Browsing by Author "Ojeda Orellana, Silvana Magaly"

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    Determinación de los microorganismos más comunes y factores de riesgo en la infección de catéteres periféricos en el Hospital Vicente Corral Moscoso, Cuenca 2004-2005
    (2006) Ojeda Orellana, Silvana Magaly; Ordónez Cárdenas, Diana Patricia; Pinos, Nathalie; Galindo Banegas, Telmo Benjamín; Flores Durán, Carlos Teodoro
    The determination of the most common microorganisms and risk factors for the infection of peripheral catheters, are of great importance due to the high prevalence of infection of these hospitals. This situation favors greater frequency of infections, increased hospital costs, longer periods of hospitalization and additional treatment. The study was descriptive, in the period March-May 2005 and 75 muestyras catheter tip is obtained, risk factors (age, gender, length of stay of catheter placement service) included tips were cultured catheter and microorganism identification tests were performed. The prevalence of infection in the population studied was 32. Existing statistical significance at the time of the catheter and infection, the 70de patients who remained with peripheral vein for more than 72 hours were infected (p> 0.05), also He found that the greater the age of the older patient is the possibility of infection with a 53de prevalence in those over 60 years (p 0.035). The most common microorganisms were coagulase-negative staphylococci (62.5), coagulase positive Staphylococcus (20.8) and other 16.7). Which is consistent with other studies on this topic
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    Nalbufina, bupivacaina, y su combinación para el control del dolor en pacientes sometidos a colecistectomía laparoscópica, Hospital Vicente Corral Moscoso, Cuenca 2010
    (2010) Ojeda Orellana, Silvana Magaly; Figueroa Morales, Francisco Efraín; Merchán Bueno, Miguel Oswaldo
    Acute pain post-laparoscopic cholecystectomy is complex and different assessment, however the goal of treatment should be to get the comfort of patients undergoing surgical procedures. Objective: To determine the Nalbuphine and Bupivacaine preincisional periportal infiltration efficacy in patients undergoing laparoscopic cholecystectomy. Methodology: A randomized single-blind experimental study was performed, 99 patients are included, which compared the Bupivacaine and Nalbuphine effect with their separate effects in patients undergoing laparoscopic cholecystectomy. Three groups sere formed: A receiving Nalbuphine 10 mg intravenous preincisional, in B group, bupivacaine 0.25% periportal infiltration was administered, and C group (experimental group), receiving the combination 10 mg of Nalbuphine preincisional and bupivacaine periportal infiltration. The pain was assessed by visual analogue scale (VAS) using Nalbuphine as an analgesic supplement. Results: The Nalbuphine group had less pain than the experimental group and especially the buoivacaine group, so the Bupivacaine need more supplementary doses of analgesia (2.88 ± 0.89) on the Nalbuphine ( 1.55 ± 0.71) and experimental group (2.12 ± 0.78). Conclusions: Preemptive analgesia with Nalbuphine obtains better scores in comparison to Nalbuphine and bupivacaine combination. Bupivacaine alone does not have good results on pain control postcholecystectomy laparoscopy, and need more supplementary doses of analgesia Key words: Nalbuphine, Bupivacaine, Laparoscopic cholecystectomy, postoperative pain, patient controlled analgesia