Ventilación y vía aérea en el obeso / Ventilation and airway in obesity

Diciembre 3,  2016. No. 2527

El reclutamiento de volumen pulmonar durante la cirugía no afecta la espirometría postoperatoria ni el riesgo de hipoxemia después de la derivación gástrica laparoscópica en pacientes con obesidad mórbida: un estudio controlado y aleatorizado. Recruitment of lung volume during surgery neither affects the postoperative spirometry nor the risk of hypoxaemia after laparoscopic gastric bypass in morbidly obese patients: a randomized controlled study. Defresne AA1, Hans GA1, Goffin PJ1, Bindelle SP1, Amabili PJ1, DeRoover AM2, Poirrier R3, Brichant JF1, Joris JL4. Br J Anaesth. 2014 Sep;113(3):501-7. doi: 10.1093/bja/aeu101. Epub 2014 May 15. Abstract BACKGROUND: Intraoperative recruitment manoeuvres (RMs) combined with PEEP reverse the decrease in functional residual capacity (FRC) associated with anaesthesia and improve intraoperative oxygenation. Whether these benefits persist after operation remains unknown. We tested the hypothesis that intraoperative RMs associated with PEEP improve postoperative spirometry including FRC and reduce the incidence of postoperative hypoxaemia in morbidly obese (MO) patients undergoing laparoscopic gastric bypass.  CONCLUSIONS: This study demonstrates that when added to a protective mechanical ventilation combining low tidal volume and high PEEP, two RMs do not improve postoperative lung function including FRC, arterial oxygenation, and the incidence of obstructive apnoea in MO patients after laparoscopic upper abdominal surgery. PDF ¿La anestesia realmente causa atelectasia persistente? Does anaesthesia really cause persistent atelectasis? Drummond GB1. Br J Anaesth. 2015 Jul;115(1):131. doi: 10.1093/bja/aev186. PDF Uso del tubo endotraqueal VivaSight™ de lumen único en pacientes con obesidad mórbida sometidos a manga gástrica laparoscópica The use of VivaSight™ single lumen endotracheal tube in morbidly obese patients undergoing laparoscopic sleeve gastrectomy. Barak M1, Assalia A2, Mahajna A2, Bishara B2, Braginski A3, Kluger Y2. BMC Anesthesiol. 2014 May 5;14:31. doi: 10.1186/1471-2253-14-31. eCollection 2014. Abstract BACKGROUND: The population of obese patients is progressively growing and bariatric operations are becoming increasingly common. Morbidly obese patients require special anesthetic care and are often considered to be difficult to ventilate and intubate. The VivaSight™ Single Lumen tube is an endotracheal tube with a camera embedded in its tip. The view from the tip appears continuously on a monitor in the anesthesiologist's vicinity. The aim of this study was to assess the VivaSight™ in comparison with conventional endotracheal tube as an aid in the intubation and surveillance of tube position during surgery of obese patients. CONCLUSION: We found the VivaSight™ SL to be helpful in the endotracheal intubation and continuous surveillance of tube position in morbidly obese patients undergoing laparoscopic sleeve gastrectomy. KEYWORDS: Airway; Anesthetic techniques; Bariatric complications; Equipment; Fiber-optic; Mechanical; Morbid obesity; Surgery; Ventilation 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

En el 2010, en el mundo, 3,1 % de los hombres de 50 años o más, tenían una probabilidad de fractura por encima del umbral de fractura.

En el 2010, en el mundo, 3,1 % de los hombres de 50 años o más, tenían una probabilidad de fractura por encima del umbral de fractura.

Biblioteca Nacional. Noticias

Biblioteca Nacional
Notificaciones diarias ⋅ 4 de diciembre de 2016
NOTICIAS

Director de biblioteca nacional denunciado por perseguir en facebook a empleados
24con.com
Empleados de la Biblioteca Nacional denunciaron que su director, Alberto Manguel, "persigue y amenaza con interrumpir la continuidad laboral" de ...
Un funcionario de Macri amenaza con despidos si lo critican en Facebook - El Destape
Cobertura total de la noticia



Biblioteca Nacional de México posee 173 libros incunables
lagranepoca
Provienen principalmente de bibliotecas novohispanas y de conventos, pues hay que recordar que la Biblioteca Nacional es producto de las Leyes ...



Legado de José Saramago será donado a la Biblioteca Nacional de Portugal
La República Ecuador
Lisboa, (EFE).- El legado de José Saramago, el único Premio Nobel de Literatura luso, será donado a la Biblioteca Nacional de Portugal para cumplir ...



La lectura, alternativa para niños en vacaciones
ElPilón.com.co (Registro)
... se trata de la invitación hecha por el Ministerio de Cultura y la Biblioteca Nacional, que convocan a los colombianos a viajar, imaginar, explorar, ...

Navegación y otras fronteras emergentes en reemplazo total de rodilla

Navegación y otras fronteras emergentes en reemplazo total de rodilla

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