Libro de geriatría / Book on geriatric care

Octubre 23, 2016. No. 2487

Retos en la atención para personas mayores Challenges in Elder Care Edited by Edward T. Zawada Jr., ISBN 978-953-51-2665-2, Print ISBN 978-953-51-2664-5, 116 pages, Publisher: InTech, Chapters published October 12, 2016 under CC BY 3.0 license DOI: 10.5772/61984 Edited Volume This work is intended as a brief but focused compilation to assist with diagnosis and management of the most common serious medical problems in the rapidly growing geriatric population. The geriatric population recently expanded by the fact that the baby boomers have reached the milestone of 65 years of age in the past 5 years. Tips for diagnosis, medication administration, and logistics of cost-effective management in the health-care continuum are presented in this book. The latter often consists of a journey from home to medical office to emergency room to hospital bed to intensive care unit to long-term acute care hospital to skilled nursing facility to long-term residential facility and/or back home, which is also reviewed in the book Geriatrics. Libro / Book XIII Congreso Virtual Mexicano de Anestesiología Inscripciones Abiertas Octubre a Diciembre 2016 Información / Information L Congreso Mexicano de Anestesiología Noviembre 2-6, 2016 Información / Information 17h World Congress of Anaesthesiologists, WFSA Sep 6-11, 2020 Prague, Czech Republic Informes / Information

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

Como criar a un genio / How to raise a genius

Octubre 22, 2016. No. 2486

Como criar a un genio How to raise a genius A long-running study of exceptional children reveals what it takes to produce the scientists who will lead the twenty-first century. Tom Clynes Nature 2016;537 PDF XIII Congreso Virtual Mexicano de Anestesiología Inscripciones Abiertas Octubre a Diciembre 2016 Información / Information L Congreso Mexicano de Anestesiología Noviembre 2-6, 2016 Información / Information 17h World Congress of Anaesthesiologists, WFSA Sep 6-11, 2020 Prague, Czech Republic Informes / Information

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

Transplante hepático y embarazo / Liver transplant and pregnancy

Octubre 15, 2016. No. 2479

Consideraciones anestésicas en parturientas con transplante hepático Anesthetic considerations in parturients with liver transplant. Agarwal A, Jha A, Baidya DK, Trikha A J Obstet Anaesth Crit Care 2014;4:4-11 Abstract Advances in the surgical technique, safer anesthetic agents, improved hemodynamic monitoring, better pre-operative optimization of cirrhotic patients and postoperative critical care facilities have led to drastic improvement in the outcomes following orthotopic liver transplantation (OLT). Reproductive dysfunction in patients with end-stage liver disease can be corrected within months of successful orthotopic liver transplantation. Consequently, there is a worldwide increase in the number of women of childbearing potential after orthotopic liver transplantation. Successful pregnancies are now increasingly being reported in these patients. These are high-risk pregnancies as increased medical and obstetric complications and adverse maternal and fetal effects of immunosuppressant medications are likely to be encountered in these patients following liver transplantation. Optimal antenatal and perioperative management in these parturients warrant a multidisciplinary approach and meticulous planning. There is little evidence available regarding anesthetic concerns in this high-risk pregnant population. This review is aimed at addressing important perioperative issues in parturients, who have undergone a successful liver transplantation. Keywords: Anesthetic considerations, liver transplantation, pregnancy post-transplant PDF Enfermedades hepáticas en el embarazo. Transplante de hígado Liver diseases in pregnancy: liver transplantation in pregnancy. Hammoud GM1, Almashhrawi AA, Ahmed KT, Rahman R, Ibdah JA. World J Gastroenterol. 2013 Nov 21;19(43):7647-51. doi: 10.3748/wjg.v19.i43.7647. Abstract Pregnancy in patients with advanced liver disease is uncommon as most women with decompensated cirrhosis are infertile and have high rate of anovulation. However, if gestation ensued; it is very challenging and carries high risks for both the mother and the baby such as higher rates of spontaneous abortion, prematurity, pulmonary hypertension, splenic artery aneurysm rupture, postpartum hemorrhage, and a potential for life-threatening variceal hemorrhage and hepatic decompensation. In contrary, with orthotopic liver transplantation, menstruation resumes and most women of childbearing age are able to conceive, give birth and lead a better quality of life. Women with orthotopic liver transplantation seekingpregnancy should be managed carefully by a team consultation with transplant hepatologist, maternal-fetal medicine specialist and other specialists. Pregnant liver transplant recipients need to stay on immunosuppression medication to prevent allograft rejection. Furthermore, these medications need to be monitored carefully and continued throughout pregnancy to avoid potential adverse effects to mother and baby. Thus delaying pregnancy 1 to 2 years after transplantation minimizes fetal exposure to high doses of immunosuppressants. Pregnant female livertransplant patients have a high rate of cesarean delivery likely due to the high rate of prematurity in this population. Recent reports suggest that with close monitoring and multidisciplinary team approach, most female liver transplant recipient of childbearing age will lead a successfulpregnancy. KEYWORDS: Acute fatty liver; Cirrhosis; Hemolysis elevated liver low platelets; Liver; Liver transplantation; Pregnancy PDF XIII Congreso Virtual Mexicano de Anestesiología Octubre a Diciembre 2016 Inscripciones Abiertas Información / Information L Congreso Mexicano de Anestesiología Noviembre 2-6, 2016 Información / Information 17h World Congress of Anaesthesiologists, WFSA Sep 6-11, 2020 Prague, Czech Republic Informes / Information

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