Aplicación médica Medicalapis
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Fecha
2020
Autores
Castro Ahumada, Ronald
Garcerant Campo, Isaias
Perales Caballero, Karen
Título de la revista
ISSN de la revista
Título del volumen
Editor
Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Antecedentes: Las alteraciones del equilibrio ácido-base son objeto de estudio de todas las especialidades médicas. Si bien la mayoría de los casos derivan de una patología preexistente, también pueden manifestarse en un contexto primario. La identificación adecuada del trastorno ácido-base permite caracterizar el proceso patológico causante. La correcta interpretación de la gasometría como técnica de monitoreo del estado ventilatorio, oxigenación y el equilibrio ácido-base de un paciente, requiere de la integración de diversos enfoques fisicoquímicos con el fin de precisar un diagnóstico, cuantificar una respuesta terapéutica, monitorizar la severidad o la progresión de un proceso patológico.
El Objetivo de esta aplicación medica es orientar la correlación clínica del paciente crítico con los parámetros de la gasometría sanguínea para caracterizar el trastorno ácido-base a través de la proposición de unas variables aplicadas a una aplicación que al introducir los datos desarrolla un algoritmo diagnostico en 1 minuto.
Materiales y Métodos: Se realizó una revisión de la literatura en las bases de datos PubMed, Scopus y Science Direct. Los artículos fueron seleccionados de acuerdo con el título y el resumen y ordenados por temas relevantes por fisiopatología, divergencias, enfoque clínico, diagnóstico y manejo, el cual se elaboró un artículo teórico y se presento a 2 revistas científicas a espera de aprobación, posterior se contacto con un diseñador de APP y se desarrolló una aplicación medica con el algoritmo del texto teórico, se incorporó a un hosting y se radico la aplicación en la página de dirección nacional de derechos de autor con Numero de registro 13-78-474 fecha del Registro 06-abr-2020.
Resultados: Se realizo una guía de la correlación clínica del paciente crítico con los parámetros de gasometría de la sangre para caracterizar el trastorno ácido-base a través de la propuesta de un algoritmo de diagnóstico y una aplicación medica practica el cual fue validada y puesta a prueba de 24 personas al azar, el cual se les pidió una evaluación atraves de Google formulario con satisfacción del 100%.
Conclusiones: el uso de esta aplicación facilita la comprensión de los mecanismos fisiopatológicos del equilibrio acido básico en los pacientes permitiendonos identificar el objetivo terapéutico preciso y de esta manera corregir el trastorno subyacente en los diferentes contextos clínicos del paciente.
Background: The alterations of the acid-base balance are the object of study of all medical specialties. Although most cases derive from a pre-existing pathology, they can also manifest in a primary context. The proper identification of the acid-base disorder allows characterizing the pathological process that causes it. The correct interpretation of gasometry as a technique for monitoring the patient's ventilatory status, oxygenation and acid-base balance requires the integration of various physicochemical approaches in order to specify a diagnosis, quantify a therapeutic response, monitor the severity or the progression of a pathological process. The objective of this medical application is to guide the clinical correlation of the critically ill patient with the parameters of blood gasometry to characterize the acid-base disorder through the proposition of variables applied to an application that, when entering the data, develops a diagnostic algorithm in 1 minute. Materials and Methods: A review of the literature was performed in the PubMed, Scopus and Science Direct databases. The articles were selected according to the title and abstract and ordered by relevant topics by pathophysiology, divergences, clinical approach, diagnosis and management, which was developed a theoretical article and submitted to 2 scientific journals pending approval, later I contacted an APP designer and a medical application was developed with the algorithm of the theoretical text and it was incorporated into a hosting and the application was based on the national copyright address page with Registration number 13-78-474 Registration date Apr 6, 2020. Results: A guide of the clinical correlation of the critically ill patient with the blood gas parameters was carried out to characterize the acid-base disorder through the proposal of a diagnostic algorithm and a practical medical application which was valid and approved. of 24 random people, who were asked for an evaluation through the Google form with 100% satisfaction. Conclusions: the incorporation of this practical theoretical material by applying the three theories in a diagnostic algorithm that takes time to understand through this application facilitates a better understanding of the pathophysiological mechanisms and allows us to identify a more precise therapeutic objective to correct the underlying disorder in the different clinical contexts of the patient.
Background: The alterations of the acid-base balance are the object of study of all medical specialties. Although most cases derive from a pre-existing pathology, they can also manifest in a primary context. The proper identification of the acid-base disorder allows characterizing the pathological process that causes it. The correct interpretation of gasometry as a technique for monitoring the patient's ventilatory status, oxygenation and acid-base balance requires the integration of various physicochemical approaches in order to specify a diagnosis, quantify a therapeutic response, monitor the severity or the progression of a pathological process. The objective of this medical application is to guide the clinical correlation of the critically ill patient with the parameters of blood gasometry to characterize the acid-base disorder through the proposition of variables applied to an application that, when entering the data, develops a diagnostic algorithm in 1 minute. Materials and Methods: A review of the literature was performed in the PubMed, Scopus and Science Direct databases. The articles were selected according to the title and abstract and ordered by relevant topics by pathophysiology, divergences, clinical approach, diagnosis and management, which was developed a theoretical article and submitted to 2 scientific journals pending approval, later I contacted an APP designer and a medical application was developed with the algorithm of the theoretical text and it was incorporated into a hosting and the application was based on the national copyright address page with Registration number 13-78-474 Registration date Apr 6, 2020. Results: A guide of the clinical correlation of the critically ill patient with the blood gas parameters was carried out to characterize the acid-base disorder through the proposal of a diagnostic algorithm and a practical medical application which was valid and approved. of 24 random people, who were asked for an evaluation through the Google form with 100% satisfaction. Conclusions: the incorporation of this practical theoretical material by applying the three theories in a diagnostic algorithm that takes time to understand through this application facilitates a better understanding of the pathophysiological mechanisms and allows us to identify a more precise therapeutic objective to correct the underlying disorder in the different clinical contexts of the patient.
Descripción
Palabras clave
Aplicación, Equilibrio ácido base, Gases arteriales, Diagnostico, Algoritmo, Application, Acid-base imbalance, Blood gases, Diagnosis, Algorithm