Browsing by Author "Salazar Torres, Zoila Katherine"

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Ecografía doppler de la arteria pulmonar como indicador de madurez pulmonar fetal, Cuenca – Ecuador
    (2020) Orellana Ortega, Jonnathan Paul; Salazar Torres, Zoila Katherine; Cardenas Heredia, Freddy Rosendo; Orellana Guerrero, Romulo Vinicio; Mendez Cabrera, Saul Fabricio; Sanchez Salazar, Gustavo Mauricio
    Introduction: pulmonary artery flow metric in healthy fetuses can be a predictive study of lung maturity, which leads to an impact on the decrease in perinatal mortality.Objective: to establish the ratio of pulmonary artery acceleration time to ejection time (AT/ET) as an indicator of fetal lung maturity in pregnant women from 26 to 40 weeks of gestation (WG), users of the “Hospital Especializado Fundación Humanitaria Pablo Jaramillo Crespo”, period 2017.Methods: A validity study of diagnostic tests was carried out. Pulmonary artery flow metric was evaluated by Doppler ultrasound in 300 healthy fetuses of pregnant women between 15 to 45 years old. Surveys were used to collect data. Sensitivity (S), specificity (E), positive predictive value (PPV) and negative predictive value (NPV) were used to determine validity.Results: the value of the TA / TE index of the pulmonary artery was 0.216 for pregnant women between 26-28 WG; of 0.253 between 29-31 WG; 0.279 between 32-34 WG; 0.315 for pregnant women between 35-37 WG and 0.349 between 38-40 WG. The 37 WG at the cut-off point was 0.320; the ROC area was 0.98 with a S: 95.2%, E: 97.2%. The PPV 93.0% and NPV 98.1%.Conclusions: the AT/ET ratio of pulmonary artery showed correlation with gestational age. An AT/ET ratio of 0.320, as a cut-off point, predicts fetal lung maturity
  • Thumbnail Image
    Item
    Manejo del dolor postoperatorio con morfina en anestesia espinal en cirugía gineco-obstétrica de la Fundación Pablo Jaramillo Crespo
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-10) Tapia Cárdenas, Jeanneth Patricia; Salazar Torres, Zoila Katherine
    Objective: To evaluate the efficacy of the treatment in postoperative pain with the use of morphine in conductive anesthesia in patients with gynecological obstetric surgery. Pablo Jaramillo Crespo Foundation; September-December 2011, Cuenca 2015. Methods: It is an observational, analytical, prospective and quantitative study. They included, with the classification of the American Society of Anesthesiologists (ASA) I and II, to 231 patients between 15 and 65 years, who were hospitalized in the Pablo Jaramillo Crespo Foundation for gynecological-obstetric surgery, conducted from September to December 2011. Doses of morphine were administered: 2 mg for epidural and 0.2 mg for spinal anesthesia. The pain was assessed at 12 and 24 hours, with the visual analog scale of pain intensity (VAS). Results: The morphine used did not have preservatives. It was observed that spinal anesthesia shows a slight advantage to the epidural, with better tolerance to pain at 12 and 24 hours (p <0.05). There was no a relationship between the etiology of obstetric and gynecological surgeries with pain at 12 and 24 hours (p>0.05). In 25.78% of cases, the morphine analgesia for spinal administration was supplemented using ketorolac intravenously. A 49.2% of patients did not show side effects of these. The most observed were: pruritus (13.14%), urinary retention (11. 3%), nausea (9.8%) and vomiting (6.9%). Conclusion: The use of morphine dose: 2 mg for epidural and 0,2 mg for spinal anesthesia, provides a favorable recovery of pain in patients with gynecological and obstetric surgery. The side effects caused by their administration can be handled efficiently without altering the postoperative recovery