Vía aérea / Airway

Diciembre 7,  2016. No. 2531

Clasificación Cormack-Lehane revisada Cormack-Lehane classification revisited. Krage R1, van Rijn C, van Groeningen D, Loer SA, Schwarte LA, Schober P. Br J Anaesth. 2010 Aug;105(2):220-7. doi: 10.1093/bja/aeq136. Epub 2010 Jun 16. Abstract BACKGROUND: The Cormack-Lehane (CL) classification is broadly used to describe laryngeal view during direct laryngoscopy. This classification, however, has been validated by only a few studies reporting inconclusive data concerning its reliability. This discrepancy between widespread use and limited evidence prompted us to investigate the knowledge about the classification among anaesthesiologists and its intra- and inter-observer reliability. METHODS: One hundred and twenty interviews were performed at a major European anaesthesia congress. Participants were interviewed about their general knowledge on grading systems to classify laryngeal view during laryngoscopy and were subsequently asked to define the grades of the CL classification. Inter- and intra-observer reliabilities were tested in 20 anaesthesiologists well familiar with the CL classification, who performed 100 laryngoscopies in a full-scale patient simulator. RESULTS: Although 89% of interviewed subjects claimed to know a classification to describe laryngeal view during laryngoscopy, 53% were able to name a classification. When specifically asked about the CL classification, 74% of the interviewed subjects stated to know this classification, whereas 25% could define all four grades correctly. In the simulator-based part of the study, inter-observer reliability was fair with a kappa coefficient of 0.35 and intra-observer reliability was poor with a kappa of 0.15. CONCLUSIONS: The CL classification is poorly known in detail among anaesthesiologists and reproducibility even in subjects well familiar with this classification is limited. PDF Clasificación de Mallampati modificada en la determinación del éxito de ecocardiografía transesofágica en pacientes no sedados con cardiopatía: simple pero eficiente Modified mallampati classification in determining the success of unsedated transesophageal echocardiography procedure in patients with heart disease: simple but efficient. Khongkaew J1, Sahasthas D2, Potat T3, Thammawirat P3. Cardiovasc Ultrasound. 2016 Oct 5;14(1):42. Abstract BACKGROUND: The transesophageal echocardiograhpy (TEE) has been studied worldwide. However, identifying additional factors on top of operator's experience and patient's cooperation which could influence the success of the procedure in unsedated patients with heart disease  is not well documented. METHODS: Under the cross-sectional descriptive design, 85 target patients were fulfilling the criteria: being Thai national at the age of at least 20-year-old, being performed TEE by the study participant's cardiologists, being able to communicate verbally. Seven outcomes were recorded, including gag reflex, insertion attempt, insertion time, vital signs (heart rate, oxygen saturation and mean arterial blood pressure), visible blood on TEE probe tip, and oropharyngeal pain at 1 h and 24-h.  CONCLUSIONS: Modified Mallampati Classification is one of determining factors in the success of unsedated TEE procedure in patients with heart disease, especially for assessment of gagging and successful TEE probe insertion time. KEYWORDS: Heart disease patient; Modified Mallampati Classification; Unsedated transesophageal echocardiography PDF Regional Anesthesiology and Acute Pain Medicine Meeting April 6-8, 2017, San Francisco, California, USA ASRA American Society of Regional Anesthesia and Pain Medicine Información / Information California Society of Anesthesiologists Annual Meeting April 27-30, 2017 San Francisco California Información / Information 2017 International Peer Review Congress September 10-12, 2017, Chicago, Illinois, USA Información / Information

