A5062515591- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Cardiac Valve Diseases and Treatments
- Acute Kidney Injury Research
- Anesthesia and Pain Management
- Hemodynamic Monitoring and Therapy
- Cardiac Arrest and Resuscitation
- Cardiac Imaging and Diagnostics
- Anesthesia and Sedative Agents
- Neonatal Respiratory Health Research
- Cardiac tumors and thrombi
- Infant Development and Preterm Care
- Airway Management and Intubation Techniques
- Vascular Procedures and Complications
- Blood Pressure and Hypertension Studies
- Venous Thromboembolism Diagnosis and Management
- Pulmonary Hypertension Research and Treatments
- Tracheal and airway disorders
- Renal function and acid-base balance
- Metabolism and Genetic Disorders
- Acute Myocardial Infarction Research
- Pain Management and Treatment
- Shoulder Injury and Treatment
Hospital Clínic de Barcelona
2024-2025
Universitat de Barcelona
2025
Hospital de Sant Pau
2012-2021
Universitat Autònoma de Barcelona
2013-2018
Azienda Ospedaliero Universitaria San Giovanni Battista
2010
BACKGROUND: Prospective, single-center trials have shown that the implementation of Kidney Disease: Improving Global Outcomes (KDIGO) recommendations in high-risk patients significantly reduced development acute kidney injury (AKI) after surgery. We sought to evaluate feasibility implementing a bundle supportive measures based on KDIGO guideline undergoing cardiac surgery multicenter setting preparation for large definitive trial. METHODS: In this multicenter, multinational, randomized...
The Kidney Disease: Improving Global Outcomes (KDIGO) guidelines recommend a bundle of different measures for patients at increased risk acute kidney injury (AKI). Prospective, single-center, randomized controlled trials (RCTs) have shown that management in accordance with the KDIGO recommendations was associated significant reduction incidence postoperative AKI high-risk patients. However, compliance routine clinical practice is unknown.This observational prevalence study performed...
Tension capnothorax during robotic-assisted thoracic surgery (RATS) might promote intraoperative atelectasis, which predisposes to ventilation-induced lung injury (VILI). Lung-protective mechanical ventilation including recruitment maneuver (RM) and individualized positive-end expiratory pressure (iPEEP) minimizes VILI. This study examines the effects of on respiratory mechanics (respiratory system compliance, Crs), potential differences in iPEEP before-and-after capnothorax. is a...
The use of positive end-expiratory pressure (PEEP) and prone position (PP) is common in the management severe acute respiratory distress syndrome patients (ARDS). We conducted this study to analyze variation lung volumes PEEP-induced volume recruitment with change from supine (SP) PP ARDS patients.The investigation was a multidisciplinary intensive care unit. Patients who met clinical criteria Berlin definition for were included. responsible physician set basal PEEP. To avoid hypoxemia, FiO2...
End-inspiratory pause (EIP) prolongation decreases dead space-to-tidal volume ratio (Vd/Vt) and PaCO2. We do not know the physiological benefits of this approach to improve respiratory system mechanics in acute distress syndrome (ARDS) patients when mild hypercapnia is no concern.The investigation was conducted an intensive care unit a university hospital, 13 ARDS were included. The study designed three phases. First phase, baseline measurements taken. Second EIP prolonged until one...
Acute kidney injury (AKI) is a frequent complication after cardiac surgery with adverse short-term and long-term outcomes. Although prevention of AKI (PrevAKI) strongly recommended, the optimal strategy uncertain. The Kidney Disease: Improving Global Outcomes (KDIGO) guideline recommended bundle supportive measures in high-risk patients. In single-centre trial, we recently demonstrated that strict implementation KDIGO significantly reduced occurrence surgery. this feasibility study, aim to...
Weaning patients from mechanical ventilation is crucial in the management of acute respiratory failure (ARF). Spontaneous breathing trials (SBT) are used to assess readiness for extubation, but extubation remains a challenge. Diaphragmatic function, measured by electrical activity diaphragm (EAdi), may provide insights into weaning outcomes.
Patient-ventilator asynchrony, defined as a mismatch between patient's inspiratory time and the ventilator insufflation time, occurs in nearly 25% of intubated patients. High asynchrony rates are associated with higher incidence weaning failure tracheostomy, prolonged mechanical ventilation. The aim this study was to compare rate during conventional pressure support ventilation (PSV) automated PSV (SmartCare; Draeger) difficult-to-wean
La ecocardiografía transesfofágica es una técnica semiinvasiva que permite evaluación de la morfología y función cardiaca a tiempo real constituye, día hoy, un estándar calidad en las intervenciones cirugía cardiovascular. Se ha convertido herramienta fundamental tanto monitorización como diagnóstico el perioperatorio correcta planificación quirúrgica manejo farmacológico dirigido. El objetivo este documento dar respuesta forma consensuada avalada por evidencia científica cuándo cómo debe...