Bibliotecas. Alerta

Biblioteca futurista de Texas, sin un solo libro El Nuevo Herald
Juan Castilleja utiliza una computadora en BiblioTech, la primera biblioteca digital pública de su tipo, el miércoles 11 de diciembre de 2013, en San ...
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El Nuevo Herald

Bibliotecas de Tula reciben 2 mil libros Milenio.com
La presidencia municipal anunció apoyos estatales para las bibliotecas públicas municipales por lo que en este principio de año se hará llegar a la ...
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Milenio.com

Las bibliotecas municipales estrenan en 2014 un programa de ... Lainformacion.com
Las tres bibliotecas municipales de la localidad, la Pablo Ruiz Picasso, la Miguel de Cervantes y la Mario Vargas Llosa, inauguran este 2014 un ...
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Las bibliotecas de Vilagarcía ofrecen consulta y préstamo de libros ... La Voz de Galicia
Las bibliotecas han dejado de ser reductos cerrados gracias a las nuevas tecnologías y en Vilagarcía siguen dando pasos en este sentido.
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Bibliotecas de Badalona abrirán hasta la media noche en exámenes La Vanguardia
Badalona (Redacción). - El Departamento de Juventud del Ayuntamiento de Badalona vuelve a poner en marcha a partir del próximo martes 7 de ...
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La Vanguardia

Biblioteca Nacional cuenta con 213 cámaras de vigilancia Andina
“Este es el año de la reestructuración de la Biblioteca Nacional del Perú”, comentó Ramón Mujica Pinilla, director de la BNP. Gracias a las peticiones ...
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Bibliotecas musicales invaden la internet El Sol
Las bibliotecas gratuitas en internet se siguen incrementando. Que ventajoso es disponer con herramientas útiles para toda actividad. En este caso ...
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El Sol

Bibliotecas de Torrejón amplían horarios para facilitar a los ... Portal Local
Bibliotecas de Torrejón amplían horarios para facilitar a los estudiantes la preparación de sus exámenes Coincidiendo con la proximidad de los ...
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Las bibliotecas públicas del Estado en Extremadura acogen nuevas ... Región Digital
Este viernes, día 3, se llevará a cabo en la biblioteca cacereña, entre las 11:00 y las 13:00 horas, un taller de modelado con Jumping Clay para ...
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Región Digital

Sin noticias para las Bibliotecas Diario El Argentino
Este año, las Bibliotecas Populares de la ciudad recibieron el pago de tres meses de lo que va del año del subsidio otorgado por la provincia de ...
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Blogs 7 resultados nuevos para Bibliotecas

Biblioteca futurista de Texas, sin un solo libro | Pulso Diario de San ... marisol
SAN ANTONIO, Texas, EE.UU. (AP) — Texas ofreció lo que a su juicio será la biblioteca pública del futuro, algo que se parece mucho a una tienda de ...
Pulso Online | Pulso Diario de San Luis

Las bibliotecas: tesoros al alcance de la mano. - Taringa!
Albergan obras de gran valor cultural, poco conocidas por el público: un territorio por descubrir para lectores e investigadores. En la imagen, una d...
Taringa.net - �ltimos posts

Actividades de animación a la lectura en las bibliotecas | zafarache Ribera Baja del Ebro
Al igual que otros años, el servicio de Cultura de la comarca, a través de su área de Documentación, les ha ofrecido a las diez bibliotecas de la ...
zafarache

Las bibliotecas de Torrent abrirán 19 horas al día a partir del 7 de ... torrent al dia
del 7 de enero al 15 de febrero de 2014, las bibliotecas públicas de Torrent abrirán de 8 de la mañana a 3 de la madrugada ininterrumpidamente.
TORRENT AL DÍA

El futuro de las bibliotecas como eBookstores | Universo Abierto julio
Jamie LaRue, director Douglas County Libraries en Colorado es el impulsor de esta idea. LaRue y su equipo han desarrollado su propia plataforma ...
Universo Abierto

