Disfunción renal perioperatoria / Peri-operative renal dysfunction

Diciembre 21, 2015. No. 2182

Disfunción renal perioperatoria. Prevención y manejo Peri-operative renal dysfunction: prevention and management. Golden D, Corbett J, Forni LG. Anaesthesia. 2016 Jan;71 Suppl 1:51-7. doi: 10.1111/anae.13313. Abstract Postoperative increases in serum creatinine concentration, by amounts historically viewed as trivial, are associated with increased morbidity and mortality. Acute kidney injury is common, affecting one in five patients admitted with acute medical disease and up to four in five patients admitted to intensive care, of whom one in two have had operations. This review is focused principally on the identification of patients at risk of acute kidney injury and the prevention of injury. In the main, there are no interventions that directly treat the damaged kidney. The management of acute kidney injury is based on correction of dehydration, hypotension, and urinary tract obstruction, stopping nephrotoxic drugs, giving antibiotics for bacterial infection, and commencing renal replacement therapy if necessary. PDF

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

Anestesia ambulatoria y disfunción cognitiva/Ambulatory anaesthesia and cognitive dysfunction

Diciembre 18, 2015. No. 2179

Anestesia ambulatoria y disfunción cognitiva Ambulatory anaesthesia and cognitive dysfunction Rasmussen, Lars S.; Steinmetz, Jacob Current Opinion in Anaesthesiology December 2015 - Volume 28 - Issue 6 - p 631-635 Abstract PURPOSE OF REVIEW: More surgical procedures are performed on an ambulatory basis and the advantages are apparent, but outpatient surgery presents challenges because of the expectation of a fast recovery soon after termination of anaesthesia. Ambulatory surgery is a well tolerated regimen with few serious adverse outcomes, hence difficult to obtain sound scientific evidence for avoiding complications.RECENT FINDINGS: Few studies have assessed recovery of cognitive function after ambulatory surgery, but it seems that both propofol and modern volatile anaesthetics are rational choices for general anaesthesia in the outpatient setting. Cognitive complications such as delirium and postoperative cognitive dysfunction are less frequent in ambulatory surgery than with hospitalization. SUMMARY: The elderly are especially susceptible to adverse effects of the hospital environment such as immobilisation, sleep deprivation, unfamiliar surroundings, and medication errors. Enhanced recovery programmes (fast-track regimens) may allow earlier discharge which is probably beneficial for the elderly. Frailty is becoming an increasingly important concept that needs to be clinically considered in elderly patients, as well as in future studies. PDF

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

Libro gratis sobre Muerte Celular/Free book on Cell Death

Diciembre 19, 2015. No. 2180

Muerte celular- Autofagia, Apoptosis y Necrosis Cell Death - Autophagy, Apoptosis and Necrosis Edited by Tobias M. Ntuli, ISBN 978-953-51-2236-4, 444 pages, Publisher: InTech, Chapters published December 16, 2015 under CC BY 3.0 license DOI: 10.5772/59648 This book is a collection of selected and relevant research, concerning the developments within the Cell Death field of study. Each contribution comes as a separate chapter complete in itself but directly related to the books topics and objectives. The target audience comprises scholars and specialists in the field. Libro/Book

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

Combo de anestesia

Diciembre 20, 2015. No. 2181

Como minimizar lesión pulmonar inducida por el ventilador en transplantados de pulmón. El papel de la ventilación protectiva y otras estrategias How to minimise ventilator-induced lung injury in transplanted lungs: The role of protective ventilation and other strategies Soluri-Martins, Andre; Sutherasan, Yuda; Silva, Pedro L.; Pelosi, Paolo; Rocco, Patricia R.M. European Journal of Anaesthesiology:December 2015 - Volume 32 - Issue 12 - p 828-836 PDF   Sobrevida despues de sedación prolongada con isoflorano en en comparación con sedación intravenosa en pacientes quirúrgicos graves. Análisis retrospectivo Survival after long-term isoflurane sedation as opposed to intravenous sedation in critically ill surgical patients Retrospective analysis Martin Bellgardt, Hagen Bomberg, Jenny Herzog-Niescery, Burkhard Dasch, Heike Vogelsang, Thomas P. Weber, Claudia Steinfort, Waldemar Uhl, Stefan Wagenpfeil, Thomas Volk and Andreas Meiser European Journal of Anaesthesiology January 2016 - Volume 33 - Issue 1 PDF Dolor a la inyección de propofol. Causas y remedios Pain on Propofol Injection: Causes and Remedies DeSousa K J Anesth Crit Care Open Access (2015). 3(5): 00115. DOI: 10.15406/ jaccoa.2015.03.00115 PDF Propofol y sobrevida. Meta-análisis de estudios clínicos randomizados Propofol and survival: a meta-analysis of randomized clinical trials. Pasin L, Landoni G, Cabrini L, Borghi G, Taddeo D, Saleh O, Greco T, Monti G, Chiesa R, Zangrillo A. Acta Anaesthesiol Scand. 2015 Jan;59(1):17-24. doi: 10.1111/aas.12415. Epub 2014 Oct 14. PDF  Riesgo de demencia después de anestesia y cirugía Risk of dementia after anaesthesia and surgery Pin-Liang Chen, Chih-Wen Yang, Yi-Kuan Tseng, Wei-Zen Sun, Jane-Ling Wang, Shuu-Jiun Wang, Yen-Jen Oyang, Jong-Ling Fuh The British Journal of Psychiatry Mar 2014, 204 (3) 188-193; DOI: 10.1192/bjp.bp.112.119610 PDF

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