Browsing by Author "Zavala Busquets, Alejandro Luis"

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    Atresia Esofágica y Fístula Traqueoesofágica. Evolución y Complicaciones Postquirúrgicas
    (2010) Jakubson S., Leticia; Paz C., Fernando; Zavala Busquets, Alejandro Luis; Harris D., Paul R.; Bertrand N., Pablo
    La Atresia esofágica (AE) con o sin fístula traqueoesofágica (FTE) es una malformación congénita que se asocia a complicaciones respiratorias y digestivas. Objetivo: Describir las características de estos pacientes, su morbilidad respiratoria, digestiva y hospitalizaciones en su evolución a largo plazo. Materiales y Métodos: Se revisaron en forma retrospectiva 15 fi chas de pacientes con diagnóstico de FTE evaluados por el equipo de Neumología Pediátrica de la Universidad Católica de Chile entre 1995 y 2007. Resultados: N = 15 pacientes, sexo masculino 9 diagnóstico el primer día de vida 13/15 pacientes. Clasifi cación de Gross: A= 0, B= 0, C= 12, D= 2, E= 1. Clasifi cación de Waterston A1: 6, B1: 1, B2: 4 y C2: 4 Malformaciones asociadas: en 7/15. Complicaciones respiratorias: Neumonía recurrente 8/15, sibilancias recurrentes 12/15, Recurrencia de fístula: 3 /15 pacientes, Apnea: 1 paciente, Traqueomalacia (TM) (9/15). Complicaciones digestivas: Refl ujo gastroesofágico 15/15, Estenosis esofágica: 7/ 15. Un paciente requirió cirugía de Nissen. Todos los pacientes se hospitalizaron en al menos una oportunidad y en el 12/15 la causa fue respiratoria. Conclusión: La FTE es una enfermedad de resolución quirúrgica con alta morbilidad respiratoria, digestiva y frecuentes hospitalizaciones en los primeros años de vida.
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    DISPOSITIVO DE MONTAJE PARA ADAPTACIÓN DE UNA SONDA URINARIA FOLEY COMO SONDA DE GASTROSTOMÍA ENDOSCÓPICA PERCUTÁNEA (PEG) PARA ALIMENTACIÓN ENTERAL (Chile, concesión n° 62189)
    Caro Pinto, Iván; Pattillo Silva, Juan Carlos; Vuletín, José; Zavala Busquets, Alejandro Luis; Campos, Mariel; Márquez Villablanca, Valentina; Romagnoli, Fernanda
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    Factors associated with thrombotic complications in pediatric patients with vascular malformations
    (2017) Sepulveda, P.; Zavala Busquets, Alejandro Luis; Zúñiga C., P.
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    Operative Technique with Rapid Recovery for Ingrown Nails with Granulation Tissue Formation in Childhood
    (2013) Pérez, Carlos; Maul Fonseca, Ximena; Heusser Ferrés, María Catalina; Zavala Busquets, Alejandro Luis
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    Risk-stratified Results among Congenital Diaphragmatic Hernia Patients in Two Large Extracorporeal Membrane Oxygenation Centers in South America
    (W B SAUNDERS CO-ELSEVIER INC, 2023) Luco Illanes, Matías; Salas, Gisela; Zavala Busquets, Alejandro Luis; Otano, Jesica; Toso Milos, Alberto; Reusmann, Aixa; Cannizzaro, Claudia; Santelices Ruiz, Felipe; Farina, Diana; Lally, Pam; Kattan Said, Alberto
    Introduction: Mortality related to CDH is high, but with great variability among centers. There are few studies on patients with this condition born in South America which show poor outcomes. The goal of this study is to present the outcome of CDH in several high-volume quaternary centers in South America, ascertain the factors associated with lower mortality in our population, and compare our outcomes to those of the CDH Study Group (CDHSG).Methods: The data from two South American centers were retrospectively analyzed and compared with contemporary data from other CDHSG participating centers. Patient demographic and clinical characteristics were also evaluated and compared.Results: Between 2013 and 2018, the two South American centers saw 335 patients with CDH with an overall survival rate of 73.1%. Survival for the high, intermediate, and low-risk groups as determined by the Brindle score was 50%, 70%, and 87%, respectively. In our cohort the strongest predictors of mortality were ECMO use and early PaCO2. There were no significant differences in mortality between the two South American centers and the other CDHSG centers when adjusted by risk score, however, the South American centers had higher use of ECMO in the intermediate-risk group.Discussion: Quaternary South American centers had similar outcomes to CDHSG centers worldwide. The availability and coordination of centralized dedicated care allow more efficient use of scarce technical and professional resources in patients with CDH. Level of evidence: III.& COPY; 2023 Elsevier Inc. All rights reserved.