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

Fractura compleja de Monteggia en un niño de 5 años

Fractura compleja de Monteggia en un niño de 5 años

Libro sobre cuidados intensivos en oncología / Book on Critical care oncology

Diciembre 5,  2016. No. 2529

Libro sobre Cuidados intensivos en oncología Oncology Critical Care Edited by Jeffrey B. Hoag, ISBN 978-953-51-2782-6, Print ISBN 978-953-51-2781-9, 184 pages, Publisher: InTech, Chapters published November 30, 2016 under CC BY 3.0 license DOI: 10.5772/61590 Edited Volume According to the American Cancer Society, more than 1.6 million people will be diagnosed with cancer during this year. Outcomes have steadily risen over the last several decades with the advent of newer therapies. As outcomes have improved, more and more cancer patients are developing critical illness. In the not-too-distant past, patients with active malignancy were thought not appropriate for critical care services as decreased longevity related to the cancer suggested poor prognosis for intensive care utilization. More recently, evidence supports rapid activation of critical care services leading to improved outcomes in cancer patients. Moreover, just as sub-subspecialty critical care experience in trauma and neurosciences has proved beneficial, the emerging field of oncology critical care warrants specific attention. Libro / Book Regional Anesthesiology and Acute Pain Medicine Meeting April 6-8, 2017, San Francisco, California, USA ASRA American Society of Regional Anesthesia and Pain Medicine Información / Information California Society of Anesthesiologists Annual Meeting April 27-30, 2017 San Francisco California Información / Information

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

La ejecución del motor fantasma fue facilitada por el aprendizaje automático y la realidad aumentada como tratamiento para el dolor de miembro fantasma: un solo grupo, ensayo clínico en pacientes con dolor crónico de miembro fantasma intratable.

La ejecución del motor fantasma fue facilitada por el aprendizaje automático y la realidad aumentada como tratamiento para el dolor de miembro fantasma: un solo grupo, ensayo clínico en pacientes con dolor crónico de miembro fantasma intratable.

Accidente en motocicleta, paciente masculino, 17 años. Fractura expuesta de tibia izquierda.

Accidente en motocicleta, paciente masculino, 17 años. Fractura expuesta de tibia izquierda.

Problemas de la columna vertebral en competidores deportivos

Problemas de la columna vertebral en competidores deportivos

Medicación segura / Safe medication

Diciembre 6,  2016. No. 2530

Recomendaciones del  European Board of Anaesthesiology para la práctica de medicación segura: Primera actualización. The European Board of Anaesthesiology recommendations for safe medication practice: First update. Whitaker D1, Brattebø G, Trenkler S, Vanags I, Petrini F, Aykac Z, Longrois D, Loer SA, Gaszynski T, Sipylaite J, Copaciu E, Cerny V, Akeson J, Mellin-Olsen J, Abela C, Stecher A, Kozek-Langenecker S, Rätsep I; European Section and Board of Anaesthesiology of the UEMS. Eur J Anaesthesiol. 2017 Jan;34(1):4-7. Abstract These European Board of Anaesthesiology (EBA) recommendations for safe medication practice replace the first edition of the EBA recommendations published in 2011. They were updated because evidence from critical incident reporting systems continues to show that medication errors remain a major safety issue in anaesthesia, intensive care, emergency medicine and pain medicine, and there is an ongoing need for relevant up-to-date clinical guidance for practising anaesthesiologists. The recommendations are based on evidence wherever possible, with a focus on patient safety, and are primarily aimed at anaesthesiologists practising in Europe, although many will be applicable elsewhere. They emphasise the importance of correct labelling practice and the value of incident reporting so that lessons can be learned, risks reduced and a safety culture developed. PDF Regional Anesthesiology and Acute Pain Medicine Meeting April 6-8, 2017, San Francisco, California, USA ASRA American Society of Regional Anesthesia and Pain Medicine Información / Information California Society of Anesthesiologists Annual Meeting April 27-30, 2017 San Francisco California Información / Information

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

La sabila ( Áloe vera) NO DEBE USARSE directamente sobre la piel

La sabila ( Áloe vera) NO DEBE USARSE directamente sobre la piel

Anatomía Quirúrgica de las Vertebras C1 y C2

Anatomía Quirúrgica de las Vertebras C1 y C2