Papers by Milagros Figueroa
Resumen El Estudio sobre la excelencia del profesorado del posgrado de la Universidad Nacional Au... more Resumen El Estudio sobre la excelencia del profesorado del posgrado de la Universidad Nacional Autónoma de México (UNAM) tiene como objetivo general: Conocer los indicadores que los profesores de posgrado consideran que son los más relevantes de la excelencia del profesorado. Uno de los objetivos particulares consiste en: Conocer los principales rasgos que los profesores de posgrado de la UNAM atribuyen a ser un buen profesor universitario, por lo que dicho objetivo se convirtió en una pregunta abierta. Se aplicó, junto con una escala de actitudes y otras preguntas abiertas, a una muestra aleatoria simple de 399 académicos de los 41 posgrados. Los resultados se clasificaron en cinco categorías y 113 subcategorías. De estas últimas destacan: conocimiento, actualización, preparación, responsabilidad, compromiso, respeto, capacidad emocional, identificación con la profesión, pedagogía y didáctica, planeación, comunicación y colaboración. El artículo presenta: elementos teóricos sobre l...
Zenodo (CERN European Organization for Nuclear Research), Jan 10, 2022
a la seguridad del paciente en la unidad de cuidados intensivos
ACM SIGGRAPH 2006 Computer animation festival on - SIGGRAPH '06, 2006
Intensive and Critical Care Nursing, 2013
To determine the feasibility of conducting a sedation wake-up trial (SWT) plus a spontaneous brea... more To determine the feasibility of conducting a sedation wake-up trial (SWT) plus a spontaneous breathing trial (SBT) in critically ill trauma patients based on the ability to implement the combined intervention; to measure and describe patients' physiological responses; and to maintain patient safety. Methods: A secondary analysis of the intervention group from a trial of 20 mechanically ventilated patients receiving SWT plus SBT in a trauma-intensive care unit. Results: Patients passed 67% of the 39 SWTs performed; those who failed presented RASS scores of +1 and +2 (70%), tachycardia (15%) or ventilator asynchrony (15%). Eighteen patients tolerated their first SBT, and after the second SBT, more than half of the patients were discontinued from the mechanical ventilator. A significant increase from the beginning to the end of the SWT was found in heart rate (p = .021), respiratory rate (p = .043) and systolic blood pressure (p = .04). Although these measures increased significantly, their overall mean did not increase by 20%. Conclusion: SWT plus SBT was well tolerated and successfully implemented. Our data showed that it is not necessary to withhold continuous-infusion analgesia during the SWT.
Intensive and Critical Care Nursing, 2008
The purpose of this secondary data analysis of findings from a larger procedural pain study was t... more The purpose of this secondary data analysis of findings from a larger procedural pain study was to examine several factors related to pain during tracheal suctioning. In addition to tracheal suctioning, other procedures studied included turning, wound drain removal, femoral catheter removal, placement of a central venous catheter, and wound dressing change. A total of 755 patients underwent the tracheal suctioning procedure that was performed primarily in intensive care units (93%). A 0-10 numeric rating scale, a behavioural observation tool, and a modified McGill Pain Questionnaire-Short Form were used for pain assessment. Pain intensity scores were significantly greater during the tracheal suctioning procedure (M = 3.96, S.D. = 3.3) than prior to (M = 2.14, S.D. = 2.8) or after (M = 1.98, S.D. = 2.7) tracheal suctioning. Few patients received analgesics prior to or during the procedure. Surgical, younger, and non-white patients reported higher pain intensities. Although mean pain intensity during tracheal suctioning was mild, almost the half of the patients reported moderate-to-severe pain. Individualized pain management must be performed by healthcare providers in order to respond to patients' needs as they undergo painful procedures such as tracheal suctioning.
The Clinical Journal of Pain, 2011
The purpose of this study was to evaluate differences in pain intensity, pain quality, physiologi... more The purpose of this study was to evaluate differences in pain intensity, pain quality, physiological measures, and adverse effects when patients received morphine with saline (MS) compared with morphine and a small dose of ketamine (MK) before an open wound care procedure (WCP). A randomized, cross-over design was used to determine whether the addition of a small dose of ketamine would potentiate morphine's analgesic effects and decrease WCP pain intensity. Patients were randomized to receive either 0.1 mg/kg of morphine (8 mg maximum) plus saline intravenously (IV) or 0.05 mg/kg of morphine (4 mg maximum) plus ketamine 0.25 mg/kg IV before the WCP. Patients were crossed-over to receive the alternate treatment during the next WCP. Eleven male patients participated in the study. Mean rank of pain intensity during WCP-MK was significantly less than during WCP-MS (P=0.005). Mean±standard error of mean pain intensity during the WCP-MK was 3.09±0.99, whereas it was 6.82±0.92 during the WCP-MS. However, 91% of the patients had adverse effects (eg, strange sensations, hallucinations, blurred vision) with MK versus 0% with MS. Diastolic blood pressure was significantly higher during the WCP-MK. Ketamine with morphine significantly reduced procedural wound pain intensity during WCP. Adverse effects and higher diastolic BP occurred with MK. Further research is warranted to determine the optimal analgesic dose of ketamine or if the addition of a benzodiazepine would mitigate the psychotomimetic effects of ketamine.
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Papers by Milagros Figueroa