Vía aérea / Airway

Febrero 23, 2017. No. 2609

Manejo de la vía aérea en pacientes de cirugía cardiaca. Perspectivas actuales Airway management of the cardiac surgical patients: Current perspective. Choudhury A1, Gupta N2, Magoon R1, Kapoor PM1. Ann Card Anaesth. 2017 Jan;20(Supplement):S26-S35. doi: 10.4103/0971-9784.197794.Abstract The difficult airway (DA) is a common problem encountered in patients undergoing cardiac surgery. However, the challenge is not only just establishment of airway but also maintaining a definitive airway for the safe conduct of cardiopulmonary bypass from initiation to weaning after surgical correction or palliation, de-airing of cardiac chambers. This review describes the management of the DA in a cardiac theater environment. The primary aims are recognition of DA both anatomical and physiological, necessary preparations for (and management of) difficult intubation and extubation. All patients undergoing cardiac surgery should initially be considered as having potentially DA as many of them have poor physiologic reserve. Making the cardiac surgical theater environment conducive to DA management is as essential as it is to deal with low cardiac output syndrome or acute heart failure. Tube obstruction and/or displacement should be suspected in case of a new onset ventilation problem, especially in the recovery unit. Cardiac anesthesiologists are often challenged with DA while inducing general endotracheal anesthesia. They ought to be familiar with the DA algorithms and possess skill for using the latest airway adjuncts. PDF  El anestesiólogo y la vía aérea difícil. ¿Dónde estamos actualmente? Anesthesiology and the difficult airway - Where do we currently stand? Richtsfeld M1, Belani KG2. Ann Card Anaesth. 2017 Jan-Mar;20(1):4-7. doi: 10.4103/0971-9784.197814. PDF Comparación de i-gel con otros supraglóticos en maniquíes de adultos. Revisión sistemática y meta-análisis Comparison of the i-gel and other supraglottic airways in adult manikin studies: Systematic review and meta-analysis. An J1, Nam SB, Lee JS, Lee J, Yoo H, Lee HM, Kim MS. Medicine (Baltimore). 2017 Jan;96(1):e5801. doi: 10.1097/MD.0000000000005801. Abstract BACKGROUND: The i-gel has a gel-like cuff composed of thermoplastic elastomer that does not require cuff inflation. As the elimination of cuff inflation may shorten insertion time, the i-gel might be a useful tool in emergency situations requiring prompt airway care. This systematic review and meta-analysis of previous adult manikin studies for inexperienced personnel was performed to compare the i-gel with other supraglottic airways. METHODS: We searched PubMed, the Cochrane Library, and EMBASE for eligible randomized controlled trials (RCTs) published before June 2015, including with a crossover design, using the following search terms: "i-gel," "igel," "simulation," "manikin," "manikins," "mannequin," and "mannequins." The primary outcomes of this review were device insertion time and the first-attempt success rate of insertion. RESULTS: A total of 14 RCTs were included. At the initial assessment without difficult circumstances, the i-gel had a significantly shorter insertion time than the LMA Classic, LMA Fastrach, LMA Proseal, LMA Unique, laryngeal tube, Combitube, and EasyTube. However, a faster insertion time of the i-gel was not observed in comparisons with the LMA Supreme, aura-i, and air-Q. In addition, the i-gel did not show the better results for the insertion success rate when compared to other devices. CONCLUSION: The findings of this meta-analysis indicated that inexperienced volunteers placed the i-gel more rapidly than other supraglottic airways with the exception of the LMA Supreme, aura-i, and air-Q in manikin studies. However, the quicker insertion time is clinically not relevant. The unapparent advantage regarding the insertion success rate and the inherent limitations of the simulation setting indicated that additional evidence is necessary to confirm these advantages of the i-gel in an emergency setting. PDF Entendiendo la vía aérea. Understanding Airways Keith Greenland MD Video Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología. Committee for European Education in Anaesthesiology (CEEA)  y el Colegio de Anestesiólogos de León A.C. Abril 7-9, 2017, León Guanajuato, México Informes  (477) 716 06 16, kikinhedz@gmail.com 4° Congreso Internacional de Control Total de la Vía Aérea Asociación Mexicana de Vía  Aérea Difícil, AC Ciudad de México 21, 22 y 23 de Abril 2017 Informes: amvadmexico@gmail.com 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

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

RAFI 5to MTC CON PLACA ANATÓMICA SB OSTEOMED

http://www.clinicadeartroscopia.com.mx/uncategorized/rafi-5to-mtc-con-placa-anatomica-sb-osteomed/

#RAFI#5°metacarpiano

El ácido lisofosfatídico proporciona un eslabón perdido entre la osteoartritis y el dolor neuropático articular

http://www.artroscopiayreemplazos.com.mx/academia/el-acido-lisofosfatidico-proporciona-un-eslabon-perdido-entre-la-osteoartritis-y-el-dolor-neuropatico-articular/

Lysophosphatidic acid provides a missing link between osteoarthritis and joint neuropathic pain

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/27651153

http://www.oarsijournal.com/article/S1063-4584(16)30279-5/abstract

De:

McDougall JJ1,Albacete S2,Schuelert N3,Mitchell PG4,Lin C5,Oskins JL6,

Bui HH7,Chambers MG8.

Osteoarthritis Cartilage.

2016 Sep 17. pii: S1063-4584(16)30279-5. doi: 10.1016/j.joca.2016.08.016. [Epub ahead of print]

Todos los derechos reservados para:

Copyright © 2016 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved

Abstract

OBJECTIVE:

Emerging evidence suggests that osteoarthritis (OA) has a neuropathic component; however, the identity of the molecules responsible for this peripheral neuropathy is unknown. The aim of this study was to determine the contribution of the bioactive lipid lysophosphatidic acid (LPA) to joint neuropathy and pain.

