ABSTRACT
Variability in glycaemia in revascularized patients in the immediate postoperative period was studied in order to determine the presence of hyperosmolar hyperglycaemia coma, ketogenic and non-ketogenic, and the relation with hemodynamic changes. It was found that 15 patients (9.2%) from the Arteriology Service and two patients (7.1%) from the Diabetes Angiopathy Service had a non-ketogenic hyperglycaemic hyperosmolar coma and there was no ketogenic hyperglycaemic hyperosmolar coma. There were 32 patients (16.8%) with hemodynamic changes who had mild and moderate hyperglycaemia in the immediate postoperative period.
Subject(s)
Blood Glucose/analysis , Perioperative Nursing/methods , Vascular Surgical Procedures , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Hyperglycemia/blood , Hyperglycemia/nursing , Hypoglycemia/blood , Hypoglycemia/nursing , Male , Middle Aged , Postoperative Complications/blood , Postoperative Complications/nursing , Postoperative PeriodABSTRACT
In order to determine the sepsis induced by the practice of canalizing the deep venous sector in revascularized patients, 43 catheters removed from 43 patients were cultured; no sepsis induced by this practice was found and 13 catheters had positive cultures, which amounted to 30.3% of the sample under study; five catheters (38.4%) with positive cultures belonged to patients who showed no sepsis; eight catheters (61.5%) with positive cultures corresponded to patients who showed septic focci. The average stay was 4.07 days. The germ most frequently found was negative coagulase staphylococcus.
Subject(s)
Bacterial Infections/epidemiology , Catheterization, Peripheral/adverse effects , Adolescent , Adult , Age Factors , Aged , Bacteria/isolation & purification , Bacterial Infections/etiology , Catheterization, Peripheral/instrumentation , Catheterization, Peripheral/statistics & numerical data , Catheters, Indwelling/adverse effects , Catheters, Indwelling/statistics & numerical data , Critical Care/statistics & numerical data , Cuba/epidemiology , Equipment Contamination , Female , Humans , Male , Middle Aged , Risk Factors , Sex FactorsABSTRACT
In cultures of secretions from 101 distal ends of endotracheal tubes removed from patients recently operated on due to several vascular affections, 41.6% of them were positive to different germs: pathogenic (7.9%), potentially pathogenic (12.9%), habitual in the oropharynx (3.9%), opportunistic (4.9%), contaminating (0.9%). Out of the 18.8% of patients recently operated on for acute inflammatory pneumopathy, 68.4% of them had positive cultures of the secretions in the distal ends of the removed endotracheal tubes. Hemocultures were carried out in 34.7% of the patients and 17.1% of them were found positive, although the germs found in the endotracheal tubes and the hemocultures were different. In the immediate postoperative period 48.5% of the gastric pH test were carried out and it was found that 37.6% of them were lower than 4, and 10.9% were higher than 4.1. Among the diseased, 28.6% had acute inflammatory pneumopathy and positive cultures of the secretions in the endotracheal tubes removed.
Subject(s)
Pneumonia/microbiology , Postoperative Complications/microbiology , Trachea/microbiology , Vascular Surgical Procedures , Adolescent , Adult , Aged , Aged, 80 and over , Bacteria/isolation & purification , Female , Gastric Acidity Determination , Humans , Hydrogen-Ion Concentration , Intubation, Intratracheal , Male , Middle Aged , Trachea/metabolismABSTRACT
En una muestra de diez pacientes se investigo los efectos de una nueva droga vasodilatadora sobre la presion arterial, frecuencia cardiaca, asi como su efecto sobre los intervalos PR, QTc y el complejo QRS.Esta droga redujo la presion arterial, la frecuencia cardiaca y prolongo los intervalos RR y QTc del electrocardiograma
Subject(s)
Humans , Male , Female , Vinca Alkaloids , Electrocardiography , HemodynamicsABSTRACT
En una muestra de diez pacientes se investigo los efectos de una nueva droga vasodilatadora sobre la presion arterial, frecuencia cardiaca, asi como su efecto sobre los intervalos PR, QTc y el complejo QRS.Esta droga redujo la presion arterial, la frecuencia cardiaca y prolongo los intervalos RR y QTc del electrocardiograma