La Uex estudiará si hay demanda para ampliar el horario de ... EFE
El rector de la Universidad de Extremadura (UEx), Segundo Píriz, manifestó ayer, tras el encierro de un centenar de estudiantes en la Biblioteca ...
RSS de badajoz - El Periódico Extremadura

Bibliotecas de Angol se renuevan gracias a financiamiento del ... admin
En la comuna de Angol las bibliotecas Javiera Carrera y […]
Araucanía Noticias Temuco Pucón Villarrica

1° Sesión reglamentaria CMO, febrero 2014

1° Sesión reglamentaria CMO, febrero 2014

Guías sobre manejo de la obesidad

Guías sobre manejo de la obesidad


Guías Mundiales de la Organización Mundial de Gastroenterología
Contenido: Aspectos generales, Manejo de la obesidad, Obesidad en el adulto mayor, Cascadas, Apéndices y evidencia
http://www.worldgastroenterology.org/assets/export/userfiles/Obesity_MASTER_SP.pdf


El papel futuro de las hormonas intestinales en el manejo de la obesidad

The future role of gut hormones in the treatment of obesity.
Troke RC, Tan TM, Bloom SR.
Ther Adv Chronic Dis. 2014 Jan;5(1):4-14.
Abstract
The obesity pandemic presents a significant burden, both in terms of healthcare and economic outcomes, and current medical therapies are inadequate to deal with this challenge. Bariatric surgery is currently the only therapy available for obesity which results in long-term, sustained weight loss. The favourable effects of this surgery are thought, at least in part, to be mediated via the changes of gut hormones such as GLP-1, PYY, PP and oxyntomodulin seen following the procedure. These hormones have subsequently become attractive novel targets for the development of obesitytherapies. Here, we review the development of these gut peptides as current and emerging therapies in the treatment of obesity.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3871274/pdf/10.1177_2040622313506730.pdf


Nutrición para pacientes con ganancia de peso después de cirugía bariátrica
Nutrition Care for Patients with Weight Regain after Bariatric Surgery.
Johnson Stoklossa C, Atwal S.
Gastroenterol Res Pract. 2013;2013:256145. Epub 2013 Nov 19.
Abstract
Achieving optimal weight outcomes for patients with obesity is important to the management of their chronic disease. All interventions present risks for weight regain. Bariatric surgery is the most efficacious treatment, producing greater weight losses that are sustained over more time compared to lifestyle interventions. However, approximately 20-30% of patients do not achieve successful weight outcomes, and patients may experience a regain of 20-25% of their lost weight. This paper reviews several factors that influence weight regain after bariatric surgery, including type of surgery, food tolerance, energy requirements, drivers to eat, errors in estimating intake, adherence, food and beverage choices, and patient knowledge. A comprehensive multidisciplinary approach can provide the best care for patients with weight regain. Nutrition care by a registered dietitian is recommended for all bariatric surgery patients. Nutrition diagnoses and interventions are discussed. Regular monitoring of weight status and early intervention may help prevent significant weight regain.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3852093/pdf/GRP2013-256145.pdf



Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

Dolor postoperatorio en bariatría/POP in bariatric surgery

Viabilidad y eficacia analgésica del bloque del plano transverso abdominal después de la laparoscopia de puerto único en pacientes sometidos a cirugía bariátrica


