10 results on '"Viruez-Soto, José Antonio"'
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2. Espacio muerto y destete de ventilación mecánica invasiva en residentes de la gran altitud
- Author
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Viruez-Soto, José Antonio, Tinoco-Solórzano, Amílcar, and Cerezo Gonzales, Julian
- Subjects
Ventilación mecánica ,Espacio muerto respiratorio ,Artificial respiration ,Destete ,Altitude ,Weaning ,Altitud ,Respiratory dead space - Abstract
Objective: To determine the predictive value of the dead space calculation through the dead space/tidal volume fraction at weaning from invasive mechanical ventilation in critically ill patients at high altitude. Materials and methods: An epidemiological, observational, analytical and prospective study carried out in the Adult Intensive Care Unit of the Hospital del Norte in the city of El Alto, Bolivia (4,090 m a.s.l.; barometric pressure: 453 mm Hg) from November 01, 2016 to March 31, 2017. High-altitude residents under invasive mechanical ventilation were studied. The inclusion criteria were: a) Altitude residents hospitalized in the Invasive Mechanical Ventilation Therapy Intensive Care Unit. b) Patients with evidence of resolution of the cause that prompted their connection to the invasive mechanical ventilator. c) Patients with positive weaning criteria and rates. d) Positive spontaneous respiration test. The study variables were the dead space through the Vd/Vt fraction and its relationship with the success or failure of the weaning process from mechanical ventilation. The Vd/Vt fraction was calculated in the study patients and then weaning from invasive mechanical ventilation was performed. Patients were divided into two groups according to the need for reintubation and reconnection to themechanical ventilator within 72 hours. Results: Twenty-one (21) patients were included: 7 (33 %) women and 14 men (67 %). The mean age was 41 years with a standard deviation of 22.38 years. Eighteen (18) patients (86 %) succeeded and 3 (14 %) failed in the weaning process from invasive mechanical ventilation. The Vd/Vt values in the success and failure groups were 0.43 and 0.53 (p < 0.011109), respectively, with a sensitivity of 0.61 and specificity of 1; a positive predictive value of 1 and a negative predictive value of 0.3. Conclusions: The calculation of the dead space through the measurement of the dead space/tidal volume fraction predicts the success of weaning of critically ill patients under invasive mechanical ventilation at high altitude. Objetivo: Determinar el valor predictivo del cálculo del espacio muerto a través de la fracción espacio muerto/volumen corriente en el destete de la ventilación mecánica invasiva en pacientes críticamente enfermos en la gran altitud. Materiales y métodos: Estudio epidemiológico, observacional, analítico y prospectivo realizado en la Unidad de Terapia Intensiva Adultos del Hospital del Norte de la ciudad de El Alto, Bolivia (4090 m s. n. m. y presión barométrica de 453 mmHg) del 01 de noviembre de 2016 al 31 de marzo de 2017. Se estudiaron a los residentes de la gran altitud en ventilación mecánica invasiva. Los criterios de inclusión fueron los siguientes: a) residentes de la altitud hospitalizados en la Unidad de Terapia Intensiva en ventilación mecánica invasiva, b) pacientes con evidencia de resolución de la causa que motivó su conexión al ventilador mecánico invasivo, c) paciente con criterios e índices de destete positivos, d) prueba de respiración espontanea positivo. Las variables estudiadas fueron el espacio muerto a través de la fracción Vd/Vt y su relación con el éxito o fracaso del proceso de destete de ventilación mecánica. Se calculó la fracción Vd/Vt en los pacientes incluidos en el estudio para luego proceder al destete de la ventilación mecánica invasiva. Se dividió a los pacientes en dos grupos según la necesidad de reintubación y reconexión al ventilador mecánico dentro de las 72 horas. Resultados: Se incluyeron 21 pacientes: 7 mujeres (33 %) y 14 varones (67 %). La media de edad fue 41 años con desviación estándar de 22,38 años. Dieciocho pacientes (86 %) presentaron éxito y tres (14,00 %) fracasaron en el proceso de destete de la ventilación mecánica invasiva. El valor de Vd/Vt en el grupo éxito y fracaso correspondió a 0,43 vs. 0,53 (p < 0,011109), con una sensibilidad de 0,61 y especificidad de 1; con valor predictivo positivo de 1 y valor predictivo negativo de 0,3. Conclusiones: El cálculo del espacio muerto a través de la medida de la fracción espacio muerto/volumen corriente predice el éxito del destete de pacientes críticamente enfermos bajo ventilación mecánica invasiva a gran altitud.
