LA VARIACIÓN RESPIRATORIA EN EL DIÁMETRO DE LA VENA CAVA INFERIOR COMO UN INDICADOR EN LA REANIMACIÓN HÍDRICA DE LOS PACIENTES SÉPTICOS CON VENTILACIÓN MECÁNICA

Abstract

Severe sepsis and septic shock are major health problems, affecting millions of individuals around the world each year. Similar to polytrauma, acute myocardial infarction, or stroke, the proper and rapid administration of therapy in the first few hours after developing severe sepsis is probably the main influence on clinical outcomes. As a general objective to determine the importance of the measurement of respiratory variation in the inferior vena cava diameter as an indicator in the water reanimation of septic patients with mechanical ventilation admitted to the Intensive Care Unit of the Hospital of the Ecuadorian Social Security Institute "Dr. Teodoro Maldonado Carbo "in the period January-June 2016. The hypothesis with which the research was carried out consisted of the following: "Respiratory variation in the diameter of the inferior vena cava is a determinant indicator during the water resuscitation of septic patients with mechanical ventilation admitted to the Intensive Care Unit of the Hospital Of the Ecuadorian Social Security Institute "Dr. Teodoro Maldonado Carbo "in the period January-June 2016. 25 A prospective review was carried out with a population of 247 septic patients admitted to the Intensive Care Service of the Hospital of Ecuadorian Social Security Institute "Dr. Teodoro Maldonado Carbo "in the Period January-June 2016; During that period, supported by descriptive cross-sectional research with the clinical epidemiological method. Information was obtained through observation, documentary analysis, bibliographical compilation and clinical records. The analysis of the results was done through statistical tables, graphical representations and percentage analyzes of the same. The most important result of the research process is that: "Respiratory variation in the diameter of the inferior vena cava is a determinant indicator during the water reanimation of the septic patients with mechanical ventilation admitted to the Intensive Care Unit of the Hospital of Instituto Ecuatoriano Of Social Security "Dr. Teodoro Maldonado Carbo "in the period January-June 2016. This research is structured of five chapters developed sequentially and annexes that complement it.