Browsing by Author "Morales Paredes, Miguel Leonardo"

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Cambios hemodinámicos entre laringoscopía rígida y fibroscopía en pacientes de la tercera edad Hospital Vicente Corral Moscoso, Cuenca 2014
(2016) Peñafiel Vicuña, Cristina Isabel; Morales Paredes, Miguel Leonardo; Arévalo Peláez, Carlos Eduardo
Layngoscopy and endotracheal intubation are procedures in general anesthesia that can cause significant hemodynamic changes, the same that are tolerable in young patients but in older adults these changes can cause serious cardiac effects such as arrhythmias and acute infarcts. Objective: To determine the hemodynamic changes in the rigid laryngoscopy and fibroscopía in elderly patients of the Hospital Vincent Corral Moscoso, Cuenca 2014. Material and methods: a clinical trial was conducted, randomized, single-blind study with 90 patients adults over 65 ASA II, who underwent general anesthesia with endotracheal intubation need with rigid vs Fibroscopia laryngoscopy. It was compared the haemodynamic changes: blood pressure and heart rate in both groups was considered clinically important changes to the increase of 20% of the basal values. Results: The groups were comparable according to the scale of Mallampati, comorbidity and age. The average time of intubation with the rigid laryngoscope is 9.73 ± 6.22 seconds and with the fiberscope is 24.27 ± 16,58 seconds. These differences are statistically significant, p=0.011. No statistically significant differences were observed between the values of heart rate and blood pressure, values of p>0.05. Conclusions: There are no statistically significant differences in the parameters of the blood pressure and heart rate when performing endotracheal intubation with rigid laryngoscope or fiberscope. The intubation time is less with the rigid laryngoscopy
Eficacia anestésica y duración analgésica de la bupivacaína al 0.25% + morfina vs bupivacaína al 0.25% en bloqueo del plexo braquial para cirugía de miembro superior en pacientes del Hospital Vicente Corral Moscoso, Cuenca 2014
(2016) Espinoza Bernal, Flora Judith; Morales Paredes, Miguel Leonardo; Arévalo Peláez, Carlos Eduardo
Introduction: Surgery of men in certain cases can be a challenge to the anesthesiologist that warrants of the domain of certain techniques of regional anesthesia and management of complications and analgesia in the first 24-48 hours. Objective : To compare the effectiveness between anesthetic bupivacaine 0.25% + morphine and 0.25 % bupivacaine alone in the blockade of the brachial plexus for surgery of the upper limb at the Hospital Vicente Corral Moscoso, Cuenca 2014. Methodology: design a randomized clinical study single-blind, to assess the effect of the addition of bupivacaine more morphine vs. bupivacaine alone in patients older than 18 years operated with supraclavicular brachial plexus block. The Group I patients received bupivacaine 0.25 % 75 mg in a total volume of 30 ml and the patients of the Group II were treated with 0.25 % bupivacaine 75 mg + morphine 50 ug/kg in a total volume of Results: the study groups were comparable in age, sex, type of intervention, weight, height and surgical time. A significant difference was found in the average latency of 7.05 minutes. The latency time is greater in the group of bupivacaine 11.16 minutes in relation to the group that received bupivacaine + morphine 4.11 minutes, p-value=0.000 . Similarly, the addition of bupivacaine + morphine provides more than double the time of 915.79 minutes analgesia when compared with the single administration of bupivacaine 280.53 minutes, p-value=0.000 . Side effects such as vomiting were higher for the addendum bupivacaine and morphine
Levobupivacaina al 0.5 por ciento sin epinefrina en anestesia de plexo braquial por via axilar con neuroestimulador. Hospitales Vicente Corral y José Carrasco, Cuenca 2007
(2008) Morales Paredes, Miguel Leonardo; Morochz Corenel, Jenny Alexandra; Barzallo Sacoto, Jorge Eduardo; Orellana Cabrera, Iván Eladio
Prácticas culturales en la atención del parto y recién nacido Azuay 2000
(2002) Bravo Aguilar, Christian Romeo; Morales Paredes, Miguel Leonardo; Noboa Alvarez, Janeth Patricia; Quizhpe Peralta, Arturo Octavio; García Alvear, Jorge Luis
Prevalencia y factores asociados al Síndrome de Burnout en los anestesiólogos de la ciudad de Cuenca. Cuenca, 2013 - 2014
(2016) Farez Picón, Johanna Gabriela; Morales Paredes, Miguel Leonardo; Orellana Cabrera, Iván Eladio
Objective. Determine the prevalence of burnout syndrome in anesthesiologists working in the city of Cuenca and estimate the association to: work overload, injustice in recognition of the work performed and not comfortable working environment. Material and methods. With a cross-sectional information anesthesiologists working in the city of Cuenca, who wish to participate in the study, which included answering an interview form Maslach Burnout Inventory (MBI), HSS (Human Services Survey) version in Spanish it was collected , consisting of 22 questions as statements about feelings and attitudes of the professional in his work. Results. 65 anesthesiologists, 61% male and 76% were included married. Median: age 44 (30 to 69) years of exercise 10 (1 to 38), anesthesia/day 5 (2 to 10) and 40 hours a week (4 to 90). 98% considered the specialty stressful but 80% qualifies as a good work environment. The prevalence of burnout syndrome was 36.9% with dimensions: 27% emotional exhaustion, depersonalization 27% and 84% lack of implementation. The workload was more prevalent in emotional distress [OR 2.1 (95% CI 0.4 - 9.9)] and depersonalization [OR 3.6 (95% CI 0.6 - 20.7)]; injustice in recognition of work in emotional distress [OR 13.3 (95% CI 1.3 - 316.4)] and depersonalization [OR 8.1 (95% CI 1.3 - 63.01)] (P <0.05) and not comfortable working environment in emotional distress [OR 3.6 (95% CI 0.5 - 23.9)], depersonalization [OR 4.1 (95% CI 0.7 - 23.5)] and failure to carry [OR 3.8 (95% CI 0.9 - 16.6)]. Discussion. The prevalence of burnout varies among studies and our number is located in the middle. Reduced personal accomplishment appears as the most relevant in the literature and confronted a relationship between burnout, depression and suicidal thoughts in training anesthesiologists warns