Dolor crónico postoperatorio / Postoperative chronic pain

Septiembre 13, 2016. No. 2447

Dolor crónico postoperatorio persistente. Lo que debemos saber sobre prevención, factores de riesgo y tratamiento Postoperative persistent chronic pain: what do we know about prevention, risk factors, and treatment. Kraychete DC1, Sakata RK2, Lannes Lde O3, Bandeira ID4, Sadatsune EJ5. Braz J Anesthesiol. 2016 Sep-Oct;66(5):505-12. doi: 10.1016/j.bjane.2014.12.005. Epub 2016 Jul 20. Abstract BACKGROUND AND OBJECTIVES: Postoperative persistent chronic pain (POCP) is a serious health problem, disabling, undermining the quality of life of affected patients. Although more studies and research have addressed the possible mechanisms of the evolution from acute pain tochronic postoperatively, there are still no consistent data about the risk factors and prevention. This article aims to bring what is in the panorama of the current literature available. CONTENT: This review describes the definition, risk factors, and mechanisms of POCD, its prevention and treatment. The main drugs and techniques are exposed comprehensively. CONCLUSION: Postoperative persistent chronic pain is a complex and still unclear etiology entity, which interferes heavily in the life of the subject. Neuropathic pain resulting from surgical trauma is still the most common expression of this entity. Techniques to prevent nerve injury are recommended and should be used whenever possible. Despite efforts to understand and select risk patients, the management and prevention of this syndrome remain challenging and inappropriate. KEYWORDS: Analgesia; Dor crônica pós-operatória; Fatores de risco; Postoperative chronic pain; Prevention; Prevenção; Risk factors; Tratamento; PDF Dolor después de esternotomía Pain after sternotomy - review. Huang AP1, Sakata RK2. Braz J Anesthesiol. 2016 Jul-Aug;66(4):395-401. doi: 10.1016/j.bjane.2014.09.013. Epub 2016 Apr 23. Abstract BACKGROUND AND OBJECTIVE: Adequate analgesia after sternotomy reduces postoperative adverse events. There are various methods of treating pain after heart surgery, such as infiltration with a local anesthetic, nerve block, opioids, non-steroidal anti-inflammatory drugs, alpha-adrenergic agents, intrathecal and epidural techniques, and multimodal analgesia. CONTENT: A review of the epidemiology, pathophysiology, prevention and treatment of pain after sternotomy. We also discuss the various analgesic therapeutic modalities, emphasizing advantages and disadvantages of each technique. CONCLUSIONS: Heart surgery is performed mainly via medium sternotomy, which results in significant postoperative pain and a non-negligible incidence of chronic pain. Effective pain control improves patient satisfaction and clinical outcomes. There is no clearly superior technique. It is believed that a combined multimodal analgesic regimen (using different techniques) is the best approach for treating postoperative pain, maximizing analgesia and reducing side effects. KEYWORDS: Analgesia pós-operatória; Dor; Esternotomia; Pain; Postoperative analgesia; Sternotomy PDF XIII Congreso Virtual Mexicano de Anestesiología Octubre a Diciembre 2016 Información / Information 2017 Winter Anesthesia Conference in Maui California Society of Anesthesiologists Programa / Program  17h World Congress of Anaesthesiologists, WFSA Sep 6-11, 2020 Prague, Czech Republic Informes / Information

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

Anestesia regional y US / US regional anesthesia

Septiembre 12, 2016. No. 2446

Volumen mínimo de anestésico en anestesia regional guiada con ultrasonido Minimum anesthetic volume in regional anesthesia by using ultrasound-guidance. Di Filippo A1, Falsini S2, Adembri C2. Braz J Anesthesiol. 2016 Sep-Oct;66(5):499-504. doi: 10.1016/j.bjane.2014.05.002. Epub 2014 Jun 2. Abstract The ultrasound guidance in regional anesthesia ensures the visualization of needle placement and the spread of Local Anesthetics. Over the past few years there was a substantial interest in determining the Minimum Effective Anesthetic Volume necessary to accomplish surgical anesthesia. The precise and real-time visualization of Local Anesthetics spread under ultrasound guidance block may represent the best requisite for reducing Local Anesthetics dose and Local Anesthetics-related effects. We will report a series of studies that have demonstrated the efficacy of ultrasound guidance blocks to reduce Local Anesthetics and obtain surgical anesthesia as compared to block performed under blind or electrical nerve stimulation technique. Unfortunately, the results of studies are widely divergent and not seem to indicate a dose considered effective, for each block, in a definitive way; but it is true that, through the use of ultrasound guidance, it is possible to reduce the dose of anesthetic in the performance of anesthetic blocks. KEYWORDS: Anesthetics, local, adverse effects; Anesthetics, local, conduction-blocking; Anesthetics, local, dose; Anestésicos locais, bloqueio da condução; Anestésicos locais, dose; Anestésicos locais, efeitos adversos; Guiado por ultrassom; Ultrasound guidance PDF XIII Congreso Virtual Mexicano de Anestesiología Octubre a Diciembre 2016 Información / Information 17h World Congress of Anaesthesiologists, WFSA Sep 6-11, 2020 Prague, Czech Republic Informes / Information

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

Los primeros 4320 minutos del niño con Neumonía

Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 14 de Septiembre 2016 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Los primeros 4320 minutos del niño con Neumonía”, por el Dr. “Elías Kassisse”, Neumólogo Pediatra de Carúpano, Estado Sucre, Vzla. 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



http://connectpro60196372.adobeconnect.com/neumonia_primerashoras/



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