Propofol en cirugía ortognática / Propofol for orthognathic surgery

Abril 6, 2017. No. 2651

Estudio con anestesia total intravenosa en cirugía ortognática A study on total intravenous anesthesia in orthognathic surgical procedures. Vasundhar PL1, Sadhasivam G2, Bhushan S3, Kalyan S3, Chiang KC3. Natl J Maxillofac Surg. 2016 Jul-Dec;7(2):127-135. doi: 10.4103/0975-5950.201351. Abstract AIMS AND OBJECTIVE: To assess the use of propofol for induction and maintenance of anaesthesia among patients undergoing various combinations of orthognathic surgical procedures. MATERIALS AND METHODS: Following Preoperative evaluation, patients were given Fentanyl (2 micrograms/kg) intravenously. Induction (2 mg/kg) and maintenance (10 mg/kg/hr) of anaesthesia was achieved by Propofol infusion. Blood Pressure and heart rate were maintained at >70 or 80 mm Hg and >50 respectively and were monitored continuously. Infusion was stopped approximately 30 to 40 minutes before the end of surgery. Immediate recovery recorded and was assessed. RESULTS: The average duration of anaesthesia and surgery were found to be 4 hrs 28 min (SD= 1 hr. 35 min) and 4 hrs 3 min (SD=1 hr 38 min). None of the patients experienced pain on injection of induction agent. No significant change was observed in the mean heart rate and mean BP at different time intervals from baseline value to 30 minutes after the recovery. The average time taken to obey simple commands after stopping Propofol infusion was 42.60 ± 9.09 min. Time taken for spontaneous eye opening, full orientation and to count backwards was 43.45 ± 9.11, 47.85 ± 8.18 and 50.9 ± 9.14 respectively. Face-Hand test performed at 15 min after extubation was positive in all the patients. The mean Aldrete score at 15 min after extubation was 11.65 ± 0.75. The mean value of unaided sitting time for at least 2 min was after 119.00 ± 20.56 min. The average score of picture card test, time taken in "picking up matches" test, Ball bearing test, time taken to walk and to void urine were 5.80 ± 1.47, 67.95 ± 5.72, 9.80 ± 2.57, 172.75 ± 39.25 and 163.75 ± 55.96 respectively. Ninety percent of the patients were amenable for a repeat of this anaesthetic using the same regime but 10% of them did not answer anything. Seven patients (35%) had chills post-operatively. CONCLUSION: Propofol is an excellent anaesthetic for day care procedures. KEYWORDS: Anesthesia; intravenous anesthesia; orthognathic surgery; propofol; sedation 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 Vacante para Anestesiología Pediátrica El Hospital de Especialidades Pediátricas de León, Guanajuato México  ofrece un contrato laboral en el departamento de anestesiología  Informes con la Dra Angélica García Álvarez  angy.coachanestped@gmail.com o al teléfono 477 101 8700 Ext 1028

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

Osteoartritis en el fútbol

http://www.mishuesosyarticulaciones.com.mx/academia/osteoartritis-en-el-futbol/

Osteoarthritis in Football

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28345409

http://journals.sagepub.com/doi/10.1177/1947603516648186

De:

Salzmann GM1,Preiss S1,Zenobi-Wong M2,Harder LP1,Maier D3,Dvorák J1,4.

Cartilage.

2017 Apr;8(2):162-172. doi: 10.1177/1947603516648186. Epub 2016 Jul 8.

Todos los derechos reservados para:

Copyright © 2017 by SAGE Publications

Abstract

Football is currently the most popular sporting activity in the world. Multiple reports have shown that a high incidence of osteoarthritis is found in football players. Evidence clearly shows that traumatic injury significantly predisposes players for such pathophysiology. Injuries are frequent in amateur as well as professional football players, with knee and ankle accounting for the most severe injuries. Many professional athletes lose playing time due to injuries and many are forced into early retirement. Posttraumatic osteoarthritis is a common finding among ex-football players with numbers well above the normal population. Today’s surgical techniques are advanced and capable of restoring the joint to a certain extent. However, a restitution ad integrum is reached only in very rare cases. Professional football players that return to play after serious injuries perform their extremely strenuous activity on morphologically compromised joints. Incomplete rehabilitation and pressure to return to play after an injurious event clearly put the athlete at an even higher risk for joint degeneration. Prevention strategies, improved surgical management, strict rehabilitation, as well as future aspects such as early suppression of inflammation, personalized medicine, and predictive genomics DNA profiling are needed to reduce incidence and improve the health perspectives of football players.

