Intensive Medicine

Services and procedures Care. Monitoring and treatment

• 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.