Evalúa la eficacia de las soluciones salinas hipertónicas en el tratamiento de la hipertensión endocraneana de pacientes post-operados por injuria cerebral traumática severa del Hospital Nacional Dos de Mayo en el periodo setiembre 2006 – diciembre 2007. El estudio es comparativo, longitudinal, retrospectivo y observacional. La población estuvo constituida por los pacientes con Injuria Cerebral Traumática severa que cursaron con síndrome de hipertensión endocraneana, post-operados de craneotomía con estancia hospitalaria en el Servicio de Cuidados Críticos admitidos entre setiembre 2006 - diciembre 2007. Se revisó las historias clínicas de los pacientes con hipertensión endocraneana post operados por injuria cerebral traumática severa tratados con solución salina hipertónica. Se evaluó retrospectivamente la eficacia y seguridad de las soluciones salinas hipertónicas u...

Objective: To determine the role of self-esteem against burnout syndrome (BOS) among physicians of the Department of Emergency and Critical Care of the Hospital Nacional Dos de Mayo (HNDM). Lima–Peru, 2020. Materials and methods: An analytical and correlational study. Sixty-six (66) physicians were surveyed. The variables “selfesteem” and “burnout” were measured with the Rosenberg Self-Esteem Scale and the Maslach Burnout Inventory–Human Services Survey (MBI–HSS), respectively. The odds ratio was used to establish the probability of burnout according to the self-esteem level, and the Pearson correlation coefficient was used to determine the correlation of major variables. A value of p < 0.05 was considered as statistically significant. Results: Sixteen point six six percent (16.66 %) of the study population showed emotional fatigue; 28.78 %, depersonalization; and 25.75 ...

Introduction. Hemoptysis is one of the most alarming manifestations of bronchopulmonary diseases and represents 7% of hospital admissions to Internal Medicine services. Severe hemoptysis is related to high mortality in about 40%. Multiple factors that coexist with hemoptysis alter its evolution and prognosis. Not only the severity of the hemoptysis determines the risk of death, but also the presence of comorbid conditions, especially pulmonary pathologies affecting the patient’s functional reserve. Objectives. To determine the mortality and factors that increase mortality in patients with hemoptysis admitted by the Emergency Room. Design. Analytical study. Setting. Hospital Nacional Dos de Mayo, Lima, Peru. Participants. Patients with hemoptysis. Methods. We reviewed 108 clinical histories of patients who were hospitalized as an emergency with the diagnosis of hemoptysis during a time ...

Objective: To determine the magnitude, and clinical and biochemical features of methanol poisoning in patients admitted to the emergency room of the Hospital Nacional Dos de Mayo. Materials and methods: An analytical study was performed with data from patients diagnosed with methanol poisoning who were admitted to the emergency room of the Hospital Nacional Dos de Mayo, Lima, Peru. Collected data included age, gender, occupation, place of origin, cocaine use, chronic alcoholism, HIV infection, and clinical data associated with methanol poisoning. For the analysis, statistical measures of central tendency and dispersion were used, and 2x2 contingency tables were developed in the bivariate analysis. For the evaluation of the likelihood ratio, confidence intervals were established at 95 %, and a p-value < 0.05 was considered significant. Results: Ninety percent (90%) of the cases occurre...