¿Cuál es la supervivencia después de una artroscopia de cadera por pinzamiento femoroacetabular? Un estudio de gran base de datos

 https://www.ortopediainfantilyarticular.com.mx/academia/cual-es-la-supervivencia-despues-de-una-artroscopia-de-cadera-por-pinzamiento-femoroacetabular/

¿Cuál es la supervivencia después de una artroscopia de cadera por pinzamiento femoroacetabular? Un estudio de gran base de datos

Los pacientes con pinzamiento femoroacetabular (FAI) pueden experimentar una mejoría clínica duradera después de la artroscopia de cadera; sin embargo, algunos pacientes eventualmente se someterán a una conversión temprana a la ATC debido a los síntomas no resueltos y la progresión de la artritis. Sin embargo, el riesgo de esto solo se ha caracterizado de manera incompleta en estudios anteriores.

Aunque los hallazgos de este estudio son limitados y no deben tomarse de forma aislada, los pacientes con FAI que son mayores, tienen diagnósticos de enfermedad articular inflamatoria o degenerativa o que usan opioides o fuman deben recibir asesoramiento sobre un riesgo potencialmente mayor de sufrir una conversión temprana a ATC después de una artroscopia de cadera. Se necesitan estudios futuros para examinar más a fondo el efecto de estos diagnósticos en cohortes recopiladas prospectivamente, incorporando medidas de resultado radiográficas e informadas por el paciente.

https://pubmed.ncbi.nlm.nih.gov/32604156/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7491898/

https://journals.lww.com/clinorthop/Fulltext/2020/10000/What_Is_the_Survivorship_After_Hip_Arthroscopy_for.14.aspx

Yao JJ, Cook SB, Gee AO, Kweon CY, Hagen MS. What Is the Survivorship After Hip Arthroscopy for Femoroacetabular Impingement? A Large-database Study. Clin Orthop Relat Res. 2020 Oct;478(10):2266-2273. doi: 10.1097/CORR.0000000000001370. PMID: 32604156; PMCID: PMC7491898.

Copyright © 2020 by the Association of Bone and Joint Surgeons

Impacto de fumar y beber en las complicaciones después de la revisión Artroplastia articular total: un análisis de cohorte emparejado

 https://www.complicaciones-ortopedicas.mx/academia/impacto-de-fumar-y-beber-en-las-complicaciones-despues-de-la-revision-artroplastia-articular-total-un-analisis-de-cohorte-emparejado/

Impacto de fumar y beber en las complicaciones después de la revisión Artroplastia articular total: un análisis de cohorte emparejado

• Se ha demostrado que fumar y beber afectan los resultados posoperatorios en la artroplastia total de la articulación de rodilla y cadera (AET) primaria.
• Este estudio tuvo como objetivo evaluar el impacto potencial del tabaquismo y la bebida en las complicaciones después de la revisión de TJA.

• Los resultados de nuestro estudio de cohorte emparejado por puntajes de propensión demuestran que, aunque los grupos de fumadores y bebedores compartieron resultados igualmente pobres después del alta, se encontró que los usuarios concurrentes tenían los peores resultados en comparación con cualquier grupo de un solo usuario.

https://pubmed.ncbi.nlm.nih.gov/32947345/

https://journals.lww.com/jaaos/Abstract/2021/08010/Impact_of_Smoking_and_Drinking_on_Complications.10.aspx

https://journals.lww.com/jaaos/Documents/JAAOS_39_2_Infographic_Aug_11_2021.pdf

Tirumala V, Bounajem G, Klemt C, Barghi A, Kwon YM. Impact of Smoking and Drinking on Complications After Revision Total Joint Arthroplasty: A Matched Cohort Analysis. J Am Acad Orthop Surg. 2021 Aug 1;29(15):e769-e781. doi: 10.5435/JAAOS-D-20-00795. PMID: 32947345.

Copyright © 2020 by the American Academy of Orthopaedic Surgeons.

