https://www.columnavertebralpediatricaygeriatrica.com.mx/academia/el-papel-de-la-embolizacion-transarterial-percutanea-en-el-tratamiento-de-los-tumores-oseos-de-la-columna-vertebral-revision-de-la-literatura/

El papel de la embolización transarterial percutánea en el tratamiento de los tumores óseos de la columna vertebral: revisión de la literatura

noviembre 10, 2021 por admin

• Los tumores óseos de columna incluyen una amplia variedad heterogénea de lesiones primarias o metastásicas que pueden presentarse como hallazgos incidentales o manifestarse con síntomas dolorosos y fracturas patológicas. El manejo óptimo de las lesiones óseas de la columna suele ser difícil y los algoritmos de tratamiento suelen basarse sólidamente en la cirugía. Nuestro objetivo fue evaluar la contribución de la embolización transarterial en este campo, con especial atención a la eficacia del procedimiento, las dificultades técnicas y las complicaciones.
• La embolización transarterial percutánea se ha establecido como un procedimiento mínimamente invasivo de gran utilidad en el manejo de las lesiones óseas de columna, particularmente como terapia preoperatoria adyuvante y tratamiento paliativo.

https://pubmed.ncbi.nlm.nih.gov/34415449/

https://link.springer.com/article/10.1007%2Fs00586-021-06963-5

Facchini G, Parmeggiani A, Peta G, Martella C, Gasbarrini A, Evangelisti G, Miceli M, Rossi G. The role of percutaneous transarterial embolization in the management of spinal bone tumors: a literature review. Eur Spine J. 2021 Oct;30(10):2839-2851. doi: 10.1007/s00586-021-06963-5. Epub 2021 Aug 20. PMID: 34415449.

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Cuidados paliativos / Palliative care

