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About Gabriel Heras

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So far Gabriel Heras has created 170 blog entries.

Surviving ICU: looking through family’s eyes

17 October, 2017|

Hola a todos, my dear friends. A new editorial in Medicina Intensiva signed by one of the members of Proyecto HU-CI (Mari Cruz Martin) and Abelardo García de Lorenzo. In this paper, authors talk about the postintensive care syndrome (PICS) incidence in patients and families. Family is another vulnerable population and many times we forget them. Their quality of life [...]

The beauty of scars

26 September, 2017|

There is a traditional art called kitsugi or kintsukuroi in Japan, which repairs broken ceramic objects with a strong adhesive and gold, silver or platinum powder. The philosophy behind this technique is the belief that when the piece has suffered some damage, that is something that is part of its history. To repair it in this way means not only [...]

When Humanisation in the clue of a bundle

23 September, 2017|

Actually, a bundle implementation as a practice which improve quality and safety in the attention of critically ill patients is normal. Scientific evidence about the measures taken demonstrate statistically that bundles are positive. But, what makes bundle ABCDEF  different from others? After participating for 2 days in an intense “ICU Liberation”  course organized by the SCCM and Vanderbilt Medical Center  and [...]

Are outpatient clinics justified in intensive care medicine?

21 September, 2017|

Hola a todos, my dear friends. We share today the point of view published in Medicina Intensiva by our mates from the ICU of Hospital Universitario La Paz about outpatient clinics in ICU. A half of the patients admitted in ICU could suffer from post Intensive Care Syndrome, with physical, psiquiatric or cognitive sequels. In this article, authors explain how they have started [...]

About prolongued mechanical ventilation and wills

19 September, 2017|

Eduardo Serra has just sent the article "Determinants of Receiving Palliative Care and Ventilator Withdrawal Among Patients With Prolonged Mechanical Ventilation" published in Critical Care Medicine. Until this article, no study has ever explored the willingness to receive palliative care or terminal withdrawal and the factors influencing willingness As all of you know, patients receiving prolonged mechanical ventilation (PMV) typically [...]

The common denominator

16 September, 2017|

Every ICU is different. All those who work or have any experience there (patients and families, health managers) know it. And this difference not only concerns its size, architecture, benefits, type of patient attended, but also its organization, management, human resources ... So, in our country, we have medical, post-surgical, coronary or trauma ICU, for example. Not all of them [...]

Duna and Kaa can enter the Hospital

15 September, 2017|

In the last years, national and international newspapers are echoing to visits and animal-assisted therapy (AAT) that are being implemented in different hospitals in Spain. Thus, one could read an article in La Voz de Argentina a couple of days ago, where a review of the situation in Spain is published after the recent incorporation of  Hospital Rey Juan Carlos [...]

Implementing early physical rehabilitation and mobilisation in the ICU

13 September, 2017|

Intensive Care Medicine has recently published the article "Implementing early physical rehabilitation and mobilisation in the ICU: institutional, clinician, and patient considerations. This is a multidisciplinary work developed by a physiotherapist in Australia, a nurse in Germany and a doctor in the United States. We are increasing knowledge about post-UCI syndrome and there is an increasing and general interest  in [...]

I will take care of you and your rest

12 September, 2017|

Friday night shift. As a usual thing, patients ' lesson for this doctor. This time: the dilemma was on untied hands. I can use a lot of words: tied, fastened, immobilized. Anyway, science has already given us the evidence that patients feel anxious with their hands tied when they are lying on a bed in the ICU. And when you think about [...]

Extended ICU visitation model reduces delirium and ICU stay

10 August, 2017|

Hola a todos, my dear friends. Critical Care Medicine has just published another very interesting article. From Brazil comes "Effectiveness and Safety of an Extended ICU Visitation Model for Delirium Prevention: A Before and After Study". This is a prospective single-center before and after study single in a thirty-one-bed medical-surgical ICU in Porto Alegre. All patients greater than or equal to 18 years [...]