Browsing by Author "Elgueta Le-beuffe, María Francisca"

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    Dolor en pacientes con enfermedad renal crónica, ¿Qué analgésicos indicar y cuáles no?
    (Sociedad de Anestesiología de Chile, 2024) Reyes Lillo, Melisa Alison; Vega Pérez, Eduardo Andrés; Contreras Labarca, Tania Lorena; León Stehr, Paula Jacinta; Elgueta Le-beuffe, María Francisca
    La prevalencia de dolor crónico no oncológico en Chile corresponde al 34,7%, la cual aumenta en la población con Enfermedad Renal Crónica, con implicancias en la calidad de vida de las personas. La farmacodinamia y farmacocinética de algunos analgésicos se ve alterada en esta población con riesgo de efectos adversos, por lo que hay que tener en consideración la etapa de la enfermedad, tipo de dolor, intensidad de este y vías de administración. Esta revisión tiene por objetivo definir qué analgésicos están recomendados para uso, cuáles no usar e idealmente evitar en Enfermedad Renal Crónica.
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    Intervencionismo en dolor oncológico: una buena alternativa para el paciente que sufre
    (2023) Strange Guarda, Erick; Lacassie, Martín; Vega Pérez, Eduardo Andrés; León Acuña, Paula Blanca; Elgueta Le-beuffe, María Francisca
    Pain Interventionism is dedicated to the practice of “minimally invasive” interventions to relieve pain in cases where the use of medications and non-pharmacological measures are not useful. Chronic pain is a common clinical condition that affects a significant portion of the oncology population. The objective of this review is to show the different interventional therapy alternatives that exist for these patients where pharmacological treatment is not enough to manage their pain. These techniques have proven to be an excellent alternative in this population; however, they should always be considered as a part of the interdisciplinary management of the oncological patient.
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    Parche de sangre cervical para tratamiento de síndrome de hipotensión/ hipovolumen de líquido cefalorraquídeo espontáneo. Reporte de un caso
    (2022) Lacassie Quiroga, Héctor Javier; Mellado Talesnik, Patricio Andrés; Benavides Tala, Javiera Ignacia; De La Cuadra Fontaine, Juan Carlos; Cruz Quiroga, Juan Pablo; Díaz Lorenzo, José Pablo; Elgueta Le-beuffe, María Francisca
    Presentamos el tratamiento eficaz de una filtración espontánea de líquido cefalorraquídeo (LCR) asociada a un síndrome de hipotensión/hipovolumen de LCR a nivel cervical alto, caracterizado por delirio y hematomas subdurales secundarios, refractarios al drenaje quirúrgico, que se resolvió con dos parches de sangre epidurales cervicales consecutivos.
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    Prehabilitation for Chilean frail elderly people - pre-surgical conditioning protocol - to reduce the length of stay: randomized control trial
    (2024) Contreras Ibacache, Víctor; Elgueta Le-beuffe, María Francisca; Balde Sepulveda, Detlef Peter Mario; Astaburuaga Jorquera, Paula Daniela; Carrasco, Marcela; Pedemonte Trewhela, Juan Cristobal; Nicoletti Santoni, Maria Natalia; Medina Díaz, René; Figueroa, Constanza; Alamos Ramirez, Mirelly De Los Angeles; Cuzmar Benítez, Valeria; Vargas Moreno, Benjamin Ignacio; Barraza Mendizabal, Benjamin Juan Pablo; Retamal, Claudio; Cortinez Fernandez, Luis Ignacio; Franco, Sebastián; Agurto, Raul; Vivanco, Catherin
    Background: Frail elderly patients have a higher risk of postoperative morbidity and mortality. Prehabilitation is a potential intervention for optimizing postoperative outcomes in frail patients. We studied the impact of a prehabilitation program on length of stay (LOS) in frail elderly patients undergoing elective surgery.Methods: An RCT study was conducted. Frail patients scheduled for elective surgery were randomized to receive either pre-surgical conditioning protocol (PCP) or standard preoperative care. PCP included nursing, anesthetic, and geriatric assessment, nutritional intervention, and physical training for 4-weeks preoperatively. A nurse followed both groups until discharge criteria were met. The primary outcome was postoperative LOS. Secondary outcomes were nutritional status, preoperative frailty status (frailty phenotype-FP) after PCP, and postoperative complications up to three months categorized according to the Clavien-Dindo Classification. Means and medians between the control and intervention groups were compared, with statistical significance set at α=5%.Results: Thirty-four patients were to intervention and Thirty-seven to the control group. In the intervention group, adherence to prehabilitation was 90%. The median LOS after surgery was three days in both groups, without finding statistically significant differences between groups (P=0.754), although there was a trend towards lower LOS in the urologic surgery subgroup. We found a significant reduction in frailty status after PCP (FPpre=2.4±0.5 and FPpost=1.7±0.5, P<0.001). Nutritional status significantly improved in frail patients after prehabilitation (MNAbasal=9.0±2.5 and MNApost=10.6±2.6), P=0.028. The intervention group had less severe postoperative complications, which were not statistically significant.Conclusions: The PCP conducted both in-person and online, for older frail patients undergoing elective colorectal and urological surgery was not associated with shorter LOS. However, frailty status significantly improved after completing PCP.
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    Reply to Dr Bansal et al
    (Lippincott Williams and Wilkins, 2017) Tran, D.; Finlayson, R.; Aliste, J.; Elgueta Le-beuffe, María Francisca
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    Reply to Dr Price
    (Lippincott Williams and Wilkins, 2017) Tran, Q. de; Finlayson, Roderick J.; Aliste, Julián; Elgueta Le-beuffe, María Francisca
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    Upper extremity nerve blocks
    (Springer, 2018) Tran, D. Q. H.; Elgueta Le-beuffe, María Francisca; Asenjo, J. F.