Bibliotecas populares

bibliotecas populares
Notificaciones semanales ⋅ 23 de marzo de 2016
NOTICIAS


El Día de Gualeguaychú
El Municipio incrementó el aporte a las bibliotecas populares de la ciudad
El Día de Gualeguaychú
Luego de una reunión donde se escucharon las necesidades de las bibliotecas populares de nuestra ciudad, la Municipalidad renovó su ...
El gobierno municipal renovó el subsidio para las bibliotecas populares - Diario El Argentino
Cobertura total de la noticia



Rinconenses en el lanzamiento de capacitación para bibliotecas populares
El Periódico de Rincón
Con la capacitación se pretende que las bibliotecas que no estén en regla puedan tener sus papeles en orden y tener el aporte de la provincia.




El Eco de Tandil
Biblioteca Popular de Villa Italia presentará una ludoteca y opciones de talleres
El Eco de Tandil
Tras un 2015 lleno de actividades culturales y sociales, la Biblioteca Popular Sarmiento de Villa Italia comenzó a trabajar para lo que será un año de ...




Misiones OnLine
Realizarán en Posadas el “Primer Encuentro de Conservación del Mercosur”
Misiones OnLine
En una oportunidad recorrí bibliotecas populares de Chaco y Corrientes, entonces allí me di cuenta de que falta un poco de información y de ...


Maggio, en la apertura de muestra
Diario La Arena La Pampa
Esta muestra que se exhibe en la mencionada biblioteca popular continuará hasta el miércoles de la semana venidera y puede visitarse de lunes a ...

Revistas de Springer con acceso abierto / Open access journals from Springe

Marzo 24, 2016. No. 2275

Annals of Intensive Care Revista / Journal Critical Ultrasound Journal Revista / Journal All Medicine & Public Health Springer OA Journals Revistas / Journals

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

Alerta edición Marzo 2016 Revista Medwave

Alerta edición Marzo 2016 Medwave Vea este email en su navegador

---------------------  Contenidos recientemente publicados:  --------------------------- REPORTE DE CASO Acute non-traumatic gastrothorax: presentation of a case with chest pain and atypical radiologic findings Deepwant Singh, Pieter Mackeith, Dipesh P Gopal (United Kingdom) Medwave 2016 Mar;16(2):e6409   Diagnóstico temprano de la esclerosis concéntrica de Baló mediante tractografía por tensor de difusión: reporte de caso y revisión Juan Alberto Nader Kawachi, María de la Luz Andrade Magdaleno, Carlos Andrés Peñaherrera, Yeni Fernández De Lara, María Isabel Lavenant Borja (México, Ecuador) Medwave 2016 Mar;16(2):e6401   EPISTEMONIKOS ¿Cirugía laparoscópica o abierta para el tratamiento del quiste hidatídico? Vanessa Ahumada, Felipe Moraga, Gabriel Rada (Chile) Medwave 2016;16(Suppl 1):e6385   EDITORIAL Ayúdenos a fortalecer Medwave y colabore en campaña de levantamiento de fondos Vivienne C. Bachelet Medwave 2016 Mar;16(2):e6403   CARTA A LA EDITORA Agradecimiento a Medwave Héctor Joaquín Gutiérrez Espinoza (Chile) Medwave Mar 2016;16(2):e6400 Envío de manuscritos originales http://ojs.medwave.cl/index.php/medwave/login ------------------------------------------------ Instrucciones a los autores http://www.medwave.cl/link.cgi/instrucciones.act ----------------------------------------------------------------- Si quiere participar como par revisor de Medwave http://www.medwave.cl/link.cgi/revisor.act ------------------------------------------------------------------ Contacto con la revista: Rodrigo Núñez publishing@medwave.cl

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Reclutamiento pulmonar / Lung recruitment

