ABSTRACT
Las úlceras por presión son lesiones de la piel y/o del tejido subyacente. El soporte nutricional adecuado constituye parte del tratamiento de estas lesiones. El objetivo de este reporte es demostrar la eficacia del soporte nutricional como factor coadyuvante en la recuperación de éstas. Paciente masculino de 29 años de edad que ingresó al hospital con diagnóstico de neuroinfección. Durante su estadía desarrolló una úlcera en la región sacra. Fue tratado con nutrición enteral por sonda nasoentérica que incluyó dieta y soporte nutricional hiperproteicos enriquecido con glutamina y arginina; posteriormente se brindó colágeno hidrolizado. A los 36 días tras la aparición de la úlcera, ésta es recuperada. Luego de 4 meses, el paciente fue dado de alta. La intervención nutricional fue crucial en la recuperación de la úlcera. Se enfatiza la necesidad de prevenirlas a través de un monitoreo oportuno y adecuado.
Pressure ulcers are injuries to the skin and / or the underlying tissue. Opportune nutritional support is part of the treatment of these injuries. This report aims to demonstrate the efficacy of nutritional support as a contributing factor in this ulcer recovery. A 29-year-old male patient was admitted to the hospital with a diagnosis of neuroinfection. During his stay, he developed a pressure ulcer in the sacral region. He was treated with enteral nutrition via a nasoenteric tube that included a hyperprotein diet and nutritional support enriched with glutamine and arginine; subsequently, hydrolyzed collagen was provided. Thirty-six days after the development of the pressure ulcer, it has recovered. After four months, the patient was discharged. The nutritional intervention was crucial in the recovery of UPP. The need to prevent this type of ulcers through timely and adequate monitoring is emphasized.
Subject(s)
Humans , Male , Adult , Nutritional Support/methods , Pressure Ulcer/diet therapy , Malnutrition/therapy , Sacrococcygeal Region , Nutrition Rehabilitation , Nutritional Support/standards , Pressure Ulcer/pathology , Malnutrition/etiology , Malnutrition/metabolismABSTRACT
INTRODUCTION: This aim of our experimental study was to demonstrate the versatility of our designed reusable decive for PEG and its future application in humans. MATERIALS AND METHODS: 20 mongrel dogs received enteral nutrition by a Foley tube placed by a single endoscopic technique using a reusable stainless steel designed decive, three reusable stainless steel designed decive, three reusable stainless steel dilators, an Olympus XQ20 video gastrointestinal endoscope, basic surgical equipment and surgical material. RESULTS: The procedure was successfully performed in all dogs under general anaesthesia. The duration of the whole procedure ranged from 10 to 18 min. The complications regardless by the PEG procedure were minimal. The Foley tube was retained by 15 days. CONCLUSIONS: The application of the stainless steel reusable designed decive for the PEG is safe, and presents several advantages. This technique for PEG placement could be used in the future due the characteristics of the designed device: durable and reusable for unlimited number of procedures.
Subject(s)
Animals , Dogs , Endoscopes, Gastrointestinal , Endoscopy, Gastrointestinal/methods , Enteral Nutrition/methods , Gastrostomy/methods , Equipment Design , Equipment ReuseABSTRACT
Foram estudados 16 pacientes hipertensos, 7 do sexo masculino, com idade media de 56 anos (28 a 76 anos). Apos uso de 0,15 mg/ kg de verapamil por via venosa, houve aumento significativo da pressao media no atrio direito, de 2,3 + ou - 0,6 mm Hg para 3,4 + ou - 0,6 mm Hg (P < 0,05), queda significativa das pressoes aortica maxima, de 165 + ou - 5,4 mm Hg para 136 +ou- 5,4 mm Hg, aortica minima de 87 +/- 3 mm Hg para Hg e aortica media de 119 +/- 4,6 mm Hg para 96 +/- 4,6 mm Hg (P < 0,001), diminuicao da resistencia vascular sistemica de 20 +/- 1 para 15 +/- 1 unidades (P < 0, 001) e da dp/dt maxima do ventriculo esquerdo, de 2350 +/- 115 mm Hg/s para 1923 +/- 115 mm Hg/s (P < 0,05). Observou-se ainda uma tendencia ao aumento do indice cardiaco. A frequencia cardiaca, a pressao media da arteria pulmonar, a pressao diastolica final do ventriculo esquerdo, os volumes diastolicos e sistolicos finais e a fracao de ejecao do ventriculo esquerdo nao se alteraram