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  1. Article: Hematological Alterations after Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy.

    Pintado, Maria Consuelo / Lasa Unzúe, Inmaculada / Gómez Sanz, Remedios / Diez Alonso, Manuel / Ortega, Miguel A / Álvarez de Mon, Melchor / Nevado Losada, Emilio / Gutierrez Calvo, Alberto

    Journal of clinical medicine

    2023  Volume 12, Issue 13

    Abstract: Background: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have benefits for survival in some cancers with peritoneal metastasis. Hematologic toxicity described rate is 2 to 38%.: Methods: Patients admitted to an ... ...

    Abstract Background: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have benefits for survival in some cancers with peritoneal metastasis. Hematologic toxicity described rate is 2 to 38%.
    Methods: Patients admitted to an intensive care unit (ICU) after CRS and HIPEC over 78 months. The data recorded were demographic characteristics, the severity of illness, complete blood samples, the type of cancer and extension, HIPEC drug and temperature, ICU and hospital stay and mortality, bleeding, and the need for transfusion of blood products.
    Results: Of the 96 patients included, 77.1% presented hematological complications: 8.3% leukopenia (<4000/mm
    Conclusions: In our study, 77.1% of patients treated with CRS and HIPEC developed hematological complications during the postoperative period; the majority of them were not severe and resolved spontaneously, without an effect on mortality or hospital stay.
    Language English
    Publishing date 2023-06-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12134323
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: All for One and One for All: Voluntary Physicians in the Intensive Medicine Units During the COVID-19 Outbreak in Spain.

    Nunez-Villaveiran, Teresa / González-Castro, Alejandro / Nevado-Losada, Emilio / García-de-Lorenzo, Abelardo / Garro, Pau

    Disaster medicine and public health preparedness

    2020  Volume 16, Issue 2, Page(s) 612–618

    Abstract: Objectives: Our purpose was to determine the intensive care units' (ICU's) medical staff surge capacity during the coronavirus disease 2019 (COVID-19) outbreak in Spring 2020 in Spain.: Methods: A multicenter retrospective survey was performed ... ...

    Abstract Objectives: Our purpose was to determine the intensive care units' (ICU's) medical staff surge capacity during the coronavirus disease 2019 (COVID-19) outbreak in Spring 2020 in Spain.
    Methods: A multicenter retrospective survey was performed addressing the medical specialties present in the ICUs and the increase in bed capacity during this period.
    Results: Sixty-seven centers (62.04%) answered the questionnaire. The ICU bed capacity during the pandemic outbreak increased by 160% (95% confidence interval [CI], 128.97-191.03%). The average number of beds per intensive care medicine (ICM) specialist was 1.5 ± 0.60 and 3.71 ± 2.44 beds/specialist before and during the COVID-19 outbreak, respectively. Non-ICM specialists and residents were present in 50 (74.63%) and 23 (34.3%) ICUs during the outbreak, respectively. The number of physicians (ICM and non-ICM residents and specialists) in the ICU increased by 89.40% (95% CI, 64.26114.53%). The increase in ICM specialists was, however, 4.94% (95% CI, -1.35-11.23%). Most non-ICM physicians were anesthetists, followed by pediatricians and cardiologists.
    Conclusions: The majority of ICUs in our study were able to rapidly expand critical care capacity by adapting areas outside of the normal ICU to manage critically ill patients, and by extending the critical care staff with noncritical care physicians working as force multipliers.
    MeSH term(s) COVID-19/epidemiology ; Critical Care ; Humans ; Intensive Care Units ; Medicine ; Pandemics ; Physicians ; Retrospective Studies ; Spain/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-10-12
    Publishing country United States
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2020.375
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: All for One and One for All: Voluntary Physicians in the Intensive Medicine Units during the Covid-19 Outbreak in Spain

    Nunez-Villaveiran, Teresa / González-Castro, Alejandro / Nevado-Losada, Emilio / García-de-Lorenzo, Abelardo / Garro, Pau

    Disaster Med Public Health Prep

    Abstract: Our purpose was to determine the intensive care units' (ICUs) medical staff surge capacity during the Covid-19 outbreak in spring 2020 in Spain. Methods: a multicenter retrospective survey addressing the medical specialties present in the ICUs and the ... ...

    Abstract Our purpose was to determine the intensive care units' (ICUs) medical staff surge capacity during the Covid-19 outbreak in spring 2020 in Spain. Methods: a multicenter retrospective survey addressing the medical specialties present in the ICUs and the increase in bed capacity during this period. Results: Sixty-seven centers (62.04%) answered the questionnaire. The ICU bed capacity during the pandemic outbreak increased by 160% (95%CI 128.97-191.03%). The average number of beds per intensive care medicine (ICM) specialist was 1.5 ± 0.60 and 3.71 ± 2.44 beds/specialist before and during the Covid-19 outbreak, respectively. Non-ICM specialists and residents were present in 50 (74.63%) and 23 (34.3%) ICUs during the outbreak, respectively. The number of physicians (ICM and non-ICM residents and specialists) in the ICU increased by 89.40% (95%CI 64.26 -114.53%). The increase in ICM specialists was, however, of 4.94% (95%CI -1.35 - 11.23%) Most non-ICM physicians were anesthetists, followed by pediatricians and cardiologists. Conclusion: The majority of ICUs in our study were able to rapidly expand critical care capacity by adapting areas outside of the normal ICU to manage critically ill patients, and by extending the critical care staff with noncritical care physicians working as force multipliers.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #845448
    Database COVID19

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  4. Article ; Online: ALL FOR ONE AND ONE FOR ALL

    Nunez-Villaveiran, Teresa / González-Castro, Alejandro / Nevado-Losada, Emilio / García-de-Lorenzo, Abelardo / Garro, Pau

    Disaster Medicine and Public Health Preparedness

    VOLUNTARY PHYSICIANS IN THE INTENSIVE MEDICINE UNITS DURING THE COVID-19 OUTBREAK IN SPAIN

    2020  , Page(s) 1–21

    Abstract: ABSTRACT Our purpose was to determine the intensive care units’ (ICUs) medical staff surge capacity during the Covid-19 outbreak in spring 2020 in Spain. Methods: a multicenter retrospective survey addressing the medical specialties present in the ICUs ... ...

    Abstract ABSTRACT Our purpose was to determine the intensive care units’ (ICUs) medical staff surge capacity during the Covid-19 outbreak in spring 2020 in Spain. Methods: a multicenter retrospective survey addressing the medical specialties present in the ICUs and the increase in bed capacity during this period. Results: Sixty-seven centers (62.04%) answered the questionnaire. The ICU bed capacity during the pandemic outbreak increased by 160% (95%CI 128.97-191.03%). The average number of beds per intensive care medicine (ICM) specialist was 1.5 ± 0.60 and 3.71 ± 2.44 beds/specialist before and during the Covid-19 outbreak, respectively. Non-ICM specialists and residents were present in 50 (74.63%) and 23 (34.3%) ICUs during the outbreak, respectively. The number of physicians (ICM and non-ICM residents and specialists) in the ICU increased by 89.40% (95%CI 64.26 -114.53%). The increase in ICM specialists was, however, of 4.94% (95%CI -1.35 - 11.23%) Most non-ICM physicians were anesthetists, followed by pediatricians and cardiologists. Conclusion: The majority of ICUs in our study were able to rapidly expand critical care capacity by adapting areas outside of the normal ICU to manage critically ill patients, and by extending the critical care staff with noncritical care physicians working as force multipliers.
    Keywords Public Health, Environmental and Occupational Health ; covid19
    Language English
    Publisher Cambridge University Press (CUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2020.375
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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