Tesis Especializaciones (Ciencias Médicas)

Permanent URI for this collectionhttps://dspace-test.ucuenca.edu.ec/handle/123456789/3934

Browse

Now showing 1 - 3 of 3

Presión intra abdominal (pia) y complicaciones en pacientes postquirúrgicos por abdomen agudo ingresados en la unidad de cuidados intensivos (uci). Hospital Vicente Corral Moscoso Cuenca. 2015
(2016) Hidalgo Vallejo, Marianela Solange; Aguirre Paredes, René Humberto; Jaramillo Oyervide, Julio Alfredo
Increased intra-abdominal pressure produces pathophysiological changes affecting the biological functions in postsurgical patients, making diagnosis and treatment is very important. Objective. Determine the values of intra-abdominal pressure (PIA), its increase and relate the complications encountered in post-surgical patients admitted to acute abdomen area ICU Vicente Corral Moscoso Hospital of Cuenca. Methodology. Quantitative, observational cross-sectional study in post-surgical patients for acute abdomen admitted to ICU of Hospital Vicente Corral Moscoso, over 16 years of age who met the inclusion criteria. The sample collection was from January to December 2014. The measurement of the PIA was by indirect technique (urinary catheter), data were collected on a form designed for the study. Results. The average age was 63 years, 54.3% were men. 57.1% presented a PIA Grade II normotensive 48.6%, 88.6% had a normal diuresis. They were re operated 31.4%, only 2.9% showed paralytic ileus. Mechanically ventilated patients was 62.9% with p <0.05 significant. 48.6% developed sepsis. Conclusions. The measurement of intra-abdominal pressure is helpful today because it allows us to know the physiological changes that occur in the postoperative patient, warning us of its evolution and the need to re surgery
Prevalencia de bloqueo neuromuscular residual con rocuronio en la unidad de cuidados postanestésicos Hospital José Carrasco Arteaga, 2013
(2013) Orozco Arce, Katerine Fernanda; Buenaño Barrionuevo, Eduardo Efrén; Morocho Malla, Manuel Ismael
Objective: To determine the prevalence of muscular residual paralysis caused by neuro-muscular blockers, which are not depolarizing in the post-anesthetic care of the Jose Carrasco Arteaga Hospital department. Methodology: Transversal descriptive studio, carried out in the post-anesthetic care area of the Jose Carrasco Arteaga Hospital in 197 patients, who were selected at random. The diagnosis the residual neuro-muscular blocking was performed through the train of four (TOF) minor to 0.9; furthermore variables such as age, and sex were gathered, corporal mass index (IMC), ASA, surgical procedure and medical complications. This is a form for gathering data and after receiving the acceptance from the patient, relative frequencies were used for the analysis of data, percentages, central trend and dispersion measures, for the association square chi and the value of p and the measure the effect of prevalence rate (RP) with a confident interval of 95%. Results: The measure of age was set in 35.05 years with a DE of 12.32 years, noticing that the most prevalent sex is the female with the 52.3%. The patients ASA I with the 75.1% and the most prevalent nutritional distort was the overweight with the 44.2%. The most repeated procedure that of laparoscopic colecystomy with the 26.9% and the surgical time mean was of 75.39 minutes with a DE of 30.19 minutes. The trend of residual BNM was of 68.5%. It was not associated with the age, or the sex, neither the ASA, quantification with the BNM residual; likewise, the nutritional condition was not associated. The BNM residual increase the risk of hyphoxemy, disnea, disartria, visual disturbance and muscular weakness. Conclusions: The prevalence of BNMR is high in our population, similar to what the world literature has reported. It has not been related to demographic nor nutritional variables, but it increased the post-anesthetic health worsening. Key Words: RESIDUAL NEURO-MUSCULAR BLOCKING, POST ANESTHESIA RISK, TRAIN OF FOUR AND COMPLICATIONS.
Sensibilidad y especificidad del ultrasonido en apendicitis aguda en mujeres en el Hospital Vicente Corral Moscoso, 2013
(2014) Cevallos Agurto, Cecibel Yadira; Salamea Molina, Juan Carlos; Tenezaca Tacuri, Ángel Hipólito
Objective: To validate the effectiveness of abdominal ultrasound in women with clinical suspicion of acute appendicitis. Methodology: Descriptive study of diagnostic test, 323 patients with clinically suspected acute appendicitis who presented to the emergency area Vicente Corral Moscoso hospital between February and July 2013 were included. An abdominal ultrasound was performed to confirm the diagnosis and sensitivity, specificity, positive and negative predictive values in both women and men was measured and a general evaluation of the results was performed. Result: 323 abdominal ultrasounds were performed to assess the probable diagnosis of acute appendicitis determined by the patient's clinical, obtaining globally sensitivity 78.52% (73.29%-83.74%), specificity 78.52% (73.29%-83.74%), positive predictive value 84.81% (80.03%-89.59%) and negative predictive value of 36.05% (25.32%-46.78%). Correspond to 170 women and 153 men, in women there was sensitivity 76.38% (68.6%-84.16%), specificity 41.86% (25.95%-57.77%), positive predictive value 79.51% (71.94%-87.08%) and negative predictive value of 37.5% (22.76%-52.24%). In men found sensitivity of 80.62%, specificity 54.17%, positive predictive value 90.43% and negative predictive value of 34.21%. Conclusions: The diagnosis of acute appendicitis remains a clinical but abdominal ultrasound has an overall performance in our acceptable medium, due to its accessibility and low cost is the ideal test when faced with borderline cases especially women adnexal pathology and its use in men is restricted to cases greater diagnostic doubt. My results validated the sensitivity of the test with low level of specifity. Keywords: ACUTE APPENDICITIS, ACUTE ABDOMEN, ABDOMINAL ULTRASOUND.

Browse

Browsing Tesis Especializaciones (Ciencias Médicas) by Subject "Abdomen Agudo"