• Edison Ramos Tituaña, José Luis Laso Bayas, Gabriel García Montalvo, Liliana Torres Martínez, Cristian Cevallos Salas

  9-12

  Epidemiologic characterization and survival analysis of elderly people checked in the Carlos Andrade Marin Hospital intensive care unit during 2011 and 2012

  Introduction: the objective of this study is to know the epidemiology and survival analysis of senior citizens in the Intensive Care Unit of the Carlos Andrade Marin Hospital, during the years of 2011 and 2012. Materials and methods: observational study, to determine the epidemiological...

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• Marco Zapata, Milton Merizalde, Carolina Guañanga

  13-16

  Minimally-invasive thoracic surgery in handling stages II and III pleural

  Introduction: empyema is the infection of the pleural cavity from intra or extrathoracic foci; there are three phases in its pathophysiology and are handled differently. The most important objectives are antibiotics with drainage of the infected collection. In phase II there is a discrepancy of...

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• Manuel Granja Morán, Andrés Orquera Carranco

  17-19

  Procalcitonin helpfulness in predicting bacteriemia and usage of antibiotics in febrile neutropenic patients in Carlos Andrade Marin Hospital hematology department, April 2013 – April 2014 .

  Introduction: febrile neutropenia is one of the most common and fatal complications of hematologic malignancies treatment. Immediate treatment with broad-spectrum antibiotic is necessary; however the causal agent cannot be isolated in most cases. The use of infection biomarkers such as...

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• Iván Riofrío Mora, Henry Guerra Samaniego, Antonio Pino, Gabriela Velasteguí, Alexandra Chalaco Agreda, Carlos Torres Cisneros

  20-22

  Transcranial Magnetic Stimulation in patients suffering from depression and sleep disorders.

  Introduction: transcranial magnetic stimulation (TMS) is a neurophysiological technique that allows electric currents induction into the brain in a safe and noninvasive way. TMS is based on electromagnetic induction discovered by Faraday two centuries ago. Only in 1984, Anthony Barker and his...

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• Ana Cristina Mejía Jurado, Ana Vanessa Mena López

  23-26

  Oxytocin low-dosage use for handling uterine contraction in the transoperative of C-section patients of the Carlos Andrade Marin Hospital Obstetric Center

  Introduction: Oxytocin is the drug of choice for uterine contraction management, but its side effects are minimized. This study pretends to determine the frequency of side effects of high- dose oxytocin compared to low doses in the Obstetric Center of the Carlos Andrade Marin Hospital. Materials...

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• Alfredo Novoa Velastegui, Giovanni Jácome

  27-31

  Primary headaches and neck pain in the San Francisco de Quito Hospital.

  Introduction: headaches are the leading cause of neurological consultations. From all types of both primary and secondary, 90 % of patients with this disorder showed migraine and / or tension headache. Many patients with primary headache complained about pain in the cervical region. The...

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• Natali Moyón Constante, Galo Acuña Vivanco, Andrés Cepeda Mora, Ana Mena López

  32-37

  Morbility in cardiac anesthesia in the Carlos Andrade Marin Hospital during the year 2013.

  Introduction: general anesthesia in cardiovascular surgery is based not only on hypnosis, amnesia, neuromuscular blockade and analgesia; but must provide proper oxygenation, tissue perfusion, neurovegetative protection, acid base regulation, treat and prevent coagulopathy, thermic control,...

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• Verónica Rosero Aguirre, Nelson Amores Arellano, Rita Ibarra Castillo

  38-42

  Comparison of two poisonous gateways for implanting cardiac stimulation devices.

  Introduction: we intend to compare the complications related to the subclavian/axilar puncture versus cephalic vein cut down in pacemaker implantation. Materials and methods: all procedures between january 2010 and december 2013 were included. We excluded pulse generator substitution,...

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• Ximena Lizeth Villarreal Velásquez

  43-46

  Organ and tissue donation: a reality in the Carlos Andrade Marin Hospital. Activity and registering of the procurement process during the January 2014 to December 2014 period.

  Introduction: globally we face the rapid increase in the prevalence of chronic diseases, which often cause dysfunction of vital organs so it is estimated that there are a large number of patients waiting for a transplant. The probability of dying on the waiting list is high, so the organ...