Pulmón, fumar y anestesia / Lung, smoking and anesthesia

Febrero 14 2017. No. 2600

Valoración preoperatoria de pacientes con enfermedades pulmonares programados para cirugía no cardiotorácica Perioperative Evaluation of Patients with Pulmonary Conditions Undergoing Non-Cardiothoracic Surgery. Diaz-Fuentes G1, Hashmi HR2, Venkatram S3. Health Serv Insights. 2016 Nov 9;9(Suppl 1):9-23. eCollection 2016. Abstract This review describes the perioperative management of patients with suspected or established pulmonary conditions undergoing non-cardiothoracic surgery, with a focus on common pulmonary conditions such as obstructive airway disease, pulmonary hypertension, obstructive sleep apnea, and chronic hypoxic respiratory conditions. Considering that postoperative pulmonary complications are common and given the increasing number of surgical procedures and the size of the aging population, familiarity with current guidelines for preoperative risk assessment and intra- and postoperative patient management is recommended to decrease the morbidity and mortality. In particular, smoking cessation and pulmonary rehabilitation are perioperative strategies for improving patients' short- and long-term outcomes. Understanding the potential risk for pulmonary complications allows the medical team to appropriately plan the intra- and postoperative care of each patient. KEYWORDS: chronic obstructive pulmonary disease; intraoperative care; obstructive sleep apnea; postoperative complications; pulmonary; pulmonary hypertension PDF Efectos de fumar y dejar de fumar sobre la cirugía de columna. Revisión sistemática de la literatura The Effects of Smoking and Smoking Cessation on Spine Surgery: A Systematic Review of the Literature. Jackson KL 2nd1, Devine JG2. Global Spine J. 2016 Nov;6(7):695-701. Epub 2016 Jan 15. PDF Tabaquismo y Efecto de la Dexmedetomidina y del Fentanil en la Intubación Traqueal Kemal Gulsoy 1, Serpil Deren 1, Semih Baskan 1, Dilsen Ornek 1, Bayazit Dikmen Rev Bras Anestesiol 2012; 62: 2: 141-153 PDF Cese del tabaquismo preoperatorio a corto plazo y complicaciones postoperatorias: revisión sistemática y meta-análisis Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis. Wong J1, Lam DP, Abrishami A, Chan MT, Chung F. Can J Anaesth. 2012 Mar;59(3):268-79. doi: 10.1007/s12630-011-9652-x. Epub 2011 Dec 21. Abstract PURPOSE: The literature was reviewed to determine the risks or benefits of short-term (less than four weeks) smoking cessation on postoperative complications and to derive the minimum duration of preoperative abstinence from smoking required to reduce such complications in adult surgical patients. SOURCE: We searched MEDLINE, EMBASE, Cochrane, and other relevant databases for cohort studies and randomized controlled trials that reported postoperative complications (i.e., respiratory, cardiovascular, wound-healing) and mortality in patients who quit smoking within six months of surgery. Using a random effects model, meta-analyses were conducted to compare the relative risks of complications in ex-smokers with varying intervals of smoking cessation vs the risks in current smokers. PRINCIPAL FINDINGS: We included 25 studies. Compared with current smokers, the risk of respiratory complications was similar in smokers who quit less than two or two to four weeks before surgery (risk ratio [RR] 1.20; 95% confidence interval [CI] 0.96 to 1.50 vs RR 1.14; CI 0.90 to 1.45, respectively). Smokers who quit more than four and more than eight weeks before surgery had lower risks of respiratory complications than current smokers (RR 0.77; 95% CI 0.61 to 0.96 and RR 0.53; 95% CI 0.37 to 0.76, respectively). For wound-healing complications, the risk was less in smokers who quit more than three to four weeks before surgery than in current smokers (RR 0.69; 95% CI 0.56 to 0.84). Few studies reported cardiovascular complications and there were few deaths. CONCLUSION: At least four weeks of abstinence from smoking reduces respiratory complications, and abstinence of at least three to four weeks reduces wound-healing complications. Short-term (less than four weeks) smoking cessation does not appear to increase or reduce the risk of postoperative respiratory complications. PDF Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología. Committee for European Education in Anaesthesiology (CEEA)  y el Colegio de Anestesiólogos de León A.C. Abril 7-9, 2017, León Guanajuato, México Informes  (477) 716 06 16, kikinhedz@gmail.com Regional Anesthesiology and Acute Pain Medicine Meeting April 6-8, 2017, San Francisco, California, USA ASRA American Society of Regional Anesthesia and Pain Medicine Información / Information

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