Browsing by Author "Barzallo Sacoto, Jorge Eduardo"
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Item Alteraciones de la glucemia en anestesia general con halotano vs. fentanyl. Hospital José Carrasco Arteaga [IESS](1998) Mera González, Rita del Consuelo; Marín Torres, Esperanza del Carmen; Cañizares Aguilar, Aurelio Ernesto; Barzallo Sacoto, Jorge EduardoItem Alteraciones de la glucemia en anestesia general con halotano vs. fentanyl. Hospital José Carrasco Arteaga [IESS].1997(Universidad de Cuenca, 1998-11-11) Mera González, Rita del Consuelo; Marín Torres, Esperanza del Carmen; Barzallo Sacoto, Jorge Eduardo; Cañizares Aguilar, Aurelio ErnestoItem Analgesia con el uso de fentanilo en la anestesia raquídea(1993) Berrezueta, Luis; Vega, Laura; Barzallo Sacoto, Jorge EduardoItem Analgesia epidural con bupivacaína en el trabajo de parto en multíparas del Hospital Vicente Corral Mosoco 1995-1996(1997) Washco Castro, Wilson Fabián; Auquilla Tacuri, Martha Cecilia; Andrade Iglesias, Luis Bolívar; Cárdenas Herrera, Oswaldo José; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime RodrigoItem Analgesia post operatoria con morfina por vía caudal en cirugía pediátrica(1992) Landy Guamán, César Alberto; Aucapiña V., José; Barzallo Sacoto, Jorge Eduardo; Aguilar Moscoso, Juan MarceloItem Analgesia postcesárea con 10 mg de bupivacaína al 0,5% más 0,15mg de morfina vs 10 mg de bupivacaína al 0,5%, en anestesia subaracnoidea, Hospital Vicente Corral Moscoso, Cuenca 2010(2012) Urgilés González, Paola Xiomara; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván EladioObjective. To compare the analgesia posoperatoria and indirect effect produced by 10 mgs of bupivacaína to 0.5% + 150 micrograms of morphine versus 10 mgs of bupivacaína to 0.5%, in subarachnoid anesthesia for Cesarean. Material and methods. With an experimental design maternal ones programmed for Cesarean were included 150, divided in two equal groups group VM it received 10 mgs of bupivacaína + 150 micrograms of morphine and group B 10 mgs of bupivacaína to 0.5%. The analgesia in a scale EAV of four dimensions was moderate (without pain, slight pain, moderate pain and severe pain), to 2, 6, 12, 24 and 48 h of the surgery and registered the indirect effect. Results. During the first 6 hours 94.7% of patients of group VM and 8% of group B, did not have pain (P < 0.0001), but to the 12 and 24 hours the pain was similar in both groups. To the 48 hours P were more patients with slight pain in group VM (= 0.012) although in no of the groups there was moderate nor severe pain. The nausea incidence was significantly greater in the patients than they received morphine and was prurito in 60% of this group. Discussion. The results of the work differ from the published ones that report major time of analgesia. The indirect effect were similar to the described ones in Literature. DeCS: COMPARATIVE STUDY; MORPHINE-THERAPEUTIC USE; BUPIVACAINE- THERAPEUTIC USE; PAIN, POSTOPERATIVE-THERAPY; ANESTHESIA, SPINAL-METHODSItem Analgesia postcesarea y estudio del apgar en recién nacidos con fentanyl y morfina por vía peridural en los años 1992-1993 lugar de estudio HVCM(1994) López Bustamante, Lauro Raúl; Marín Torres, Tarquino Gerardo; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime RodrigoItem Analgesia postoperatoria con bloqueo de plexo braquial con: L-bupivacaina al 0,25% VS bupivacaina al 0,25% en pacientes mayores de 18 años, Hospital Vicente Corral Moscoso, 2009-2010(2010) Molina Neira, Sofía Marcela; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván EladioObjective. Compare produced by L-bupivacaine sensitive block time and frequency motor lock compared with bupivacaine, to the same concentration and dose administered to patients in whom was blocking brachial plexus for upper limb surgery. Materials and methods. With an experimental design included 90 patients of both sexes, age 18, divided into two equal groups to receive either 30-40 ml of L-bupivacaine 0.25% (n = 45) or 30-40 ml of 0.25% bupivacaine (n = 45). Measured time sensitive lock postoperative, frequency motor lock, hemodynamic behavior and secondary reactions to drugs. Results. Groups were comparable in demographic characteristics and the control variables. There was also significant differences in hemodynamic behavior of groups but was detected transient tachycardia in 8.9% (n = 4) of the group that received bupivacaine (P = 0,041). The average time sensitive lock was 637,3 ± 72.6 min (range 540-840) for the group to receive L-bupivacaine and 314.8 ± 51,1 min (range 180-420) for the group that received bupivacaine (P < 0.01). There was no engine block in the group receiving L-bupivacaine but yes in 80% (n = 36) of the group that received bupivacaine (P < 0.01). Conclusions. L-bupivacaína is as effective as bupivacaine for brachial plexus block when required surgery of the upper limb in patients 18 years of age or older. L-bupivacaine relevant feature is its long time sensitive lock and the lower frequency motor lock as bupivacaine. Key words: L-bupivacaine, bupivacaine, brachial plexus, sensitive block, motor block.Item Analgesia postoperatoria en traumatología: eficacia analgésica de la buprenorfina intratecal a dosis única estándar en comparación con dipirona IV Cuenca- H.V.C.M.-2000(2000) Viteri León, Octavio Enrique; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime RodrigoItem Analgesia postoperatoria: efecto de la adición de fentanil a la anestesia peridural lumbar convencional: lidocaina al 2 por ciento con y sin epinefrina en pacientes quirúrgicos del H. Vicente Corral M. de Cuenca 1991-1992(1992) Puruncajas Segarra, Jorge Enrique; Barzallo Sacoto, Jorge Eduardo; Flores Durán, Carlos TeodoroItem Anestesia con remifentanil en infusión para colecistectomía laparoscópica vs. anestesia general clásica(2003) Barzallo Sacoto, Jorge Eduardo; Moscoso Abad, Teodoro Enrique; Carlos Teodoro, Flores DuránItem Anestesia con temifentanil+desflurano vs. fentanil+desflurano, para colecistectomía laparoscópica(Universidad de Cuenca. Facultad de Ciencias Médicas, 2010-04) Barzallo Sacoto, Jorge Eduardo; Flores Durán, Carlos TeodoroRemifentanil is a novel agonist of mu receiving, metabolized for inespecific esterase in blood and tissues, without lolling any organ and its metabolites they are inactive. Due to their unique pharmacological profile, anesthesia base don Remifentanil combines an opioid, sure and deep for surgery, with a quick and predictable recovery. It presents other advantages like the hemodynamic stability, especially on endotracheal intubations and cutaneous incision, as well as a reduced risk breathing depression in the post-operative room. Compared with conventional classic technique fentanildesfluorano whose obstacle was fear opioids overdose being carried out for it control of anesthesia base on the anesthetic inhalator or propofol. In such virtue, use of remifentanil in infusión bombs probably will change our current anesthesia administration methods.Item Anestesia epidural en cesárea: estudio comparativo entre lidocaina + Fentanyl vs. dosis convencional de lidocaina. Cuenca, HVCM/IESS.199-2000(2001) Bojorque Bojorque, Luz María; Cumbe Alvarado, José Alfonso; Barzallo Sacoto, Jorge Eduardo; Ortiz Segarra, José IgnacioItem Anestesia espinal con lidocaína isobárica e hiperbárica para cesárea: Hospital Vicente Corral Moscoso, Cuenca 2005-2006(2007) Morales Rodríguez, Carla Johana; Ortiz Seminario, Mauricio de Jesús; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime RodrigoItem Anestesia espinal en cesárea con bupivacaína 0.5 por ciento: estudio comparativo entre la solución isobárica e hiperbárica(Universidad de Cuenca, 1997-11-11) Salcedo, Claus; Lema, Luis; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime RodrigoItem Anestesia espinal en cesárea con bupivacaína 0.5 por ciento: estudio comparativo entre la solución isobárica e hiperbárica(1997) Salcedo Serrano, Claus Augusta; Lema, Luis; Barzallo Sacoto, Jorge Eduardo; Morales Sanmartín, Jaime RodrigoItem Anestesia para