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sábado, 18 de junio de 2011

Movie Reviews


A scene from
MOVIE REVIEW | 'MR. POPPER'S PENGUINS'

A Home Invasion by the Antarcticans

By A. O. SCOTT
In "Mr. Popper's Penguins," Jim Carrey is a divorced businessman who faces more mayhem after he inherits a gaggle of penguins.
Ryan Reynolds in
MOVIE REVIEW | 'GREEN LANTERN'

It's Not Easy Being ... You Know

By MANOHLA DARGIS
Ryan Reynolds plays the emerald-hued superhero in a $150 million diversion.
Publicado por Bibliomanazteca en 0:19 0 comentarios
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viernes, 17 de junio de 2011

Raquia fallida: mecanismo, manejo y prevención


Raquia fallida: mecanismo, manejo y prevención
Failed spinal anaesthesia: mechanisms, management, and prevention.
Fettes PD, Jansson JR, Wildsmith JA.
University Department of Anaesthesia, Ninewells Hospital & Medical School, Dundee DD1 9SY, UK. paulfettes@nhs.net
Br J Anaesth. 2009 Jun;102(6):739-48. Epub 2009 May 6.
Abstract
Although spinal (subarachnoid or intrathecal) anaesthesia is generally regarded as one of the most reliable types of regional block methods, the possibility of failure has long been recognized. Dealing with a spinal anaesthetic which is in some way inadequate can be very difficult; so, the technique must be performed in a way which minimizes the risk of regional block. Thus, practitioners must be aware of all the possible mechanisms of failure so that, where possible, these mechanisms can be avoided. This review has considered the mechanisms in a sequential way: problems with lumbar puncture; errors in the preparation and injection of solutions; inadequate spreading of drugs through cerebrospinal fluid; failure of drug action on nervous tissue; and difficulties more related to patient management than the actual block. Techniques for minimizing the possibility of failure are discussed, all of them requiring, in essence, close attention to detail. Options for managing an inadequate block include repeating the injection, manipulation of the patient's posture to encourage wider spread of the injected solution, supplementation with local anaesthetic infiltration by the surgeon, use of systemic sedation or analgesic drugs, and recourse to general anaesthesia. Follow-up procedures must include full documentation of what happened, the provision of an explanation to the patient and, if indicated by events, detailed investigation
http://bja.oxfordjournals.org/content/102/6/739.full.pdf  
Anestesia espinal: una técnica perene
Spinal anesthesia: an evergreen technique.
Di Cianni S, Rossi M, Casati A, Cocco C, Fanelli G.
Department of Anesthesia and Pain Therapy, University Hospital, Parma, Italy.
Acta Biomed. 2008 Apr;79(1):9-17.
Abstract
Spinal anesthesia is a simple technique that provides a deep and fast surgical block through the injection of small doses of local anesthetic solution into the subarachnoid space. The purpose of this review is to provide an overview on recent developments on local anesthetic drugs, side effects, and special techniques of intrathecal anesthesia. Spinal anesthesia can be considered adequately safe, and severe complications are reasonably rare. The cardiovascular effects associated with sympathetic block are more frequent, but successfully treated with volume expansion and administration of vasoactive drugs. It is clear that the total dose of local anesthetic injected into the subarachnoid space is the most important determinant of both therapeutic and unwanted effects of spinal anesthesia. Several studies have also demonstrated the efficacy and safety of using small doses of long acting agents, such as bupivacaine or ropivacaine, to produce an adequately short spinal block in outpatients. Levopivacaine, the pure S(-)-enantiomer of racemic bupivacaine showed a lower risk of cardiovascular and central nervous system (CNS) toxicity than bupivacaine. In the last years we have assisted important changes in the health care organization, with most of the surgical procedures performed on outpatients or on elderly patients with concomitant diseases. This forced us to change the indications and clinical use of intrathecal anesthesia techniques, which have been modified according to the changing needs of surgery. The development of new drugs and special techniques for spinal anesthesia will further improve the clinical use of this old but evergreen technique.

Atentamente
Anestesiología y Medicina del Dolor
Publicado por Bibliomanazteca en 23:59 0 comentarios
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Book Review


On the Cover of Sunday's Book Review

'Ten Thousand Saints'

By ELEANOR HENDERSON
Reviewed by STACEY D'ERASMO
Eleanor Henderson's fierce, elegiac novel follows a group of friends, lovers, parents and children through the straight-edge music scene and the early days of the AIDS epidemic.

Also in the Book Review

David Mamet

'The Secret Knowledge'

By DAVID MAMET
Reviewed by CHRISTOPHER HITCHENS
David Mamet comes out swinging against liberalism, offering his views on religion and American culture.
Ann Patchett

'State of Wonder'

By ANN PATCHETT
Reviewed by FERNANDA EBERSTADT
Ann Patchett's heroine, on the trail of a reclusive scientist in the Amazon, faces demons real and imagined.
Malcolm X in 1961.

