Browsing by Author "Eymin, Gonzalo"

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    La importancia de la evidencia y de la adherencia a los protocolos clínicos en bienestar de los pacientes. Caso clínico de morbimortalidad
    (2021) Eymin, Gonzalo; Cruz, Francisco; Calvo de la Barra, Carlos; Majerson, Alejandro
    We report a 32-year-old woman with chronic kidney disease on hemodialysis undergoing a nephrectomy for left xanthogranulomatous pyelonephritis with a coralliform calculus and septic shock. Her clinical evolution was torpid, subfebrile, with persistent elevation of inflammatory parameters and with the finding of intra-abdominal collections interpreted as post-surgical. Finally faced with microbiological evidence of infection of the collections, the patient was operated and tended to improve. Subsequently, she underwent a difficult mechanical ventilation weaning, identifying the abrupt discontinuation of benzodiazepines as a contributing factor to agitation. We report this patient for educational purposes and to reinforce some quality-of-care concepts such as safety and opportunity of healthcare.
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    La importancia de la evidencia y de la adherencia a los protocolos clínicos en bienestar de los pacientes. Caso clínico de morbimortalidad
    (SOC MEDICA SANTIAGO, 2021) Eymin, Gonzalo; Cruz, Francisco; Calvo de la Barra, Carlos; Majerson, Alejandro
    We report a 32-year-old woman with chronic kidney disease on hemodialysis undergoing a nephrectomy for left xanthogranulomatous pyelonephritis with a coralliform calculus and septic shock. Her clinical evolution was torpid, subfebrile, with persistent elevation of inflammatory parameters and with the finding of intra-abdominal collections interpreted as post-surgical. Finally faced with microbiological evidence of infection of the collections, the patient was operated and tended to improve. Subsequently, she underwent a difficult mechanical ventilation weaning, identifying the abrupt discontinuation of benzodiazepines as a contributing factor to agitation. We report this patient for educational purposes and to reinforce some quality-of-care concepts such as safety and opportunity of healthcare.
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    Pseudotumor cerebri secondary to Behcet disease. Report of one case
    (SOC MEDICA SANTIAGO, 2010) Duran, Josefina; Jurado, Marisol; Jacobelli, Sergio; Eymin, Gonzalo; Castiglione, Enzo; Valenzuela, Raul; Gutierrez, Miguela
    The classical manifestations of Behcet disease are mouth and genital ulcers, cutaneous lesions and ocular involvement The central nervous system is affected in 5 to 59% of the cases, usually in the form of meningoencephalitis or sinus venous thrombosis. We report a 17-year-old female presenting with a two weeks history of progressive headache, nausea and blurred vision. An initial magnetic resonance was normal. Fifteen days later she was admitted to the hospital due to progression of visual impairment. She gave a history of oral ulcers and arthralgias. A new magnetic resonance was normal. A lumbar puncture showed a cerebrospinal fluid with a protein concentration of 14 mg/dl, a glucose concentration of 64 mg/dl, 20 fresh red blood cells and a pressure of 26 cm H(2)O The diagnosis of a pseudotumor cerebri, secondary to Behcet disease was raised and the patient was treated with colchicine and acetazolamide. The. evolution was torpid and an anterior uveitis was also found After discharge, she continued with oral and genital ulcers and was treated with infliximab. Despite treatment, headache persists. (Rev Med Chile 2010; 138: 334-337).
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    Thromboprophylaxis in major knee and hip replacement surgery: a review
    (SPRINGER, 2012) Eymin, Gonzalo; Jaffer, Amir K.
    Patients undergoing total knee and total hip replacement (THR/TKR) surgery are at high risk of venous thromboembolism (VTE), and routine thromboprophylaxis is recommended after these procedures. However, current thromboprophylaxis may require daily injections, careful anticoagulation monitoring, and dietary restrictions, which can lead to poor patient compliance and suboptimal outcomes. Therefore, there is an unmet need for simpler medication options. Newer oral anticoagulants have improved efficacy over standard treatments, with convenient dosing regimens, more predictable pharmacologic profiles that reduce the need for anticoagulation monitoring, and fewer drug or food interactions. These drugs have the potential to simplify anticoagulation after THR or TKR surgery, which may lead to improved adherence, thus lowering the incidence of VTE and associated complications after surgery.