Intensive Care Unit

Intensive Care Medicine at  Hospital Blua Sanitas Valdebebas

Medical Team led by Dr. Ángel Luis Córdoba Sánchez

 

The Intensive Care Unit (ICU) at Valdebebas Hospital (Madrid) is staffed by highly qualified specialists in Intensive Care Medicine, fully trained to manage a wide range of critical conditions requiring intensive care admission.

 

With 24/7 medical care, we ensure safety, quality, and a multidisciplinary approach, working closely with other hospital departments and applying innovative protocols that enhance the management of critically ill patients.

 

ICU Services and Expertise

    • Comprehensive care for critically ill patients with complex conditions

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    • Highly trained professionals with updated knowledge and extensive experience

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    • Continuous 24/7 patient care

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    • Active participation in hospital programs: antimicrobial stewardship (PROA), Sepsis Code, infectious disease committees, patient safety, and pharmacy committees

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    • Collaborative and cross-disciplinary approach to critical patient management

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    • Promotion of organ donation and early detection of potential donors

 

Teaching and Training in Intensive Care Medicine

    • Ongoing training for ICU and hospital staff

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    • Basic and advanced CPR courses for healthcare professionals

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    • Undergraduate training for medical students

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    • Participation in university teaching projects

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Treatments

 

General

  • Evaluation, diagnostic approach, and therapeutic management of all patients in immediate or potential life-threatening situations throughout the hospital.

  • Collaboration in the evaluation, diagnosis, and treatment of any patient with a life-threatening condition, upon request by other hospital departments.

  • Close collaboration with Cardiology, Anesthesiology, and Emergency Services.

Cardiovascular Pathology

  • Basic and advanced CPR

  • Management of acute coronary syndrome (STEMI, NSTEMI)

  • Systemic fibrinolysis

  • Cardiac monitoring

  • Management of heart failure and cardiogenic shock

  • Management of arrhythmias

  • Electrical and pharmacological cardioversion

  • Placement of transcutaneous and temporary transvenous pacemakers

  • Central venous line and arterial line placement with/without ultrasound guidance

  • Hemodynamic monitoring: Swan-Ganz catheter, PiCCO, echocardiography

  • Echocardiography in critically ill patients

  • Pharmacological hemodynamic support: vasopressors and inotropes

  • Mechanical hemodynamic support: intra-aortic balloon pump

  • Diagnosis and treatment of hypertensive crisis

  • Pericardiocentesis and pericardial drainage

  • Diagnosis and treatment of pulmonary embolism, including fibrinolysis

Digestive Pathology & Nutritional Support

  • Postoperative management following thoracic surgery

  • Detection and diagnosis of brain death

  • Maintenance of brain-dead patients prior to organ donation surgery

  • Management of severe and necro-hemorrhagic pancreatitis

  • Care of patients with severe upper and lower gastrointestinal bleeding

  • Measurement and monitoring of intra-abdominal pressure

  • Nutritional support in ICU: enteral and parenteral nutrition

  • Diagnostic and therapeutic paracentesis

  • Diagnosis and management of acute liver failure and acute-on-chronic liver dys, including hepatorenal syndrome

Infectious Pathology

  • Severe community-acquired and nosocomial infections

  • Diagnosis, treatment, and monitoring of severe sepsis and septic shock of any etiology

  • Management of multiorgan dys in septic shock patients

  • Prevention of nosocomial infection with specific programs: Bacteremia Zero, Pneumonia Zero, Resistance Zero, UTI Zero, ENVIN registry

Respiratory Pathology

  • Diagnosis and management of acute and acute-on-chronic respiratory failure

  • Invasive mechanical ventilation

  • Non-invasive ventilation and high-flow oxygen therapy

  • Airway management, including video laryngoscopy and percutaneous tracheostomy

  • Extracorporeal CO₂ removal techniques (ECCO₂R)

  • Helium-oxygen and nitric oxide ventilation

  • Aerosol therapy

  • Thoracentesis and chest tube placement

  • Local fibrinolysis for pleural empyema

  • Lung ultrasound

  • Respiratory physiotherapy

Neurological Pathology

  • Management of patients in coma

  • Diagnosis and treatment of neurological infections (meningitis, encephalitis)

  • Care of patients with subarachnoid hemorrhage

  • Management of hemorrhagic stroke

  • Care and treatment of ischemic stroke, including stroke code and fibrinolysis

  • Management of traumatic brain injury (TBI)

  • Basic transcranial Doppler ultrasound

  • Diagnosis and management of seizures and status epilepticus

  • Management of intracranial hypertension and intracranial pressure monitoring systems

  • Diagnosis and treatment of neuromuscular diseases (myasthenia gravis, Guillain-Barré syndrome, neuropathies, myopathies)

Oncohematological Pathology

  • Management of multiorgan failure in critically ill oncohematology patients

  • Monitoring of high-risk treatments (monoclonal antibodies, chemotherapy)

  • Thrombotic microangiopathy: HUS, TTP, HELLP syndrome

Psychiatric Pathology

  • Pharmacological management of acute psychiatric conditions: delirium tremens, malignant neuroleptic syndrome, uncontrolled agitation

  • Management of refeeding syndrome

  • Monitoring and management of electroconvulsive therapy (ECT)

Renal, Electrolyte & Endocrine Pathology

  • Management of electrolyte and acid-base disorders

  • Management of acute kidney injury

  • Extrarenal depuration techniques: CVVHD, CVVHDF, with citrate anticoagulation

  • Plasmapheresis

  • Diagnosis and treatment of severe endocrine emergencies: diabetic ketoacidosis, thyroid storm, Addisonian crisis

  • Management of intoxications/poisonings

Post-Surgical Care & Complications

  • Abdominal surgery

  • Vascular and cardiovascular surgery

  • Thoracic surgery

  • Neurosurgery

  • Orthopedic surgery