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Dept. of Intensive Care Medicine Hospital de Sabadell CIBER de Enfermedades Respiratorias Corporació Sanitaria I Universitària Parc Taulí Sabadell, Spain
Biomarkers are quantifiable indicators of physiological or pathological processes in the body. They can be more effectively utilised in intensive care by improving standardised protocols for biomarker testing and interpretation. Join our panellists as they discuss the use of Biomarkers in critical care and where and how biomarkers can provide valuable diagnostic, prognostic and therapeutic value. ...
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Despite several biomarkers having been studied for diagnosis and/or prognosis of acute respiratory distress syndrome (ARDS), their extensive use has not been established. Better knowledge of the pathophysiology of ARDS and acute lung injury (ALI) may help develop new biomarkers. Acute respiratory distress syndrome (ARDS) is characterised by non-cardiogenic pulmonary oedema and respiratory...
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Among 1,841 very old ICU patients with respiratory failure, although women had higher age and frailty, males had higher 30-day mortality assessed one month after ICU admission. Particularly in light of the ongoing pandemic, male patients appear to be at significantly higher risk for worse outcomes than females. Introduction Demographic change does not stop at the intensive care...
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Looking at gender, bias and equality through the lens of the COVID-19 crisis and its potential for broad and lasting effects and addressing how this unprecedented situation can be a chance for interaction, learning and the development of best practices, such as developing work structures that could be continued in our post-pandemic future. E pidemiological findings, outcome data,...
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Sepsis incidence in very old patients is high and related mortality and morbidity are a major health concern. Frailty and severity of illness, not just age or sepsis diagnosis, are the determinant factors in outcome. Early identification and treatment are decisive in their survival. N owadays, we are facing some important facts: there has been a global increase of sepsis worldwide over the...
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Respiratory pathologies are among the most common causes of admission to critical care. Respiratory physiotherapy represents a fundamental part of the standard practice in ICU. The following review provides a practical and feasible description of the main physiotherapeutic tools and strategies that can be applied to critically ill patients. Introduction Respiratory physiotherapy [RP]...
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Critically ill patients are at risk of developing acute cardiovascular insufficiency or shock from any cause, defined as the imbalance between oxygen delivery and tissue oxygen consumption. This state is characterised by cellular dysoxia that, maintained over time, might progress to multi-organ failure and death. In order to prevent these consequences, haemodynamic resuscitation has to be started...
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CO 2 exerts potent effects on lung biology that could be clinically relevant in critically ill patients, in particular those with acute respiratory distress syndrome (ARDS). The impact of hypercapnia on outcome in these patients is yet to be determined. The physiological effects of hypercapnia are increasingly well understood, but the literature remains confusing. Important insights have emerged...
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Invasive ventilatory support, one of the most frequently applied strategies in intensive care unit (ICU) patients, is increasingly recognised as a potentially dangerous intervention. Recognition of so–called ventilator– induced lung injury and the broad acceptance of lung–protective ventilation strategies in ICUs worldwide led to noticeable changes in ventilatory management (Putensen et al. 2009;...
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Prof. Antonio Artigas Director, Critical Care Centre, Sabadell Hospital, Barcelona, Spain ICU Management Editorial Board Member 1. What were you doing 35 years ago? I was working in the Intensive Care Service at Hospital de la Santa Creu i Sant Pau in Barcelona. 2. What do you love about ISICEM? ISICEM is a good opportunity to meet friends and for international scien
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Authors Francisco Baigorri, MD, PhD Head Intermediate Care Unit Critical Care Center, Hospital de Sabadell – University Institute Parc Taulí, Autonomous University of Barcelona Sabadell, Spain Antonio Artigas, MD, PhD Professor University Institute Parc Taulí, Autonomous University of Barcelona Director Critical Care C
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Professor Antonio Artigas has been managing the Critical Care Centre at Sabadell Hospital in Barcelona, Spain since 1988. He spoke at length with Sherry Scharff at the 13th International Symposium on Infections in the Critically Ill Patient in Athens, Greece, a meeting he heads. In this discussion, he describes the successes he has experienced in his hospital, outlines the challenges the intensive...
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