Marzo 1, 2018. No. 3009

Cuidado y cuidado domiciliario Caregiving and Home Care Edited by Mukadder Mollaoglu, ISBN 978-953-51-3779-5, Print ISBN 978-953-51-3778-8, 238 pages, Publisher: InTech, Chapters published February 14, 2018 under CC BY 3.0 license DOI: 10.5772/66261 Edited Volume The management of chronic diseases is one of the tasks of all members of the health team, and different models need to be applied in the practice of chronic care management. One of these models is home care services. There are two main sections in this book. In the first part of the section, the concept of caregiving and care at home is explained. In the second part, the responsibilities of caregivers at home and the responsibilities of caregivers of people who have health problems that occur during different periods of life are discussed. In the second section, the problems of caregivers are also included. I would like to think that what is quoted in this book, which contains examples from different cultures of the world for home care approaches, will contribute to the development of home care services. This book is presented to all health professionals working in the field of health services as well as health politics professionals and students trained in these areas. Libro / Book / Livre Cuidados paliativos en el hospital: ¿Deberíamos reconsiderar qué función deberían tener los hospitales en pacientes con enfermedad en etapa terminal o cáncer avanzado? In-Hospital Palliative Care: Should We Need to Reconsider What Role Hospitals Should Have in Patients with End-Stage Disease or Advanced Cancer? Cotogni P1, Saini A1, De Luca A1. Author information J Clin Med. 2018 Jan 30;7(2). pii: E18. doi: 10.3390/jcm7020018. Abstract Traditionally, palliative care (PC) systems focused on the needs of advanced cancer patients, but most patients needing PC have end-stage organ diseases. Similarly, PC models focus on the needs of patients in hospices or at home; however, in most cases PC is provided in acute hospitals. Indeed, the symptom burden that these patients experience in the last year of life frequently forces them to seek care in emergency departments. The majority of them are admitted to the hospital and many die. This issue poses important concerns. Despite the efforts of attending healthcare professionals, in-hospital patients do not receive optimal care near the end-of-life. Also, evidence is emerging that delay in identifying patients needing PC have a detrimental impact on their quality of life (QoL). Therefore, there is an urgent need to identify, early and properly, these patients among those hospitalized. Several trials reported the efficacy of PC in improving the QoL in these patients. Each hospital should ensure that a multidisciplinary PC team is available to support attending physicians to achieve the best QoL for both PC patients and their families. This review discusses the role and the impact of in-hospital PC in patients with end-stage disease or advanced cancer. KEYWORDS: acute palliative care unit; cost savings; end-of-life; palliative care team; quality of life; seriously ill patients; symptom relief PDF Traducción de un modelo de cuidados paliativos precoces de EE. UU. Para Turquía y Singapur. Translating a US Early Palliative Care Model for Turkey and Singapore. Akyar I1, Dionne-Odom JN2, Yang GM3, Bakitas MA2,4. Author information Asia Pac J Oncol Nurs. 2018 Jan-Mar;5(1):33-39. doi: 10.4103/apjon.apjon_73_17. Abstract The field of palliative care is growing in acceptance and sophistication globally. No longer considered just for patients at end-of-life, palliative care is now being incorporated early in the disease trajectory. Despite professional guidelines supporting early palliative care, there are few models that have been created that can be translated into practice cross-culturally. In the United States, the Educate, Nurture, Advise, Before, Life Ends (ENABLE) early palliative care telehealth model has demonstrated effectiveness in improving quality of life, mood, symptom relief, and survival for patients with cancer and is now being tested in patients with heart failure. Family caregivers of patients who have received ENABLE concurrent with their care recipients have also demonstrated positive outcomes in quality of life and caregiver burden. Internationally, a number of investigators are culturally adapting ENABLE for patients and family caregivers. While some elements of ENABLE, such as symptom management and self-care, and the caregiving role are relevant cross-culturally, others have been built on Western principles of self-determination or represent concepts such as advance care planning which will require more cultural adaptation. In addition, ENABLE was initially an in-person approach that was converted to telehealth to accommodate a rural population-it will be important to understand cultural norms related to receiving care by phone or if an in-person approach will be more culturally acceptable. This paper describes efforts in Turkey and Singapore to culturally adapt the ENABLE early palliative care principles for their countries. KEYWORDS: Advise; Before Life Ends; Educate; Nurture; oncology patients; palliative care PDF Hospicio y cuidados paliativos en China: desarrollo y desafíos. Hospice and Palliative Care in China: Development and Challenges. Lu Y1, Gu Y1, Yu W2. Author information Asia Pac J Oncol Nurs. 2018 Jan-Mar;5(1):26-32. doi: 10.4103/apjon.apjon_72_17. Abstract Hospice and palliative care have been demonstrated to improve quality of life, shorten hospital stays, and save costs. As a developing country, faced with a rapidly aging population and an increasing number of patients with life-threatening illnesses such as cancer, China has made great progress in promoting hospice and palliative care during the past few decades. A trained nurse can play a significant role in promoting quality hospice and palliative care by providing care, coordinating a multidisciplinary team, calling for policy support, and raising public awareness. It is critical for nurses to clearly understand the development and challenges that currently exist in the country. With this awareness, nurses will improve their ability to recognize and address patients' and families' needs, resulting in quality, dignified, and individualized end-of-life care. KEYWORDS: Challenge; China; development; hospice and palliative care; nurses PDF Safe Anaesthesia Worldwide Delivering safe anaesthesia to the world's poorest people Informes / Information

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

Libro y revistas sobre cuidados paliativos / Book and journals on palliative care

Octubre 8, 2017. No. 2835

Aspectos destacados de varios temas subestimados en cuidados paliativos Highlights on Several Underestimated Topics in Palliative Care Edited by Marco Cascella, ISBN 978-953-51-3566-1, Print ISBN 978-953-51-3565-4, 154 pages, Publisher: InTech, Chapters published October 04, 2017 under CC BY 3.0 license Edited Volume This book focuses on several underestimated topics in palliative care. Seven chapters have been divided into four sections: Ethical Issues, Volunteers in Palliative Care, Special Circumstances, and Prognostic Models in Palliative Care. The underestimated topics concern several ethical themes such as the Balance sheets of suffering, Good Death, Euthanasia, Assisted suicide, and the question of the 'Do not attempt resuscitation'. In addition, the role of volunteers, the approach to non-malignant diseases such as diabetes and Amyotrophic Lateral Sclerosis are also addressed. Finally, the features and utility of different tools in order to facilitate optimal decision making for both physicians and patients, are given in details. This book will aid several figures facing the daily challenges of palliative care. Clinicians, nurses, volunteers, students and resident trainees, and other professionals can find this volume useful in their very difficult but extraordinarily fascinating mission Libro / Book Indian Journal of Palliative Care October-December 2017; Volume 23 | Issue 4  Revista / Journal BMC Palliative Care Volume 17, Issue 1, December 2018 Revista / Journal BMC Palliative Care Revista / Journal Journal of Palliative Care & Medicine 2017¸ Volume 7, Issue 5 Revista / Journal Arch Palliat Care Volume 1, Issue 1 Revista / Journal Palliat Med Hosp Care Open J.  2017 Revista / Journal XXVII Congreso Peruano de Anestesiología Lima, Noviembre 2-4, 2017 Informes / Information

