Revisiones_bibliográficas TyO_Web: 27/3/16

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sábado, 2 de abril de 2016

DIPLOMADO EN FISIOTERAPIA Y REHABILITACIÓN

30 de Abril inicio del diplomado en fisioterapia y rehabilitación.
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Módulos
Neurología
Pediatría
Ortopedia
Electroterapia
Deporte
Más.....

jueves, 31 de marzo de 2016

Medwave edición Marzo 2016 completa

Medwave edición Marzo 2016 completa

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--------------------- Contenidos recientemente publicados: ---------------------------

ESTUDIO PRIMARIO

Ingestas nutricionales y puntaje z del peso en recién nacidos de muy bajo peso al nacer en el Perú
Alvaro Proaño, Romina Elena Aragón, Fabiola Rivera, Jaime Zegarra (Perú)
Medwave 2016 Mar;16(2):e6414

REPORTES DE CASO

Tratamiento exitoso de perforación coronaria grado III tras angioplastia percutánea en un paciente de alto riesgo: reporte de un caso
Ricardo Coloma Araniya, Renato J Beas, Jesús Maticorena-Quevedo, Alexander Anduaga-Beramendi, Marco Antonio Pastrana Castillo (Perú)
Medwave 2016 Mar;16(2):e6395

Diagnóstico temprano de la esclerosis concéntrica de Baló mediante tractografía por tensor de difusión: reporte de caso y revisión
Juan Alberto Nader Kawachi, María de la Luz Andrade Magdaleno, Carlos Andrés Peñaherrera, Yeni Fernández De Lara, María Isabel Lavenant Borja (México, Ecuador)
Medwave 2016 Mar;16(2):e6401

Gastrotórax a tensión agudo no traumático: presentación de un caso clínico con dolor torácico y hallazgos radiológicos atípicos
Deepwant Singh, Pieter Mackeith, Dipesh P Gopal (United Kingdom)
Medwave 2016 Mar;16(2):e6409

ENSAYO

Violencia en México: ¿problema social o de salud pública?
Donovan Casas Patiño, Alejandra Rodríguez Torres, Mario Rodolfo Salazar Morales (México)
Medwave 2016 Mar;16(2):e6399

NOTA TÉCNICA

Evitando irregularidades en el dorso nasal en rinoplastia
Fernando Javier Casanueva Lobos, Felipe Cardemil Morales (Chile)
Medwave 2016 Mar;16(2):e6416

EDITORIAL

Ayúdenos a fortalecer Medwave y colabore en campaña de levantamiento de fondos
Vivienne C. Bachelet
Medwave 2016 Mar;16(2):e6403

CARTA A LA EDITORA

Agradecimiento a Medwave
Héctor Joaquín Gutiérrez Espinoza (Chile)
Medwave Mar 2016;16(2):e6400

Envío de manuscritos originales

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Vía aérea pediátrica / Pediatric airway

Marzo 31, 2016. No. 2282

Videolaringoscopios en anesthesia pediátrica. ¿Que hay Nuevo?

Videolaryngoscopes in pediatric anesthesia: what's new?

Fiadjoe JE, Kovatsis P.

Minerva Anestesiol. 2014 Jan;80(1):76-82. Epub 2013 Sep 3.

Abstract

Anesthesiologists are increasingly turning to videolaryngoscopes (VLs) for normal and difficult endotracheal intubations. As children grow the airwayis in constant transition. This means that a device that works well in an older child may fail in an infant. Are VLs ideal in all children? What are the pitfalls and strengths of these devices? When are they indicated? How should their efficacy be assessed? Can they play a role in teaching standard laryngoscopy? This article explores these questions and reviews the literature relating to VLs use in children.

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Comparación del TruView EVO2 PCD™ y el laringoscopio C-MAC con el laringoscopio de Macintosh para intubación de rutina en infantes con vía aérea normal

Comparison of the TruView infant EVO2 PCD™ and C-MAC video laryngoscopes with direct Macintosh laryngoscopy for routine tracheal intubation in infants with normal airways.

Mutlak H, Rolle U, Rosskopf W, Schalk R, Zacharowski K, Meininger D, Byhahn C.

Clinics (Sao Paulo). 2014 Jan;69(1):23-7. doi: 10.6061/clinics/2014(01)04.

Abstract

OBJECTIVE: Videolaryngoscopy has mainly been developed to facilitate difficult airway intubation. However, there is a lack of studies demonstrating this method's efficacy in pediatric patients. The aim of the present study was to compare the TruView infant EVO2 and the C-MAC videolaryngoscope with conventional direct Macintosh laryngoscopy in children with a bodyweight ≤10 kg in terms of intubation conditions and the time to intubation. METHODS: In total, 65 children with a bodyweight ≤10 kg (0-22 months) who had undergone elective surgery requiring endotracheal intubation were retrospectively analyzed. Our database was screened for intubations with the TruView infant EVO2, the C-MAC videolaryngoscope, and conventional direct Macintosh laryngoscopy. The intubation conditions, the time to intubation, and the oxygen saturation before and after intubation were monitored, and demographic data were recorded. Only children with a bodyweight ≤10 kg were included in the analysis. RESULTS: A total of 23 children were intubated using the C-MAC videolaryngoscope, and 22 children were intubated using the TruView EVO2. Additionally, 20 children were intubated using a standard Macintosh blade. The time required for tracheal intubation was significantly longer using the TruView EVO2 (52 sec vs. 28 sec for C-MAC vs. 26 sec for direct LG). However, no significant difference in oxygen saturation was found after intubation. CONCLUSION: All devices allowed excellent visualization of the vocal cords, but the time to intubation was prolonged when the TruView EVO2 was used. The absence of a decline in oxygen saturation may be due to apneic oxygenation via the TruView scope and may provide a margin of safety. In sum, the use of the TruView by a well-trained anesthetist may be an alternative for difficult airway management in pediatric patients.

