jueves, 9 de noviembre de 2017

Anatomía y función de los músculos del manguito rotador

http://www.mihombroycodo.com.mx/academia/anatomia-y-funcion-de-los-musculos-del-manguito-rotador/
Anatomy and function of Rotator Cuff Muscles






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Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA


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miércoles, 8 de noviembre de 2017

Paro cardiaco / Cardiac arrest

Noviembre 5, 2017. No. 2893




Epinefrina en el paro cardíaco fuera del hospital: ¿Útil o perjudicial?
Epinephrine in Out-of-hospital Cardiac Arrest: Helpful or Harmful?
Chin Med J (Engl). 2017 Sep 5;130(17):2112-2116. doi: 10.4103/0366-6999.213429.
Abstract
OBJECTIVE: Epinephrine is the primary drug administered during cardiopulmonary resuscitation (CPR) to reverse cardiac arrest. The evidence for the use of adrenaline in out-of-hospital cardiac arrest (OHCA) and in-hospital resuscitation is inconclusive. We conducted a systematic review on the clinical efficacy of adrenaline in adult OHCA patients to evaluate whether epinephrine provides any overall benefit for patients. DATA SOURCES: The EMBASE and PubMed databases were searched with the key words "epinephrine," "cardiac arrest," and variations of these terms. STUDY SELECTION: Data from clinical randomized trials, meta-analyses, guidelines, and recent reviews were selected for review. RESULTS: Sudden cardiac arrest causes 544,000 deaths in China each year, with survival occurring in <1% of cases (compared with 12% in the United States). The American Heart Association recommends the use of epinephrine in patients with cardiac arrest, as part of advanced cardiac life support. There is a clear evidence of an association between epinephrine and increased return of spontaneous circulation (ROSC). However, there are conflicting results regarding long-term survival and functional recovery, particularly neurological outcome, after CPR. There is currently insufficient evidence to support or reject epinephrine administration during resuscitation. We believe that epinephrine may have a role in resuscitation, as administration of epinephrine during CPR increases the probability of restoring cardiac activity with pulses, which is an essential intermediate step toward long-term survival. CONCLUSIONS: The administration of adrenaline was associated with improved short-term survival (ROSC). However, it appears that the use of adrenaline is associated with no benefit on survival to hospital discharge or survival with favorable neurological outcome after OHCA, and it may have a harmful effect. Larger placebo-controlled, double-blind, randomized control trials are required to definitively establish the effect of epinephrine.
El papel del centro de despacho en la reanimación.
The role of dispatch in resuscitation.
Ng YY1, Leong SH2, Ong ME3,4.
Singapore Med J. 2017 Jul;58(7):449-452. doi: 10.11622/smedj.2017059.
Abstract
The role of the dispatch centre has increasingly become a focus of attention in cardiac arrest resuscitation. The dispatch centre is part of the first link in the chain of survival because without the initiation of early access, the rest of the chain is irrelevant. The influence of dispatch can also extend to the initiation of bystander cardiopulmonary resuscitation, early defibrillation and the rapid dispatch of emergency ambulances. The new International Liaison Committee on Resuscitation, the American Heart Association and, especially, the European ResuscitationCouncil 2015 guidelines have been increasing their emphasis on dispatch as the key to improving out-of-hospital cardiac arrest survival.
KEYWORDS: cardiopulmonary resuscitation; dispatcher-assisted CPR; primary safety access point; public access defibrillation; telephone CPR

LI Congreso Mexicano de Anestesiología
Mérida Yucatán, Noviembre 21-25, 2017
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Anestesiología y Medicina del Dolor

52 664 6848905

Raquia continua en obstetricia / Continuous spinal anesthesia in obstetrics

Noviembre 8, 2017. No. 2896

  


Anestesia espinal continua para analgesia y anestesia obstétrica
Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia.
Front Med (Lausanne). 2017 Aug 15;4:133. doi: 10.3389/fmed.2017.00133. eCollection 2017.
Abstract
The widespread use of continuous spinal anesthesia (CSA) in obstetrics has been slow because of the high risk for post-dural puncture headache (PDPH) associated with epidural needles and catheters. New advances in equipment and technique have not significantly overcome this disadvantage. However, CSA offers an alternative to epidural anesthesia in morbidly obese women, women with severe cardiac disease, and patients with prior spinal surgery. It should be strongly considered in parturients who receive an accidental dural puncture with a large bore needle, on the basis of recent work suggesting significant reduction in PDPH when intrathecal catheters are used. Small doses of drug can be administered and extension of labor analgesia for emergency cesarean delivery may occur more rapidly compared to continuous epidural techniques.
KEYWORDS: intrathecal catheters; labor analgesia; neuraxial blockade; obstetric anesthesia; post-dural puncture headache; spinal catheters

LI Congreso Mexicano de Anestesiología
Mérida Yucatán, Noviembre 21-25, 2017
17h World Congress of Anaesthesiologists, WFSA
Prague, Czech Republic, Sep 6-11, 2020
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Anestesiología y Medicina del Dolor

52 664 6848905

Cirugia Bariatrica en pediatria



Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. Continuamos el Programa 2017, el día 8 de Noviembre las 21hrs (Centro, México DF, Guadalajara Liima Perú) a la Conferencia: “Cirugia Bariatrica en pediatria”, por el “Dr. Ricardo Manuel Ordorica Flores“ Cirujano Pediatra de las Cd. De México”. La sesión inicia puntualmente a 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/bariatrica_cirugia/

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.

7.- Recientemente te solicita para entrar en la pataforma un add in, que es un parche bajalo de la siguiente liga: https://adobe.ly/2r4SSag



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Dr. Enrique Mendoza López
Webmaster: CONAPEME
Coordinador Nacional: Seminario Ciberpeds-Conapeme
Av La Clinica 2520-310 col Sertoma
Monterrey N.L. CP 64718
Tel (81) 83482940, (81)81146053
Cel 0448183094806