Libro sobre pediatría / Book on pediatrics

Mayo 7, 2017. No. 2682

Cirugía pediátrica y neonatal Pediatric and Neonatal Surgery Edited by Joanne Baerg, ISBN 978-953-51-3136-6, Print ISBN 978-953-51-3135-9, 168 pages, Publisher: InTech, Chapters published May 03, 2017 under CC BY 3.0 license Edited Volume Neonatal and Pediatric Surgery is a broad field with many challenges. The aim of this short book is to provide the reader with several informative chapters in the field of neonatal and pediatric surgery. Each chapter provides details on a specific area of this changing field. The scope of this book focuses on a few areas that are rare and challenging. For example, it covers preoperative and postoperative care of neonates. Important anesthesia considerations, including anesthesia for neonates and regional anesthesia, are discussed. A unique chapter on neonatal tumors is presented. The book provides an overview of the recent recommendations for care of infants and children that undergo cardiac surgery. The challenging aspects of caustic ingestion are explained. Each chapter stands alone as a detailed source of information for the reader. This book brings updated information with structured headings that will allow the reader to remain focused as the material is reviewed. Libro / Book

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

“Síndrome de Down Actualidades de Manejo”

Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 19 de Abril 2017 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Síndrome de Down Actualidades de Manejo” por el Dra. “Alejandra Pilar Reyes de la Rosa”, Pediatra, Genetista, Cd de México. 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/sindrome_down/

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

ML en pediatría / LMA in pediatrics

Marzo 4, 2017. No. 2618

Estudio piloto en maniquí mostró que un dispositivo de vía aérea supraglótica mejoró la ventilación neonatal simulada en un entorno de bajos recursos. Pilot manikin study showed that a supraglottic airway device improved simulated neonatal ventilation in a low-resource setting. Pejovic NJ1,2, Trevisanuto D3, Nankunda J4,5, Tylleskär T2. Acta Paediatr. 2016 Dec;105(12):1440-1443. doi: 10.1111/apa.13565. Abstract AIM: We compared the performance of personnel in a low-resource setting when they used the I-gel cuffless neonatal laryngeal mask or a face mask on a neonatal airway management manikin. METHODS: At Mulago Hospital, Uganda, 25 doctors, nurses and midwives involved in neonatal resuscitation were given brief training with the I-gel and face mask. Then, every participant was observed positioning both devices on three consecutive occasions. The success rate and insertion times leading to effective positive pressure ventilation (PPV) were recorded. Participants rated the perceived efficiency of the devices using a five-point Likert scale. RESULTS: The I-gel achieved a 100% success rate on all three occasions, but the face mask was significantly less effective in achieving effective PPV and the failure rates at the first, second and third attempts were 28%, 8% and 20%, respectively. The perceived efficiency of the devices was significantly superior for the I-gel (4.7 ± 0.4) than the face mask (3.3 ± 0.8). CONCLUSION: The I-gel was more effective than the face mask in establishing PPV in the manikin, and user satisfaction was higher. These encouraging manikin data could be a stepping stone for clinical research on the use of the I-gel for neonatal resuscitation in low-resource settings. KEYWORDS: Face mask; I-gel; Laryngeal mask; Low-resource country; Neonatal resuscitation PDF Uso de ML durante ecocardiografía transesofágica en pacientes pediátricos The use of laryngeal mask airway during transesophageal echocardiography in pediatric patients. Shafi Ahmed MA1, Al-Ghamdi AA1, Mowafi HA1, Al-Metwalli RR1, Mousa WF1, Lardhi AA2. Saudi J Anaesth. 2014 Oct;8(4):489-92. doi: 10.4103/1658-354X.140858. Abstract BACKGROUND: Transesophageal echocardiography (TEE) in the cardiac lab is usually performed in pediatric patients under general anesthesia with an endotracheal intubation (ET). This study was performed to investigate the safety and efficacy of using the laryngeal mask airway (LMA) as an alternative to ET to maintain pediatric airway during the general anesthesia for TEE. MATERIALS AND METHODS: A total of 50 pediatric patients undergoing TEE in the cardiac lab were randomized to have their airway maintained during the procedure with either LMA (LMA group) or ET (ET group). Hemodynamic, respiratory parameters, time to extubation, recovery time, the incidence of complication and operator satisfaction were compared between the two groups. RESULTS: There were no differences between both groups in hemodynamic and respiratory parameters. Laryngeal spasm was reported in one patient in the LMA group and two patients in the ET group. TEE operators were equally satisfied with the procedure in groups. The time to extubation was shorter in the LMA group (P < 0.01). The mean recovery time was also significantly shorter in the LMA than in the ET group (44 ± 8 min and 59 ± 11 min, respectively; P < 0.001). CONCLUSION: The LMA is safe and effective in securing the airway of children undergoing diagnostic TEE. KEYWORDS: Laryngeal mask airway; randomized clinical trial; transesophageal echocardiography PDF  ML para resucitación neonatal en un país en desarrollo Laryngeal Mask Airway for neonatal resuscitation in a developing country: evaluation of an educational intervention. Neonatal LMA: an educational intervention in DRC. Zanardo V1, Simbi A, Micaglio M, Cavallin F, Tshilolo L, Trevisanuto D. BMC Health Serv Res. 2010 Aug 31;10:254. doi: 10.1186/1472-6963-10-254. Abstract BACKGROUND: Studies carried out in developing countries have indicated that training courses in newborn resuscitation are efficacious in teaching local birth attendants how to properly utilize simple resuscitation devices. The aim of this study was to assess the knowledge and expertise gained by physicians and midwifes who participated in a Neonatal Resuscitation Course and workshop organized in a Third World Country on the use of Laryngeal Mask Airway (LMA). METHODS: A 28-item questionnaire, derived from the standard test contained in the American Heart Association and the American Academy of Pediatrics Neonatal Resuscitation Manual, was administered to 21 physicians and 7 midwifes before and after a course, which included a practical, hands-on workshop focusing on LMA positioning and bag-ventilation in a neonatal manikin. RESULTS: The knowledge gained by the physicians was superior to that demonstrated by the midwifes. The physicians, in fact, demonstrated a significant improvement with respect to their pre-course knowledge. Both the physicians and the midwives showed a good level of expertise in manipulating the manipulating the manikin during the practical trial session. The midwifes and physicians almost unanimously manifested a high degree of approval of neonatal resuscitation by LMA, as they defined it a sustainable and cost-effective method requiring minimal expertise. CONCLUSIONS: Further studies are warranted to test the advantages and limits of the neonatal LMA training courses in developing countries. 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 4° Congreso Internacional de Control Total de la Vía Aérea Asociación Mexicana de Vía  Aérea Difícil, AC Ciudad de México 21, 22 y 23 de Abril 2017 Informes: amvadmexico@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