- Published
- 2020
- Full Text
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3. Edema agudo de pulmón de reentrada a gran altitud
- Author
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Viruez-Soto, José Antonio and Tinoco-Solórzano, Amílcar
- Abstract
Acute high-altitude pulmonary edema is a potentially life-threatening medical condition. Also known as acute re-entry high-altitude pulmonary edema, it may occur in highland dwellers who return to their hometown after having stayed at a lower-level area. This is the case of a 14 year-old male patient, native to and resident of the city of El Alto (La Paz, Bolivia), located at 4,090 meters above sea level. The patient developed acute high-altitude pulmonary edema when returning from a town at 500 meters above sea level. He required intensive care and showed a favorable evolutio El edema agudo de pulmón de altura es una condición médica potencialmente mortal. Se conoce también como edema agudo de pulmón de altura “de reentrada” y puede ocurrir en residentes de la altura que retornan de una estadía en una zona de menor altitud. Presentamos el caso de un paciente de sexo masculino de 14 años de edad, nativo y residente de la ciudad de El Alto (La Paz, Bolivia), a 4090 metros sobre el nivel del mar, que presenta un cuadro de edema agudo pulmonar de altura a su regreso de una localidad a 500 metros sobre el nivel del mar. Este paciente requirió tratamiento intensivo y tuvo una evolución favorable.
- Published
- 2020
4. Severe Preeclampsia: Obstetric Critical Care Unit of “Hospital General De México” Experience During 2014
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Viruez Soto, José Antonio, primary
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- 2015
- Full Text
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5. Osteosarcoma y embarazo
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Narváez, Carla María Vallejo, primary, Carrillo, Francisco Javier Ochoa, additional, Garduño, Jesús Carlos Briones, additional, Viruez Soto, José Antonio, additional, and Morales, Froilán Torrez, additional
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- 2015
- Full Text
- View/download PDF
6. Hipertensión arterial pulmonar y embarazo a gran altura. Caso clínico.
- Author
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Viruez-Soto, José Antonio, Soliz-Hurtado, Marcelo, Zavala-Barrios, Berenice, Briones-Garduño, Jesús Carlos, and de León-Ponce, Manuel Antonio Díaz
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Pulmonary hypertension has been traditionally classified in two categories: primary or secondary pulmonary hypertension, based in associated causes or risk factors; although, during the Second World Symposium in Pulmonary Hypertension held in Evian (France, 1998), a new classification was developed, with the objective of individualize the different categories of pulmonary hypertension sharing pathologic features, hemodynamic characteristics and similar treatment and nowadays this classification includes five well distinguished types of pulmonary hypertension. We relate the case of an obstetric patient with severe pulmonary hypertension at high altitude, fortunately with favorable evolution. Patients with congenital cardiac disease can become symptomatic in front of a stressful event such as pregnancy. This is one the few cases in literature about congenital cardiac disease with severe pulmonary hypertension in an obstetric patient, with a favorable evolution of the maternal fetal couple. [ABSTRACT FROM AUTHOR]
- Published
- 2016
7. Pinzamiento aórtico como alternativa en el manejo intraoperatorio de hemorragia grave por acretismo placentario: reporte de caso.
