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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

EYMIN, Gonzalo; CRUZ, Francisco; CALVO DE LA-BARRA, Carlos  y  MAJERSON, Alejandro. The importance of timely and safe care. Report of one case. Rev. méd. Chile [online]. 2021, vol.149, n.11, pp.1664-1667. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872021001101664.

We report a 32-year-old woman with chronic kidney disease on hemodialysis undergoing a nephrectomy for left xanthogranulomatous pyelonephritis with a coralliform calculus and septic shock. Her clinical evolution was torpid, subfebrile, with persistent elevation of inflammatory parameters and with the finding of intra-abdominal collections interpreted as post-surgical. Finally faced with microbiological evidence of infection of the collections, the patient was operated and tended to improve. Subsequently, she underwent a difficult mechanical ventilation weaning, identifying the abrupt discontinuation of benzodiazepines as a contributing factor to agitation. We report this patient for educational purposes and to reinforce some quality-of-care concepts such as safety and opportunity of healthcare.

Palabras clave : Abscess; Benzodiazepines; Patient Safety; Quality of Health Care.

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