Vol. 22 No. 22 (2014): CAMbios Medical-Scientific Journal | Medical-Scientific Journal CAMbios HECAM

Original Studies: Observational Studies

Nicolás Vivar Díaz

5-9

Prevalencia de infección por virus de papiloma humano de alto riesgo oncogénico en mujeres de 30 a 65 años afiliadas al Seguro Social

The main objective of the Prevention of Cervical Cancer Program was to target women between 30 and 65 years participating in preventive medicine programs of the ambulatory care clinics and promote a detection system for high-risk human papillomavirus oncogenic infection as a screening strategy...

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Jorge Eduardo Hurtado Tapia, Fernando Jara, Juan Carlos López

10-13

Mortalidad de los pacientes con diagnóstico de EPOC en Ventilación Mecánica Invasiva ingresados a la Terapia Intensiva del Hospital Carlos Andrade Marín en los años 2011 y 2012

Patients diagnosed with COPD admitted in ICU very often require invasive mechanical ventilation which predisposes an increase in overall mortality. Objective: to describe the mortality of patients diagnosed with COPD requiring invasive mechanical ventilation. Secondary objectives were to...

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Iván Maldonado Novoa, Jenny Vela Chulde, Tatiana Vinueza Goyes, Edgar Rodríguez Paredes, Mónica Cachimuel Llugña, Cecilia Vivar Dávila

14-17

Cáncer de pulmón de células no pequeñas avanzado o metastásico y experiencia con el uso de erlotinib como tratamiento de segunda línea en el servicio de oncología del Hospital Carlos Andrade Marín, años 2010-2013

Lung cancer is the second tumor in frequency for both sex, but is well established as the leading cause of cancer deaths worldwide. Most patients are diagnosed in a advanced stage of disease and treated with conventional chemotherapy providing symptomatic relief with only modest improvement in...

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Deborah Gomelsky

18-23

Seguridad del paciente en Anestesia: complicaciones en sala de operaciones del Hospital Carlos Andrade Marín. Diciembre 2012 - noviembre 2013 y comparación en el año previ

The roots of security go to the base of anesthesiology; it refers to prevent, avoid and lessen the adverse outcomes or injuries derived from processes of health care. Security derives from interactions between system components; it doesn’t reside in one only person, dispositive or department....

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Ana Mena López, Natali Moyón Constante, Gabriela Barnuevo Cruz

28-32

Uso de sugammadex en el Hospital Carlos Andrade Marín Periodo de octubre 2011- diciembre 2012

38% of patients with neuromuscular block (NMB) present residual paralysis after general anestesia. For this reason the reversion of NMB is a basic element for patient safety, which only recently could have been done with neostigmine that acts indirectly and has dangerous side effects. Since 2008...

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Jorge Eduardo Hurtado Tapia, Juan Carlos López, Santiago Escobar

33-37

Métodos de Destete Ventilatorio usados en la Unidad de Terapia Intensiva del HCAM

Objective: to describe the methods of ventilatory weaning in patients admitted to the Intensive Care Unit of the Hospital Carlos Andrade Marin between november 2012 to march 2013. Methodological design: descriptive observational study from november 2012 to march 2013 that included all patients...

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Gabriel Ricardo García Montalvo, Freddy Maldonado Cando, Edison Ramos Tituaña, Freddy Solis Figueroa

38-41

Análisis de morbilidad y mortalidad en el Área de Cuidados Intensivos. Hospital Carlos Andrade Marín año 2012

Study morbidity and mortality of the Intensive Care Unit at Hospital Carlos Andrade Marin servings as a multipurpose unit and regional reference. Methodological Design: we performed a descriptive, transversal, retrospective analysis to determine the causes of morbidity and mortality in the...

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Deborah Gomelsky

42-46

Incidencia de cefalea postpunción dural y estudio de cohorte comparativo con la utilización de agujas quincke (traumáticas) No 27 vs agujas No 25 en pacientes obstétricas en Quito

Lumbar puncture headache is one of the most feared anesthetics complications due to its frequency and its intensity. In this study we asses the frecuency of this pathology in our obstetric population and the incidence comparing the diameter of the needle used in spinal block. For this purpose we...

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Henry López Andrade, Rubén Bucheli Terán

47-50

Corrección del prolapso genital con mallas - complicaciones en pacientes intervenidas en el servicio de Ginecología Hospital Carlos Andrade Marín. Período: enero 2011 a diciembre 2012.

