- Organ Transplantation Techniques and Outcomes
- Palliative Care and End-of-Life Issues
- Organ Donation and Transplantation
- Transplantation: Methods and Outcomes
- Liver Disease and Transplantation
- Acute Kidney Injury Research
- Family and Patient Care in Intensive Care Units
- Sepsis Diagnosis and Treatment
- Intensive Care Unit Cognitive Disorders
- Burn Injury Management and Outcomes
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Healthcare Decision-Making and Restraints
- Cerebrospinal fluid and hydrocephalus
- Renal Transplantation Outcomes and Treatments
- Diabetes and associated disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Sedative Agents
- Diabetes Management and Research
- Mechanical Circulatory Support Devices
- Ethics and bioethics in healthcare
- Childhood Cancer Survivors' Quality of Life
- Pharmaceutical studies and practices
- COVID-19 Clinical Research Studies
- Hemodynamic Monitoring and Therapy
- Clinical Laboratory Practices and Quality Control
Hospital Universitario La Paz
2015-2024
Hospital La Paz Institute for Health Research
2023
Hospital Universitario del Tajo
2009-2015
<h3>Importance</h3> End-of-life decisions occur daily in intensive care units (ICUs) around the world, and these practices could change over time. <h3>Objective</h3> To determine changes end-of-life European ICUs after 16 years. <h3>Design, Setting, Participants</h3> Ethicus-2 was a prospective observational study of 22 previously included Ethicus-1 (1999-2000). During self-selected continuous 6-month period at each ICU, consecutive patients who died or had any limitation life-sustaining...
BackgroundHeart transplantation is an effective treatment offering the best recovery in both quality and quantity of life those affected by refractory, severe heart failure. However, limited donor organ availability. The reintroduction donation after circulatory determination death (DCD) 2014 offered uplift transplant activity 30%. Thoraco-abdominal normothermic regional perfusion (taNRP) enables in-situ reperfusion DCD heart. objective this paper to assess clinical outcomes hearts recovered...
With the aim of consolidating recommendations about practice initiating or continuing intensive care to facilitate organ donation (ICOD), an ad hoc working group was established, comprising 10 intensivists designated by Spanish Society Intensive Care and Coronary Units (SEMICYUC) National Transplant Organization (ONT). Consensus reached in all through a deliberative process. After public consultation, final were institutionally adopted SEMICYUC, ONT, Committee Health-Care System. This...
The current shortage of pediatric multivisceral donors accounts for the long time and mortality on waiting list patients. use after cardiac death, especially outbreak normothermic regional perfusion, has increased in recent years all solid organs except intestine, mainly because its higher susceptibility to ischemia-reperfusion injury. We present first literature case death transplantation a 13-month-old recipient from 2.5-month-old donor. Once exitus was certified, an extracorporeal...
The benefits of normothermic regional perfusion (NRP) in posttransplant outcomes after controlled donation the determination death by circulatory criteria (cDCD) has been shown different international adult experiences. However, there is no information on use NRP pediatric cDCD donors.This a multicenter, retrospective, observational cohort study describing (<18 y) procedures performed Spain, using either abdominal or thoracoabdominal and recipients obtained organs.Thirteen donors (age range,...
Ascorbic acid (AA) is a potent oxygen-free radical scavenger. We hypothesized that treating severe burn patients with high doses of AA (HDAA) can reduce fluid resuscitation requirements and prevent organ dysfunction. performed unicentric, retrospective case-control study 75 patients: 25 admitted from 2018 to 2019 more than 30% Total Surface Body Area (TSBA) burned who received HDAA (66 mg/kg/h as soon possible after admission until 36 h injury), 50 2014 2017 similar Abbreviated Burn Severity...
Abstract Introduction: Inhalation injury remains a significant cause of morbidity and mortality in critically ill burn patients. To improve this prognosis, it might be useful to understand the haemodynamic impact inhalation during initial resuscitation phase. We studied hemodynamic changes patients with injury, as well fluid volume used whether was related mortality. Methods: designed prospective, single-centre observational 4-year study. Patients criteria major burns were included. Our...
Peripherally inserted central catheters are an alternative to venous in critically ill patients. In recent years its use is increasing despite first access choice these patients catheters.