Cir Cir
-
Un alto porcentaje de pacientes que reciben una hepatectomía por metástasis de cáncer colorrectal presentarán recidiva hepática, y en algunas será posible una nueva resección. La utilidad de las hepatectomías repetidas continúa siendo discutida. ⋯ The short-term results of repeated hepatectomy are similar to those resected once. Long term result are inferior to other published series.
-
Improper use of antibiotics increases antimicrobial resistance. ⋯ Inappropriate use of prophylactic antibiotics in surgery is a frequent problem in Monterrey. The intervention improved the antibiotic prescription for surgical prophylaxis by reducing inappropriate treatment commencement, regimens, dosages, and overuse of restricted antibiotics. It is necessary to strengthen strategies to improve the prescription of antibiotics in surgical prophylaxis.
-
Multicenter Study
[Epidemiological study of sepsis in Mexican intensive care units].
Consistent data about sepsis in Mexico are lacking. The objective of this epidemiological study is to better define the incidence, characteristics and outcome of sepsis in Mexican intensive care units (ICUs). ⋯ This study documents the high incidence of sepsis in Mexican ICUs, with high mortality rate and low adherence to Surviving Sepsis Campaign. Our data suggest that sepsis is a public health problem in Mexico.
-
Multicenter Study Clinical Trial
[Cosyntropin test in severe active tuberculosis].
Frequency of adrenal insufficiency in patients with tuberculosis varies from 0 to 58%; however, all published series excluded severely ill patients. Our objective was to investigate adrenal insufficiency with the low-dose cosyntropin test in patients with severe active tuberculosis. ⋯ Adrenal insufficiency is frequent in severe active tuberculosis. The efficacy and security of supplemental steroid treatment in severe active tuberculosis should be established by a randomized clinical trial.
-
Multicenter Study
[Penetrating cardiac trauma. A nine-years experience in Cancún, Mexico].
Early patient intubations, rapid transportation, thoracotomy in the emergency room, and tamponade are the main reasons why patients with cardiac trauma survive at present. This paper describes the experience with cardiac trauma in Cancun, Quintana Roo, Mexico, during period of 9 years by general surgeons. ⋯ Cardiac trauma presents in a wide range of clinical situations. Tamponade was observed as a positive prognostic factor, mortality was due to principally lesions caused by firearms and to ascending aorta trauma. Extracorporeal circulation pump is rarely required.