Intensive Medicine

Care. Monitoring and treatment:

• Basic and advanced cardiopulmonary resuscitation (CPR) and advanced post-CPR assistance.
• Transfer capacity for advanced care for post-CPR.
• Advanced heart monitoring.
• Mechanical extracorporeal circulatory care (uni/biventricular, central ECPS).
• Mechanical extracorporeal pulmonary care (peripheral ECPS).
• Synchronised electrical cardioversion.
• Fibrinolytic treatment in ischemic cardiomyopathy.
• Computerised monitoring of heart rate disorders.
• Control and treatment of severe arrhythmia with haemodynamic instability.
• Temporary pacemaker implants.
• Venous and arterial catheterisation and undefined line maintenance.
• Pharmacological haemodynamic support.
• Monitoring of the gas exchange function.
• Establishing and maintenance of the artificial airway.
• Transient-type percutaneous tracheostomies.
• Short-term and prolonged artificial ventilatory support with and without sedo-relaxation support.
• High flow oxygen therapy.
• Therapeutic fibrobronchoscopy.
• Advanced monitoring of ventilation mechanics.
• Invasive and non-invasive ventilatory support on and off the IMD premises.
• Implantation and maintenance of pleural, pericardial and abdominal drainage.
• Establishing, control and maintenance of specialist enteral nutritional support.
• Control and maintenance of complex enteral nutritional support.
• Care and control of acid-base and hydroelectric balance decompensation.
• Continuous extrarenal purification techniques.
• Immediate advanced multiple trauma care.
• Prolonged high-risk multiple trauma maintenance. Initial care for neurotrauma patients.
• Maintenance of neurotrauma patients for prolonged periods and with advanced monitoring.
• Monitoring of intracranial pressure, transcranial dopplier and other neuromonitoring systems.
• Post-neurosurgery care. Resuscitation and treatment of haemorrhagic shock due to upper gastrointestinal bleeding (Sengstaken)
• Advanced care of multisystem dysfunction.
• Advanced care of multiple organ failure.
• Monitoring and care for patients affected by acute coronary syndrome, with or without severe circulatory failure.
• Care and monitoring of post-heart surgery patients.
• Resuscitation and care of post-surgery patients at risk from other specialities.
• Maintenance of patients with criteria of brain death.
• Maintenance of the potential organ donor without criteria of brain death.
• Establishing of Maastricht type III donations.

Position of the department in relation to other hospital areas:

• Access to advanced assisted inter-centre transport.
• Care and control of patients requiring care, regardless of their pathology, that exceeds that provided by the conventional hospitalisation units of the centre, including resuscitation rooms,
• Emergency observation rooms, and intermediate units, in relation to equipment and available personnel.
• Cooperation, care and control of patients requiring care that exceeds the technological capacity, knowledge or provisions of other critical care units of the hospital or of the area of reference.
• Care for non-critical post-Heart Surgery patients in hospitalisation ward (intermediate)
• Clinical support for other professionals in conventional hospitalisation units to stabilise and/or screen patients prior to their critical situation.
• Prior assessment and decision to admit/not admit.
• Cooperation with care and clinical support in CPR situations in different diagnostics and hospitalisation areas.
• Assisted intra-hospital transport.