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• Dra. Daniela Yépez Pabón, Dra. Mercedes Narváez Black

  47-51

  Instructions and complications of adenoidectomy and tonsillectomy in the Carlos Andrade Marin Hospital

  Introduction: adenoidectomy and tonsillectomy are very common surgeries in Otolaryngology. However, often they are done without a valuable criterion and indiscriminately. Although in principle the general indications for these interventions are infectious or obstructive procedures, currently its...

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Case Report

• Sharon Naranjo, Santiago Chávez

  52-55

  Full congenital atrioventricular blockage: case report and literature review.

  Introduction: congenital complete auricular ventricular Blockage is a rare entity, being a cardiac conduction tissue lesion that develops before birth, which produces an alteration of the transmission of the auricular impulses towards the ventricules, and it could appear isolated or familiar...

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• Catalina Calle Delgado, Fernanda Rosales Peralta, Santiago Cadena

  56-58

  Pulmonary sequestration in adults.

  Introduction: pulmonary sequestration is an unusual malformation consisting of isolated nonfunctioning lung segments lacking communication with functional tracheobronchial trees, with blood fow through the systemic circulation. Case report: we present the case of a woman with recurrent pulmonary...

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• Alfredo Novoa Velastegui

  59-61

  Post-traumatic optic neuropathy: case presentation.

  Introduction: post traumatic Optic Neuropathy (PON) is an entity in which a lesion of the optic nerve occurs after a direct or indirect trauma. It can be very easy to diagnose when there is clinical suspicion and functional pupillary abnormalities are present. There are several studies available...

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• María Sol Ávalos Ávalos, Diana Zambrano

  62-65

  Choroidal Osteoma: with regard to a case.

  Introduction: choroidal osteoma (OC) is a rare benign tumor of the choroid, capable of producing real bone tissue. It typically affects young healthy women, and it is located in the posterior pole, preferably in the juxtapapillary region. It is usually a unilateral lesion with still unknown...

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• Gabriela Barnuevo Cruz, Andrés Alejandro Cepeda Mora

  66-68

  A case of ulna fracture in a child with osteogenesis imperfecta, anesthetic implications

  Introduction: Osteogenesis Imperfecta (OI) is a rare autosomal dominant congenital connective tissue disorder with an incidence of 1:21 000 to 1:60 000 births, with higher incidence in women. 1 Also we can fnd cases of recessive heritage or spontaneous 1 mutation. 2 Osteogenesis Imperfecta (OI),...

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• Andrés Alejandro Cepeda Mora, Galo Andrés Acuña Vivanco

  69-71

  Anesthetic implications in pregnant patient with Guillain-Barré Syndrome.

  Introduction: Guillain Barre Syndrome (GBS) is a rare occurrence in medicine, and possibly even rarer in pregnancies, with an incidence of 1.7/100.000 pregnancies. GBS occurrence in pregnancy is associated with an increased need for ventilatory support and increased maternal mortality. Methods:...

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• Galo Andrés Acuña Vivanco, Andrés Alejandro Cepeda Mora

  72-75

  Rocuronium use in electroconvulsive therapy, a safe alternative? Case reports.

  Introduction : nowadays the use of electroconvulsive therapy (ECT) has increased as a therapeutic alternative in several pathologies. The use of modified ECT helps reduce the physiological  effects  and  adverse  effects  of  the  treatment; the objective of...

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• Andrés Alejandro Cepeda Mora, Ana Cristina Mejía Jurado

  76-78

  A case of massive hemoptysis during transoperative; hypoxia handling in one-lung ventilation.

  Introduction: to relate a clinical case in OR of a pulmonary surgery for review the management of hypoxia in unipulmonar ventilation and with this realize that we could have catastrophic consequences. Clinic case: male patient, 46 years of age with a history of several episodes of hemoptysis...

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• Md. Manuel Granja Morán, Md. Andrés Orquera Carranco, Md. Luis Gerardo Guaico Pazmiño

  79-82

  Thrombotic thrombocytopenic purpura: presentation of three cases in the Carlos Andrade Marin Hospital

  Thrombotic thrombocytopenic purpura is a rare type of microangiopathic hemolytic anemia caused by a defciency of ADAMTS 13 protein whose mortality without treatment is 90%. In our hospital we cannot quantify this protein. Diagnostic should be strongly suspected in the presence of hemolytic...

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