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About Gabriel Heras

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So far Gabriel Heras has created 413 blog entries.

Eight things we would never do regarding end-of-life care in the ICU

14 March, 2019|

The article Eight things we would never do regarding end-of-life care in the ICU has been recently published online in Intensive Care Medicine, in What´s new in Intensive Care section. It´s signed by Ely, Azoulay and Sprung. Authors want to share a global vision from three differents views and parts of the world, about situations and transversal concepts regarding end of life care [...]

If people knew…Rules would be different

25 February, 2019|

If people knew that visiting hours could be flexible. If people knew there are very few psychologists in the ICU. If people knew that professionals leave all of us but nobody takes care of us. If people knew we barely had time. If people knew communicating better could be learned. If people knew we want their help. If people knew [...]

The figure of the Psychologist in Critical Care

2 February, 2019|

The demand for severity, urgency, risk of death or its imminence, puts on the limit the capacity of emotional equilibrium in the human being. For the patient, ICU admission is a cut in the "existential continuity." Nowadays, there is ample knowledge regarding the emotional problems linked to the critical illness, the treatments required, the associated experiences and the post-ICU difficulties [...]

Humanizing the intensive care unit: a matter of all the stakeholders

31 January, 2019|

I have read with special attention and interest the editorial Humanizing the intensive care unit recently published in Critical Care by Wilson et at. First of all, I would like to congratulate the authors for inviting us to reflect on a topic that I consider as a priority for the development of an excellent management in intensive care units. If [...]

Healing alone: the story of a first-year doctor and a widower in hospital

23 January, 2019|

We usually start some of our trainings in #humantools remembering those moments (remote for some) in which we make the decision to dedicate our professional future to health care. We took a decision, ruling out others, probably moved by what, a priori, we consider as characteristics of our professions: principle of service, respect for dignity and compassion among others. Wrapped [...]

An instrument to predic psychological morbidity at ICU discharge

16 January, 2019|

Recently has been published Intensive Care Medicine as Open Access the original Development of an ICU discharge instrument predicting psychological morbidity: a multinational study. As you know, one of three ICU survivors has the psychological PICS components depression, post-traumatic stress (PTS) and anxiety. The aim of this study was to develop a screening instrument for use at ICU discharge, in [...]

Patient and family engagement in the ICU

15 January, 2019|

Last December, Journal of Critical Care published the article Patient and family engagement in the ICU: report from the task force of the World Federation of Societies of Intensive and Critical Care Medicine, thanks to the leadership of Ruth Kleinpell. Patient and family engagement in the ICU has demosntrated in a recent systematic review and meta-analisys an impact on ICU length of stay [...]

Death and life are waiting for you

22 November, 2018|

Death is an inevitable fact, even if we try to delay it by all means. This process, being protagonists or companions, brings suffering. A group of people from different fields, health professionals and others with experience in the accompaniment of dying, want to accompany people at this stage of their lives. The Metta Hospice Foundation has just been born, a [...]

Patient and Family Centered Care in the ICU: Worldwide Exemplars

5 September, 2018|

Dear colleague, The World Federation of Societies of Intensive and Critical Care Medicine (WFSICCM), an international organization of over 85 societies in over 75 countries of the world, conducted a survey earlier this year to collect information on patient and family centered care practices being implemented in ICUs.  A total of 345 responses were received from 40 countries. The results of the study identified varying [...]

#Healingwalks: protocol update

19 June, 2018|

A few years ago, we started going for a walk with ICU patients outside the unit, with the certainty that getting them out of those four walls was something positive. It is obvious that people are everyday in contact with the natural environment (sky, sun, pure air, nature) and the ICU admittance is unnatural because deprives us of the fundamental [...]