La importancia de la evidencia y de la adherencia a los protocolos clínicos en bienestar de los pacientes. Caso clínico de morbimortalidad
- Autores: Gonzalo Eymin, Francisco Cruz, Carlos Calvo de La Barra, Alejandro Majerson
- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 149, Nº. 11, 2021, págs. 1664-1667
- Idioma: español
- Títulos paralelos:
- The importance of timely and safe care. Report of one case
- Enlaces
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Resumen
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.
