ABSTRACT
The SARS-CoV-2 that causes the COVID-19 disease, clinically ranges from mild flu-like episodes to other serious and even life-threatening, especially due to acute respiratory failure, regardless of the severity the acute course can be overcome, however, the persistence of symptoms or multi-organ symptom complex, called persistent COVID. Among these persistent symptoms is respiratory distress. A descriptive, observational and cross-sectional study was carried out in 29 people diagnosed with persistent COVID-19 plus comorbidity pulmonary hypertension, between 2019 and 2021. The Borg dyspnea scales were applied at rest and by stress test Walk test in 6;and the Medical Research Council dyspnea scale. IFB B categorizes between 0 and 2 and high R2 (0.7993) explains the perception of respiratory discomfort that appears with activity levels that do not normally cause this type of discomfort (daily activity), and can be weighted by the level of activity necessary for it to be triggered. Both scales have validity, reliability, specificity, sensitivity and predictive value for the use that has been established, easy to use and understand.
ABSTRACT
COVID-19 pneumonia can lead to acute respiratory failure, in critical patients orotracheal intubation is required in order to isolate the airway and allow protection and control or assistance of ventilation, the rapid sequence being an alternative to guarantee therapeutic success and staff safety. Under a prospective cohort study, from June to December 2020, in patients with a confirmed diagnosis of SARS-CoV2, admitted to the Intensive Care Unit, 72 were included, 45 were male (62.50%) and 27 were female (37, 50%), with an age range between 27 to 64 years, the most vulnerable group being 55 to 64 years with 59.72% (43/72). The maneuver was excellent on 47 occasions (65.28 + 12.28%), good on 25 (31.94 + 6.04%) and on two occasions impossible, the Fentanyl-propofol succinylcholine sequence for rapid induction was performed in 50.00%, with effectiveness of 100.00%;however, there was no difference with the other sequences. Before proceeding with the pharmacological induction of unconsciousness and neuromuscular blockade, it is necessary to carefully evaluate certain aspects of the patient's medical history and physical examination.
ABSTRACT
Forced Spirometry (PE), a technique focused on exploring pulmonary ventilation function measured from the amount of air that can be retained during forced expiration simulation. Objective: to determine the normal / standard Forced Expiratory Volume in the first second (FEV1) and Forced Vital Capacity (FVC) values in students of the University of Guayaquil, between 18 and 25 years of age, identifying the main risk factors causing the decrease in lung function, comparable in the post-pandemic COVID 19. Epidemiological cross-sectional study developed during October 2018 - March 2019. From a universe of 63,000 students, the randomly selected sample according to the inclusion criteria of Mart Elkin was 715 students of Administration, Medical Sciences and Jurisprudence. The data collection technique was the observation guide, being tabulated in Microsoft Excel2010, applying descriptive statistics with measures of central tendency. Results reflected in that 83.644% ranged between 18 and 23 years, 50.77% were female, this age group being the smallest of the groups studied. 32.87% are overweight or obese. Although 75% do not have the habit of smoking, Medical Sciences showed 0.44% of smokers. The FVC severity scale is normal, being> 80 with a FVC1 / FVC coefficient for both sexes. Spirometric values make it possible to decide based on clinical criteria which, when and why to apply respiratory therapy, which constitutes a valuable resource in times of post-Covid 19 pandemic. © 2021 Instituto de Altos Estudios de Salud Publica. All rights reserved.