Feasibility and analgesic efficacy of the transversus abdominis plane block after single-port laparoscopy in patients having bariatric surgery.
Wassef M, Lee DY, Levine JL, Ross RE, Guend H, Vandepitte C, Hadzic A, Teixeira J.
J Pain Res. 2013 Nov 27;6:837-41. doi: 10.2147/JPR.S50561.
Abstract
PURPOSE:The transversus abdominis plane (TAP) block is a technique increasingly used for analgesia after surgery on the anterior abdominal wall. We undertook this study to determine the feasibility and analgesic efficacy of ultrasound-guided TAP blocks in morbidly obese patients. We describe the dermatomal spread of local anesthetic in TAP blocks administered, and test the hypothesis that TAP blocks decrease visual analog scale (VAS) scores. PATIENTS AND METHODS:After ethics committee approval and informed consent, 35 patients with body mass index >35 undergoing single-port sleeve gastrectomy (SPSG) were enrolled. All patients received balanced general anesthesia, followed by intravenous patient-controlled analgesia (IV-PCA; hydromorphone) postoperatively; all reported VAS >3 upon arrival to the recovery room. From the cohort of 35 patients having single-port laparoscopy (SPL), a sealed envelope method was used to randomly select ten patients to the TAP group and 25 patients to the control group. The ten patients in the TAP group received ultrasound-guided TAP blocks with 30 mL of 0.2% Ropivacaine injected bilaterally. The dermatomal distribution of the sensory block (by pinprick test) was recorded. VAS scores for the first 24 hours after surgery and opioid use were compared between the IV-PCA+TAP block and IV-PCA only groups. RESULTS: Sensory block ranged from T5-L1. Mean VAS pain scores decreased from 8 ± 2 to 4 ± 3 (P=0.04) within 30 minutes of TAP block administration. Compared with patients given IV-PCA only, significantly fewer patients who received TAP block had moderate or severe pain (VAS 4-10) after block administration at 6 hours and 12 hours post-surgery. However, cumulative consumption of hydromorphone at 24 hours after SPSGsurgery was similar for both groups. CONCLUSION: Ultrasound-guided TAP blocks in morbidly obese patients are feasible and result in satisfactory analgesia following SPSG in the immediate postoperative period.
KEYWORDS:analgesia, nerve blocks, postoperative pain, regional anesthesia, ultrasound
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849080/pdf/jpr-6-837.pdf



Efecto de la pregabalina oral en la premedicación sobre el dolor postoperatorio en el bypass gástrico laparoscópico

Effect of oral pregabalin premedication on post-operative pain in laparoscopic gastric bypass surgery.
Alimian M, Imani F, Faiz SH, Pournajafian A, Navadegi SF, Safari S.
Anesth Pain Med. 2012 Summer;2(1):12-6. doi: 10.5812/aapm.4300. Epub 2012 Jul 10.
Abstract
BACKGROUND:Post-operative pain and the administration of opioids to relieve it, is considered to be one of the important issues in surgery wards. This issue is even more significant in obese patients, because of the side effects of opioids. Pregabalin is an analog of gamma aminobutyric acid (GABA) which can be effective in dealing with post-operative pain. OBJECTIVES:This study will consider the effect of oral pregabalin in relieving the pain of obese patients after gastric bypass surgery. PATIENTS AND METHODS: In a double blind clinical trial, 60 candidates for laparoscopic gastric bypass surgery were enrolled in the study through convenience and non-random sequential sampling, into two groups; pregabalin group and control group. Inclusion criteria consisted of: morbid obesitywith a body mass index (BMI) > 35, age 18-50, American Society of Anesthesiologists (ASA) status I or II, and willingness to take part in the study. Patients in the pregabalin group received 300 mg of oral pregabalin on the morning of the surgery. Post-operative pain was controlled by the patient-controlled intravenous analgesia (PCIA) method, an AutoMed infusion pump containing 20 mg of morphine and normal saline (total volume 100 cc) was administered to all patients after surgery. Patients' level of pain were compared by considering their pain intensity on a visual analog scale (VAS), and the occurrence of nausea/vomiting from recovery, until 24 hours after surgery. RESULTS:A total of 60 patients were compared; 30 patients in each of the pregabalin and control groups. Both groups were similar in age and sex distribution. Mean pain intensity levels during the whole follow up were lower in the pregabalin group than in the control group, up to a maximum of 24 hours after the operation (P < 0.001). Incidence of nausea/vomiting was greater in the control group than in the pregabalin group (P < 0.001). CONCLUSIONS: The findings of this study indicate that oral pregabalin (300 mg dose) can alleviate patients' pain and nausea/vomiting and notably reduce adverse effects.
KEYWORDS:Gastric Bypass, Laparoscopy, Pain, Postoperative, Pregabalin

