Gabriel Heras2020-04-24T12:53:04+00:0024 April, 2020|
As many of you are observing day by day (and yesterday this was a topic discussed in the second H-Webinar of the HU-CI Project on post-ICU syndrome), we have the feeling that COVID-19 affected patients admitted to ICU are developing very severe delirium. The cause, probably multifactorial: many days in mechanical ventilation and with sedoanalgesia and myorelaxation, possible side effects [...]
Gabriel Heras2020-02-18T12:25:13+00:0018 February, 2020|
Coinciding with the 49th Congress of the Society of Critical Care Medicine, Critical Care Medicine has recently published in its March issue our article Humanizing Intensive Care: Toward a Human-Centered Care ICU Model, for free and free download pdf. The article expands the Plenary Conference that Dr. Nicolás Nin will share tomorrow representing Proyecto HU-CI, and which will be our [...]
Gabriel Heras2019-12-17T06:22:33+00:0017 December, 2019|
“Reading what happened to me has incredible value. It is very hard, but it is important to know it happened. I need to understand that it took place in order to continue. After all, it's my life, isn't it? M.J.P. 55 years, 60 days in ICU. Illness suddenly invades people's lives, and turns everything upside down, without warning and without [...]
Gabriel Heras2019-12-06T11:29:09+00:006 December, 2019|
Next December 11th, 2019 will be a day for the history of the humanization of intensive care units: the ICU of Infanta Elena University Hospital of the Public Health System of the Community of Madrid is receiving the HUCI/AENOR certification for its compliance with Good Practices in Humanization (soon available in English). From Utopia to Reality. This is a milestone: [...]
Gabriel Heras2019-03-14T10:28:27+00:0014 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 [...]
Gabriel Heras2019-02-25T17:58:48+00:0025 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 [...]
Gabriel Heras2019-08-02T18:55:47+00:002 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 [...]
Gabriel Heras2019-08-02T18:55:47+00:0031 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 [...]
Gabriel Heras2019-08-02T18:55:48+00:0023 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 [...]
Gabriel Heras2019-01-16T13:17:07+00:0016 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 [...]
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