The origin of genital prolapse is multifactorial, acting mainly in the pelvic support structures. The most common causes are multiparity, pregnancies and deliveries of macrosomic fetuses, traumatic births, previous surgery of the pelvic floor and tissue characteristics. The tissue and ligament...

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Diego Fernando Calderon Mason, Fernando Moreno Montes, Gabriela Calderón Suasnavas

51-58

Ventajas del uso de policresuleno en mujeres sometidas a conización leep por lesión intraepitelial cervical de alto grado, en la unidad de Colposcopia del servicio de Ginecología del Hospital Carlos Andrade Marín, enero 2011 – diciembre 2012.

The study evaluated the benefits of using Polycresulene, in terms of healing time and vaginal discharge in women undergoing Loop Escisión Electrical Procedure Conization with high or low degree intraepithelial lesions in the Colposcopy Unit of Gynecology Service at Carlos Andrade Marin Hospital...

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Francisco Calderon Villa, Milton Merizalde Torres, Sergio Poveda Granja

63-67

Capacidad del Cateterismo Cardíaco para detectar la fracción de Eyección Efectiva en Pacientes Prequirúrgicos del Servicio de Cirugía Cardiotorácica en el 2012

The incidence of heart failure is increasing during the last years, in order to asses myocardial function imaging studies fhave become the main diagnostic tool to obtain important parameters for this condition such as the ejection fraction. Currently there is controversy regarding wich study has...

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María Augusta Arguello Argudo, Javier Adrián Villalba Egas

74-76

Seguridad y eficacia de la dexametasona a dosis de 0.2mg/ kg durante el transquirúrgico para reducir el dolor y el uso de opioides en el postoperatorio

Objectives: the aim of this study was to determine the efficacy and safety of perioperative dexamethasone to reduce postoperative pain and opioid consumption after surgery. Methods: a blinded randomized controlled trial was performed in ASA I and ASA II patients undergoing abdominal or pelvic...

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Javier Adrián Villalba Egas, María Augusta Arguello Argudo

77-80

Comparación de dos estrategias: lidocaína en comprimidos vs dulce por vía oral para tratar la odinofagia post extubación

One of the most common complications of endotracheal intubation is postoperative sore throat. There are a few demonstrated ways to prevent it, but the gold standart treatment has not been established. Objectives: the objective of this study is to assess the efficacy of two treatments: the use of...

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Washington Osorio, Oscar Burbano, Jovita Andrade

81-84

Peritonitis en el programa ambulatorio de diálisis peritoneal del Hospital Carlos Andrade Marín durante el periodo 2010 al 2012

Peritonitis is one of the most important acute complications in peritoneal dialysis patients and one of the most common complications for loss of membrane and technical challenging in renal replacement therapy. Peritoneal dialysis began in 1969 in the former Social Security Hospital, the program...

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Rita Elizabeth Ibarra Castillo, Jorge Luis Arbaiza Simón, Nelson Amores Arellano

59-62

Implantación ambulatoria de dispositivos de estimulación cardíaca

SUMMARY Objetives: determine the safety of ambulatory implantation of cardiac stimulation devices. Patients and methods: we performed a cohort study that includes 38 patients with the indication of pacing for atrioventricular block. The intervention was performed as outpatients and compared with...

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Original Studies: Review Studies

Natali Moyón Constante

24-27

Sugammadex: Un cambio en la Anestesiología

Neuromuscular relaxation is one of the four components in General Anesthesia, depending on the surgical procedure is warranted different degrees. Rocuronium has a favorable profile for its short latency and acceptable safety profile, however the completion of its effect is not ...

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Case Report

Henry López Andrade

68-70

Fibrohistiocitoma maligno de pared torácica. Reporte de un caso

Soft tissue sarcomas are malignant tumors derived from mesoderm. The MFH is the most common soft tissue sarcoma in adults (20-25%), age group between 50 and 70 years and mainly affects men, being white population most affected. These mesenchymal tumors with different morphological varieties...

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Pablo Anibal Jimenez Murillo, Mayra Castro Reyes, Jorge Vera Almeida, Judith Borja

71-73

Ecacia de Ketorolaco Sublingual en el Tratamiento del Dolor Agudo en el Área de Emergencia

In the year 2012 a total of 196.641 patients were treated at the Carlos Andrade Marin Hospital (HCAM) Emergency Service, 50 percent of the patients complained of pain. The objective of this study was to assess the efficacy of the pain medication ketorolac (30 mg sublingual) for acute pain...

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Revista Médica Científica CAMbios

Vol. 22 No. 22 (2014)

Original Studies: Observational Studies

Original Studies: Review Studies

Case Report