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821101/pdf/aapm-02-12.pdf

Aerosolización intraperitoneal de bupivacaína es segura y efectiva para controlar el dolor postoperatorio en bypass laparoscópico en Y de Roux
Intraperitoneal aerosolization of bupivacaine is a safe and effective method in controlling postoperative pain in laparoscopic Roux-en-Y gastric bypass.
Alkhamesi NA, Kane JM, Guske PJ, Wallace JW, Rantis PC.
J Pain Res. 2008 Dec 1;1:9-13.
Abstract
INTRODUCTION: Obesity is a worldwide problem and has grown in severity in the last few decades making bariatric surgery and, in particular, laparoscopic banding and Roux-en-Y gastric bypass efficacious and cost-effective procedures. The laparoscopic approach has been shown to offer significant healthcare benefits, of particular interests are reports of decreased postoperative pain resulting in a shorter hospital stay and an earlier return to normal activity. However, many patients still experience significant pain, including shoulder tip pain, that require strong analgesia including opiates during their early recovery period. The aims of this study were to establish the safe use of the aerosolization technique in bariatric surgery and to investigate the possible benefits in reducing postoperative pain. METHODS: In this study, fifty patients undergoing laparoscopic gastric bypass were recruited and divided into two groups; control (n = 25) and therapeutic (n = 25). The control group received intraperitoneal aerosolization of 10 mL of 0.9% normal saline while the therapeutic group received 10 mL of 0.5% bupivacaine. All the patients had standard preoperative, intraoperative, and postoperative care. Pain scores were carried out by the nursing staff in recovery and 6 h, 12 h and 24 h postoperatively using a standard 0-10 pain scoring scale. In addition, opiate consumption via patient-controlled analgesia (PCA) was recorded. RESULTS: Aerosolized bupivacaine reduced postoperative pain in comparison to normal saline (p < 0.05). However, PCA usage showed no statistically significant change from the control group. CONCLUSION: The aims of this study were achieved and we were able to establish the safe use of the aerosolization technique in bariatric surgery and its benefits in reducing postoperative pain.
KEYWORDS: Roux-en-Y gastric bypass, aerosolization, bupivacaine, intraperitoneal therapeutics, laparoscopy, local anesthetic

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004614/pdf/jpr-1-009.pdf






Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

Childhood Obesity

Childhood Obesity

Edited by Sevil Ari Yuca, ISBN 978-953-51-0374-5, 236 pages, Publisher: InTech, Chapters published March 28, 2012 under CC BY 3.0 license
DOI: 10.5772/1151
This book aims to provide readers with a general as well as an advanced overview of the key trends in childhood obesity. Obesity is an illness that occurs due to a combination of genetic, environmental, psychosocial, metabolic and hormonal factors. The prevalence of obesity has shown a great rise both in adults and children in the last 30 years. It is known that one third of children who are obese in childhood and 80% of adolescents who are obese in their adolescent years continue to be obese later in life. Obesity is an important risk factor in serious illnesses such as heart disease, hyperlipidemia, hyperinsulinemia, hypertension and early atherosclerosis.
http://www.intechopen.com/books/childhood-obesity


Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

Manejo del sangrado y coagulopatías después de trauma mayor: actualización de las guías europeas

Manejo del sangrado y coagulopatías después de trauma mayor: actualización de las guías europeas
Management of bleeding and coagulopathy following major trauma: an updated European guideline
Donat R Spahn, Bertil Bouillon, Vladimir Cerny, Timothy J Coats, Jacques Duranteau, Enrique Fernández-Mondéjar, Daniela Filipescu, Beverley J Hunt,Radko Komadina, Giuseppe Nardi, Edmund Neugebauer, Yves Ozier, Louis Riddez, Arthur Schultz, Jean-Louis Vincent and Rolf Rossaint*
Critical Care 2013, 17:R76 doi:10.1186/cc12685

