Intensive Medicine — Procedures, Analgosedation, Ultrasound and Bioethics

Intensive Medicine · Clinical Specialties

How it begins

Una referencia clínica de nivel de subespecialidad que aborda el soporte hemodinámico, el manejo avanzado de la vía aérea, las terapias de reemplazo orgánico, los protocolos de analgosedación multimodal, el ultrasonido clínico a pie de cama (POCUS) y los dilemas bioéticos complejos en la Unidad de Cuidados Intensivos.

What it covers

1. Echo-guided Vascular Access and Invasive Hemodynamic Monitoring
2. · Comparison of Central Venous Accesses (CVC)
3. · Advanced Invasive Hemodynamic Monitoring
4. Emergency Airway and Invasive/Non-Invasive Mechanical Ventilation
5. · Rapid Intubation Sequence (SIR) in the Critical Patient
6. · Initial Programming of Mechanical Ventilation
7. · Non-Invasive Ventilation (NIV) and High Flow Nasal Gaffs (GNAF)
8. Extracorporeal Life Support (ECMO) and Continuous Extrarenal Purification Therapies (CDT)
9. · Extracorporeal Membrane Oxygenation Support (ECMO)
10. · Continuous Extrarenal Purification Therapies (CDT)
11. Pleural Drainage, Thoracentesis, Pericardiocentesis and Lumbar Puncture in the ICU
12. · Pleural Drain Insertion (Chest Tube)
13. · Emergency Pericardiocentesis
14. · Lumbar puncture in the ICU
15. Analgesia in the Critical Patient: Physiopathology, Scales and Pharmacotherapy
16. · Evaluation of Pain in the Patient Who Cannot Communicate
17. · Multimodal Analgesic Pharmacotherapy
18. Sedation in the ICU: Strategies, Drugs and Prevention of Oversedation
19. · Evaluation of Sedation Level — RASS Scale
20. · Comparative Pharmacological Profile of Common Sedatives
21. · Daily Interruption of Sedation Strategy (IDS)
22. Delirium in Intensive Care: Pathophysiology, Screening and Management (ABCDEF Package)
23. · Pathophysiology of Critical Delirium
24. · Systematic Screening — CAM-ICU Protocol
25. · Comprehensive Management using the ABCDEF Package
26. Neuromuscular Blockade in Severe Respiratory Failure
27. · Pathophysiological Justification of Neuromuscular Blockade in ARDS
28. · Comparison of Neuromuscular Blockers in the ICU
29. Clinical Ultrasound in the ICU (POCUS): Critical Echocardiography and Hemodynamic Evaluation
30. · Critical Bedside Echocardiographic Windows
31. · Calculation of Hemodynamic Parameters using Doppler
32. Pulmonary Ultrasonography (LUS) and BLUE Protocol in Acute Respiratory Failure
33. · Essential Pulmonary Ultrasound Artifacts
34. · Diagnosis of Pneumothorax using POCUS
35. · BLUE Protocol Algorithm (Bedside Lung Ultrasound in Emergency)
36. Abdominal, Renal POCUS, Transcranial Neuromonitoring and Vascular Access
37. · Transcranial Ultrasonography and Diameter of the Optic Nerve Sheath (DVNO)
38. · Ultrasound Evaluation of the Inferior Vena Cava (IVC)
39. Bioethical Principles in Critical Care Medicine and Decision Making
40. · The Four Principles of Beauchamp and Childress in the UCI
41. Therapeutic Effort Limitation (LET) and Adequacy of Life Support Treatment
42. · Execution Differences: Do Not Start vs. Withdraw Life Support
43. · Palliative Sedation Protocol at the End of Life (ICU)
44. Diagnosis of Brain Death and Physiological Management of the Organ Donor
45. · Clinical Prerequisites for Brain Death Exploration
46. · Brain Stem Reflex Battery (Clinical Exploration)
47. · The Apnea Test (Apnea Test)
48. · Instrumental Confirmation Tests
49. · Physiological Management of the Organ Donor ("The Rule of 100")