- Sepsis Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
- Respiratory Support and Mechanisms
- Innovations in Medical Education
- Antibiotics Pharmacokinetics and Efficacy
- Simulation-Based Education in Healthcare
- Intensive Care Unit Cognitive Disorders
- Hemodynamic Monitoring and Therapy
- Pneumonia and Respiratory Infections
- Cardiac, Anesthesia and Surgical Outcomes
- Bacterial Infections and Vaccines
- COVID-19 Clinical Research Studies
- Antibiotic Resistance in Bacteria
- Long-Term Effects of COVID-19
- Nosocomial Infections in ICU
- Acute Kidney Injury Research
- Disaster Response and Management
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- COVID-19 and healthcare impacts
- Family and Patient Care in Intensive Care Units
- Antibiotic Use and Resistance
- Pneumocystis jirovecii pneumonia detection and treatment
- Heart Failure Treatment and Management
- Airway Management and Intubation Techniques
Hospital Universitari i Politècnic La Fe
2016-2025
Hospital San Pedro
2022
Universitat de València
2020-2022
Hospital Del Mar
2022
Scientific Solutions (United States)
2020
Marqués de Valdecilla University Hospital
2009-2018
Instituto de Investigación Marqués de Valdecilla
2010-2017
Instituto de Investigación Sanitaria La Fe
2017
Fundación Marques de Valdecilla
2015
Universidad de Cantabria
2015
Objectives: To describe the effectiveness of Surviving Sepsis Campaign bundles with regard to both implementation and outcome in patients septic shock determine contribution various elements outcome. Design: Quasi-experimental study a historical comparison group. Setting: The three medical–surgical intensive care units an academic tertiary center. Patients: A total 384 adult were enrolled after educational intervention (September 2005–August 2008) 96 group (June 2004–May 2005). Intervention:...
The main objective of this study was to evaluate whether the implementation CoBaTrICE (Competency-Based Training in Intensive Care Medicine Europe) provides higher levels competency comparison with current official time-based program Spain. Secondary objectives were: 1) To determine percentage critical essential performance elements (CEPE) accomplished, 2) compliance workplace-based assessments (wba).
The primary aim of our study was to investigate the association between intubation timing and hospital mortality in critically ill patients with coronavirus disease 2019 (COVID-19)-associated respiratory failure. We also analysed both impact such throughout first four pandemic waves influence prior noninvasive support on outcomes.This is a secondary analysis multicentre, observational prospective cohort that included all consecutive undergoing invasive mechanical ventilation due COVID-19...
Midregional proadrenomedullin (proADM) is a novel biomarker with potential prognostic utility in patients community-acquired pneumonia. The aim of this study was to investigate the value proADM levels for severity assessment and outcome prediction severe sepsis septic shock due CAP.Prospective observational including 49 admitted ICU both clinical radiologic diagnosis pneumonia fulfilling criteria or shock. accuracy compared those index procalcitonin (PCT) C-reactive protein (CRP).49 CAP were...
Several authors have demonstrated the relationship between voriconazole concentrations and risk of therapeutic failure adverse events However, information about in critically ill patient is scarce. The aim this study was to analyse plasma pharmacokinetic behaviour patients their association with treatment response development toxicity.A prospective, observational conducted. Patients admitted an intensive care unit on intravenous were included. Plasma measured days 4 7 from start treatment....
The current official model of training in Intensive Care Medicine (ICM) Spain is based on exposure to experiences through clinical rotations. main objective was determine the level competency (I novice V independent practitioner) achieved by residents at end 3rd year (R3) ICM a simulation-based OSCE. Secondary objectives were: (1) To identify gaps performance, and (2) investigate reliability feasibility conducting assessment multiple sites. Observational multicenter study. Thirteen Spanish...
To compare the utility of a multiplex polymerase chain reaction system (SeptiFast) and blood cultures for detecting bacteria fungi in samples from patients with severe sepsis or septic shock.In prospective observational study, whole SeptiFast testing culture were collected on admission all shock admitted to intensive care unit between July 2011 September 2012. results compared other results.The probability at least 1 microorganism being isolated 6 hours was 13-fold higher test than (relative...
Early compliance with the sepsis resuscitation bundle has been suggested to reduce mortality. However, few data are available about impact of late on outcomes. The aim this study was assess whether completion within first 6 h after admission intensive care unit (ICU), but beyond specific time limit various interventions, is related an improvement in survival. This prospective, cohort included 753 patients recruited from September 2005 until August 2010 severe sepsis/septic shock three...