KEYWORDS:

cartilage; diagnosis; football; joint involved; knee; osteoarthritis; soccer

Resumen

El fútbol es actualmente la actividad deportiva más popular del mundo. Varios informes han demostrado que una alta incidencia de osteoartritis se encuentra en los jugadores de fútbol. La evidencia muestra claramente que la lesión traumática predispone significativamente a los jugadores para dicha fisiopatología. Las lesiones son frecuentes en aficionados, así como jugadores de fútbol profesional, con la rodilla y el tobillo de contabilidad para las lesiones más graves. Muchos atletas profesionales pierden el tiempo de juego debido a lesiones y muchos se ven obligados a la jubilación anticipada. La osteoartritis postraumática es un hallazgo común entre los ex-jugadores de fútbol con números muy por encima de la población normal. Las técnicas quirúrgicas actuales están avanzadas y son capaces de restablecer la articulación hasta cierto punto. Sin embargo, una restitución ad integrum se alcanza sólo en casos muy raros. Los jugadores de fútbol profesional que vuelven a jugar después de lesiones graves realizan su actividad extremadamente intensa en las articulaciones morfológicamente comprometidas. La rehabilitación incompleta y la presión para volver a jugar después de un evento dañino ponen claramente al atleta en un riesgo aún mayor de degeneración articular. Para reducir la incidencia y mejorar las perspectivas de salud de los jugadores de fútbol se necesitan estrategias de prevención, mejora del manejo quirúrgico, rehabilitación estricta, así como aspectos futuros como la supresión temprana de la inflamación, la medicina personalizada y la genómica predictiva.

PALABRAS CLAVE:
cartílago; diagnóstico; fútbol; Articulación involucrada; rodilla; osteoartritis; fútbol

PMID:   28345409   PMCID:  

PMC5358823

[Available on 2017-10-01]DOI:

10.1177/1947603516648186

#cartilago #fútbol #articulación #rodilla

Presentaciones de atletas y frecuencias de lesiones deportivas por ramas deportivas en una clínica universitaria de medicina deportiva.

http://www.ortopediaenpediatrica.com.mx/lesiones-deportivas/presentaciones-de-atletas-y-frecuencias-de-lesiones-deportivas-por-ramas-deportivas-en-una-clinica-universitaria-de-medicina-deportiva/

Athlete presentations and sports injury frequencies by sport branches at a university sports medicine clinic.

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28229574

http://www.minervamedica.it/en/journals/sports-med-physical-fitness/article.php?cod=R40Y9999N00A17022210

De:

Tahirbegolli B1,2,Dinçer Ş3,Gözübüyük ÖB3,Değirmenci U3,Yildiz S3,

Vehid S4.

J Sports Med Phys Fitness.

2017 Feb 22. doi: 10.23736/S0022-4707.17.07157-2. [Epub ahead of print]

Todos los derechos reservados para:

Copyright © 2017 Edizioni Minerva Medica

Abstract

BACKGROUND:

We aimed to investigate the profile of athletes by determining the branch of sports, type, and area of sustained sports injury, and the frequencies through athletes’ presentations to the largest university clinic in one of the most crowded and athletepopulated cities of Turkey, Istanbul.

CONCLUSIONS:

Athletes who presented to our clinic most commonly sustained a lower extremity injury. It was notable that ligament injuries were seen as commonly as muscle injuries.

Resumen

ANTECEDENTES:
Nuestro objetivo fue investigar el perfil de los deportistas mediante la determinación de la rama deportiva, el tipo y el área de lesión deportiva sostenida, y las frecuencias a través de las presentaciones de los atletas a la mayor clínica universitaria de una de las ciudades más pobladas y atletas de Turquía.

CONCLUSIONES:
Los atletas que se presentaron a nuestra clínica más comúnmente sufrieron una lesión en las extremidades inferiores. Era notable que las lesiones del ligamento fueran consideradas tan comúnmente como las lesiones del músculo.

PMID:   28229574   DOI:  

10.23736/S0022-4707.17.07157-2

#lesiones deportivas#rodilla#medicina deportiva#ligamento