- Author
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Briones-Garduño, Jesús Carlos, Lecuona-Huet, Nora Enid, Viruez-Soto, José Antonio, Vallejo-Narváez, Carla, Zavala-Barrios, Berenice, and Briones-Vega, Carlos Gabriel
- Abstract
Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
8. Aneurisma de aorta ascendente, hipertiroidismo y embarazo. Caso clínico.
- Author
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Zavala-Barrios, Berenice, García-Castanedo, Carla, Viruez-Soto, José Antonio, Briones-Garduño, Jesús Carlos, and Coronel-Cruz, Fausto
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PREGNANCY complications ,THYROID antagonists ,FETAL development ,HEART disease research ,THERAPEUTICS - Abstract
Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
9. Bemiparina en obstetricia crítica.
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Briones-Vega, Carlos, Viruez-Soto, José Antonio, Vallejo-Narváez, Carla María, Nieto-Anaya, Nabile Montserrat, Briones-Garduño, Jesús Carlos, and Díaz-de León-Ponce, Manuel Antonio
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THROMBOEMBOLISM , *MATERNAL mortality , *HEPARIN , *OBSTETRICAL research , *CRITICAL care medicine - Abstract
Background: Thromboembolism persists as a main cause of maternal mortality, even in developed countries. Bemiparin is a second generation low molecular weight heparin, with the lowest molecular weight, longest half life and highest activity anti-FXa/anti-FIIa ratio (8:1). The objective is describe the experience in thromboprofilaxis with bemiparin in the Critical Care Obstetrics Unit in Hospital General de México «Dr. Eduardo Liceaga» during period may 2-june 2 of 2014. Methods: All the patients (n = 25) received 3,500 UI of bemiparin per day, as non alternant-TED stockings. Results: The Wells and Geneva scores, at the admission as outcome dismiss thromboembolism, there were no deaths, nor adverse events associated to the administration of bemiparin. Conclussions: The pharmacological profile of bemiparin, suggests it as the first line drug in thromboprofilaxis in Critical Care Obstetrics patients. [ABSTRACT FROM AUTHOR]
- Published
- 2014
10. [Aneurysm of the ascending aorta, hyperthyroidism and pregnancy. Case report].
- Author
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Zavala-Barrios B, García-Castanedo C, Viruez-Soto JA, Briones-Garduño JC, and Coronel-Cruz F
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- Adolescent, Antithyroid Agents therapeutic use, Aortic Aneurysm pathology, Female, Fetal Monitoring methods, Humans, Hyperthyroidism drug therapy, Hyperthyroidism physiopathology, Infant, Newborn, Male, Pregnancy, Sinus of Valsalva pathology, Aortic Aneurysm complications, Hyperthyroidism complications, Pregnancy Complications physiopathology, Pregnancy Outcome
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Aortic aneurysms are a rare condition in childhood and youth, etiology, evolution, natural progression and prognosis in pregnancy unknown. Hyperthyroidism occurs when there is a synthesis and/or excessive secretion of thyroid hormones during pregnancy poses difficulty for diagnosis. The new monitoring hemodynamics in pregnancy by transthoracic bioimpedance is a feasible alternative, noninvasive and real-time hemodynamic monitoring pregnant women., Case Report: Primiparity 18, is referred to present tachycardia, hyperthyroidism is diagnosed and drug treatment is initiated with antithyroid from week 14.1 echocardiogram reports bivalve aortic aneurysm in the sinus of Valsalva is performed. He was determined to continue the same under strict hemodynamic and fetal monitoring. Pregnancy concludes at the end obtained through the abdomen, at 40.4 weeks, with male product, weight 2250 g, Apgar 9/9, with growth restriction type I. The mother and baby were discharged simultaneously without complications., Conclussions: The hyperdynamic state of pregnant patients in hyperthyroidism and aneurysms is complex and potentially complicable is why the hemodynamic patient monitoring is essential to detect changes in it that endanger the life of the binomial to this condition. Heart disease and hyperthyroidism, in this case, consistent with a fetal complications level is described as intrauterine growth restriction, however narrow and multidisciplinary monitoring and timely interventions binomial lead to satisfactory results in this case.
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- 2015
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