Recommendations of the Working Groups from the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) for the management of adult critically ill patients

Med Intensiva. Jun-Jul 2017;41(5):285-305. doi: 10.1016/j.medin.2017.03.004. Epub 2017 May 2.
[Article in English, Spanish]


The standardization of the Intensive Care Medicine may improve the management of the adult critically ill patient. However, these strategies have not been widely applied in the Intensive Care Units (ICUs). The aim is to elaborate the recommendations for the standardization of the treatment of critical patients. A panel of experts from the thirteen working groups (WG) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) was selected and nominated by virtue of clinical expertise and/or scientific experience to carry out the recommendations. Available scientific literature in the management of adult critically ill patients from 2002 to 2016 was extracted. The clinical evidence was discussed and summarised by the experts in the course of a consensus finding of every WG and finally approved by the WGs after an extensive internal review process that was carried out between December 2015 and December 2016. A total of 65 recommendations were developed, of which 5 corresponded to each of the 13 WGs. These recommendations are based on the opinion of experts and scientific knowledge, and are intended as a guide for the intensivists in the management of critical patients.

Keywords: Critical patient; Estandarización; Intensive Care Unit; Paciente crítico; Recomendaciones; Recommendations; Standardization; Unidad de cuidados intensivos.

Publication types

  • Practice Guideline

MeSH terms

  • Adult
  • Combined Modality Therapy
  • Critical Care / methods
  • Critical Care / standards*
  • Critical Illness / therapy
  • Decision Making
  • Disease Management
  • Humans
  • Intensive Care Units / standards
  • Life Support Care / standards
  • Monitoring, Physiologic / standards
  • Palliative Care
  • Patient Care Team
  • Registries
  • Societies, Medical
  • Spain
  • Terminal Care / standards
  • Truth Disclosure