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More from @mangdelatorre

Sep 26, 2020
Me llaman de la planta por una paciente:
- Es la cama 2B29, está muy apurada- me dicen.

No he podido revisarme bien la historia, pero a grandes rasgos, mujer-70años-hipertensa, sin más antecedentes, se llama Carmen.

Me pongo mi EPI y entro. Image
Efectivamente, la paciente está boca abajo, con una almohada bajo el pecho, cabeza mirando la ventana.

Me impresiona, tiene cogido el pulsador de llamada para avisar si se encuentra peor, no puede moverse apenas... y pienso “como se parece a mi madre joder” Image
Es increíble ver a la gente luchando por su vida, la fortaleza del ser humano, ver cómo pelea, eso sí puedo decirlo, somos un país de #peleones

Le aparto el pelo de la cara, me agacho un poco para q me vea, me presento,

si oyes UCI ya sabes a lo que vienen... Image
Read 6 tweets
Feb 19, 2020
When the patient goes to the ICU lose all the roles that runs his/her life, the lose of personal travel...

#CCC49 #CCC49espanol Image
Patient autonomy #CCC49 #CCC49espanol Image
“Unnecessary noise ....” “Lighting co trol...””presence and participation of family..”

#CCC49 #CCC49espanol ImageImageImageImage
Read 4 tweets
Jan 2, 2020
Day 1. I was nominated by the incredible @miguelrdgzrubio to post 7 days of photos of my life. Rules: a) no people, b) no explanations, c) nominate someone new every day. Today I nominate the amazing @olmo_raquel #7PhotosOfMyLife Image
#7PhotosOfMyLife nominated by @miguelrdgzrubio . Rules: No people, no explanations. One per day, this is day 2. @fedescarini (if you haven’t done and/or want), your turn! Image
Day 3. I was nominated by the incredible @miguelrdgzrubio to post 7 days of photos of my life. Rules: a) no people, b) no explanations, c) nominate someone new every day. Today I nominate the amazing @esthermormarco #7PhotosOfMyLife Image
Read 7 tweets
Sep 19, 2019
We usually use the Moca test. We presented an abstract last year at the SCCM congress about our results, a very small sample but very interesting. I agree that the interviewer's training is essential.
44% of our post-icu clinic patients had cognitive impairment, with Moca less than 25.
The area most affected was visuospatial and executive.
These are the clocks that our post-ICU patients draw a month after hospital discharge, is it justified or not the follow-up of our patients? Could we improve this evolution? Image
Read 4 tweets
Jun 8, 2019
Aquí comienza su andanza el Grupo Itaca, nuestra idea es unirnos todas aquellas unidades o servicios con programa para S Post-Cuidados Intensivos, poner en común nuestros avances, nuestras dudas y tratar de perfilar, entre todos,el mejor abordaje de esta patología
Si queréis incorporaros os invito a leer el post y mirar la web humanizandoloscuidadosintensivos.com/es/nace-el-gru…
Nos reuniremos 1 vez al mes por videoconferencia y una vez al año, presencial, este año la tarde previa a la Jornada del S Post-Cuidados Intensivos, el 26 de Noviembre! Image
Read 4 tweets
May 29, 2019
First time in our ICU: “School of ICU patients and relatives/caregivers”

Objectives: Information, Collaborative between relatives and staff, decrease anxiety and depression... I will tell you more!!

Congrats to @InnovaHUCI team! @noephl, @tomym65, @mrubio_p7 and @shadow750cc28
Alarms, mechanical ventilation ImageImageImage
Central lines, orotracheal tube, nasogastric tube... Image
Read 5 tweets

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