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24-h extended visiting policy reduces ICU delirium

3 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 [...]

The fly

1 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 [...]

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 [...]

Héctor opened the doors of the Spanish Pediatric ICU

26 January, 2017|

My name is Esther, I am Héctor´s mommy. When he has a month of life, we received the news that no parent ever wants to hear: he had a very serious disease, without a cure, and was so affected that he would not survive a year... His first year was crazy, a struggle against the clock, but we were winning battles. Our true [...]

New Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU. “Open the door, baby”

17 January, 2017|

A few days ago we saw in the networks a post of  Arturo Arias in which he said textually "Little by Little we are opening more the doors of my H-ICU... and I wonder: How we were able of having them closed for long time...?". Probably, and we should study it soon, many ICU have started to give steps toward a greater opening. The present benefits in the scientific literatura in the [...]

Sense and Sensibility (II)

22 December, 2016|

Scientific and technological advances of our era and the excellent training received in Medical Schools lost much of their value when they are applied without adequate sensitivity, when it´s forgotten something so elemental as the right of human beings already evicted to die surrounded by their loved ones, in a suitable place. In this moment, their bodies should be received by the family with the [...]

Sense and Sensibility (I)

21 December, 2016|

The punished body of my mother said "it´s enough" before the deadlines provided. The fever suddenly didn´t disappear, the blood pressure didn´t improve, a pain in the side. But how is possible! She was playing cards with her friends in the the afternoon!. From the district hospital to the provincial hospital. From Ward to the ICU. Behind the stretcher, in procession through halls and waiting romos with [...]

Knockin’ on Critical Care´s Door. By Alberto García-Salido

18 November, 2016|

Life sometimes is can be summarized in a letter. Welcome letter, farewell letter. As life, sometimes differences also have site in the same space. Letters are obsolete, it is clear, but it is also clear that even us, healthcare providers, continue pulling this concept to the editor of scientific journals. That letter is for he or she but actually is [...]

Giving away Time. By Cristina Díez and José Manuel Gómez

17 September, 2016|

Gregorio Marañón: "The best things of the world always have been made by the diletanttis, who make things by delight, love and not by obligation or routine." This week, in the Gregorio Marañón Hospital, the project of humanization in which we have been working since last October has been made official. Nearly a year of work has gradually been growing [...]