{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:52:59Z","timestamp":1776095579011,"version":"3.50.1"},"reference-count":30,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"1","license":[{"start":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T00:00:00Z","timestamp":1744156800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T00:00:00Z","timestamp":1744156800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Contrario al pensamiento lego, el verdadero art\u00edfice del \u00e9xito durante el cuidado del paciente cr\u00edtico y su familia no es el uso de intervenciones complejas ni el monitoreo hemodin\u00e1mico o multimodal avanzado. Es el talento humano que con tes\u00f3n, vocaci\u00f3n y esmero proporciona d\u00eda a d\u00eda el mejor cuidado posible en busca de lograr el mejor desenlace. Conocedores de la importancia que representa la formaci\u00f3n del recurso humano y el fomento del pensamiento cr\u00edtico-disruptivo, este art\u00edculo tiene como objetivo presentar un relato din\u00e1mico del nacimiento de la Medicina Cr\u00edtica como especialidad, su desarrollo en Colombia y c\u00f3mo evolucion\u00f3 el inter\u00e9s de los m\u00e9dicos obstetras por adquirir las competencias necesarias para liderar el manejo de este tipo de pacientes. A lo largo de este documento el lector encontrar\u00e1 un relato ameno, homenaje al aporte realizado por visionarios, quienes fragmentando el statu quo, se\u00f1alaron el derrotero para futuras generaciones. Este recuento hist\u00f3rico tambi\u00e9n tiene como prop\u00f3sito inspirar al lector para que emprenda la b\u00fasqueda de una senda que conduzca a la ruptura de paradigmas, pues la muerte no es el cese del latido cardiaco o la ausencia del impulso respiratorio; es una existencia libre de cualquier cuestionamiento pues, indudablemente, se\u00f1ala el deceso del esp\u00edritu.<\/jats:p>","DOI":"10.18597\/rcog.4445","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T11:05:41Z","timestamp":1744283141000},"update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Medicina cr\u00edtica y cuidado intensivo en obstetricia: en b\u00fasqueda del legado","Critical care medicine and intensive care in obstetrics: in search of a legacy"],"prefix":"10.18597","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5355-729X","authenticated-orcid":false,"given":"Carlos Fernando","family":"Grillo-Ardila","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad Nacional de Colombia. Bogot\u00e1 (Colombia); Critical Medicine and Intensive Care Program, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Departamento de Obstetricia y Ginecolog\u00eda, Facultad de Medicina, Universidad Nacional de Colombia. Bogot\u00e1 (Colombia); Programa de Medicina Cr\u00edtica y Cuidado Intensivo, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2609-3132","authenticated-orcid":false,"given":"Luis Carlos","family":"Triana-Moreno","sequence":"additional","affiliation":[{"name":"Critical Medicine and Intensive Care Program, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia); Intensive Care Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Programa de Medicina Cr\u00edtica y Cuidado Intensivo, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia); Unidad de Cuidado Intensivo, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9668-6788","authenticated-orcid":false,"given":"Oscar Orlando","family":"Sanabria-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia); Department of Internal Medicine, Faculty of Medicine, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia)."},{"name":"Unidad de Cuidado Intensivo, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana. Bogot\u00e1 (Colombia); Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Javeriana. 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Apuntes para la historia del Cuidado Intensivo en Colombia [Internet]. 2025. Bogot\u00e1: Academia Nacional de Medicina de Colombia. Disponible en: https:\/\/anmdecolombia.org.co\/apuntes-para-la-historia-del-cuidado-intensivo-en-colombia\/","DOI":"10.2307\/jj.30979306.6"},{"key":"103187","doi-asserted-by":"crossref","unstructured":"8. Umobong E, Mayo P. Critical care airway management. Crit Care Clin. 2018;34(3):313-24. https:\/\/doi.org\/10.1016\/j.ccc.2018.03.006","DOI":"10.1016\/j.ccc.2018.03.006"},{"key":"103188","doi-asserted-by":"crossref","unstructured":"9. Malbrain M, Van Regenmortel N, Saugel B, De Tavernier B, Van Gaal P, Joannes O, et al. Principles of fluid management and stewardship in septic shock: It is time to consider the four D's and the four phases of fluid therapy. Ann Inten Care. 2018;8(1):66. https:\/\/doi.org\/10.1186\/s13613-018-0402-x","DOI":"10.1186\/s13613-018-0402-x"},{"key":"103189","doi-asserted-by":"crossref","unstructured":"10. Chidambaram S, Goh E, Rey V, Khan M. Vasopressin vs noradrenaline: Have we found the perfect recipe to improve outcome in septic shock? J Crit Care. 2019;49:99-104. https:\/\/doi.org\/10.1016\/j.jcrc.2018.10.029","DOI":"10.1016\/j.jcrc.2018.10.029"},{"key":"103190","doi-asserted-by":"crossref","unstructured":"11. Evans L, Rhodes A, Alhazzani W, Antonelli M, Coopersmith C, French C, et al. Surviving sepsis campaign: International guidelines for management of sepsis and septic shock 2021. Inten Care Med. 2021;47(11):1181-247","DOI":"10.1007\/s00134-021-06506-y"},{"key":"103191","doi-asserted-by":"crossref","unstructured":"12. Grillo C, Tibavizco D, Triana L, Rugeles S, Vallejo M, Calder\u00f3n C, et al. Early enteral nutrition (within 48 h) for patients with sepsis or septic shock: A systematic review and meta-analysis. Nutrients. 2024;16(11). https:\/\/doi.org\/10.3390\/nu16111560","DOI":"10.3390\/nu16111560"},{"key":"103192","doi-asserted-by":"crossref","unstructured":"13. 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