Revista médica de Chile
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Revista médica de Chile · Apr 2022
Observational Study[STOP-BANG questionnaire as predictor of a difficult airway management during anesthesia].
Obstructive sleep apnea (OSA) is highly prevalent. The STOP-BANG questionnaire is a simple and useful tool to screen for OSA. ⋯ The STOP-BANG questionnaire was only able to predict difficult mask ventilation. Since its discriminative value was low, it cannot be recommended it as a single predictor.
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Revista médica de Chile · Apr 2022
[Description of the operation of a home hospitalization unit in a public hospital at Santiago, Chile].
This article briefly discloses what home hospitalization consists of, its different models of care, and the benefits and difficulties associated with it. We also describe the operation of the home hospitalization unit of the Padre Hurtado Hospital in Santiago de Chile and the role it took in the context of the first wave of the COVID-19 Pandemic, specifically between March and August of the year 2020. We aim to share our experience with this emerging form of hospitalization that is already working in Chilean public hospitals. We also hope that this hospitalization modality will continue to grow over the years.
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Revista médica de Chile · Apr 2022
[Features of patients admitted with COVID-19 to a Chilean regional hospital during the first stages of the pandemic].
The COVID-19 pandemic posed a great strain in health services. ⋯ Viral pneumonia is the main cause of hospitalization for COVID-19, usually extensive and bilateral. The greater severity and poor prognosis of these patients are mainly related to comorbidities.
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Revista médica de Chile · Apr 2022
Case Reports[Lymphocyte shift in a patient with herpetic encephalitis. Report of one case].
Central nervous system infections are a medical emergency, due to their high fatality and sequelae. Timely treatment is essential, and should be initially indicated empirically by clinical guidance, without microbiological certainty. Hence the importance of cerebrospinal fluid (CSF) analysis as an etiological and therapeutic guide in the crucial initial hours of management. ⋯ A new lumbar puncture disclosed a CSF with predominance of lymphocytes. The lymphocyte shift prompted a PCR that was positive for herpes virus. The patient was treated with acyclovir with a good evolution.
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Revista médica de Chile · Apr 2022
[Implementation of a protocol for neuropsychiatric disease surveillance in a general hospital].
The COVID-19 pandemic increased the incidence of neuropsychiatric diseases. Proactive models of consultation-liaison psychiatry (CLP-p) could play a key role in the prevention and management of these diseases in a general hospital. ⋯ The neuropsychiatric surveillance protocol facilitates early and timely interventions and establishes criteria for the continuity of post-discharge care. These changes could improve the quality of care in general hospitals and reduce the gap between mental and physical health.