting hours, information, and family participation in patient care.

Design: Descriptive, multicentre study.

Setting: Spanish ICUs.

Transcranial Doppler ultrasound in the diagnosis of brain death. Is it useful or does it delay the diagnosis?

Transcranial Doppler ultrasound is able to demonstrate cerebral circulatory arrest associated to brain death, being especially useful in sedated patients, or in those in which complete neurological exploration is not possible. Transcranial Doppler ulstrasound is a portable, noninvasive and high-availability technique. Among its limitations, mention must be made of the absence of acoustic windows and false-negative cases.

Liver transplantation complications in the intensive care unit and at 6 months.

Objective: This study sought to determine the factors that influence the 6-month outcomes of liver transplants.

Patients And Methods: One hundred ninety-six variables (donor, recipient, operation, intensive care unit [ICU], evolution at 3 and 6 months) were collected from the first 74 consecutive liver transplantation performed from 2002 to 2004. The primary endpoint was patient survival at 6 months.