CONCLUSION:

Intra-articular injection of LPA caused knee joint neuropathy, joint damage and pain. Pharmacological blockade of LPA receptors inhibited joint nerve damage and hindlimb incapacitance. Thus, LPA is a candidate molecule for the development of OA nerve damage and the origin of joint neuropathic pain.

ResumenOBJETIVO:

Evidencia emergente sugiere que la osteoartritis (OA) tiene un componente neuropático; Sin embargo, la identidad de las moléculas responsables de esta neuropatía periférica es desconocida. El objetivo de este estudio fue determinar la contribución del ácido lisofosfatídico lipídico bioactivo (LPA) a la neuropatía y dolor articular.CONCLUSIÓN:

La inyección intraarticular de LPA causó neuropatía en la articulación de la rodilla, daño en las articulaciones y dolor. El bloqueo farmacológico de los receptores de LPA inhibió el daño nervioso de las articulaciones y la incapacidad de los miembros posteriores. Por lo tanto, el LPA es una molécula candidata para el desarrollo del daño del nervio OA y el origen del dolor neuropático articular.PALABRAS CLAVE:

Modelos animales; Artritis; Electrofisiología; Nervios articulares; Mediadores lipídicos; Dolor neuropático

Copyright © 2016 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

KEYWORDS:

Animal models; Arthritis; Electrophysiology; Joint nerves; Lipid mediators; Neuropathic pain

PMID: 27651153   DOI:  

10.1016/j.joca.2016.08.016

[PubMed – as supplied by publisher]

#ácido lisofosfatídico#dolor neuropático articular

Tres libros nuevos / Three vew books

Febrero 22, 2017. No. 2608

Cirugía  laparoscópica Laparoscopic Surgery Edited by Arshad M. Malik, ISBN 978-953-51-2964-6, Print ISBN 978-953-51-2963-9, 142 pages, Publisher: InTech, Chapters published February 22, 2017 under CC BY 3.0 license Laparoscopic surgery developed as the most element change ever in the history of surgery. The approach of this method is no more a late headway. The history goes back three decades now when appendectomy was initially performed laparoscopically in 1983. It was then polished by not very many specialists, and there was a moderate move of the method from traditional open surgery to laparoscopic surgery. Hesitance to take in an absolutely new method, absence of facilities, and appropriate training were main considerations ruining its direction. After an underlying hindered period came a sudden ascent in the worldwide preoccupation of the consideration toward this novel strategy. There was an aggregate move from open to laparoscopic surgery in a large portion of the focuses with an expanding rundown of operations being performed laparoscopically. This book is intended to bring forward the very many advancements in the field of laparoscopic surgery. There are many valuable contributions from eminent laparoscopic surgeons ranging from diagnostic to therapeutic procedures performed by this technique. I hope it will benefit the trainee surgeons as well as the experienced alike. Suggestions and positive criticism are more than welcome. Libro / Book HIV/SIDA. Retos contemporáneos HIV/AIDS - Contemporary Challenges Edited by Nancy Dumais, ISBN 978-953-51-2962-2, Print ISBN 978-953-51-2961-5, 172 pages, Publisher: InTech, Chapters published February 22, 2017 under CC BY 3.0 license With increasing efficacy of antiretroviral therapy, HIV/AIDS has shifted from a disease with high mortality to a chronic illness with substantial longevity. However, researchers, physicians and social workers still face many challenges, and it is important to raise awareness on several aspects that people living with HIV/AIDS have to deal in their daily lives. This book has assembled an array of chapters on the medical, social and economic aspects of HIV/AIDS. The chapters were written by experts from around the globe reflecting the importance of the topic. This book will be of great interest not only to graduate students but also to active academics and practitioners. Libro / Book Aneurisma aórtico Aortic Aneurysm Edited by Kaan Kirali, ISBN 978-953-51-2934-9, Print ISBN 978-953-51-2933-2, 202 pages, Publisher: InTech, Chapters published February 22, 2017 under CC BY 3.0 license Aortic aneurysms are very silent, insidious, and sudden complicated pathologies with high incidence of sudden death. The aorta has several different parts, which are affected by aneurysmal pathology independently and separately or conjointly. Preventive medicine and determinative genetic heritage are the first steps during diagnosis and precaution. Preventive screening of the general population seems the best way for diagnosing early asymptomatic aneurysms with increased health cost. Because sudden death is the first symptom of aortic aneurysms, early interventional treatment is essential to protect fatal complications. In spite of open surgical repair which is the standard procedure, isolated or hybrid endovascular approaches are used widespread in the last decade due to reduction of procedural complications. This book is composed of the main topics on aortic aneurysms and surgical treatments to extend scientific and therapeutic perspective and vision of cardiac teams. Libro / Book Curso sobre Anestesia en Trasplantes, Cirugía abdominal, Plástica, Oftalmología y Otorrinolaringología. Committee for European Education in Anaesthesiology (CEEA)  y el Colegio de Anestesiólogos de León A.C. Abril 7-9, 2017, León Guanajuato, México Informes  (477) 716 06 16, kikinhedz@gmail.com 4° Congreso Internacional de Control Total de la Vía Aérea Asociación Mexicana de Vía  Aérea Difícil, AC Ciudad de México 21, 22 y 23 de Abril 2017 Informes: amvadmexico@gmail.com 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

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