Introduction
Evidence-based recommendations are needed to guide the acute management of the bleeding trauma patient. When these recommendations are implemented patient outcomes may be improved. Methods. The multidisciplinary Task Force for Advanced Bleeding Care in Trauma was formed in 2005 with the aim of developing a guideline for the management of bleeding following severe injury. This document represents an updated version of the guideline published by the group in 2007 and updated in 2010. Recommendations were formulated using a nominal group process, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) hierarchy of evidence and based on a systematic review of published literature. Results. Key changes encompassed in this version of the guideline include new recommendations on the appropriate use of vasopressors and inotropic agents, and reflect an awareness of the growing number of patients in the population at large treated with antiplatelet agents and/or oral anticoagulants. The current guideline also includes recommendations and a discussion of thromboprophylactic strategies for all patients following traumatic injury. The most significant addition is a new section that discusses the need for every institution to develop, implement and adhere to an evidence-based clinical protocol to manage traumatically injured patients. The remaining recommendations have been re-evaluated and graded based on literature published since the last edition of the guideline. Consideration was also given to changes in clinical practice that have taken place during this time period as a result of both new evidence and changes in the general availability of relevant agents and technologies. Conclusions. A comprehensive, multidisciplinary approach to trauma care and mechanisms with which to ensure that established protocols are consistently implemented will ensure a uniform and high standard of care across Europe and beyond.
http://ccforum.com/content/pdf/cc12685.pdf?




Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

Ceguera perioperatoria/Perioperative visual loss

Informe de caso y revisión de la literatura sobre infarto retinal bilateral después de bypass cardiopulmonar en cirugía coronaria


A case report and brief review of the literature on bilateral retinal infarction following cardiopulmonary bypass for coronary artery bypass grafting.
Trethowan BA, Gilliland H, Popov AF, Varadarajan B, Phillips SA, McWhirter L, Ghent R.
J Cardiothorac Surg. 2011 Nov 21;6:154. doi: 10.1186/1749-8090-6-154.
Abstract
Postoperative visual loss is a devastating perioperative complication. The commonest aetiologies are anterior ischaemic optic neuropathy (AION), posterior ischaemic optic neuropathy (PION), and central retinal artery occlusion (CRAO). These appear to be related to certain types of operation, most commonly spinal and cardiac bypass procedures; with the rest divided between: major trauma causing excessive blood loss; head/neck and nasal or sinus surgery; major vascular procedures (aortic aneurysm repair, aorto-bifemoral bypass); general surgery; urology; gynaecology;liposuction; liver transplantation and duration of surgery. The non-surgical risk factors are multifactorial: advanced age, prolonged postoperative anaemia, positioning (supine v prone), alteration of venous drainage of the retina, hypertension, smoking, atherosclerosis, hyperlipidaemia, diabetes, hypercoagulability, hypotension, blood loss and large volume resuscitation. Other important cardiac causes are septic emboli from bacterial endocarditis and emboli caused by atrial myxomata. The majority of AION cases occur during CPB followed by head/neck surgery and prone spine surgery. CPB is used to allow coronary artery bypass grafting on a motionless heart. It has many side-effects and complications associated with its use and we report here a case of bilateral retinal infarction during routine coronary artery bypass grafting in a young male patient with multiple risk factors for developing this complication despite steps to minimise its occurrence.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253690/pdf/1749-8090-6-154.pdf



Pérdida visual perioperatoria: ¿Que sabemos, que podemos hacer?

