Browsing by Author "Ortiz Saltos, Elsa Raquel"

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Actualización en el uso de sulfato de magnesio en obstetricia. Revisión sistemática
(Universidad de Cuenca, 2021-05-28) Ortiz Saltos, Elsa Raquel; Ballesteros Quijije, Favia Gabriela; Salazar Torres, Zoila Katherine
Background: Magnesium sulfate is a drug widely used in obstetrics for its anticonvulsant, antihypertensive, antineuroinflamatory and fetal neuroprotection effects, thus contributing to the reduction of maternal and neonatal mortality. Objective: describe maternal and neonatal benefits, complications, symptoms and signs of the use of magnesium sulfate in the obstetric field Methodology: observational study, systematic review. Controlled clinical trials, systematic reviews, analytical and descriptive studies were included. The articles analyzed were published in the last five years as quartile evidence 1 to 3, in English and Spanish, and extracted from electronic bases such as Pubmed, Medline, Lilacs and Cochrane Result: Inhibition of seizures was the main beneficial effect in pregnant women after the administration of magnesium and especially premature neonates, this drug was found to be a protective factor in the occurrence of cerebral palsy and intraventricular hemorrhage. Hypotension and hyporeflexia were the most frequent signs of intoxication. Regarding maternal complications, the most common included: renal failure, acute lung edema and postpartum hemorrhage, and in neonatal disorders, bradycardia was described as the most common. Conclusions: magnesium sulfate showed multiple benefits during perinatal administration, especially in the management of seizures and fetal neuroprotection; Although adverse events were evidenced, its benefits outweigh the risks inherent in its use. Limitations: the difficulty of access to high quality information due to its high economic categories.
Prevalencia y características de la neumonía asociada a ventilación mecánica en pacientes de la unidad de cuidados intensivos del Hospital José Carrasco Arteaga. cuenca, 2012.
(2014) Morocho Uguña, Johny Marcelo; Ortiz Saltos, Elsa Raquel; Buenaño Barrionuevo, Eduardo Efrén; Sacoto Molina, Adrian Marcelo
Objective: To determine the prevalence and characteristics of pneumonia associated with mechanical ventilation in patients of I.C.U of the Hospital José Carrasco Arteaga, of the I.E.S.S, of Cuenca, in the year 2012. Methodology: Transversal descriptive studio, the sample with a total of 19 patients was taken by convenience, and the chosen were those patients undergoing mechanical ventilation that developed AVN of a total of 167 admitted ventilated. The data collection was carried out through the review of medical histories and their subsequent entry into the questionnaire. Results: The prevalence of pneumonia associated with mechanical ventilation is 11.38%, age with more frequency ranged 50 to 64 years. Comorbidities of patients the DMTII was that most frequent. The most frequent causal germ found was the Staphylococcuss Aureus. The days of hospital stay ranged from 11 to 30 days, Mortality represents a 26.3% corresponding to a total of 5 patients of the 19 who made AVN. The data may be used by students, medical staff, authorities of the Hospital J.C.A. Conclusions: The prevalence of AVN in the U.C.I. of the Hospital J.C.A is low, with a mortality of one-quarter of the total of patients with AVN, it is important to consider that there is a probability of developing especially when age and days of stay increase. KEY WORDS: DISEASES; RESPIRATORY DISEASES; PULMONARY DISEASES; RESPIRATORY TRANSTORNOS; INFECTIONS OF THE RESPIRATORY SYSTEM; PNEUMONIA; RESPIRATORY INSUFFICIENCY; RESPIRATORY SERIOUS SYNDROME; CARE INTENSIVE; MECHANICAL VENTILATION