Intensive Care medicine

Intensive Care medicine

The Intensive Care Service (SMI) is responsible for detecting and treating people in critical condition (requiring intensive treatment for organ support) or potentially critical (semi-critical requiring intensive monitoring) throughout the hospital and the our reference area. To carry out this task, we have advanced systems for monitoring and supporting vital functions.

We attend to patients inside and outside the Intensive Care Unit (open hospital model), wherever they require it, 24 hours a day, 365 days a year.

 

Intensive Care Medicine is an open and multidisciplinary specialty. Its professionals maintain a close relationship with the Emergency Service, Surgical Area and Reanimation, as well as with other medical areas. It is the team responsible for treating cardiorespiratory arrests at the Hospital, leads the hospital transplant program and participates in a large number of hospital committees.

The SMI of the Transversal Hospital has two separate units, one in the Moisès Broggi Hospital with 18 beds, and the other in Building B of the Moisès Broggi Hospital Complex, with 28 beds operating in emergency/pandemic situations in Cat Salut requirement

 

  • Update date: 01.01.2024

Head of Service

Members
  • Nicolas Rico Villoria

    hsjd intensive care unit

    healthcare coordinator doctor

  • Elida Amestoy Torre

    hsjd intensive care unit

    specialist doctor

  • Melinda Rita Popoviciu Koborzan

    hsjd intensive care unit

    service coordinator doctor

  • Miguel Rodríguez Lopez

    hsjd intensive care unit

    specialist doctor

  • Patricia Sanchez Rico

    hsjd intensive care unit

    specialist doctor

  • Sebastian Felipe Valenzuela Becher

    hsjd intensive care unit

    specialist doctor

In this section appear the professionals of the Integral Health Consortium who have authorized the display of their personal data.

  • Update date: 01.01.2024

Units and benefits

Patients treated at HGH who require admission to the SMI over the course of their development are transferred by medical ambulance to the HBL Intensive Care Service.

In the same way, all those patients who require complex diagnostic or therapeutic techniques typical of third-level hospitals, such as cardiac catheterization, neurosurgery, cardiac surgery, ECMO (extracorporeal membrane oxygenation) or others not available in our center, are transferred to the General Hospital of Bellvitge, which is our center of reference, via SEM

Assistance offer
  • Early care for the seriously ill throughout the hospital
  • Assistance to patients with serious or high-risk cardiovascular disease (coronary syndrome, myocarditis, arrhythmias, shock, tamponade, etc.)
  • Assistance to patients with serious respiratory diseases
  • Assistance to high-risk postoperative patients
  • Assistance to patients with serious pathologies of the digestive tract
  • Assistance to patients with severe decompensated liver disease
  • Assistance to patients with severe metabolic decompensations
  • Assistance to patients with severe acute renal failure
  • Assistance to patients at risk in hemodialysis
  • Assistance to patients with severe bleeding
  • Assistance to patients with severe acute neurological pathology or in coma.
  • Assistance to neuromuscular patients with serious complications
  • Assistance to patients with severe acute poisoning
  • Assistance to serious patients with CO poisoning
  • Assistance to patients with serious infections and/or sepsis
  • Assistance to patients with non-cranioencephalic polytrauma
  • Attention to the probable organ donor
  • Care for patients with serious dysbaric accidents
Diagnostic procedures
  • Monitoring of electrocardiography, respiratory rate, non-invasive blood pressure and SpO2
  • Invasive blood pressure
  • Pulmonary artery catheterization (Swan Ganz)
  • Transpulmonary thermodilution method (PiCCO) for hemodynamic monitoring
  • Echo-guided central venous catheterization
  • Surface electrocardiogram
  • Analgesia and sedation monitoring with bispectral index
  • Cardiac output monitoring
  • Echocardiography of the critically ill patient
  • Pulmonary ultrasound
  • Capnography in mechanical ventilation
  • Intra-abdominal pressure
  • Lumbar puncture
  • Diagnostic thoracocentesis, paracentesis and pericardiocentesis
  • Fibrobronchoscopy, broncho-alveolar lavage and bronchial brushing
  • Digestive endoscopy
  • Electroencephalogram
Therapeutic procedures
  • Temporary pacemaker
  • Bladder, nasogastric, rectal, jejunal, Sengstaken-Blakemore and Linton-Nachlas probes
  • Central venous catheterization: subclavian, jugular, femoral and others
  • Electrical defibrillation and synchronized cardioversion
  • Advanced life support
  • Fibrinolysis ischemic stroke
  • Fibrinolysis AMI
  • Fibrinolysis in TEP
  • Pericardiocentesis and pericardial drainage
  • Enteral and parenteral nutrition
  • Extra-renal purification (hemofiltration, ultrafiltration, hemodiafiltration, hemodialysis)
  • Orotracheal and nasotracheal intubation. Video laryngoscopy
  • Invasive and non-invasive mechanical ventilation
  • prone position
  • High flow oxygen therapy
  • Therapeutic fibrobronchoscopy
  • Evacuating thoracocentesis and pleural drainage
  • Percutaneous tracheotomy
  • Cricothyroidotomy
  • Evacuating paracentesis
  • Lumbar puncture
  • Epidural analgesia
  • Hyperbaric oxygen therapy
  • Drainages and surgical washes
  • Update date: 01.01.2024

Research

The service is committed to clinical research in intensive care medicine, and collaborates in national and international studies promoted by scientific societies and leads its own research projects, in the fields of acute respiratory failure and the psychological well-being of patients and their families.

  • Update date: 01.01.2024

Institute

At the SMI, a minimum of two sessions (bibliographic/review) are held weekly aimed at updating knowledge and improving the operation of the SMI itself, to improve care for our patients every day.

We help train Nursing students, Medical students (in their Cardiology rotation) and training specialists (MIR) in the specialties of Internal Medicine, Anesthesia and Resuscitation, Family and Community Medicine and Geriatrics.

We currently have MIR intensive medicine training from the class of 2023

  • Update date: 01.01.2024