Ultrasonido pulmonar / Lung ultrasound

Mayo 23, 2017. No. 2697

Ultrasonido pulmonar para anestesia regional y el especialista en dolor agudo. Lung Ultrasound for the Regional Anesthesiologist and Acute Pain Specialist. Haskins SC1, Tsui BC, Nejim JA, Wu CL, Boublik J. Reg Anesth Pain Med. 2017 May/Jun;42(3):289-298. doi: 10.1097/AAP.0000000000000583. Abstract In this article, we discuss the emerging role of lung point-of-care ultrasonography for regional anesthesiologists and pain management specialists. Lung ultrasonography is a well-established clinical tool that is used on a routine basis in emergency rooms and critical care units internationally to evaluate patients with respiratory distress; however, its benefits to the regional anesthesiologist and painspecialist are not as well known and are practiced less frequently. This review article covers the clinical evidence in support of lung point-of-care ultrasonography as a rapid and superior tool to traditional imaging modalities such as chest radiography and fluoroscopy. As anesthesiologists routinely perform nerve blocks that put patients at potential risk of complications such as pneumothorax or diaphragmatic paresis, it is important to understand how to use lung ultrasonography to evaluate for these conditions, as well as to differentiate between other potential causes of respiratory distress, such as interstitial syndrome and pleural effusions. This article describes the normal and pathological findings that can be used to quickly and confidently evaluate a patient for these conditions. PDF  ¿Puede la educación limitada del ultrasonido pulmonar ser realizada a estudiantes de medicina correctamente? Un estudio piloto Can Limited Education of Lung Ultrasound Be Conducted to Medical Students Properly? A Pilot Study. Lim JS1, Lee S1, Do HH1, Oh KH1. Biomed Res Int. 2017;2017:8147075. doi: 10.1155/2017/8147075. Epub 2017 Mar 28. Abstract Objectives. Lung ultrasonography (LUS) is a useful examination to identify lung problems. Unfortunately, there are currently no LUS educational programs for medical students. We designed a brief LUS training course for medical students during the ED rotation. The purpose of training was improving cognitive and psychomotor learning domains, knowledge of ultrasound, knowledge of LUS, image acquisition, and image interpretation. Methods. Forty students in their fourth year of medical school were enrolled in this study. Student achievement was evaluated through examinations of cognitive and psychomotor skills. A survey was administered following the training. Results. The average test result was 42.1 ± 13.7 before training and 82.6 ± 10.7 after training. With respect to the assessment of LUS performance, the acceptable rates for right and left anterior chest wall scanning and right and left posterolateral scanning were 95%, 97.5%, 92.5%, and 100%, respectively. The students felt a high level of confidence in their ability to administer LUS to patients after training and they agreed that inclusion of LUS training in the medical school curriculum is necessary. Conclusion. This study showed that, among the medical students without ultrasound experience, limited LUS education to improve their knowledge, image acquisition, and interpretation ability was successful. PDF IX Foro Internacional de Medicina del Dolor y Paliativa Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Ciudad de México, 8 al 10 de Junio Programa

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

La valoración geriátrica integral previene el delirium tras una fractura de cadera: revisión sistemática de ensayos clínicos.

http://www.artroscopiayreemplazos.com.mx/academia/la-valoracion-geriatrica-integral-previene-el-delirium-tras-una-fractura-de-cadera-de-ensayos-clinicos/

Fuente
Este artículo es originalmente publicado en:

http://www.semeg.es/profesionales/actualidad/_/la-valoracion-geriatrica-integral-previene-el-delirium-tras-una-fractura-de-cadera-revision-sistematica-de-ensayos-clinicos.html

© SEMEG. Todos los derechos reservados

#valoración geriátrica integral#delirum#fractura de cadera

Principios de Osteotomía y Corrección de Deformidad

http://www.traumaysiniestros.com.mx/academia/principios-de-osteotomia-y-correccion-de-deformidad/

Principles of Osteotomy and Deformity Correction

Fuente
Este artículo es originalmente publicado en:

https://youtu.be/bck39CmisY0

De y todos los derechos reservados para:

Courtesy: Dr Sameer Qureshi,

Consultant Orthopaedic Surgeon

http://youngorthopod.blogspot.in/

This video describes the basics of osteotomy that are essential for deciding the management of various deformities in the clinics and also important as a student’s point of view for exams and to understand the concept behind various osteotomies.
References – Principles of deformity correction: Dror Paley.

For more topics in Orthopaedics visit my facebook page at https://www.facebook.com/TheYoungOrth…

or visit my blog The Young Orthopod at http://youngorthopod.blogspot.in/

• Categoría
• Licencia

• Formación

• Licencia de YouTube estándar

#osteotomia

CURSO PRÁCTICO DE ARTROSCOPIA DE RODILLA EN ESPÉCIMEN BIOLÓGICO

próximo curso: 26-27 de mayo 2017

Inscríbete ya!!!