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Cueros extraños en la vía aérea. Revisión crítica de una emergencia pediátrica común

Airway foreign bodies: A critical review for a common pediatric emergency.

Salih AM, Alfaki M, Alam-Elhuda DM.

World J Emerg Med. 2016;7(1):5-12. doi: 10.5847/wjem.j.1920-8642.2016.01.001.

Abstract

BACKGROUND: Airway foreign bodies (AFBs) is an interdisciplinary area between emergency medicine, pediatrics and otolaryngology. It is a life-threatening condition that is not infrequently seen; however, it is poorly covered in medical literature. Accidental aspiration of an element into airways is a widespread clinical scenario among children under 3 years, predominantly males. Moreover, it is the leading cause of infantile deaths and the fourth one among preschool children. DATA RESOURCES: A systemic search was conducted in July 2015 using PubMed/PubMed Central Database of The National Center for Biotechnology Information (NCBI) (http://www.ncbi.nlm.nih.gov/). A total of 1 767 articles were identified and most of them were meta-analyses, systematic reviews, and case series. Those thoroughly discussing assessment and management of AFBs were retrieved. RESULTS: AFBs episodes may be either witnessed or missed. Presence of a witness for the inhalation is diagnostic. The later usually present with persistent active cough. A classical triad of paroxysmal cough, wheezing, and dyspnoea/decreased air entry was reported, though many presentations have inconsistent findings. Hence, diagnosis requires high index of clinical suspicion. Flexible fibro-optic bronchoscopy is the gold standard of diagnosis, whereas inhaled objects are best retrieved by rigid bronchoscopes. CONCLUSIONS: Close supervision of pediatrics is the hallmark of prevention. Caregivers should ensure a safe surrounding milieu, including the toys their offspring play with. Immediate complications result from direct obstruction or injury by the inhaled object. Alternatively, prolonged lodging traps air and induces inflammatory response causing atelectesis and pneumonia, respectively.

KEYWORDS: Airway foreign bodies; Airway obstruction; Aspiration/inhalation; Breathing difficulties; Café coronary syndrome

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Anestesiología y Medicina del Dolor

52 664 6848905

vwhizar@anestesia-dolor.org

anestesia-dolor.org

miércoles, 30 de marzo de 2016

Bibliotecas populares. Noticias

bibliotecas populares
Notificaciones semanales ⋅ 30 de marzo de 2016
NOTICIAS

Entregarán subsidios de 30 mil pesos a 14 bibliotecas populares
El Litoral
Los subsidios lo entregará el Gobierno de la Provincia, a través del Instituto de Cultura de Corrientes para bibliotecas populares de distintos puntos ...

Cultura ayudará a las bibliotecas populares
Diario La Arena La Pampa
La secretaria de Cultura, Adriana Maggio, se reunió con la Federación de Bibliotecas Populares para comenzar a trabajar en conjunto. Además ...

El Litoral
Unas 14 bibliotecas recibirán 30 mil pesos de subsidio
El Litoral
Unas 14 bibliotecas populares de distintos puntos de la provincia recibirán subsidios de 30 mil pesos por parte del Gobierno provincial. El acto será ...

El titular de la CONABIP estará en San Rafael
Diario San Rafael
San Rafael cuenta con 20 bibliotecas populares, según el censo 2014 del Ministerio de Cultura. Con esa cantidad, es el departamento que posee ...

El Ancasti Editorial
Denuncian a concejal por usurpación de un predio
El Ancasti Editorial
La presidenta de la Comisión de la Biblioteca Popular Sarmiento de Chumbicha, Liliana Ontiveros de Molina, presentó una denuncia por usurpación ...

El Periódico de Rincón
La Biblioteca Elías Sapag recibió $25.000
El Periódico de Rincón
La biblioteca fue una delas 47 beneficiadas en toda la provincia. ... un total de 1.175.000 pesos, que se distribuirán entre 47 bibliotecas populares.

TerritorioDigital.com
La abuela que enseña valores
TerritorioDigital.com
La biblioteca es un lugar de referencia para los habitantes del barrio y los ... Las bibliotecas populares garantizan inclusión social y acceso a la ...

Infoblancosobrenegro
Amendolara: "Buscamos proteger a espacios que garantizan el acceso a la cultura"
Infoblancosobrenegro
... Culturales para avanzar con la medida que tiene como objetivo proteger a clubes de barrio, sociedades de fomento y bibliotecas populares.

Bibliotecas populares. Noticias

martes, 29 de marzo de 2016

Vía aérea difícil / Difficult airway

Marzo 28, 2016. No. 2279

La vía aérea difícil fisiológicamente

The Physiologically Difficult Airway.

Mosier JM, Joshi R, Hypes C, Pacheco G, Valenzuela T, Sakles JC.

West J Emerg Med. 2015 Dec;16(7):1109-17. doi: 10.5811/westjem.2015.8.27467. Epub 2015 Dec 8.

Abstract

Airway management in critically ill patients involves the identification and management of the potentially difficult airway in order to avoid untoward complications. This focus on difficult airway management has traditionally referred to identifying anatomic characteristics of the patient that make either visualizing the glottic opening or placement of the tracheal tube through the vocal cords difficult. This paper will describe the physiologically difficult airway, in which physiologic derangements of the patient increase the risk of cardiovascular collapse from airway management. The four physiologically difficult airways described include hypoxemia, hypotension, severe metabolic acidosis, and right ventricular failure. The emergency physician should account for these physiologic derangements with airway management in critically ill patients regardless of the predicted anatomic difficulty of the intubation.

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