Oxigenación por membrana extracorpórea (ECMO), primer caso en Costa Rica

Ramírez, Carlos Tobías Dobles; Salas-Segura, Donato A.

doi:10.51481/amc.v56i4.858

Cited by 2 publications

(2 citation statements)

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“…El circuito ecmo se compone de una serie de cánulas y líneas que se conectan entre sí y con el paciente, una bomba centrífuga y un oxigenador de membrana ocupado respectivamente del bombeo y la oxigenación de la sangre (Antoniali, 2015;Huppert et al, 2019;Fan et al, 2020;Schmidt et al, 2021;Williams et al, 2021). Esta terapia cuenta con dos configuraciones, la ecmo venoarterial indicada para brindar soporte cardiaco en casos con función preservada o no mediante soporte hemodinámico (Doll et al, 2007;Dobles-Ramírez y Salas-Segura, 2014;Berrío-Valencia y McFarlmg, 2018;Zarragoikoetxea et al, 2021), y la ecmo venovenosa para los casos de insuficiencia respiratoria con función cardiaca preservada (Chaves et al, 2019;Hernández, 2022).…”

Section: Terapia De Oxigenación Por Membrana Extracorpóreaunclassified

Guía multimedia: estrategia pedagógica para educar sobre la terapia de circulación extracorpórea

Álvarez Idarraga,

Mantilla Bermúdez

2023

Rastros rostros

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Objetivo: favorecer la comprensión de la terapia de circulación extracorpórea en familiares de los pacientes some-tidos a este proceso, mediante el diseño de una guía multimedia. Materiales y métodos: estudio cualitativo de tipo fenomenológico con técnica de entrevista semiestructurada, en la que participaron cuatro enfermeros ecmólogos y veintidós familiares de pacientes. Se grabaron y transcribieron las entrevistas pre y post. Se diseñó una página web para los familiares de los pacientes en terapia de circulación extracorpórea. Resultados: despuésdeponerlaguíamultimediaenejecución,losenfermerosrefirieronquelosfamiliaresdepacientes en terapia de circulación extracorpórea disminuyeron su nivel de ansiedad y preocupación; develaron mayor autonomía en la toma de decisiones, despejaron sus dudas, y la carga laboral de los enfermeros ecmólogos aminoró. Conclusiones: brindar herramientas educativas dirigidas a familiares de pacientes en terapia de circulación extra-corpórea disminuye el nivel de ansiedad de los familiares y favorece la participación de estos en la recuperación de los pacientes.

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Section: Terapia De Oxigenación Por Membrana Extracorpóreaunclassified

Guía multimedia: estrategia pedagógica para educar sobre la terapia de circulación extracorpórea

Álvarez Idarraga,

Mantilla Bermúdez

2023

Rastros rostros

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“…By January 20, 2020, the first confirmed case was documented within the United States [2] . In Costa Rica, the first case was confirmed on March 6, 2020 [3] . The Coronavirus Disease 19 (COVID-19) pandemic has generated rapid and significant changes in patient care worldwide, especially in the surgical area [4] .…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on the surgical volume of general surgery residents as main surgeons in a National Training Program in Costa Rica

et al. 2021

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To quantify the impact of coronavirus disease 19 (COVID-19) on the surgical volume of residents’ medical practice in Costa Rica's General Surgery Residency Program. The COVID-19 pandemic has caused a significant disruption in people's lives. Health systems worldwide have been forced to adapt to the new normal, which has posed a challenge for medical residency programs, especially in the surgical field. This transversal study includes the surgical records of all residents of the General Surgery program who worked as main surgeons at the Mexico Hospital of the Costa Rican Social Security between December 23, 2019, and June 25, 2020. As main surgeons, a total of 10 residents performed 291 pre-pandemic surgeries and 241 pandemic surgeries. When comparing the distribution of procedures performed by residency levels, it is observed that the postgraduate year -2 increased the number of procedures performed during the pandemic period (pre-pandemic 19% vs pandemic 27%, P = .028). There was no statistically significant difference between the pre-pandemic and pandemic periods in the remaining levels. When comparing the procedures by unit, a statistically significant decrease was observed in the Endocrine-Abdominal Wall Unit (pre-pandemic 18.3% vs pandemic 5.4%, P < .001). Conversely, a statistically significant increase was identified in Surgical Emergencies Unit procedures (40.0% vs post 51.7%, P = .007). No statistically significant differences were observed in the remaining the Units. The COVID-19 pandemic had no statistically significant effect on surgeries performed by residents of the General Surgery Residency Program as main surgeons in a national training center in Costa Rica. The Department's timely measures and pro-resident attitude were the key reasons for the above results.

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Oxigenación por membrana extracorpórea (ECMO), primer caso en Costa Rica

Cited by 2 publications

References 0 publications

Guía multimedia: estrategia pedagógica para educar sobre la terapia de circulación extracorpórea

Guía multimedia: estrategia pedagógica para educar sobre la terapia de circulación extracorpórea

Impact of COVID-19 on the surgical volume of general surgery residents as main surgeons in a National Training Program in Costa Rica

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