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

Vía aérea en pediatría / Pediatric airway

Marzo 5, 2017. No. 2619

VÍA AÉREA DIFÍCIL EN PEDIATRÍA HAYDEE OSSES C. Rev Chil Anest, 2010; 39: 125-132 INTRODUCCIÓN Las complicaciones relacionadas con el manejo de la vía aérea pediátrica son frecuentes y en ocasiones generan morbi-mortalidad, afectando principalmente a recién nacidos y lactantes menores. Éstos, por lo general, son niños sanos ASA I o II. Como causa directa de morbilidad se encuentra la intubación difícil, ventilación inadecuada, apnea y obstrucción bronquial. La mayor parte de estas complicaciones son evitables y al auditarse se encuentran los siguientes problemas: falla en reconocer o anticiparse a los problemas, revisión inadecuada de máquina y monitores, escasa vigilancia, preparación insufi ciente frente a situaciones adversas encontradas y, falta de habilidades técnicas especialmente en situaciones de tensión1 . Los pacientes pediátricos presentan un amplio espectro de enfermedades, tanto congénitas como adquiridas, que pueden repercutir en la vía aérea, difi cultando la intubación y/o ventilación2 . Para optimizar el manejo de una vía aérea difícil es importante comprender las diferencias anatómicas de la vía aérea pediátrica y familiarizarse con las enfermedades y síndromes comunes que la afectan PDF Controversias en la vía aérea pediátrica en el perioperatorio Controversies in Pediatric Perioperative Airways. Kluka J1, Stourac et al Biomed Res Int. 2015;2015:368761. doi: 10.1155/2015/368761. Epub 2015 Nov 22. Abstract Pediatric airway management is a challenge in routine anesthesia practice. Any airway-related complication due to improper procedure can have catastrophic consequences in pediatric patients. The authors reviewed the current relevant literature using the following data bases: Google Scholar, PubMed, Medline (OVID SP), and Dynamed, and the following keywords: Airway/s, Children, Pediatric, Difficult Airways, and Controversies. From a summary of the data, we identified several controversies: difficult airway prediction, difficult airway management, cuffed versus uncuffed endotracheal tubes for securing pediatric airways, rapid sequence induction (RSI), laryngeal mask versus endotracheal tube, and extubation timing. The data show that pediatric anesthesia practice in perioperative airway management is currently lacking the strong evidence-based medicine (EBM) data that is available for adult subpopulations. A number of procedural steps in airway management are derived only from adult populations. However, the objective is the same irrespective of patient age: proper securing of the airway and oxygenation of the patient. PDF Eventos de seguridad del paciente en el manejo de las vías respiratorias pediátricas fuera del hospital: una revisión del expediente médico por el CSI-EMS. Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. Hansen M1, Meckler G2, Lambert W3, Dickinson C4, Dickinson K4, Van Otterloo J4, Guise JM1,3,4,5. BMJ Open. 2016 Nov 11;6(11):e012259. doi: 10.1136/bmjopen-2016-012259. Abstract OBJECTIVE: To describe the frequency and characterise the nature of patient safety events in paediatric out-of-hospital airway management.  CONCLUSIONS: Errors in paediatric out-of-hospital airway management are common, especially in the context of intubations and during cardiac arrest. KEYWORDS: ACCIDENT & EMERGENCY MEDICINE 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 4° Congreso Internacional de Control Total de la Vía Aérea Asociación Mexicana de Vía  Aérea Difícil, AC Ciudad de México 21, 22 y 23 de Abril 2017 Informes: amvadmexico@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

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