Revisiones bibliográficas. Documentación científica en Ortopedia y Traumatología, medicina deportiva, artroscopia, artroplastia y de todas las patologías del sistema Músculo-Esquelético
Shoulder Dislocation Inferior Luxatio Erecta - Everything You Need To Know - Dr. Nabil Ebraheim 25/06/2013 http://t.co/Trx10TMrwh
— Victor Ravens (@bibliomanazteca) June 26, 2013
Consecuencias ambientales de los gases anestésicos
Environmental implications of anesthetic gases. Yasny JS, White J. The Mount Sinai School of Medicine, New York, NY, USA.jeffrey.yasny@mountsinai.org Anesth Prog. 2012 Winter;59(4):154-8. doi: 10.2344/0003-3006-59.4.154. Abstract For several decades, anesthetic gases have greatly enhanced the comfort and outcome for patients during surgery. The benefits of these agents have heavily outweighed the risks. In recent years, the attention towards their overall contribution to global climate change and the environment has increased. Anesthesia providers have a responsibility to minimize unnecessary atmospheric pollution by utilizing techniques that can lessen any adverse effects of these gases on the environment. Moreover, health care facilities that use anesthetic gases are accountable for ensuring that all anesthesia equipment, including the scavenging system, is effective and routinely maintained. Implementing preventive practices and simple strategies can promote the safest and most healthy environment http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3522493/pdf/i0003-3006-59-4-154.pdf
Estimado Pediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 26 de Junio 2013 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Impacto emocional en el adolescente por violencia intrafamiliar” por la “Dra. Gabriela Bastarrachea.“ Pediatra, especialista en Medicina del Adolescente de la Cd. de Mérida Yuc. La sesión inicia puntualmente las 21 hrs. Para entrar a la Sala de Conferencia: 1.- hacer click en la siguiente liga, o cópiala y escríbela en tu buscador
2.- “Entra como Invitado” Escribes tu nombre y apellido en el espacio en blanco 3.- Hacer click en el espacio que dice “Entrar en la Sala” 5.- A disfrutar la conferencia 6.- Recomendamos que dejes tu Nombre Completo, Correo electrónico y que participes.
Henrys Dr. Enrique Mendoza López Webmaster: CONAPEME Coordinador Nacional: Seminario Ciberpeds-Conapeme Av La clinica 2520-310 Colonia Sertoma ,Mty N.L. México CP 64710 Tel-Fax 52 81 83482940 y 52 81 81146053 Celular 8183094806 www.conapeme.org www.pediatramendoza.com enrique@pediatramendoza.com emendozal@yahoo.com.mx
Prolongación no usual de la anestesia raquídea despues de levobupicacaína 0.5%
An unusually prolonged duration of spinal anaesthesia following 0.5% Levobupivacaine Fatma Ertugrul, Zekiye Bigat, Nurten Kayacan, Bilge Karsli Department of Anaesthesiology and Reanimation, Faculty of Medicine, Akdeniz University, Antalya, Turkey. J Pak Med Assoc Vol. 62, No. 11, November 2012 Abstract Spinal anaesthesia is the method of choice for elective caesarean delivery. Levobupivacaine may produce a sensory and motor block that is different from that produced by bupivacaine, the most popular local anaesthetic for parturients undergoing caesarean section (CS). We present a case of unexpectedly prolonged spinal anaesthesia following a successful spinal block with levobupivacaine. There was no evidence of any neurological injury in this patient during injection. Keywords: Anaesthesia: spinal, Anaesthetics: local.
Prolongación dosis dependiente de la raquianestesia con bupivacaína hiperbárica con dexmedetomidina
Dose-Related Prolongation of Hyperbaric Bupivacaine Spinal Anesthesia by dexmedetomidine Hala E A Eid MD, Mohamed A Shafie MD, Hend Youssef MD. Department of Anesthesiology, Intensive Care and Pain Management Faculty of Medicine, Ain Shams University, Cairo, Egypt Ain Shams Journal of Anesthesiology Vol 4-2; July 2011 Abstract Background and Objectives: This study aims to investigate the effect of intrathecal administration of dexmedetomidine on the duration of sensory and motor block and postoperative analgesic requirements produced by spinal bupivacaine. Methods: Forty eight adult patients scheduled for anterior cruciate ligament reconstruction were randomized to one of three groups. Each patient was given 3.5 ml spinal injectate that consisted of 3 ml 0.5% hyperbaric bupivacaine and 0.5 ml containing either 10 μg dexmedetomidine (Group D1), 15 μg dexmedetomidine (D2) or normal saline (Group B). Heart rate, arterial blood pressure, sensory level, motor block, pain and level of sedation were assessed intraoperatively and up to 24 hours after spinal anesthesia. The incidence of adverse effects was recorded. Results: Dexmedetomidine significantly prolonged time to two segment regression, sensory regression to S1, regression of motor block to modified Bromage 0 and time to first rescue analgesic. In addition, it significantly decreased postoperative pain scores. The effects were greater in group D2 than in group D1. In addition, group D2 patients had higher sedation scores and lower postoperative analgesic requirements than Group D1 or B. Hemodynamic stability was maintained in the three groups. Conclusion: Intrathecal dexmedetomidine in doses of 10 μg and 15 μg significantly prolong the anesthetic and analgesic effects of spinal hyperbaric bupivacaine in a dose-dependent manner. A fifteen μg dose may be of benefit for prolonged complex lower limb surgical procedures. http://asja-eg.com/articles/149.pdf