Revisiones_bibliográficas TyO

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lunes, 20 de marzo de 2017

Abordaje anterolateral para fractura del pilón

http://www.cirugiadepieytobillo.com.mx/academia/abordaje-anterolateral-para-fractura-del-pilon/

Anterolateral Approach for Pilon fracture

Fuente
Este artículo es originalmente publicado en:

https://vimeo.com/147857113

Courtesy: The Orthopaedic Trauma Association

Planning to attend the OTA2016 Meeting at Maryland, USA?
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Anterior Lateral Approach Pilon – Lindsay E. Hickerson, MD from Orthopaedic Trauma Association on Vimeo.

Anterior Lateral Approach Pilon - Lindsay E. Hickerson, MD from Orthopaedic Trauma Association on Vimeo.

#fracturas #pilón tibial #abordaje #anterolateral

Sepsis en el anciano / Sepsis in elderly patients

Marzo 19, 2017. No. 2633

Sepsis e inmuno senescencia en el paciente anciano. Una revisión

Sepsis and Immunosenescence in the Elderly Patient: A Review.

Martín S1, Pérez A1, Aldecoa C2.

Front Med (Lausanne). 2017 Feb 28;4:20. doi: 10.3389/fmed.2017.00020. eCollection 2017.

Abstract

Sepsis is a prevalent, serious medical condition with substantial mortality and a significant consumption of health-care resources. Its incidence has increased around 9% annually in general population over the last years and specially in aged patients group. Several risk factors such as comorbidities, preadmission status, malnutrition, frailty, and an impared function in the immune system called immunosenescence are involved in the higher predisposition to sepsis in the elderly patients. Immunosenescence status consists in a functional impairment in both cell-mediated immunity and humoral immune responses and increases not only the risk for develop sepsis but also lead to more severe presentation of infection and may be is also related with a higher mortality. There is a also a concern about to admit patients in the intensive care units taking into account that the outcome of elderly patients is poorer compared to younger people. Nevertheless, the management of septic elderly patients does not differ substantially from younger people. In addition, the quality of life in septic elderly survivors is also lower than in younger people. But age, as alone factor, should not be used to determine treatment options because the poorer outcomes is thought to be due to the increased comorbidities and frailty in this group of patients.

KEYWORDS: elderly patients; immunosenescence; outcome; quality of life; sepsis

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Disminución del músculo esquelético como factor de riesgo en ancianos con sepsis. Estudio retrospectivo de cohortes

Decreasing skeletal muscle as a risk factor for mortality in elderly patients with sepsis: a retrospective cohort study.

Shibahashi K1, Sugiyama K1, Kashiura M1, Hamabe Y1.

J Intensive Care. 2017 Jan 11;5:8. doi: 10.1186/s40560-016-0205-9. eCollection 2017.

Abstract

BACKGROUND: Older patients account for the majority of patients with sepsis. The objective of this study was to determine if decreased skeletal muscle mass is associated with outcomes in elderly patients with sepsis. ,, CONCLUSIONS: Less skeletal muscle mass is associated with higher in-hospital mortality in elderly patients with sepsis. The results of this study suggest that identifying patients with low muscularity contributes to better stratification in this population.

KEYWORDS: Intensive care; Mortality; Sarcopenia; Sepsis

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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

Congreso Latinoamericano de Anestesia Regional

Asociación Latinoamericana de Anestesia Regional, Capítulo México

Ciudad de México, Mayo 24-27, 2017

Informes http://r.enviosgrupolahe.com/2e7l0th0feu87f.html

Vacante para Anestesiología Pediátrica

Hospital de Especialidades Pediátrico de León, Guanajuato México

Informes con la Dra Angélica García Álvarez

angy.coachanestped@gmail.com o al teléfono 477 101 8700 Ext 1028

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

Geriatría / Geriatrics

Marzo 20, 2017. No. 2634

Consideraciones fisiológicas en pacientes geriátricos

Physiology Considerations in Geriatric Patients.

Alvis BD1, Hughes CG2.

Anesthesiol Clin. 2015 Sep;33(3):447-56. doi: 10.1016/j.anclin.2015.05.003. Epub 2015 Jul 3.

Abstract

Physiology changes at the structural, functional, and molecular levels as people age, and every major organ system experiences physiologic change with time. The changes to the nervous system result mostly in cognitive impairments, the cardiovascular system develops higher blood pressures with lower cardiac output, the respiratory system undergoes a reduction of arterial oxyhemoglobin levels, the gastrointestinal system experiences delayed gastric emptying and reduction of hepatic metabolism, and the renal system experiences a diminished glomerular filtration rate. Combined, these changes create a complex physiologic condition. This unique physiology must be taken into consideration for geriatric patients undergoing general anesthesia.

KEYWORDS: Aging; Cardiovascular aging; Geriatric; Neurologic aging; Physiology

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La evaluación preanestésica en el paciente geriátrico

M en CM Antonio Castellanos-Olivares, M en IC. Isidora Vásquez-Márquez

Revista Mexicana de Anestesiología Vol. 34. Supl. 1 Abril-Junio 2011 pp S174-S179

La Organización Mundial de la Salud (OMS) considera como anciano a toda persona con 60 o más años de edad. Aunque no existe un criterio universal sobre cuándo comienza la senectud, se debe enmarcar en el momento en que inicia el envejecimiento biológico y no el cronológico debido a que el proceso tiene un comportamiento muy variable de un individuo a otro. Desde el punto de vista fisiológico algunos pacientes jóvenes pueden parecer octogenarios y viceversa, por lo que se afirma que la edad cronológica es menos determinante que la edad biológica en lo que concierne al riesgo de complicaciones perioperatorias.

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