MEDICINA CRÍTICA Y TERAPIA INTENSIVA

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    SOFA SCORE COMO MARCADOR PRONÓSTICO DE LOS PACIENTES CON SEPSIS DE LA UNIDAD DE CUIDADOS INTENSIVOS DEL HOSPITAL TEODORO MALDONADO CARBO EN EL AÑO 2016
    (2017-01) Banegas Miranda, Jorge Eduardo; Mawyn Muñoz, Carlos
    Introduction: The SOFA or Sequential Organ Failure Assesment scale is a score that evaluates in a sequential and continuous way 6 different devices or systems through different markers that evaluate the dysfunction of each of them having as parameters the following; PAFI, Glasgow, Creatinine, TAM, Bilirubin and Platelets. Each one is evaluated from a value of 0 to 4 which will report in the end the presence or not of organic failure if it only occurs in 1 device or system, and in turn multiorgan failure when it occurs in two or more of the Parameters mentioned above. Rationale: The SOFA scale has been used sporadically in several health institutions in the country, but in the Teodoro Maldonado Carbo Hospital it has not been commonly used in critical care areas. This study aims to promote the protocolized use of this type of scales in the different areas of critical care. It is important to emphasize that during the sample making it was evident the interest that promoted the use of this scale in the areas where it was used, so that the results of this study will be available to them for their knowledge and discussion. This research allows the development of behavior in the management of critical area, contributing with the contribution to the community that enters the units. In order to reduce the morbimortality rate, obtaining a positive impact in daily living of the critical units. Objectives: To demonstrate the utility of the SOFA scale in patients with sepsis in the critical care area of the Teodoro Maldonado Carbo Hospital. Methodology: Type of study: Descriptive, prospective, observational. Sample size of 100 patients entering the Critical Areas of the Regional
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    NEUMONÍA ASOCIADA A VENTILACIÓN MECÁNICA CON LA APLICACIÓN DE LAS MEDIDAS DE PREVENCIÓN PROTOCOLIZADAS (BUNDLE) EN EL ÁREA DE CUIDADOS INTENSIVOS DEL HOSPITAL LUIS VERNAZA DESDE EL MES DE ENERO A SEPTIEMBRE 2016.
    (2017-02) Baculima Pintado, Verónica de Jesús; Vergara Centeno, José
    Introduction- Ventilator-associated pneumonia (VAP) is an inflammation of the lung’s parenchyma produced by bacterias or infectious agents that a patient acquires within the ICU, usually due to endotracheal intubation performed on the patient in mechanical ventilation that leaves exposed its airway. The bundle protocol is a set of processes or practices necessary for the care of the integrity of the patients in the intensive care unit. The present study seeks to know the effectiveness of these measures in the prevention of VAP in the ICU of Luis Vernaza’s Hospital. Methods-The methodology of this research was the development of an observational study within the period from January to September of 2016 to patients with vital support of mechanical ventilation and that developed VAP. Results- A total of 686 patients during the mentioned period were study, with an incidence of VAP in ventilated patients of 7.14% (n = 49) or 6.60 per 1,000 days of mechanical ventilation, while mortality of patients who developed this infection was 46.9% (n = 23). Conclusion- The bundle protocol applied in the area, focuses on the prevention of VAP by reducing its incidence and avoiding this complication in patients, with no impact in mortality so it continues being a challenge for professionals in health care