Dolor en cirugía ambulatoria / Pain in ambulatory surgery

Agosto 26, 2016. No. 2429

Desafíos de control del dolor y la función del algólogo en el dolor secundario a cirugía ambulatoria. Challenges of pain control and the role of the ambulatory pain specialist in the outpatient surgery setting. Vadivelu N1, Kai AM2, Kodumudi V3, Berger JM4. J Pain Res. 2016 Jun 17;9:425-35. doi: 10.2147/JPR.S86579. eCollection 2016. Abstract Ambulatory surgery is on the rise, with an unmet need for optimum pain control in ambulatory surgery centers worldwide. It is important that there is a proportionate increase in the availability of acute pain-management services to match the rapid rise of clinical patient load with pain issues in the ambulatory surgery setting. Focus on ambulatory pain control with its special challenges is vital to achieve optimum pain control and prevent morbidity and mortality. Management of perioperative pain in the ambulatory surgery setting is becoming increasingly complex, and requires the employment of a multimodal approach and interventions facilitated by ambulatory surgery pain specialists, which is a new concept. A focusedambulatory pain specialist on site at each ambulatory surgery center, in addition to providing safe anesthesia, could intervene early once problematic pain issues are recognized, thus preventing emergency room visits, as well as readmissions for uncontrolled pain. This paper reviews methods of acute-pain management in the ambulatory setting with risk stratification, the utilization of multimodal interventions, including pharmacological and nonpharmacological options, opioids, nonopioids, and various routes with the goal of preventing delayed discharge and unexpected hospital admissions after ambulatory surgery. Continued research and investigation in the area of pain management with outcome studies in acute surgically inflicted pain in patients with underlying chronic pain treated with opioids and the pattern and predictive factors for pain in the ambulatory surgical setting is needed. KEYWORDS: acute pain; ambulatory surgery center; ambulatory surgery pain control; opioids; outpatient surgery analgesia; substance abuse PDF XIII Congreso Virtual Mexicano de Anestesiología Octubre a Diciembre 2016 Información / Information XXXVI Reunión Anual y Congreso Internacional de la Asociación Mexicana para Estudio y Tratamiento del Dolor Querétaro, México, Octubre 16-22, 2016 Informes / Information

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015

Libro sobre Chikungunya / Book on Chikungunya

Agosto 25, 2016. No. 2428

Tópicos actuales sobre Chikungunya Current Topics in Chikungunya Edited by Alfonso J. Rodriguez-Morales, ISBN 978-953-51-2595-2, Print ISBN 978-953-51-2594-5, 160 pages, Publisher: InTech, Chapters published August 24, 2016 under CC BY 3.0 license Edited Volume Chikungunya, an arbovirus, is a major global threat affecting multiple areas of the world, even Europe, but recently (2014 - 2015) with large epidemics in Latin America, causing an important acute and chronic morbidity with a low, but present, mortality. This book tries to update the significant epidemiological and clinical research in many aspects with a multinational perspective. This book has been organized in two major sections: (I) ''Clinical and Epidemiological Aspects'' and (II) ''Entomology.'' Section I includes topics covering experiences and studies in different countries, including the infection during pregnancy and children, imported cases, ocular manifestations, coinfections, and therapeutics. Section II includes topics on entomological aspects, related to vector control, and new options for biological control of Aedes aegypti. Libro / Book XIII Congreso Virtual Mexicano de Anestesiología Octubre a Diciembre 2016 Información / Information XXXVI Reunión Anual y Congreso Internacional de la Asociación Mexicana para Estudio y Tratamiento del Dolor Querétaro, México, Octubre 16-22, 2016 Informes / Information

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Dexmedetomidina i.v. y raquia / I.V. dexmedetomidine and spinal anesthesia

Agosto 24, 2016. No. 2427

Dosis única de dexmedetomidina intravenosa prolonga la anestesia espinal con bupivacaína hiperbárica Single dose intravenous dexmedetomidine prolongs spinal anesthesia with hyperbaric bupivacaine. Kubre J1, Sethi A2, Mahobia M2, Bindal D3, Narang N2, Saxena A4. Anesth Essays Res. 2016 May-Aug;10(2):273-7. doi: 10.4103/0259-1162.174465. Abstract BACKGROUND AND INTRODUCTION: Spinal block, a known technique to obtain anaesthesia for infraumblical surgeries. Now physician have advantage of using adjuvant to prolong the effect of intrathecal block, which can be given either intravenously or intrathecally, dexmedetomidine is one of them. We studied effect of intravenous dexmedetomidine for prolongation of duration of intrathecal block of 0.5% bupivacaine block. OBJECTIVE: To evaluate the effect of intravenous dexmedetomidine on sensory regression, hemodynamic profile, level of sedation and postoperative analgesia. METHODOLOGY: 60 patients of ASA grade I and II posted for elective infraumblical surgeries were included in the study and randomly allocated into two groups. Group D recieved intrathecal 0.5% bupivacaine heavy, followed by infusion ofintravenous dexmedetomidine 0.5mic/kg over 10 min, patients in group C received intrathecal 0.5% bupivacaine heavy 3ml followed by infusion of same volume of normal saline as placebo. RESULTS: Two segment regression of sensory block was achieved at 139.0 ± 13.797 in group D whereas in group C it was only 96.67 ± 7.649min, the total duration of analgesia achieved in both study groups was 234.67 ± 7.649min and 164.17 ± 6.170min respectively in group D and group C. The time at which first analgesic was given to the patients when VAS >3 achieved that is in group D at 234.67 ± 7.649min and in group C at 164.17 ± 6.170min. Inj diclofenac sodium 75mg intramuscular was used as rescue analgesic. KEYWORDS: Intravenous dexmedetomidine; postoperative analgesia; sensory regression; spinal block PDF  XIII Congreso Virtual Mexicano de Anestesiología Octubre a Diciembre 2016 Información / Information XXXVI Reunión Anual y Congreso Internacional de la Asociación Mexicana para Estudio y Tratamiento del Dolor Querétaro, México, Octubre 16-22, 2016 Informes / Information 16th World Congress of Anaesthesiologists 28 August - 2 September 2016  Hong Kong Convention and Exhibition Centre World Federation of Societies of Anaesthesiologists Informes / Information

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015