Perioperative visual loss: what do we know, what can we do?
Roth S.
Br J Anaesth. 2009 Dec;103 Suppl 1:i31-40. doi: 10.1093/bja/aep295.
Abstract
Perioperative visual loss (POVL), a rare, but devastating complication, can follow non-ocular surgery. Highest rates of visual loss are with cardiac and spine surgery. The main causes of visual loss after non-ocular surgery are retinal vascular occlusion and ischaemic optic neuropathy. This review updates readers on the incidence, suspected risk factors, diagnosis, and treatment of POVL due to these conditions.


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791856/pdf/aep295.pdf




Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

Manuales de ecografía

Manual de Ecografía Clínica
Gonzalo García de Casasola, Juan Torres Macho
Sociedad Española de Medicina Interna

http://www.tauli.cat/tauli/cat/Lacorporacio/elscentres/HS/webs/Urgencies/6_Info_professionals/Pautes_actuacio/radiologia/Manual_Ecografia_SEMI_PAUTAS.pdf


Sonosite. Manual para el usuario del sistema de ecografía

http://www.sonosite.com/sites/default/files/support_docs/C1.99_UG_SPA_P02798-02D_e.pdf

Manual de ecocardiografía

http://www.secardiologia.es/images/stories/la-sec/latinoamerica/manual-ecocardiografia.pdf




Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

Ketofol en servicios de urgencias/Ketofol for emergency department

Sedación y analgesia para procedimientos en departamentos de urgencias rurales y regionales


Procedural sedation and analgesia in rural and regional emergency departments.
Pinto RF, Bhimani M, Milne WK, Nicholson K.
Can J Rural Med. 2013 Fall;18(4):130-6.
Abstract
INTRODUCTION: Several agents can be administered during procedural sedation and analgesia (PSA) in the emergency department (ED). The purpose of this study was to determine the PSA agents commonly used by physicians working in nontertiary EDs, and to assess the physicians' comfort level administering the agents as well as their knowledge of adverse effects of the agents. METHODS: We distributed a confidential electronic survey to physicians working in nontertiary EDs in southwestern Ontario. Using a 5-point Likert scale, ED physicians were asked to rate their use of older and newer agents used for PSA in the ED, as well as their familiarity with the agents. RESULTS: A total of 55 physicians completed the survey. The most frequently used drugs were fentanyl (66.0% often or always) and propofol with fentanyl (59.2% often or always). Most respondents stated that they rarely used ketofol (54.2% rarely or never) or etomidate (77.1% rarely or never). Respondents were most comfortable using midazolam or fentanyl (96.1% somewhat or very comfortable), and least comfortable administering etomidate and ketofol (36.5% and 23.1% somewhat or very uncomfortable). These differences were magnified with comparison of physicians with CCFP (Certification in The College of Family Physicians) and CCFP(EM) (emergency medicine) designations. Additionally, etomidate's adverse effects were the least astutely recognized (19%), compared with midazolam combined with fentanyl (63%). CONCLUSION: Physicians practising in nontertiary EDs used more often, remained more comfortable with and were more familiar with older sedation agents than newer agents.
http://www.cma.ca/multimedia/staticContent/HTML/N0/l2/cjrm/vol-18/issue-4/pdf/pg130.pdf






Ketofol versus propofol para sedación y analgesia en procedimientos en el departamento de emergencias: estudio randomizado, doble ciego

