F.J. Fonseca del Pozo's research while affiliated with Distrito Sanitario Granada-Metropolitano and other places

Publications (18)

Article
La ventilación mecánica no invasiva (VMNI) es un instrumento terapéutico que puesto en manos del urgenciólogo como apoyo inicial al paciente con insuficiencia respiratoria aguda (IRA) puede marcar de forma definitiva la evolución de ese cuadro clínico. Múltiples ventajas que avalan la VMNI frente a las formas invasivas de ventilación: preserva meca...
Article
Optimum management of the airway and ventilation in critical patients continues to be a basic cornerstone in survival, evolution and prognosis. orotracheal intubation (OTI) is the “gold standard”in these situations. Knowing the position, maneuvers and material that “facilitate”the OTI and how to perform previous adequate oxygen-ventilation and sedo...
Article
The routine use of non-invasive ventilation (NIV) should begin as soon as possible in the hospital or prehospital Urgency and Emergency setting, both by emergency teams or in primary health care emergency sites. After a suitable selection of the patient, the best form should be applied for the disease in case, either continuous positive airway pres...
Article
The little governmental support provided for the training of health care professionals working at Urgency and Emergency Services has decided us to write this article, in which we make an historical review, we attempt to identify the problem and we try to find a solution. Improvement of the quality of human resources involves helping people to be aw...
Article
The objective of this article is to serve as a guide for the professionals of the sanitary transport. We expose all the signs that the Technical in Sanitary Emergencies (TES) or the Auxiliary of Sanitary Transport (AUTS) must know. They must also be able to search those situations in which the application of oxygen therapy is necessary and to ident...
Article
We present the case of a 70-year-old patient with histories of arterial hypertension (HTN), electrocardiographic left ventricular hypertrophy (LVH), trigeminal neuralgia, and with controlled blood pressure. In the last year, she has undergone several changes in her hypertensive treatment in response to gradual BP elevations. She attends the consult...
Article
Since sudden cardiac death was identified as one of the main causes of mortality in adult, scientific studies have demostrated the inversely proportional relation between survival and delay in beggining treatment. In the sixties, group of experts developed guidelines for such situations and the first prehospital advanced life support units was crea...
Article
Objectives To assess reliability in terms of inter-observer agreement of blood pressure (BP) readings. Various health professionals and measuring systems. Influence of observer's experience. Design Observational, descriptive, cross-sectional study. Setting Urban health centre, Córdoba. Participants 131 hypertense, randomised patients, belonging...
Article
To assess reliability in terms of inter-observer agreement of blood pressure (BP) readings. Various health professionals and measuring systems. Influence of observer's experience. Observational, descriptive, cross-sectional study. Urban health centre, Córdoba. 131 hypertensive, randomised patients, belonging to a functional care unit. 11 were exclu...

Citations

... We calculate the Intraclass Correlation Coefficient (ICC) between the measurements obtained with a goniometer with those gathered using LeapAngles software. Since the ICC enable us to measure the concordance between different methods of measurement for the same phenomenon, this means, to confirm that results obtained with both instruments are equivalent [9], [10]. ...
... Por otra parte, el estado asmático, la neumonía grave, la lesión pulmonar aguda o el síndrome de dificultad respiratoria aguda requieren de la VMNI que los cuidados emergentes pueden ofrecer. [1][2][3][4][5] ...
... Optimum airway (AW) and ventilation management of critical patients is a cornerstone for the patient's survival, evolution and prognosis, particularly in a pre-hospital setting and in the ER. 3 Direct laryngoscopy OTI requires training of at least 50 successful attempts to achieve more than 90% success rate, in addition to regular practice to keep up that level of performance. 4 It has been shown that OTI in the pre-hospital setting is possible when experienced personnel control the AW; there are several factors affecting the outcome including blood, vomiting and secretions, as well as anatomical variations, the patient's position, and environmental factors. ...
... En este caso nos centraremos, en la modalidad no invasiva como apoyo a la ventilación espontánea del paciente que no precisa de técnicas invasivas como la intubación orotraqueal (IOT), o que aísle la vía aérea, como es el caso de la mascarilla laríngea. (7) El uso de la VMNI frente a la modalidad invasiva, reduce numerosas complicaciones que podrían conllevar un riesgo vital para el paciente (2,6,7). Los pacientes subsidiarios de VMNI serían aquellos con ventilación espontánea, colaboradores, con nivel de conciencia adecuado, aquellos que presenten una IRA que no responda a tratamiento convencional e IRA hipercápnica. ...
... Los SUAP se crean en el antiguo territorio INSALUD, mediante una resolución de la dirección general del INSA- LUD de 27 de diciembre de 2001. A partir de este momento las plazas de médicos y ATS/DUE de los servicios norma- les de urgencia y de los servicios especiales de urgencia se transforman en plazas de SUAP 4 . ...
... it-sampling fraction (f). When f is less than 0.35, Scott and Smith's predictor has higher increment in SMSE over TMSE than the Random Permutation Predictor. However, when f is greater than 0.35, the Random Permutation Predictor has higher percent increment in SMSE to TMSE than Scott and Smith's Predictor. Andre et al., 1987. Cavelaars et al., 2004. Ripolles et al., 2001. ...