Browsing by Autor "Juan Gerardo Esponda Prado"

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Calcio sérico y sus variedades como predictor del estado nutricional a través de la valoración global subjetiva
(2023) Manuel Alejandro Márquez Valdez; Karen Escalante Rincón; Perla Marlene Guzmán Ramírez; Juan Gerardo Esponda Prado; Gilberto Guzmán‐Valdivia Gómez
mundial y el calcio sérico puede ser una variable relacionada a ésta.
Efectividad del equipo de respuesta rápida en el Hospital Ángeles Pedregal
(2017) Pedro Alejandro Elguea Echavarría; Christopher Hernández Cortés; Laura Ramírez Ramírez; Neftalí García Gómez; Claudia López López; Brenda Gómez Gómez; Alan Ernesto García García; Juan Gerardo Esponda Prado
A rapid response team (RRT) has the function to attend to the assessment of the hospitalized patient that presents clinical deterioration signs, this is in order to avoid further, preventable critical events and so reduce in hospital morbidity and mortality. The aim of this paper is to evaluate the effectiveness of the RRT in Hospital ngeles Pedregal. For this, we performed an observational, retrospective and transversal study from the period of February 1 2014 to June 30 2015. We analized the survival of the patients admitted to the ICU comparing a group of patients that were evaluated for a RRT against a group that were not evaluated. We identifi ed better survival in patients who received a RRT evaluation (37.7 versus 21.2% respectively) and this was independent of the severity of illness. Thus we conclude that the RRT works with effectiveness making possible an early detection of the patient with clinical deterioration, achieving a timely admission of the patient to Intensive Care Unit and a better survival.
Incidencia del <i>delirium</i> postoperatorio en pacientes que ingresan a la Unidad de Terapia Intensiva (UTI) del Hospital Ángeles Pedregal
(2021) Juan Gerardo Esponda Prado; José Manuel Portela Ortiz; Luis Antonio García Hernández; Silvia del Carmen Carrillo Ramírez; Christopher Hernández Cortés; Eduardo Teniza Frias
Objetivo: Evaluar la incidencia de delirium postoperatorio en la Unidad de Terapia Intensiva del Hospital ngeles Pedregal, as como identificar los factores de riesgo y el pronstico de los pacientes con delirium postoperatorio. Material y mtodos: Estudio de anlisis de frecuencia en el periodo comprendido del 01 de enero de 2018 al 31 de diciembre de 2019. Para el anlisis estadstico se emplearon medidas de tendencia central y de dispersin. Se busc la presencia de los factores de riesgo para delirium por riesgo relativo con IC al 95%. Para las asociaciones, se utilizaron las pruebas de 2 y U de Mann-Whitney segn se requiriera; p < 0.05 fue considerada estadsticamente significativa. Resultados y conclusiones: Nuestra muestra se conform de 84 pacientes. La incidencia de delirium postoperatorio durante su estancia en la UTI-HAP fue de 21.4%. La presencia de ventilacin mecnica se asoci estadsticamente ( 2 : 21.212, p = 0.00) con la presencia de delirium (riesgo relativo 16.46; IC 95% 4.72-57.3). S existi una diferencia estadsticamente significativa entre delirium postoperatorio y das de estancia en la Unidad de Terapia Intensiva (U Mann-Whitney 166; p = 0.000).
Instalación de catéter venoso central por ultrasonido. Experiencia de la Unidad de Terapia Intensiva del Hospital Ángeles Pedregal
(2017) A. Vidal; Christopher Hernández Cortés; Silvia del Carmen Carrillo Ramírez; Juan Gerardo Esponda Prado
The installation of a central venous catheter is a common situation in intensive care units. Since 1978 it was described the first ultrasound-guided catheterisation, thus demonstrating its effectiveness and decreased of mechanical complications. Objective: Identify the effectiveness of the placement of central venous catheter using ultrasound, and the complications attributable to the procedure. Methodology: Descriptive observational and longitudinal study of patients in which the placement of a central internal jugular venous catheter was attempted with the help of ultrasound in the Adult ICU of the Hospital Angeles Pedregal between September 22, 2015 and July 31, 2016. We sought to fi nd the success rate and the identifi cation of the likely immediate complications attributable to the procedure. Results: The study group was formed of 35 patients. The placement of 33 of the 35 were considered successful; success rate of 94.28%. The major collapse of the internal jugular vein and an arterial puncture were determined as the reason for not successful placement. Conclusions: The use of ultrasound for the placement of central venous access is an effective and low complication rate procedure.