Browsing by Author "Vidal Carpio, Jenny Marcela"

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Comparación del valor pronóstico de la escala revisada de trauma y apache II con la sobrevida de pacientes traumatizados graves. Hospital Vicente Corral Moscoso, 2013
(2014) Vidal Carpio, Jenny Marcela; Abad Vázquez, Jaime Patricio; Tenezaca Tacuri, Ángel Hipólito
History: severe trauma is a real public health problem worldwide, being violence and traffic accidents the most common cause of this problem. To predict the survival of these patients, scales are used, which contribute to this end. Objective: to determine that the revised scale of trauma is a better predictor of survival than the APACHE II, compared with survival to 30 days of severe trauma patients admitted to Hospital Vicente Corral Moscoso. Materials, methods and types of study: a descriptive study of 91 medical records of patients diagnosed with severe trauma and admitted to Hospital Vicente Corral Moscoso was performed from december 2012 to may 2013. The results were: male-predominant with a percentage of 80.22% and a percentage of 19.78% were female; the most common group ages were between 16 and 44 years. Traffic accidents had a percentage of 30%, followed by stab wounds with a percentage of 21%. The RTS predicted that a percentage of 96.70% will live and a percentage of 3.30% will die. APACHE II predicted that a percentage of 93.3% will live and a percentage of 6.59% will die; while 30 days after the trauma occurred, the following result was obtained: a percentage of 79.12% lived and a percentage of 20.88% died. Conclusion: APACHE II is a better predictor of survival than the RTS scale. Keywords: SEVERE TRAUMA, RTS, APACHE II, SURVIVAL.
Damage control in penetrating cardiac trauma
(2021) Ferrada, Ricardo
Definitive management of hemodynamically stable patients with penetrating cardiac injuries remains controversial between those who propose aggressive invasive care versus those who opt for a less invasive or non-operative approach. This controversy even extends to cases of hemodynamically unstable patients in which damage control surgery is thought to be useful and effective. The aim of this article is to delineate our experience in the surgical management of penetrating cardiac injuries via the creation of a clear and practical algorithm that includes basic principles of damage control surgery. We recommend that all patients with precordial penetrating injuries undergo trans-thoracic ultrasound screening as an integral component of their initial evaluation. In those patients who arrive hemodynamically stable but have a positive ultrasound, a pericardial window with lavage and drainage should follow. We want to emphasize the importance of the pericardial lavage and drainage in the surgical management algorithm of these patients. Before this concept, all positive pericardial windows ended up in an open chest exploration. With the coming of the pericardial lavage and drainage procedure, the reported literature and our experience have shown that 25% of positive pericardial windows do not benefit and/or require further invasive procedures. However, in hemodynamically unstable patients, damage control surgery may still be required to control ongoing bleeding. For this purpose, we propose a surgical management algorithm that includes all of these essential clinical aspects in the care of these patients. © 2021, Facultad de Salud de la Universidad del Valle. All rights reserved.
Factores poblacionales y operativos intervinientes en la determinación de sintomáticos respiratorios, programa de control de tuberculosis provincia del Azuay área N° 3, 2004
(2006) Torres Orellana, Mónica Andrea; Ullauri Ullauri, Ximena Alexandra; Vélez Espinoza, Cesar Eduardo; Vidal Carpio, Jenny Marcela; Andino Vélez, José Gerardo
n order to establish the population and operational factors involved in the success or failure of DOTS program. 420 population surveys and 1 are performed in each operating unit evaluated the health area number 3. knowledge of the population is investigated in connection with prolonged cough and the possibility that this symptom is an expression of tuberculosis. Results: Of the five sub-centers that make up the area no. 3 (Quingeo, Santa Ana, El Valle, Turi and Huayna Capac) all except Quingeo were investigated due to the absence of health personnel. 3 areas were found to have all the necessary materials. With regard to the communities the most striking fact is that the 47,3de people prefer to go to a particular method and not to the offices of MSP lack of confidence in public institutions. Conclusions: one of the factors leading to failure is the lack of information DOTS to the community and the lack of symptoms and the severity of tuberculosis
Mini-cole- Lap
(Universidad de Cuenca. Facultad de Ciencias Médicas, 2012-06) Vidal Carpio, Jenny Marcela; Astudillo Molina, Rubén Octavio