Browsing by Author "Benavides Calle, Daniela Fernanda"

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Determinación preanestésica del volumen gástrico por ecografía en apendicectomías. Hospital José Carrasco Arteaga. Cuenca, 2020 – 2021
(Universidad de Cuenca, 2022-03-14) Benavides Calle, Daniela Fernanda; Palacios Reinoso, Carlos Santiago
Background: Breathing of gastric contents into the airways is a serious complication that can occur during local anesthesia; especially in emergency surgeries, such as appendectomies, where preoperative fasting is not always reliable and it is considerade full stomach. Ultrasound is a useful tool to measure gastric volume, predicting the risk of breathing into the airways, and to choose accurate anesthetic management. Objective: To determine the preanesthetic gastric volume by ultrasound in patients who are going to undergo appendectomy at the José Carrasco Arteaga Hospital. Methods: A descriptive observational study. The population consisted of adult patients undergoing appendectomy at the José Carrasco Hospital. The sample was calculated according to an unknown universe, obtaining 174 participants. The results were processed in SPSS V27, and expressed in measures of frequency, central tendency and dispersion according to the type of variable. A histogram was used for a general visualization of the behavior of the gastric volume. Results: the majority of patients were men, between 30 and 39 years old, overweight and ASA 1. The mean gastric volume was 41.88 ± 23.92 ml The average fasting time was 9.5 hours, 42.5% took clear liquids for the last time. 21.3% are considered to have “at risk stomach” condition and 1.7% have high risk of breathing into the airways. There was a change in anesthetic induction in 4.6%. Conclusions: the gastric volume measured by ultrasound was highly variable, the majority of patients had a low risk of aspiration and no association was found with any pharmacological or pathological factors that alter gastric emptying.
Prevalencia del síndrome metabólico en el personal que labora en la escuela de Medicina, Universidad de Cuenca, 2015
(2016) Benavides Calle, Daniela Fernanda; Pérez Zambrano, Andrés Leonardo; Vintimilla Maldonado, Jaime Rosendo
Objective To determinate the prevalence of Metabolic Syndrome in the personal who work in the School of Medicine of the University of Cuenca, in 2015. Methodology A descriptive, cross-sectional study was conducted with the participation of 82 people (45 teachers, 22 employees, 15 workers) who work at the School of Medicine of the University of Cuenca. The base data were collected through interviews and direct observation. The results were analyzed in the program Excel 2010. Results The ages varied between 27-60 years with a median of 43. Men represented 54.9 %; 65.9 % were married, 54.9 % were teachers. 51.2 % were sedentary people; the average BMI was 25.7 ± 4.1 SD; hypertriglyceridemia was 62.0 % and 67.1 % showed decreased levels of HDL. 17.1 % had metabolic syndrome according to ATPIII and 28.0 % according to the IDF. Conclusions According to the criteria of the ATP III, the prevalence of metabolic syndrome was 17.1 %. On the other hand, according to the IDF, the prevalence was 28.0 %. The prevalence found was less than what was reviewed in previous studies.