Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019
99 páginas : gráficas
- Autores:
-
Rubiano Socha, Danna Katherine
Sánchez Alonso, Laura Daniela
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2020
- Institución:
- Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
- Repositorio:
- Repositorio Institucional UDCA
- Idioma:
- spa
- OAI Identifier:
- oai:repository.udca.edu.co:11158/2874
- Acceso en línea:
- https://repository.udca.edu.co/handle/11158/2874
- Palabra clave:
- Propofol
Anestésicos Intravenosos
Farmacovigilancia
Medicamentos - Efectos adversos
- Rights
- openAccess
- License
- Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales
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Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 |
| title |
Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 |
| spellingShingle |
Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 Propofol Anestésicos Intravenosos Farmacovigilancia Medicamentos - Efectos adversos |
| title_short |
Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 |
| title_full |
Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 |
| title_fullStr |
Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 |
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Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 |
| title_sort |
Estudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019 |
| dc.creator.fl_str_mv |
Rubiano Socha, Danna Katherine Sánchez Alonso, Laura Daniela |
| dc.contributor.advisor.spa.fl_str_mv |
Sabogal Carmona, Juan Sebastián, dir. |
| dc.contributor.author.spa.fl_str_mv |
Rubiano Socha, Danna Katherine Sánchez Alonso, Laura Daniela |
| dc.subject.mesh.spa.fl_str_mv |
Propofol Anestésicos Intravenosos Farmacovigilancia |
| topic |
Propofol Anestésicos Intravenosos Farmacovigilancia Medicamentos - Efectos adversos |
| dc.subject.lemb.spa.fl_str_mv |
Medicamentos - Efectos adversos |
| description |
99 páginas : gráficas |
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2020 |
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2020-03-10T16:28:50Z |
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2020-03-10T16:28:50Z |
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2020 |
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Trabajo de grado - Pregrado |
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Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales |
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Bogotá, Colombia |
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2010-2019 |
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Bogotá : Universidad de Ciencias Aplicadas y Ambientales, 2020 |
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Facultad de Ciencias |
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Química Farmacéutica |
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Universidad de Ciencias Aplicadas y Ambientales U.D.C.A |
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Sabogal Carmona, Juan Sebastián, dir.Rubiano Socha, Danna KatherineSánchez Alonso, Laura DanielaBogotá, Colombia2010-20192020-03-10T16:28:50Z2020-03-10T16:28:50Z2020https://repository.udca.edu.co/handle/11158/2874QF003 R81e 2020 (205911)99 páginas : gráficasIntroducción: El Propofol, es un alquifenol utilizado ampliamente en las unidades de terapia intensiva, indicado como sedante y anestésico en procedimientos. Su uso se ha incrementado en las unidades hospitalarias por lo que es importante identificar, analizar y prevenir los eventos adversos que se puedan presentar con el uso del medicamento. Objetivo: Caracterizar los casos de eventos adversos relacionados al uso de Propofol reportados en el programa Distrital de Farmacovigilancia en Bogotá D.C durante el periodo 2010-2019 Materiales y métodos: Utilizando la metodología Care Report se analizaron los eventos adversos asociados al uso de Propofol reportados a la Secretaría Distrital de Salud de Bogotá D.C en el periodo 2010-2019. Resultados: Se evaluaron 254 reportes inicialmente asociados al uso del Propofol, de los cuales sólo se tuvieron en cuenta 216 casos de acuerdo con los criterios de inclusión y exclusión en el análisis. Dentro de los eventos adversos más presentados se destacan las sospechas de posible fallo terapéutico, dolor en el sitio de aplicación, alteraciones cutáneas e hipotensión. Las mujeres presentan más reacciones adversas en comparación con los hombres y los rangos de edad con los que se presentó más reporte oscilan entre los 30 a 44 años. Conclusión: Los eventos adversos más comunes con el Propofol están asociados a alteraciones generales y alteraciones en la piel. Se ha realizado una propuesta de una pieza comunicativa con el objetivo de identificar, reportar y prevenir eventos adversos con Propofol, además de dar las recomendaciones de técnica aséptica antes de su uso.Introduction: Propofol is an alkylphenol widely used in intensive care units, indicated as a sedative and anesthetic in procedures. Its use has increased in hospital units so it is important to identify, analyze and prevent adverse events that may occur with the use of the drug. Objective: Characterize the cases of adverse events related to the Propofol usage that were reported in the District Pharmacovigilance Program in Bogotá D.C. during the 2008-2019. Materials and methods: Using the Care Report methodology, adverse events associated with the use of Propofol reported to the District Health Secretariat of Bogotá D.C. in the period 2010-2019 were analyzed. Results: 254 reports were evaluated initially associated with the Propofol usage, of which only 216 cases were considered according to the inclusion and exclusion criteria in the analysis. Among the most presented adverse events, we highlight the suspicion of possible therapeutic failure, pain at the application site, skin alterations and hypotension. Women present more adverse reactions compared to men and the age ranges with which most reports were presented range from 30 to 44 years. Conclusion: The most common adverse events with Propofol are associated with general and skin alterations. A communication piece has been designed with the aim of identifying, reporting and