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Biomedical subjects

S Díaz Lobato

Publications and source records attributed to S Díaz Lobato.

At least 19 recordsLinked to original sources
PubMed2005

[Evaluation of a home hospitalization program in patients with exacerbations of chronic obstructive pulmonary disease].

OBJECTIVE: We carried out a randomized controlled trial to evaluate the efficacy of a home hospitalization (HH) program for patients hospitalized for exacerbation of chronic obstructive pulmonary disease (COPD). PATIENTS AND METHODS: Patients who were clinically stable and had stable arterial blood gases were randomized to the conventional hospitalization group or the HH group. RESULTS: Of the 88 patients evaluated, 40 (20 in each group) were enrolled. No differences were observed in baseline characteristics, in clinical recovery, or arterial blood gases between the 2 groups at discharge. At 1-month follow up there were no differences in mortality or in the number of readmissions. The mean length of hospitalization in patients with HH was 9.2 days (4 days in hospital and 5 days at home), compared to 12.2 days in patients with conventional hospitalization. CONCLUSIONS: Our results show that a hospital-supervised HH program including the participation of pneumologists and nursing staff allows for the recovery of patients hospitalized for exacerbation of COPD who have stable symptoms and arterial blood gases with no increase in the rate of readmission, relapse, or therapeutic failure.

Aged↗
PubMed2005

[Aberrant left subclavian artery associated with Kommerell's diverticulum: chance finding in a 75-year-old patient].

The most common anomaly of the aortic arch is the occurrence of a left aortic arch with an aberrant right subclavian artery. Other, less common anomalies have also been described. These include the occurrence of a right aortic arch with an aberrant left subclavian artery that, in addition, has a diverticulum at its site of origin known as Kommerell's diverticulum. All cases described in the literature have occurred in individuals younger than 35 years of age, generally with symptoms related to tracheal or esophageal compression. We present the case of a patient diagnosed by chance with this rare anomaly at 75 years of age.

Abnormalities, Multiple↗
PubMed2003

[Analysis of logistical and organizational aspects of a cruise for patients with chronic respiratory insufficiency. The RESpIRA Expedition and the COPD Cruise].

Patients with chronic respiratory insufficiency who are receiving domiciliary oxygen therapy and mechanical ventilation report great difficulty in taking complex trips involving several destinations and prolonged stays away from home. Such patients share a common need for home equipment whose technology is relatively sophisticated, a condition that limits their freedom of movement. We are referring to systems for delivering oxygen therapy and mechanical respirators. Given that such patients have problems traveling by air, we hypothesized that a cruise would be an ideal alternative, given that travel would take place in the hotel itself. A cruise would facilitate the logistics of the journey, given that the equipment would have to be set up at only one setting. Working with these assumptions, we have thus far organized two cruises for chronic respiratory insufficiency patients: the "RESpIRA Expedition" and the "COPD Cruise". Our experience shows that the organizational problems to be coped with are patient recruitment, financing and choice of itinerary. With those aspects clear, organizers must then obtain the authorization of the cruise operator, including the approval of the medical and safety personnel on board. After obtaining permission for the cruise and as soon as the organizers know how many patients will travel, a list of oxygen therapy equipment (respirators and disposable supplies) must be compiled. Finally, equipment suppliers must be found. Afterwards, all that remains is to enjoy the trip. The participation of physicians responsible for domiciliary oxygen therapy and mechanical ventilation programs is essential for making patients feel safe and for assuring solutions for technical and medical problems that might arise.

Adult↗
PubMed2003

[Aerophagia due to noninvasive mechanical ventilation: a first manifestation of silent gastric carcinoma].

Noninvasive mechanical ventilation (NIV) techniques have proven useful in treating patients with respiratory insufficiency of various etiologies. The problems most frequently associated with this ventilatory technique are the appearance of nasal and oropharyngeal dryness, pressure sores where the nasal mask touches the skin, ocular irritation due to air leakage and epistaxis. Aerophagia appears in up to half the patients with NIV and may lead to discontinuing treatment. Drugs that accelerate gastrointestinal transit, changes in the respirator settings or changing the ventilatory modality may help to ameliorate the problem. When the symptoms arising from abdominal distension due to NIV are intense and persistent, the coexistence of an underlying abdominal pathology must be ruled out. We report the cases of two patients with these characteristics in whom gastroscopy revealed gastric carcinoma. We think that patients with persistent symptoms of aerophagia that cannot be controlled by the usual measures should undergo endoscopic exploration to rule out silent gastric disease.

Aerophagy↗
PubMed2001

Noninvasive mechanical ventilation and corrective surgery for treatment of a child with severe kyphoscoliosis.

We report on an 11-year-old boy with severe kyphoscoliosis and respiratory failure. Noninvasive mechanical ventilation by nasal mask and hospitalization resulted in improved pulmonary function, thus facilitating corrective surgery for kyphoscoliosis. Following surgery, the patient remained on mechanical ventilation at home. Clinical and pulmonary function stabilized after discharge, as noted on a 1-month follow-up visit.

Child↗
PubMed2001

[Airway obstruction caused by cervicofacial tuberous hemangioma in treatment with non-invasive mechanical ventilation].

Tuberose haemangioma is an uncommon source of airway obstruction requiring a promt intervention as a result of possible complications. One of these is respiratory failure and ensuing cardiocirculatory aftermaths. The medical treatment are corticoids and interferon and in serious cases tumor removal or tracheotomy is indicated. The case presented is exceptional since it was treated by non invasive mechanical ventilation with nasal mask, owing to the patient's reject to surgery. The patient evolved favorably regarding the respiratory blockage, the same as the clinical course.

Airway Obstruction↗
PubMed1999

[The sleep apnea syndrome as a health problem. An estimation of its prevalence and morbimortality].

The sleep apnea syndrome (SAS) is a frequent health problem and has severe consequences. In some reports, their main symptoms like habitual snoring, excessive daytime sleepiness and nocturnal respiratory pauses can affect up to 65, 22.2 and 27.9% of men, respectively, being less frequent in women. The incidence of SAS ranges between 4 and 7% of adult general population. Patients without treatment have an increased mortality (37% to 8 years). Between the complications that made this adverse outcome are cardiovascular problems (arterial hypertension, coronary artery disease, sudden death), cerebral infarctions and other derived from sleepiness like traffic crashes.

Adolescent↗