Ketamine- propofol combination (ketofol) versus propofol alone for emergency department procedural sedationand analgesia: a randomized double-blind trial.
Andolfatto G, Abu-Laban RB, Zed PJ, Staniforth SM, Stackhouse S, Moadebi S, Willman E.
Ann Emerg Med. 2012 Jun;59(6):504-12.e1-2. doi: 10.1016/j.annemergmed.2012.01.017. Epub 2012 Mar 7.
Abstract
STUDY OBJECTIVE: We determine whether a 1:1 mixture of ketamine and propofol (ketofol) for emergency department (ED) procedural sedationresults in a 13% or more absolute reduction in adverse respiratory events compared with propofol alone. METHODS: Participants were randomized to receive either ketofol or propofol in a double-blind fashion. Inclusion criteria were aged 14 years or older and American Society of Anesthesiology class 1 to 3 status. The primary outcome was the number and proportion of patients experiencing an adverse respiratory event as defined by the Quebec Criteria. Secondary outcomes were sedation consistency, efficacy, and time; induction time; and adverse events. RESULTS: A total of 284 patients were enrolled, 142 per group. Forty-three (30%) patients experienced an adverse respiratory event in the ketofolgroup compared with 46 (32%) in the propofol group (difference 2%; 95% confidence interval -9% to 13%; P=.80). Three ketofol patients and 1 propofolpatient received bag-valve-mask ventilation. Sixty-five (46%) patients receiving ketofol and 93 (65%) patients receiving propofol required repeated medication dosing or progressed to a Ramsay Sedation Score of 4 or less during their procedure (difference 19%; 95% confidence interval 8% to 31%; P=.001). Six patients receiving ketofol were treated for recovery agitation. Other secondary outcomes were similar between the groups. Patients and staff were highly satisfied with both agents. CONCLUSION: Ketofol for ED procedural sedation does not result in a reduced incidence of adverse respiratory events compared with propofol alone. Induction time, efficacy, and sedation time were similar; however, sedation depth appeared to be more consistent with ketofol.

http://download.journals.elsevierhealth.com/pdfs/journals/0196-0644/PIIS0196064412000510.pdf

Ketofol para sedación y analgesia en procedimientos en el departamento de emergencias: una revisión
Combining ketamine and propofol ("ketofol") for emergency department procedural sedation and analgesia: a review.
Arora S.
West J Emerg Med. 2008 Jan;9(1):20-3.
Emergency physicians must be comfortable and confident in providing safe and effective procedural sedation and analgesia (PSA). Goals of PSA include providing an adequate level of sedation while minimizing pain and anxiety, maximizing amnesia, minimizing the potential for adverse drug-related events, controlling behavior, and maintaining a stable cardiovascular and respiratory status. The ideal pharmacologic agent for PSA would accomplish all of these goals, and would have a quick onset and offset, be safe in all age groups, be inexpensive, and be equally efficacious in multiple routes of administration. Unfortunately, at this time no single agent exists that has all of the aforementioned qualities, so physicians must use combinations of different drugs at varying does to achieve as many of the desired goals as possible. The most recent PSA combination to be described in the literature is that of low-dose ketamine and propofol ("ketofol"). In this article we attempt to describe the postulated benefits of using these two agents together and examine the safety and efficacy of the combination.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672224/pdf/wjem-9-0020.pdf


http://escholarship.org/uc/item/6fw0c4qw#page-1


Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

ebooks. Alerta

E-Books
Notificaciones semanales ⋅ 22 de enero de 2014
NOTICIAS

Maquetación de eBooks – Preguntas Frecuentes
ESCRITORES. Recursos para escritores - Algunas de estas grandes librerías ofrecen el servicio gratuito de conversión de Word o pdf a su formato de trabajo (epub, mobi). ¿Por qué contratar ...
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Servicio de Maquetación de eBooks
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Teletica

Juez rechaza pedido de Apple de bloquear supervisión por caso e ...
Terra Colombia - Juez rechaza pedido de Apple de bloquear supervisión por caso e-books ... de conspirar con las editoriales para fijar los precios de lose-books.
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Prefiero los libros a los eBooks
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Onda Cero

Samsung patenta 'el efecto pasa página' para los e-books
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El Universo

Estadounidenses prefieren libros impresos pese a aumento de las ...
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El volumen de libros editados cayó un 15% y la de ebooks se ...
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Los libros electrónicos aumentan popularidad pero todavía no ...
PC World en Espanol - La mayoría de las personas que lee e-books también lee libros impresos, mientras que sólo 4 por ciento de los lectores leen unicamente en ...
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Finanzas.com