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

Cuidados paliativos / Palliative care

Agosto 15, 2017. No. 2781

Simposio Conjunto "Morir con dignidad" Instituto Aspen y Academia Nacional de Medicina Información / Information Annals of Palliative Medicine Vol 6, No 3 (July 2017) Revista / Journal Cuidados al final de la vida en América Latina End-of-Life Care in Latin America. Soto-Perez-de-Celis E1, Chavarri-Guerra Y1, Pastrana T1, Ruiz-Mendoza R1, Bukowski A1, Goss PE1. J Glob Oncol. 2016 Aug 24;3(3):261-270. doi: 10.1200/JGO.2016.005579. eCollection 2017 Jun. Abstract Cancer has become a global pandemic with disproportionately higher mortality rates in low- and middle- income countries, where a large fraction of patients present in advanced stages and in need of end-of-life care. Globally, the number of adults needing end-of-life care is greater than 19 million, and up to 78% of these patients are living in low- and middle- income countries. In the Americas alone, more than one million people are in need of end-of-life care, placing an enormous burden on local health systems, which are often unprepared to meet the challenge presented by this complex patient population. In Latin America, cancer care is characterized by the presence of vast inequalities between and within countries, and the provision of end-of-life care is no exception. Disparities in access to advanced care planning, with a lack of provision of adequate palliative care and pain medication, are common in the region. These shortcomings are related in large part to inadequate or inappropriate legislation, lack of comprehensive national palliative care plans, insufficient infrastructure, lack of opportunities for clinical training, unreliable reporting of data, and cultural barriers. This report reviews the current status of end-of-life care in Latin America, focusing on identifying existing deficiencies and providing a framework for improvement. PDF La prestación de asistencia médica en la muerte: protocolo para una revisión de alcance. The provision of medical assistance in dying: protocol for a scoping review. Oczkowski SJW1,2, Ball I3, Saleh C4, Kalles G2, Chkaroubo A2, Kekewich M5, Miller P2,6, Dees M7, Frolic A2. BMJ Open. 2017 Aug 11;7(8):e017888. doi: 10.1136/bmjopen-2017-017888. Abstract INTRODUCTION: Medical assistance in dying (MAID), a term encompassing both euthanasia and assisted suicide, was decriminalised in Canada in 2015. Although Bill C-14 legislated eligibility criteria under which patients could receive MAID, it did not provide guidance regarding the technical aspects of providing an assisted death. Therefore, we propose a scoping review to map the characteristics of the existing medical literature describing the medications, settings, participants and outcomes of MAID, in order to identify knowledge gaps and areas for future research. METHODS AND ANALYSIS: We will search electronic databases (MEDLINE, EMBASE, CINAHL, CENTRAL, PsycINFO), clinical trial registries, conference abstracts, and professional guidelines and recommendations from jurisdictions where MAID is legal, up to June 2017. Eligible report types will include technical summaries, institutional policies, practice surveys, practice guidelines and clinical studies. We will include all descriptions of MAID provision (either euthanasia or assisted suicide) in adults who have provided informed consent for MAID, for any reason, including reports where patients have provided consent to MAID in advance of the development of incapacity (eg, dementia). We will exclude reports in which patients receive involuntary euthanasia (eg, capital punishment). Two independent investigators will screen and select retrieved reports using pilot-tested screening and eligibility forms, and collect data using standardised data collection forms. We will summarise extracted data in tabular format with accompanying descriptive statistics and use narrative format to describe their clinical relevance, identify knowledge gaps and suggest topics for future research. ETHICS AND DISSEMINATION: This scoping review will map the range and scope of the existing literature on the provision of MAID in jurisdictions where the practice has been decriminalised. The review will be disseminated through conference presentations and publication in a peer-reviewed journal. These results will be useful to clinicians, policy makers and researchers involved with MAID. KEYWORDS: Adult Palliative Care; Anaesthetics; Medical Ethics PDF XIV Congreso Virtual Mexicano de Anestesiología 2017 Octubre 1-Diciembre 31, 2017 Información / Information California Society of Anesthesiologists Reuniones / Events Informacion / Information

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