Surgical Skills

CENTRO DE ADIESTRAMIENTO QUIRÚRGICO

Circuito Médicos no. 24, 2° Piso, Oficina 21 y 25

Ciudad Satélite, Naucalpan de Juárez

Estado de México C.P. 53100

surgicalskillsmx@gmail.com

teléfonos: 5571598706 y 5571598709

CURSO 26 Y 27 DE MAYO TEMARIO CURSO 26 Y 27 DE MAYO

CURSO PRÁCTICO DE ARTROSCOPIA DE RODILLA EN ESPÉCIMEN BIOLÓGICO

http://www.bibliomanazteca.com.mx/artroscopia/curso-practico-de-artroscopia-de-rodilla-en-especimen-biologico/

próximo curso: 26-27 de mayo 2017 Inscríbete ya!!!

Surgical Skills CENTRO DE ADIESTRAMIENTO QUIRÚRGICO

Circuito Médicos no. 24, 2° Piso, Oficina 21 y 25

Ciudad Satélite, Naucalpan de Juárez

Estado de México C.P. 53100

surgicalskillsmx@gmail.com teléfonos: 5571598706 y 5571598709

CURSO 26 Y 27 DE MAYO TEMARIO CURSO 26 Y 27 DE MAYO

#adiestramiento quirúrgico#rodilla#artroscopia#espécimen biológico#surgical skills

Conversión a Artroplastia Total de Hombro Reversa con y sin Retención del vastago Humeral: El Rol de un vastago de Plataforma Convertible.

http://www.lesionesdeportivas.com.mx/academia/conversion-a-artroplastia-total-de-hombro-reversa-con-y-sin-retencion-del-vastago-humeral-el-rol-de-un-vastago-de-plataforma-convertible/

Conversion to Reverse Total Shoulder Arthroplasty with and without Humeral Stem Retention: The Role of a Convertible-Platform Stem.

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28463917

http://insights.ovid.com/crossref?an=00004623-201705030-00004

De:

Crosby LA1,Wright TW,Yu S,Zuckerman JD

.

J Bone Joint Surg Am.

2017 May 3;99(9):736-742. doi: 10.2106/JBJS.16.00683.

Todos los derechos reservados para:

Copyright © 2016 Ovid Technologies, Inc., and its partners and affiliates. All Rights Reserved.

Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine. 

Abstract 

 BACKGROUND:

Revision shoulder arthroplasty is a technically challenging procedure. It is associated with increased blood loss and operative time, and it frequently necessitates revision implants, augments, and bone-grafting. Shoulder arthroplasty systems with a convertible-platform humeral stem have been developed to reduce the complexity of revision procedures by eliminating the need for humeral component explantation when converting from anatomic shoulder arthroplasty (hemiarthroplasty or total shoulderarthroplasty) to reverse total shoulder arthroplasty (rTSA).

CONCLUSIONS:

Shoulder arthroplasty systems that utilize a convertible-platform humeral stem offer an advantage for rTSA conversion in that a well-fixed, well-positioned humeral stem can be retained. There were significantly fewer complications as well as significantly decreased blood loss and operative time when a convertible-platform stem was utilized (p < 0.050).

LEVEL OF EVIDENCE:

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Resumen

ANTECEDENTES:

La artroplastia de hombro de revisión es un procedimiento técnicamente difícil. Se asocia con aumento de la pérdida de sangre y el tiempo quirúrgico, y con frecuencia requiere implantes de revisión, aumentos y injertos óseos. Se han desarrollado sistemas de artroplastia de hombro con un vástago humeral de plataforma convertible para reducir la complejidad de los procedimientos de revisión eliminando la necesidad de explanación de componente humeral al convertir la artroplastia anatómica de hombro (ARTHA).

CONCLUSIONES:

Los sistemas de artroplastia de hombro que utilizan un vástago humeral de plataforma convertible ofrecen una ventaja para la conversión rTSA en que se puede retener un vástago humeral bien fijado y bien posicionado. Hubo significativamente menos complicaciones, así como una disminución significativa de la pérdida de sangre y el tiempo de operación cuando se utilizó un vastago de la plataforma convertible (p <0,050).

NIVEL DE EVIDENCIA:

Nivel terapéutico III. Vea las Instrucciones para los Autores para una descripción completa de los niveles de evidencia.

PMID:  28463917   DOI:  

10.2106/JBJS.16.00683

#Artroplastia Total de Hombro Reversa#Artroplastia Total de Hombro#Plataforma Convertible#vastago