Publications by authors named "Luis Mario Vaquero Roncero"
Article Synopsis
- - Obesity requires complex preoperative assessments for bariatric surgery, and this study aims to evaluate a new protocol for pre-anesthesia consultations to improve efficiency and reduce costs.
- - A retrospective analysis of 206 cases was conducted using various statistical tests to compare consultations conducted with and without the proposed protocol.
- - Results indicated that the protocol significantly reduced costs and consultation duration, but did not impact surgery delays or hospital stay lengths, suggesting it effectively optimizes management in bariatric surgery.
Objectives: Identifying host response biomarkers implicated in the emergence of organ failure during infection is key to improving the early detection of this complication.
Methods: Twenty biomarkers of innate immunity, T-cell response, endothelial dysfunction, coagulation, and immunosuppression were profiled in 180 surgical patients with infections of diverse severity (IDS) and 53 with no infection (nIDS). Those better differentiating IDS/nIDS in the area under the curve were combined to test their association with the sequential organ failure assessment score by linear regression analysis in IDS.
Objectives: Identifying patients with COVID-19 who are at risk of poor evolution is key to early decide on their hospitalization. We evaluated the combined impact of nucleocapsid (N)-antigenemia profiled by a rapid test and antibodies against the S1 subunit of the SARS-CoV S protein (S1) on the hospitalization risk of patients with COVID-19.
Methods: N-antigenemia and anti-S1 antibodies were profiled at admission to the emergency department in 146 patients with COVID-19 using the Panbio® antigen Rapid Test and the SARS-CoV-2 immunoglobulin G II Quant/SARS-CoV-2 immunoglobulin G assay from Abbott.
Immune thrombocytopenia (ITP) during pregnancy has received little attention from researchers. Reliable information about the outcome of mothers and newborns is required to properly counsel women who are pregnant or planning to become pregnant. Our primary outcomes were the frequency and severity of maternal and neonatal bleeding events in the setting of ITP in pregnancy.
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- A study in Spain explored how different intensities of anticoagulation, specifically low-molecular-weight heparin (LMWH), impact survival rates in COVID-19 hospitalized patients.
- The research included 690 patients, revealing that those who received any form of LMWH had significantly lower mortality rates compared to those who did not.
- The findings suggest that intermediate-dose LMWH may offer the most benefit, highlighting the need for further randomized controlled trials to investigate optimal anticoagulation strategies for COVID-19 patients.
Background: Following the SEPSIS-3 consensus, detection of organ failure as assessed by the SOFA (Sequential Organ Failure Assessment) score, is mandatory to detect sepsis. Calculating SOFA outside of the Intensive Care Unit (ICU) is challenging. The alternative in this scenario, the quick SOFA, is very specific but less sensible.
View Article and Find Full Text PDFSpinal anesthesia compared with general anesthesia for neonates with hypertrophic pyloric stenosis. A retrospective study.
Paediatr Anaesth
September 2019
Background: Studies of spinal anesthesia in children are limited to a reduced group of high-risk patients and it remains relatively underused compared with general anesthesia in this age group in most institutions. In our experience, spinal anesthesia appears to be a good alternative to general anesthesia during pyloromyotomy in neonates and infants.
Aims: The purpose of this study was to retrospectively evaluate respiratory morbidity of spinal anesthesia compared to general anesthesia in infants undergoing pyloromyotomy.
A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has not been fixed in the paper.
View Article and Find Full Text PDFEarly recognition of sepsis is a key factor to improve survival to this disease in surgical patients, since it allows prompt control of the infectious source. Combining pro-inflammatory and immunosupression biomarkers could represent a good strategy to improve sepsis detection. Here we evaluated the combination of procalcitonin (PCT) with gene expression levels of HLA-DRA to detect sepsis in a cohort of 154 surgical patients (101 with sepsis and 53 with no infection).
View Article and Find Full Text PDFStudy Objective: Clinical repercussions of perioperative treatment with ACEIs/ARBs.
Design: Systematic review according to PRISMA statement.
Setting: Perioperative period.