La piratería se cuela en las plataformas de venta digital
ABC.es - En 2011, los e-books representaban un 3% de las ventas del sector y en 2012 superaron el 5%. A la espera del dato digital de 2013, la recaudación ...
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Noruega da libre acceso a la literatura digital
El Comercio - Si la imprenta de Gutenberg permitió la masificación del mercado literario en la sociedad medieval, el e-book podría tener un efecto similar en la ...
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Extra Noticias | Aumentan lectores de e-books
Extra Noticias (admin) - Aumentan lectores de e-books. Fuente: VOA. Encontrarse con un buen número de personas leyendo sus libros preferidos en las populares tabletas ...
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Bibliotecas. Alerta

Biblioteca
Notificaciones diarias ⋅ 24 de enero de 2014
NOTICIAS

La Biblioteca cierra su etapa en el Banco de España con otra caída ...
El Correo - La Biblioteca Municipal de Haro despide la etapa del Banco de España con un retroceso sustancial en el número de usuarios registrados a lo largo ...
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Vive Campoo

La Biblioteca Central acoge la muestra "Nueva taxonomía del ...
Vive Campoo - La Biblioteca Central de Cantabria acogerá desde este viernes, día 24, una nueva exposición que se incluye dentro del programa de actividades ...
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La biblioteca municipal de Loeches aumenta sus recursos gracias a ...
El Correo - Loeches, 23 ene (EFE).- La biblioteca municipal de Loeches ha incrementado de forma notable su fondo bibliográfico al hacerse efectivo el premio ...
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Pagina66

La biblioteca de Alcoy recibe dos libros de poesía del ibense ...
Información - Josep Lluís Ripoll Silvestre y Enrique S. Rivelles han donado a la Biblioteca de Alcoy dos libros del poeta Pascual Pla y Beltrán. En concreto son un ...
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Gonzoo

Encerrados por una biblioteca abierta las 24 horas
Gonzoo - Un grupo de entre 40 y 60 estudiantes permanecen encerrados en la biblioteca María Zambrano de la Universidad Complutense de Madrid para ...
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Hallan en una biblioteca española una obra inédita de Lope de Vega
ElLitoral.com - La Biblioteca Nacional de España (BNE) anunció hoy el hallazgo en sus fondos de una copia manuscrita de una obra inédita de Lope de Vega, ...
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Publico.es

Hallada en la Biblioteca Nacional una obra inédita de Lope de Vega
Publico.es - La Biblioteca Nacional de España (BNE) ha descubierto una copia manuscrita de una obra inédita de Lope de Vega, Mujeres y criados, que los ...
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Biblioteca Vasconcelos realizará homenaje a Nelson Mandela
SDP Noticias - "Más allá de la biblioteca, consideramos que la figura de Mandela crece y crece, y es un ejemplo de cómo convertir en verdad, un conflicto, en una ...
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Pagina66

Donación a la biblioteca de dos libros de 1929 y 1935
Pagina66 - Josep Lluís Ripoll Silvestre y Enrique S. Rivelles han donado a la Biblioteca Municipal dos poemarios obra del poeta proletario republicano Pascual ...
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Hallan una copia manuscrita de la comedia inédita de Lope de Vega
Heraldo de Aragon - El manuscrito, con la firma Mss/16915, entró en la Biblioteca Nacional en 1886 como parte de la compra de la biblioteca de Osuna, tiene 56 páginas y ...
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BLOGS

Consejos para cuidar la biblioteca de la casa | RINCON DEL ...
RINCON DEL BIBLIOTECARIO (noreply@blogger.com (Ernesto Della Riva)) - Como cualquier otro objeto, para que un libro dure toda la vida hay que cuidarlo, colocándolo en una biblioteca con buena iluminación, a una ...
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Realizarán homenaje a Nelson Mandela en la Biblioteca ...
emeequis (redactorawebAS) - “Más allá de la biblioteca, consideramos que la figura de Mandela crece y crece, y es un ejemplo de cómo convertir en verdad, un conflicto, en una .