viernes, 15 de abril de 2016

Revistas con acceso abierto / Open access journals

Abril 15, 2016. No. 2297


 
Estimad@ Dr@ Víctor Valdés:  


British Journal of Pain 
May 2016 
Indian J of Critical Care
April 2016; Volume 20 | Issue 4 Page Nos. 207-256
Revista / Journal
Pediatric Critical Care Medicine
June 2015 - Volume 16 - Supplement 1 5_suppl, pp: S1-S131
European J of Anaesthesiology
January 2014 - Volume 31 - Issue 1
European J of Anaesthesiology
April 2013 - Volume 30 - Issue 4;pp: 139-194
Current Opinion in Anesthesiology
February 2013 - Volume 26 - Issue 1;pp: v-vi,1-104
Committee for European Education in Anaesthesiology (CEEA)
Colegio de Anestesiólogos de León AC
MÓDULO V: Sistema nervioso, fisiología, anestesia locoregional y dolor.
Reconocimientos de: CEEA, CLASA, Consejo Nacional Mexicano de Anestesiología.  
En la Ciudad de Léon, Guanajuato. México del 6 al 8 de Mayo, 2016.
Informes en el tel (477) 716 06 16 y con el Dr. Enrique Hernández. kikinhedz@gmail.com 

          
Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015

jueves, 14 de abril de 2016

Anestesia cardiaca / Cardiac anaesthesia

Abril 14, 2016. No. 2296



Lactato, endotelina y saturación venosa central como predictores de mortalidad en pacientes con tetralogía de Fallot
Lactate, endothelin, and central venous oxygen saturation as predictors of mortality in patients with Tetralogy of Fallot.
Ann Card Anaesth. 2016 Apr-Jun;19(2):269-76. doi: 10.4103/0971-9784.179619.
Abstract
BACKGROUND: Lactate and central venous oxygen saturation (ScVO2) are well known biomarkers for adequacy of tissue oxygenation. Endothelin, an inflammatory marker has been associated with patient's nutritional status and degree of cyanosis. The aim of this study was to explore the hypothesis that lactate, ScVO2 and endothelin before induction may be predictive of mortality in pediatric cardiac surgery. METHODS: We conducted a prospective observational study of 150 pediatric (6 months to 12 years) patients who were posted for intracardiac repair for tetralogy of fallot and measured lactate, ScVO2 and endothelin before induction (T1), 20 minutes after protamine administration (T2) and 24 hours after admission to ICU (T3). RESULTS: Preinduction lactate and endothelin levels were found to predict mortality in patients of tetralogy of fallot with an odds ratio of 6.020 (95% CI 2.111-17.168) and 1.292(95% CI 1.091-1.531) respectively. In the ROC curve analysis for lactate at T1, the AUC was 0.713 (95% CI 0.526-0.899 P = 0.019). At the cutoff value of 1.750mmol/lt, the sensitivity and specificity for the prediction of mortality was 63.6% and 65.5%, respectively. For endothelin at T1, the AUC was 0.699 (95% CI 0.516-0.883, P = 0.028) and the cutoff value was ≤2.50 (sensitivity, 63.6%; specificity, 58.3 %). ScVO2 (odds ratio 0.85) at all three time intervals, suggested that improving ScVO2 can lead to 15% reduction in mortality. CONCLUSIONS: Lactate, ScVO2 and endothelin all showed association with mortality with lactate having the maximum prediction. Lactate was found to be an independent, reliable and cost-effective measure of prediction of mortality in patients with tetralogy of fallot.
Cuidado postanestésico especializado mejora el manejo fast-track en cirugía cardiaca. Estsudio prospectivo randomizado
A specialized post anaesthetic care unit improves fast-track management in cardiac surgery: a prospective randomized trial.
Crit Care. 2014 Aug 15;18(4):468. doi: 10.1186/s13054-014-0468-2.
Abstract
INTRODUCTION: Fast-track treatment in cardiac surgery has become the global standard of care. We compared the efficacy and safety of a specialised post-anaesthetic care unit (PACU) to a conventional intensive care unit (ICU) in achieving defined fast-track end-points in adult patients after elective cardiac surgery.....
CONCLUSIONS: Treatment in a specialised PACU rather than an ICU, after elective cardiac surgery leads to earlier extubation and quicker discharge to a step down unit, without compromising patient safety.
Tiamina como terapia adjunta en cirugía cardiaca. Estudio randomizado, doble ciego, placebo controlado, de fase II
Thiamine as an adjunctive therapy in cardiac surgery: a randomized, double-blind, placebo-controlled, phase II trial.
Crit Care. 2016 Mar 14;20(1):92. doi: 10.1186/s13054-016-1245-1.
Abstract
BACKGROUND: Thiamine is a vitamin that is essential for adequate aerobic metabolism. The objective of this study was to determine if thiamine administration prior to coronary artery bypass grafting would decrease post-operative lactate levels as a measure of increased aerobic metabolism....
CONCLUSIONS: There were no differences in post-operative lactate levels or clinical outcomes between patients receiving thiamine or placebo. Post-operative oxygen consumption was significantly increased among patients receiving thiamine.
Committee for European Education in Anaesthesiology (CEEA)
Colegio de Anestesiólogos de León AC
MÓDULO V: Sistema nervioso, fisiología, anestesia locoregional y dolor.
Reconocimientos de: CEEA, CLASA, Consejo Nacional Mexicano de Anestesiología.  
En la Ciudad de Léon, Guanajuato. México del 6 al 8 de Mayo, 2016.
Informes en el tel (477) 716 06 16 y con el Dr. Enrique Hernández kikinhedz@gmail.com

          
Anestesiología y Medicina del Dolor

52 664 6848905

Copyright © 2015

miércoles, 13 de abril de 2016

Medwave edición Marzo del 2016 completa

Medwave edición Marzo 2016 completa
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---------------------  Contenidos recientemente publicados:  ---------------------------
PROBLEMAS DE SALUD PÚBLICA
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ESTUDIO PRIMARIOS
Impacto de la sepsis neonatal sobre el neurodesarrollo en recién nacidos de muy bajo peso
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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
NOTA TÉCNICA
Evitando irregularidades en el dorso nasal en rinoplastia
Fernando Javier Casanueva Lobos, Felipe Cardemil Morales (Chile) 
Medwave 2016 Mar;16(2):e6416

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