gabihache

Home/Gabriel Heras

About Gabriel Heras

This author has not yet filled in any details.
So far Gabriel Heras has created 513 blog entries.

Proyecto HU-CI in NEJM Catalyst

2019-08-02T18:56:20+00:006 April, 2018|

In December 2015, New England Journal of Medicine published the editorial Leading the Transformation of Health Care Delivery — The Launch of NEJM Catalyst. Health care delivery is in a period of historic transition: social capital seems to be the clue for institutions to improve trust, teamwork, reliability, fiability and the desire to innovate. To support the decision makers and clinical [...]

24-h extended visiting policy reduces ICU delirium

2019-08-02T18:56:20+00:003 April, 2018|

Our mates and friends of Centro Hospitalar Unimed de Joinville in Santa Catarina (Brasil), leaded by Dr. Glauco Westphal  have just published in Intensive Care Medicine the letter Effect of a 24-h extended visiting policy on delirium in critically ill patients. Absence of relatives has been suggested as a potentially modifiable risk factor for delirium and anxiety in the ICU. In this study, theyaimed to evaluate the [...]

Early mobilization in ICU: Yes we can!

2019-08-02T18:56:21+00:0022 March, 2018|

Today, ICU survival has gradually increased thanks to technical and technological advances focused on providing vital support to critically ill patients. While traditionally the quality measurement in our enviroment has focused on mortality, there has recently been a change in vision: the functional status and quality of life after admission to the ICU are also important. This is why it [...]

Mindfulness in ICU

2019-08-02T18:56:22+00:0015 March, 2018|

Medicina Intensiva has recently published the article Application of a mindfulness program among healthcare professionals in an intensive care unit: Effect on burnout, empathy and self-compassion. Mates from the ICU of Hospital Universitari Vall d’Hebron held a clinical session/workshop on the practice of mindfulness and its usefulness. The possibility of following an 8-week training program with specifically designed short guided practices supported [...]

Interprofessional Care and Teamwork in the ICU

2019-08-02T18:56:25+00:0010 March, 2018|

Some things are so obvious, that often go unnoticed or we forget them. Critical Care Medicine has just published an excellent revision titled Interprofessional Care and Teamwork in the ICU. It underlines the importance of multidisciplinary work in the modern ICU, putting in value the role of each member of the team and  including patients and families in the center [...]

The HICU after the HICU: Innova HICU

2019-08-02T18:56:25+00:007 March, 2018|

"Doc, now I am leaving the ICU... are you going to follow me in the ward?" "No, no, I am just the intensivist, we are the doctors who are in the ICU. In the ward you will be visited by another doctor" This is how it works. And not only in the ward. We usually don´t know about our patients [...]

The fly

2019-08-02T18:56:26+00:001 March, 2018|

When she told me about her ICU stay, I was surprised with her first phrase: "That ICU, you know, was scary". Fear? I know that ICU and it´s not scary, it´s new and is quite well. She tells me that she was not treated badly at any time, but that ICU was very much scary for her. Her eyes are [...]

Burnout, boreout and compassion fatigue on the ICU

2019-08-02T18:56:26+00:0027 February, 2018|

In a recent article by Kompanje, “Burnout, boreout and compassion fatigue on the ICU: it is not about work stress, but about lack of existential significance and professional performance”, three syndromes are described that can have the same result in health professionals: loss of the sense of work, demotivation for daily work, and apathy and lack of compassion for patients [...]

The Practice of Respect in ICU

2019-08-02T18:56:27+00:0022 February, 2018|

Although RESPECT and DIGNITY are intuitive concepts, little formal work has addressed their systematic application in ICU. So, Samuel Brown an a multidisciplinary group of relevant experts have done a review of the literature and collaborative discussions focused on the practice of Respect in ICU. The article has been recently published in American Journal of Respiratory and Critical Care. Findings include: [...]

Redesigning the information room

2019-08-02T18:56:27+00:0020 February, 2018|

When a patient is admitted in the ICU, family members want to stay with this relative and know how he/she is. The information about the patient evolution is an encounter between family and staff. This encounter is essential for families, and we should humanize the enviroment where it happens, because: Patient has the right about confidentiality of the state of [...]