Revisiones_bibliográficas TyO

viernes, 24 de febrero de 2017

Videolaringoscopios / videolaryngoscopes

Febrero 24, 2017. No. 2610

Laringoscopios McGrath serie 5 vs vídeolaringoscopia Airtraq DL para intubación con tubo de doble lumen. Estudio randomizado

McGrath Series 5 videolaryngoscope vs Airtraq DL videolaryngoscope for double-lumen tube intubation: A randomized trial.

Wan L1, Liao M, Li L, Qian W, Hu R, Chen K, Zhang C, Yao W.

Medicine (Baltimore). 2016 Dec;95(51):e5739. doi: 10.1097/MD.0000000000005739.

Abstract

BACKGROUND: Many studies have shown Airtraq videolaryngoscope provided faster tracheal intubation and a higher success rate than other videolaryngoscopes. Recently, different types of videolaryngoscopes have been reported for use in double-lumen tube (DLT) intubation. However, the advantages and disadvantages between them remain undetermined for DLT intubation. In this study, we compared the Airtraq DL videolaryngoscope with the McGrath Series 5 videolaryngoscope for DLT intubation by experienced anesthesiologists. CONCLUSIONS: When using videolaryngoscopes for DLT intubation, the Airtraq DL is superior to the McGrath Series 5 in intubation time, but it does not decrease intubation difficulty.

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Comparación de la visión glótica durante la video-intubación en pacientes super obesos: una serie de casos.

Comparison of the glottic view during video-intubation in super obese patients: a series of cases.

Gaszyński T1.

Ther Clin Risk Manag. 2016 Nov 11;12:1677-1682. eCollection 2016.

Abstract

Videolaryngoscopes improve the view of the entry to the larynx in morbidly obese patients. Super obesity is one of the risk factors for difficult mask ventilation as well as difficult intubation. Super obese patients should be intubated awake either with a fiber-optic scope or with a videolaryngoscope. The glottic view during video-intubation in super obese patients using different devices was compared. The McGrath MAC (MGM) was used in all patients and then compared to the King Vision (KV) in three patients, the APA videolaryngoscope in two patients and the Airtraq Avant with a video camera in four patients. The pictures were of the same patient for two used devices. All obtained images were analyzed using the Percentage of Glottic Opening (POGO) scale. The POGO score for the MGM was better than for the KV and the APA but comparable to the Airtraq device. The images were processed electronically, and the best view of the laryngeal inlet that was obtained by the evaluated devices in the same patient was superimposed onto the other one and then compared.

KEYWORDS: glottic visualization; intubation; super obese; videolaryngoscopes

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5to curso internacional Anestesiologia cardiotoracica_ vascular_ ecocardiografia y circulaci_n extracorporea.

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

jueves, 23 de febrero de 2017

Tratamiento quirúrgico de la contractura de Dupuytren: Artrolisis de la articulación interfalángica proximal de los dedos

http://www.clinicademano.com.mx/academia/tratamiento-quirurgico-de-la-contractura-de-dupuytren-artrolisis-de-la-articulacion-interfalangica-proximal-de-los-dedos/

Operative treatment of Dupuytren’s contracture : Arthrolysis of the proximal interphalangeal finger joint

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28175957

http://link.springer.com/article/10.1007%2Fs00132-017-3387-5

De:

Hohendorff B1,Franke J2,Spies CK3,Unglaub F3,Müller LP4,Ries C4.

Orthopade.

2017 Feb 7. doi: 10.1007/s00132-017-3387-5. [Epub ahead of print]

Springer Nature

.Abstract

BACKGROUND:

In the operative treatment of Dupuytren’s disease, in certain cases proximal interphalangeal joint flexion contracture remains after fasciectomy due to shrinkage, shortening, and/or adhesion of the periarticular structures.

OBJECTIVES:

How can a residual flexion contracture of the proximal interphalangeal joint after partial fasciectomy in Dupuytren’s disease be treated surgically and what follow-up results can be expected?

CONCLUSIONS:

Despite alleged unsatisfactory results arthrolysis of the proximal interphalangeal joint can be recommended in surgery of Dupuytren’s disease. In certain cases, patient cooperation during lengthy postoperative treatment is necessary.

KEYWORDS:

Arthrolysis; Capsuloligamentous release; Dupuytren’s disease; Hand; Proximal interphalangeal finger joint

Resumen

ANTECEDENTES:
En el tratamiento quirúrgico de la enfermedad de Dupuytren, en ciertos casos, la contractura de flexión de la articulación interfalángica proximal permanece después de la fasciectomía debido a la contracción, acortamiento y / o adhesión de las estructuras periarticulares.

OBJETIVOS:
¿Cómo se puede tratar quirúrgicamente una contractura de flexión residual de la articulación interfalángica proximal después de una fasciectomía parcial en la enfermedad de Dupuytren y qué resultados de seguimiento se pueden esperar?

CONCLUSIONES:
A pesar de los resultados alegados insatisfactoria artrolisis de la articulación interfalángica proximal se puede recomendar en la cirugía de la enfermedad de Dupuytren. En algunos casos, es necesaria la cooperación del paciente durante el tratamiento postoperatorio prolongado.

PALABRAS CLAVE:
Artrólisis; Liberación capsuloligamentosa; Enfermedad de Dupuytren; Mano; Articulación interfalángica proximal del dedo

PMID: 28175957 DOI:

10.1007/s00132-017-3387-5

[PubMed – as supplied by publisher]

#dupuytren #Tratamiento quirúrgico #Artrolisis #Articulación interfalángica proximal del dedo #Enfermedad de Dupuytren #Liberación capsuloligamentosa #capsuloligamentosa