'Malcolm X: A Life of Reinvention'

By MANNING MARABLE
Reviewed by TOURE
Manning Marable's biography of Malcolm X draws upon letters, diaries, F.B.I. reports and interviews with contemporaries to trace his career and illuminates his intellectual and spiritual development.
Sibling rival: Heinrich Mann was a good writer rather than a great one.

'House of Exile'

By EVELYN JUERS
Reviewed by JOHN SIMON
The cultural diaspora of the Nazi years, through the eyes of Thomas Mann's brother and unlikely sister-in-law.
Robert Jay Lifton in 1976.

'Witness to an Extreme Century'

By ROBERT JAY LIFTON
Reviewed by MAURICE ISSERMAN
A memoir by Robert Jay Lifton, a leading "psychohistorian" who studied how individuals have coped with extreme circumstances: war, torture, genocide.

'A Wild Surge of Guilty Passion'

By RON HANSEN
Reviewed by STEVEN HEIGHTON
A sensational Jazz Age crime that also inspired James M. Cain and William Styron is the basis for Ron Hansen's propulsive novel.

'Medical Muses: Hysteria in Nineteenth-Century Paris'

By ASTI HUSTVEDT
Reviewed by KATHRYN HARRISON
Asti Hustvedt examines the dubious research of a 19th-century French doctor who used hypnosis to induce hysteria in female subjects.
Members of the Fundamental Fysiks Group, circa 1975; clockwise from left: Jack Sarfatti, Saul-Paul Sirag, Nick Herbert and Fred Alan Wolf.

'How the Hippies Saved Physics'

By DAVID KAISER
Reviewed by GEORGE JOHNSON
In the 1970s, eccentric young scientists challenged convention and re-energized modern physics.
A

'Separated by Their Sex'

By MARY BETH NORTON
Reviewed by JOYCE E. CHAPLIN
Between 1640 and 1760, Mary Beth Norton contends, men were increasingly viewed as public beings and women as private ones.

'Vaclav & Lena'

By HALEY TANNER
Reviewed by LUCY FERRISS
A first novel about young love in a Russian émigré community.
German soldiers surrendering to the Russians in late 1941.

'The Storm of War'

By ANDREW ROBERTS
Reviewed by TIMOTHY SNYDER
In a clear, accessible account of World War II in all its theaters, a historian asks how the Wehrmacht, the best fighting force, wound up losing.
Jogger case protesters in Manhattan on Dec. 5, 2002.

'The Central Park Five'

By SARAH BURNS
Reviewed by MAGGIE NELSON
This is the first sustained treatment of the Central Park jogger case since the defendants' convictions were vacated.

Children's Books

A dreamy experience: from

Paradoxical Stories for Children

By DAVID LUCAS and CATHERYNNE M. VALENTE
Reviewed by MARJORIE INGALL
"The Lying Carpet" and "The Girl Who Circumnavigated Fairyland in a Ship of Her Own Making" celebrate paradox and the transformative power of storytelling.

'Junonia'

By KEVIN HENKES
Reviewed by ANN M. MARTIN
A blossoming 10-year-old seeks a rare seashell in this middle grade novel.
In

Picture Books About Frogs

Reviewed by LEONARD S. MARCUS
"Leap Back Home to Me" and "999 Tadpoles" involve little frogs and the security that family brings.

Bookshelf: Farm

By PAMELA PAUL
More picture books reviewed.

Picture Books About the Backyard

By JOHN BERENDT and LISA CAMPBELL ERNST
Reviewed by PAMELA PAUL
"My Baby Blue Jays" chronicles a family of birds living on the author's balcony; and "How Things Work in the Ward" explains the everyday mysteries of acorns, dandelions, rocks and dirt.

Back Page

ESSAY

I'm O.K., You're a Psychopath

By PAUL BLOOM
Worried about whether you're evil? Two new books, complete with diagnostic checklists, can help you decide.
CRIME

Final Curtain

By MARILYN STASIO
Mystery novels by Peter Lovesey, Marcus Sakey, Elizabeth Brundage and Duane Swierczynski.

Book Review Podcast

Featuring Eleanor Henderson on her novel, "Ten Thousand Saints"; and Asti Hustvedt, the author of "Medical Muses: Hysteria in Nineteenth Century Paris."
ArtsBeat

Graphic Book Best Sellers: Wonder Woman and Zombies

Colum McCann Wins Rich Novel Prize

On Bloomsday, Joyce Fans Say Yes, Yes to Twitter

Books News & Features

Files from Timothy Leary's archive.

New York Public Library Buys Timothy Leary's Papers

By PATRICIA COHEN
The archive of the drug guru Timothy Leary includes accounts of Allen Ginsburg's and Jack Kerouac's experiments with psilocybin.
Hugo Mercier is among the researchers now asserting that reason evolved to win arguments, not seek truth.

Reason Seen More as Weapon Than Path to Truth

By PATRICIA COHEN
Rationality evolved to win arguments, some scholars suggest, and flawed reasoning is itself an adaptation.
Publicado por Bibliomanazteca en 23:57 0 comentarios
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