22 de October de 2014 - 8:20 am Tiempo de lectura: 4 minutos | No. de palabras: 796 | 1396 visitas
The Public Company Yachay organized the First International Biomedical Symposium on Neurocritical Care and Clinical Research, academically endorsed by Baylor College (BCM) of Medicine in Houston, Texas; and the Neurocritical Care Society.
World experts deepened and shared knowledge based on their clinical experience, treatment practices and research on the management of patients in critical condition due to acute neurological diseases.
One of the partners in the organization of the event was the Ecuadorian Nelson Maldonado. He is a senior fellow in the Neurocritical Intensive Care Program at Baylor College of Medicine in Houston, who has received specialist training by the best doctors in the world in these fields; through six years in the United States (four years in Neurology and two years in Neurological Intensive Care),
Dr. Maldonado with a team of specialists aims to organize the first unit of Neurocrítical Care in Ecuador in a public hospital. Additionally, he contemplates the participation and collaboration of well-respected international centers in different areas of research, so that all Ecuadorians can access this service.
Why develop a Symposium on Neurocritical Care and Clinical Research in Ecuador?
The primary objective is to raise awareness of the problem. Neurological catastrophes (ischemic strokes, brain haemorrhages and traumatic brain injuries) are among the four most common causes of death and disability in Ecuador. Meanwhile, in countries like the United States, they celebrate because they managed to reduce strokes from the third to fourth leading cause of death. In our country the situation is becoming more serious.
What lines of clinical research should be undertaken in Ecuador in the area of neurocritical care?
We should study the causes that predispose people to these neurological diseases. The whole world knows that diabetes, hypertension and high cholesterol play a determining factor. However, each country has its specific causes. Another area of research could be the management of patients using different medications from other countries.
How could we improve the quality of clinical care in the country?
The basic and essential needs to improve the quality of clinical care could start through the development of specialized units in the management of these diseases and the establishment of public policies to address them. Additionally, through the implementation of a program of mass media to educate the population for them to be able to recognize the symptoms of these diseases.
Could you tell us about the neurocritical training program that you are planning to introduce in Ecuador?
The plan is to create the first Neurocrítical Care Unit in the country, backed by the Baylor College of Medicine, with Dr. José Ignacio Suarez leading a group of neurointensivists, neurosurgeons, neuro rehabilitation therapists and nurses, all of them specialized in neurocritical care.
The program has several goals, the main one being becoming the first referral center for the management of these diseases in the country. For that purpose the Eugenio Espejo Hospital has been selected, and simultaneously opportunities to train Ecuadorian doctors who have a level of speciality (intensivists or neurologists) has been opened up for nurses, rehabilitation therapists, pharmacists, and others.
Such training would stick to United States standards. The implementation plan for the Neurocritical Unit occurs in stages, the first stage is to create management protocols, so that they can be adapted by other hospitals. The second is to have doctors and nurses from Baylor College of Medicine in our country for a period of at least one year, overseeing the unit and training doctors and nurses in the same manner as in the United States.
The plan means doctors and nurses who have been trained can travel to neurocritical units at Baylor College of Medicine in Houston.
This Neurocritical Unit would be the first in the country and in the region, which will make us an academic medical center where all of South America come to specialize.
Is the Academic Sector ready to respond to society in relation to these diseases / accidents?
Unfortunately, at the moment the Academic Sector is not involved. But this is not just a problem in our country, what happens is that industrialized countries had the resources and the vision to invest millions of dollars in education, research and technology, and deal with these diseases. This contrasts with the rest of the world that does not have the financial capacity.
There is a very marked gap in the management of diseases called neurological catastrophes. To specialize in this area it is necessary to go to the United States or some European countries for at least 6 years. This is why countries like ours are now in big trouble in this academic area. However, having the support of Dr. Suarez, who has vast experience in creating neurocritical units and a team of experts, is a great opportunity for this country. (SA-VE / YACHAY EP)