preventing adverse events with Propofol, in addition to giving recommendations for aseptic technique prior to use.Incluye bibliografíaPregradoQuímico(a) Farmacéuticoapplication/pdfspaBogotá : Universidad de Ciencias Aplicadas y Ambientales, 2020Facultad de CienciasQuímica FarmacéuticaDerechos Reservados - Universidad de Ciencias Aplicadas y Ambientaleshttps://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessAtribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)http://purl.org/coar/access_right/c_abf2PropofolAnestésicos IntravenososFarmacovigilanciaMedicamentos - Efectos adversosEstudio de casos de eventos adversos con propofol reportados en Bogotá D. C. 2010-2019Trabajo de grado - Pregradohttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisinfo:eu-repo/semantics/publishedVersionTexthttp://purl.org/redcol/resource_type/TPhttp://purl.org/coar/version/c_970fb48d4fbd8a85PublicationORIGINALTESIS ENTREGA FINAL.pdfTESIS ENTREGA FINAL.pdfapplication/pdf2299075https://repository.udca.edu.co/bitstreams/b62aeb69-8749-43b3-8bc4-1c73d9c85ed7/downloade089926ed327ab28fdfef7cfadfe7f1bMD51Presentación de Tesis propofol.pptxPresentación de Tesis propofol.pptxapplication/vnd.openxmlformats-officedocument.presentationml.presentation1568690https://repository.udca.edu.co/bitstreams/43a35ac1-f3b5-4e28-ad8c-abad5bd3bf2a/downloada133266032a7166924e6a66a16abb2ebMD53LICENSElicense.txtlicense.txttext/plain; charset=utf-814775https://repository.udca.edu.co/bitstreams/aebc6817-10a7-433d-8363-3607f98a0924/downloadf661acf14bedbf9f5d13897a0387e751MD52TEXTTESIS ENTREGA FINAL.pdf.txtTESIS ENTREGA FINAL.pdf.txtExtracted 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en las Obras Colectivas;
b.	Distribuir copias o fonogramas de las Obras, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública, incluyéndolas como incorporadas en Obras Colectivas, según corresponda;
c.	Distribuir copias de las Obras Derivadas que se generen, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública.
Los derechos mencionados anteriormente pueden ser ejercidos en todos los medios y formatos, actualmente conocidos o que se inventen en el futuro. Los derechos antes mencionados incluyen el derecho a realizar dichas modificaciones en la medida que sean técnicamente necesarias para ejercer los derechos en otro medio o formatos, pero de otra manera usted no está autorizado para realizar obras derivadas.Todos los derechos no otorgados expresamente por el Licenciante quedan por este medio reservados, incluyendo pero sin limitarse a aquellos que se mencionan en las secciones 4(d) y 4(e).
4. Restricciones.
La licencia otorgada en la anterior Sección 3 está expresamente sujeta y limitada por las siguientes restricciones:
a.	Usted puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra sólo bajo las condiciones de esta Licencia, y Usted debe incluir una copia de esta licencia o del Identificador Universal de Recursos de la misma con cada copia de la Obra que distribuya, exhiba públicamente, ejecute públicamente o ponga a disposición pública. No es posible ofrecer o imponer ninguna condición sobre la Obra que altere o limite las condiciones de esta Licencia o el ejercicio de los derechos de los destinatarios otorgados en este documento. No es posible sublicenciar la Obra. Usted debe mantener intactos todos los avisos que hagan referencia a esta Licencia y a la cláusula de limitación de garantías. Usted no puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra con alguna medida tecnológica que controle el acceso o la utilización de ella de una forma que sea inconsistente con las condiciones de esta Licencia. Lo anterior se aplica a la Obra incorporada a una Obra Colectiva, pero esto no exige que la Obra Colectiva aparte de la obra misma quede sujeta a las condiciones de esta Licencia. Si Usted crea una Obra Colectiva, previo aviso de cualquier Licenciante debe, en la medida de lo posible, eliminar de la Obra Colectiva cualquier referencia a dicho Licenciante o al Autor Original, según lo solicitado por el Licenciante y conforme lo exige la cláusula 4(c).
b.	Usted no puede ejercer ninguno de los derechos que le han sido otorgados en la Sección 3 precedente de modo que estén principalmente destinados o directamente dirigidos a conseguir un provecho comercial o una compensación monetaria privada. El intercambio de la Obra por otras obras protegidas por derechos de autor, ya sea a través de un sistema para compartir archivos digitales (digital file-sharing) o de cualquier otra manera no será considerado como estar destinado principalmente o dirigido directamente a conseguir un provecho comercial o una compensación monetaria privada, siempre que no se realice un pago mediante una compensación monetaria en relación con el intercambio de obras protegidas por el derecho de autor.
c.	Si usted distribuye, exhibe públicamente, ejecuta públicamente o ejecuta públicamente en forma digital la Obra o cualquier Obra Derivada u Obra Colectiva, Usted debe mantener intacta toda la información de derecho de autor de la Obra y proporcionar, de forma razonable según el medio o manera que Usted esté utilizando: (i) el nombre del Autor Original si está provisto (o seudónimo, si fuere aplicable), y/o (ii) el nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.
d.	Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:
i.	Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.
ii.	Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.
e.	Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, Acinpro), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.
5. Representaciones, Garantías y Limitaciones de Responsabilidad.
A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
6. Limitación de responsabilidad.
A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
7. Término.
a.	Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.
b.	Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.
8. Varios.
a.	Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.
b.	Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.
c.	Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.
d.	Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.

 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