Browsing by Author "Cajamarca Bermeo, Vilma Adriana"

Now showing 1 - 2 of 2

Frecuencia y características clínicas de la corrección de las cardiopatías congénitas mediante transcateterismo en el Hospital José Carrasco Arteaga y Santa Inés, 2009-2011
(2013) Bueno Rosales, José Mateo; Cabrera Izquierdo, Karol Jessenia; Cajamarca Bermeo, Vilma Adriana; Delgado Vázquez, Bolívar Efraín; Morales Sanmartín, Jaime Rodrigo
Introduction. Congenital heart defects left to their natural course have a high mortality. In our region is still driving through open heart surgery 12 years ago. From 2009 on Joseph Hospital and Saint Agnes Carrasco Arteaga began therapy with percutaneous closure by transcatheter. Objectives. Describe the frequency and clinical features of congenital heart diseasecorrected by Transcatheter. Material and methods. With a descriptive observational data collected from the medical records of patients with congenital heart disease from October 2009 to December 2011 in the hospitals indicated. Results. Information was collected from 135 patients whose ages ranged from 1 to 80 years. The casuistry represents an acyanotic heart rate of 23 for every ten thousand queries. The findings were: subset of the most prevalent age of 1-19 years in 60.8% of cases, the women were the most affected (62.2%) were overweight in 16.3% of patients. There was a family history of heart disease (42.2%), CIA (40.7%) was more frequent than PCA (31.9%) and VSD (27.4%). The clinic was manifested by dyspne a grade I (26.7%), grade I Heart failure was the most common comorbidity (16.3%). 59.3% of the series were hospitalized for 24 hours presenting embolism as a complication (3.7%). The mortality rate was 0.7%. Discussion. Some results of this collection differ from those published in the medical literature but treatment in hospitals where the study was performed transcatheter has meant a promising alternative especially for the low frequency of complications.
Incidencia de complicaciones durante la ventilación e intubación y su relación con el índice de masa corporal, Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, 2017-2018
(2019) Cajamarca Bermeo, Vilma Adriana; Naranjo Bernal, Ligia Elena; Palacios Reinoso, Carlos Santiago
Background: Basic airway management includes evaluating and managing airway patency, oxygen administration and ventilation. In these processes complications can occur that can increase the morbidity and mortality of patients. Methodology: a cohort study was carried out with a sample of 390 patients scheduled for surgery under general anesthesia. Validated tests were used for preanesthetic assessment and prediction of ventilation, difficult intubation and complications. For the hypothesis test, the relative risk was applied with its 95% confidence interval. Statistically significant results were considered at values of p <0.05. Results: 25.10% of complications related to ventilation were observed, 8.5% with intubation and 9.20% of both types. 26.9% of obese patients had difficult predictors. The difficulty to ventilation was greater in patients with obesity 20.5%. The risk factors for difficult intubation in overweight patients were: the tiromentonian distance (TMD) <6.5cm RR: 1.95 (95% CI: 1.03-3.70). In obese patients there was an increased risk of observing a grade III-IV in Mallampati RR 4.54 (95% CI: 2.34-8.79), RRT RR 3.64 (95% CI: 1.97-6.72), sternomental distance (DEM) <-12.5cm RR 6.57 (95% CI: 3.14-13.75), cervical diameter >42cm RR 2.94 (IC95%: 2.42-3.57). Conclusions: patients with overweight and obesity have a higher frequency of signs of ventilatory difficulty and risk of complications during intubation and later in ventilatory parameters.