lunes, 13 de junio de 2016

Reflejo trigémino-cardiaco / Ttrigemino-cardiac reflex

Junio 13, 2016. No. 2356

Influencia de la anestesia en la incidencia y manejo del reflejo trigémino-cardiaco. Revisión sistemática de la literatura
Anesthetic influence on occurrence and treatment of the trigemino-cardiac reflex: a systematic literature review.
Medicine (Baltimore). 2015 May;94(18):e807. doi: 10.1097/MD.0000000000000807.
Trigeminocardiac reflex (TCR) is defined as sudden onset of parasympathetic dysrhythmia including hypotension, apnea, and gastric hypermotility during stimulation of any branches of the trigeminal nerve. Previous publications imply a relation between TCR and depth of anesthesia. To gain more detailed insights into this hypothesis, we performed a systematic literature review.Literature about occurrence of TCR was systematically identified through searching in Cochrane Central Register of Controlled Trials (CENTRAL), PubMed (MEDLINE), EMBASE (Ovid SP), and the Institute for Scientific Information (ISI Web of Sciences) databases until June 2013, as well as reference lists of articles for risk calculation. 
Our work is the first systematic review about TCR and demonstrates clear evidence for TCR occurrence and a more severe course of the TCR in slight anesthesia underlying the importance of skills in anesthesia management during skull base surgery. Furthermore, we have introduced a new standard method to calculate the depth of anesthesia.

16th World Congress of Anaesthesiologists
28 August - 2 September 2016 
Hong Kong Convention and Exhibition Centre
World Federation of Societies of Anaesthesiologists
Cursos de Anestesiología en Chile, 2016
Facultad de Medicina. Pontificia Universidad Católica de Chile
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Anestesiología y Medicina del Dolor

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