Marzo 25, 2016. No. 2276

¨De los ensayos a la clínica¨. Recrutamiento y maniobras de reclutamiento Bench-to-bedside review: Recruitment and recruiting maneuvers. Lapinsky SE, Mehta S. Crit Care. 2005 Feb;9(1):60-5. Epub 2004 Aug 18. Abstract In patients with acute respiratory distress syndrome (ARDS), the lung comprises areas of aeration and areas of alveolar collapse, the latter producing intrapulmonary shunt and hypoxemia. The currently suggested strategy of ventilation with low lung volumes can aggravate lung collapse and potentially produce lung injury through shear stress at the interface between aerated and collapsed lung, and as a result of repetitive opening and closing of alveoli. An 'open lung strategy' focused on alveolar patency has therefore been recommended. While positive end-expiratory pressure prevents alveolar collapse, recruitment maneuvers can be used to achieve alveolar recruitment. Various recruitment maneuvers exist, including sustained inflation to high pressures, intermittent sighs, and stepwise increases in positive end-expiratory pressure or peak inspiratory pressure. In animal studies, recruitment maneuvers clearly reverse the derecruitment associated with low tidal volume ventilation, improve gas exchange, and reduce lung injury. Data regarding the use of recruitment maneuvers in patients with ARDS show mixed results, with increased efficacy in those with short duration of ARDS, good compliance of the chest wall, and in extrapulmonary ARDS. In this review we discuss the pathophysiologic basis for the use of recruitment maneuvers and recent evidence, as well as the practical application of the technique. PDF Comparación entre dos maniobras diferentes de reclutamiento en pacientes con síndrome de dificultad respiratoria aguda A comparison between two different alveolar recruitment maneuvers in patients with acute respiratory distress syndrome. Mahmoud KM, Ammar AS. Int J Crit Illn Inj Sci. 2011 Jul;1(2):114-20. doi: 10.4103/2229-5151.84795. Abstract BACKGROUND:Alveolar recruitment is a physiological process that denotes the reopening of previously gasless lung units exposed to positive pressure ventilation. The current study was aimed to compare two recruitment maneuvers, a high continuous positive airway pressure (CPAP), and an extended sigh in patients with ARDS. MATERIALS AND METHODS: Forty patients with acute respiratory distress syndrome were randomly divided into two groups, 20 patients each. Group I received a CPAP of 40 cm H(2)O for 40 seconds and group II received extended sigh (providing a sufficient recruiting pressure × time). In our study, we assessed the effects of both recruitment maneuvers on respiratory mechanics, gas exchange, and hemodynamics. These data were analyzed using two-way analysis of variance (ANOVA) followed by a Student--Newman--Keuls post hoc comparison test. P < 0.05 was considered statistically significant. RESULTS: Both methods improved the compliance, increased arterial oxygenation (PaO(2)), increased the PaO(2)/FiO(2) ratio, and reduced the pulmonary shunt fraction (Q(s)/Q(t)). However, the extended sigh improved both PaO(2) and PaO(2)/FiO(2) ratios more than continuous positive airway pressure. Also the hemodynamic parameters were better maintained during the extended sigh. CONCLUSION: Alveolar recruitment maneuvers are effective in management of mechanically ventilated ARDS patients. We conclude that extended sigh is more effective than continuous positive airway pressure as a recruitment maneuver. KEYWORDS: Alveolar recruitment; acute respiratory distress syndrome; continuous positive airway pressure; extended sigh PDF La mejor forma de reclutar el pulmón lesionado? How best to recruit the injured lung? Marini JJ. Crit Care. 2008;12(3):159. doi: 10.1186/cc6910. Epub 2008 Jun 20. Abstract Sustained re-opening of collapsed lung tissue (recruitment) requires the application of airway pressures that exceed those of the tidal cycle. The post-maneuver PEEP as well as the duration of high pressure application are also key factors in its success, with their accompanying potential for hemodynamic compromise. Although a wide variety of recruiting maneuvers have been described, the technique that strikes the best balance between efficacy and risk may well vary among patients with differing right heart loading status and lung properties. PDF Maniobras de reclutamiento pulmonar con o sin albuterol nebulizado en daño pulmonar agudo. Estudio aleatorizado y controlado Lung recruitment maneuver with and without nebulized albuterol for acute lung injury: a randomized, controlled study. Asida SM, Badawy MS. Res Opin Anesth Intensive Care 2015;2:126-31 Abstract Background. β2-Adrenoceptor agonists accelerate the resolution of pulmonary edema in experimental and clinical studies. We tested the hypothesis that combining nebulized albuterol with lung recruitment maneuver (RM) during mechanical ventilation would improve oxygenation and accelerate the resolution of pulmonary edema more than would RM alone in patients with acute lung injury (ALI) and/or acute respiratory distress syndrome (ARDS). Materials and methods. In this randomized, controlled, single-blinded study, 60 patients admitted to the ICU of Qena University Hospitals and suffering from ALI and/or ARDS were recruited. All patients were subjected to the lung RM. They were assigned to two equal groups: the albuterol group (30 patients), in which patients were medicated with nebulized albuterol 1 mg diluted in 10 ml saline; and the control group (30 patients), in which patients were given 10 ml nebulized saline instead of albuterol. This regimen was repeated every 8 h for 3 days. Alveolar fluid samples were withdrawn before and 1 h after the lung recruitment for protein concentration measurement in the alveolar fluid. Results. We found a significant difference between the two groups regarding PaO2 (P = 0.003) and PaO2/FiO2 (P = 0.023) before and after RM ± albuterol. No significant difference between the two groups was found regarding alveolar fluid clearance and alveolar protein concentration. Conclusion. RM with nebulized albuterol improved oxygenation but the addition of albuterol was not beneficial regarding alveolar fluid clearance in terms of lowering alveolar protein concentration in ALI/ARDS patients. Keywords: acute lung injury, albuterol, recruitment maneuver PDF

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