el paciente ambulatorio: comparación de una técnica intravenosa con una técnica balanceada(1996) Cisneros Vallejo, Norma Cecilia; Vázquez Calero, Pedro Iván; Alvarez Avila, Carlos Jovany; Barzallo Sacoto, Jorge EduardoItem Anestesia para miembro superior con la utilización del estimulador de nervio periférico: Hospital Vicente Corral Moscoso -2007(2008) Araujo Astudillo, Juan Diego; Illescas Mogrovejo, Irene Elizabeth; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván EladioItem Anestesia total intravenosa con propofol vs anestesis balanceada con sevoflurano, para la cirugía abdominal, Hospital Vicente Corral Moscoso, Hospital José Carrasco Arteaga, 2009-2010(2010) Ordóñez Ugalde, Xavier Eduardo; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván EladioWith the last inovations in surgery, we required a better anaesthesic control and minimal side effects in the post operatives rooms. Right know we have the balanced general anaesthesia and lately with the new intravenous agents like propofol, we can do a maintenance during anaetshesia with endovenous drogs, avoid from this way the toxicity of the fluorathes componenets. Total intravenous anaesthesia (TIVA) is increasingly used in surgery. TIVA may provide fast recovery of psychomotor function, less nausea, thus being of benefit to both the patient's behaviour and postoperative management. The purpose of this prospective study was to compare postoperative recovery from TIVA using propofol as the hypnotic component and balanced anaesthesia with sevoflurane. Objetive: This study was designed to investigate the differences between TIVA with propofol and remifentanil, and balanced anaesthesia with sevoflurane and remifentanil in abdominal surgery. Emphasis was put on hemodynamic reaction, recovery profile, and postoperative side effects. Methods: One hundred eighty six patients were randomly assigned to receive either total intravenous anaesthesia with propofol and remifentanil (ninety three patients) or anaesthesia with sevoflurane and remifentanil (ninety three patients). After induction of anesthesia (propofol, rocuronium, remifentanil) in both groups, anaesthesia was maintained with 0.5 microgram/kg/min remifentanil (reduced to 50% after 5 min) and 4 mg/kg/h propofol or 1.8 vol % sevoflurane. Both groups were mechanically ventilated. The administration of sevoflurane and the infusion of the anaesthetics were adjusted to maintain a surgical depth of anaesthesia. At the end of surgery the anaesthetics were discontinued and hemodynamic, early emergence from anaesthesia, quality of awake, incidence of PONV, awareness, shivering and patient satisfaction were assessed. Parameters were recorded each 15 minutes postoperatively. Results: Recovery time after propofol-remifentanil anaesthesia was significantly shorter than after administration of sevoflurane remifentanil (traqueal extubation 4.96 vs. 7.34 min, eye opening 5.3 vs. 8 min, orientation in time, space and person 15 min vs. 30 min. There were no significant differences between the groups in blood pression and hemodynamic stability. Side effects like PONV (RR 4 (IC95%: 1.4 - 11.5) P = 0,009)., headache (RR 3.25 (IC95%: 1.1 - 9.6) P = 0,041) were significantly less in the propofol Group. Awareness were presented in two patients in propofol group, but there were no significant differences between the two groups. Conclusion: TIVA with propofol and remifentanil proved to be particularly suited for abdominal surgery. It´s major advantages are significantly shorter times of emergence, and the exceptional acceptance by the patients. Key words: TIVA, balanced anaesthesia, propofol, sevoflurane, awareness, recovery profile.Item Bloqueo del plexo braquial por vía supraclavicular como técnica anestésica para cirugía de miembro superior, Hospital Vicente Corral, Cuenca 2005(2007) Daquilema Izquierdo, María Salomé; Mosquera Rodríguez, Fernando Patricio; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván Eladio
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