Libro sobre cefalea / Book on headache

Abril 16, 2017. No. 2661

Perspectivas actuales sobre aspectos menos conocidos de la cefalea Current Perspectives on Less-known Aspects of Headache Edited by Hande Turker, ISBN 978-953-51-3076-5, Print ISBN 978-953-51-3075-8, 164 pages, Publisher: InTech, Chapters published April 12, 2017 under CC BY 3.0 license DOI: 10.5772/62616 Headache, as a main neurological problem in everyday life, still takes place as a contributor on top of the list of many partially solved neurological conditions. Not only primary headaches but secondary headaches are still clinical concerns of diagnosis, differential diagnosis, and therapy. This book is quite different from classical headache books. First of all, it does not contain the classical schema of a classical headache textbook. Most of the chapters composing this book contain many answers for many unanswered questions about headache in general, for example, "Is headache a genetic condition?", "What do smartphones do to our brains? Do they cause headaches?", and "Does botulinum toxin really improve chronic migraine?". We hope this book will be an interesting read and perhaps a guide in some new aspects of headache and help understand "some interesting headache issues" while stressing some of the less known mentioned above. Libro / Book Vacante para Anestesiología Pediátrica El Hospital de Especialidades Pediátricas de León, Guanajuato México  ofrece un contrato laboral en el departamento de anestesiología  Informes con la Dra Angélica García Álvarez  angy.coachanestped@gmail.com o al teléfono 477 101 8700 Ext 1028

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

Vía aérea, posición lateral y ML / Airway; Lateral position; Proseal laryngeal mask

Abril 17, 2017. No. 2662

Efecto del neumoperitoneo y de la posición lateral sobre las presiones de sello orofaríngeo de LMA Proseal en procedimientos urológicos laparoscópicos. Effect of Pneumoperitoneum and Lateral Position on Oropharyngeal Seal Pressures of Proseal LMA in Laparoscopic Urological Procedures. Rustagi P1, Patkar GA2, Ourasang AK3, Tendolkar BA4. J Clin Diagn Res. 2017 Feb;11(2):UC05-UC09. doi: 10.7860/JCDR/2017/22168.9422. Epub 2017 Feb 1. Abstract INTRODUCTION: A sustained and effective oropharyngeal sealing with supraglottic airway is required to maintain the ventilation during laparoscopic surgery. Previous studies have observed the Oropharyngeal Seal Pressure (OSP) for Proseal Laryngeal Mask Airway (PLMA) after pneumoperitoneum in supine and trendelenburg position, where PLMA was found to be an effective airway device. This study was conducted with ProSeal LMA, for laparoscopic Urologic procedures done in lateral position. AIM: To measure OSP in supine and lateral position and to observe the effect of pneumoperitoneum in lateral position on OSP. Secondary objectives were to assess adequacy of ventilation and incidence of adverse events. MATERIALS AND METHODS: A total number of 25 patients of American Society of Anaesthesiologists (ASA) physical status II and I were enrolled. After induction of anaesthesia using a standardized protocol, PLMA was inserted. Ryle's tube was inserted through drain tube. The position of PLMA was confirmed with ease of insertion of Ryle's tube and fibreoptic grading of vocal cords. Patients were then put in lateral position. The OSP was measured in supine position. This value was baseline comparison for OSP in lateral position and that after pneumoperitoneum. We assessed the efficacy of PLMA for ventilation, after carboperitoneum in lateral position (peak airway pressure, End Tidal Carbon dioxide (EtCO2), SPO2). Incidence of adverse effects (displacement of device, gastric insufflation, regurgitation, coughing, sore throat, blood on device, trauma) was also noted. RESULTS: The OSP was above Peak Airway Pressure (PAP) in supine (22.1±5.4 and 15.4±4.49cm of H2O) and lateral position (22.6±5.3 and 16.1±4.6). After pneumoperitoneum, which was in lateral position, there was statistically significant (p-value <0.05) increase in both PAP (19.96±4.015) and OSP (24.32±4.98, p-value 0.03). There was no intraoperative displacement of PLMA. There was no event of suboptimal oxygenation. EtCO2 was always within normal limits. Gastric insufflation was present in one patient. One patient had coughing and blood was detected on device. Three patients had throat discomfort post-operatively. CONCLUSION: In this study, Oropharyngeal seal pressures with PLMA were found to increase after pneumoperitoneum in lateral position. PLMA forms an effective seal around airway and is an efficient and safe alternative for airway management in urological laparoscopic surgeries done in lateral position. KEYWORDS: Airway; Lateral position; Proseal laryngeal mask PDF

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

Facitis plantar refractaria en runner (corredor)

http://www.clinicadeartroscopia.com.mx/uncategorized/facitis-plantar-refractaria-en-runner-corredor/

Me toco ser el médico de segunda opinión de un Runner (corredor) con fascitis plantar refractaria incluso con faciotomia parcial percutanea MIS, pensé en una Neuritis de Baxter’s, realice hidrodiseccion guiada por ultrasonido y paciente corre nuevamente 10 K este próximo fin de semana

              Facitis plantar refractaria en runner (corredor) »                                                               

  #footsurgery #anklesurgery #minimainvasion 
   www.findmed.com.mx 
   www.clinicadeartroscopia.com.mx

#fascitis plantar #runner #corredor

Efecto de los esteroides perioperatorios en la disfagia después de la cirugía de la columna cervical anterior: Una revisión sistemática

http://www.cirugiavertebral.com.mx/academia/efecto-de-los-esteroides-perioperatorios-en-la-disfagia-despues-de-la-cirugia-de-la-columna-cervical-anterior-una-revision-sistematica/

Effect of perioperative steroids on dysphagia after anterior cervical spine surgery: A systematic review

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/28377867

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374993/

De:

Adenikinju AS1,Halani SH1,Rindler RS1,Gary MF1,Michael KW2,

Ahmad FU1.

Int J Spine Surg.

2017 Mar 6;11:9. doi: 10.14444/4009. eCollection 2017

Todos los derechos reservados para:

Copyright

© 2017 ISASS – This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery

Abstract

BACKGROUND:

Dysphagia following anterior cervical spine surgery is common. Steroids potentially reduce post-operative inflammation that leads to dysphagia; however, the efficacy, optimal dose and route of steroid administration have not been fully elucidated.

OBJECTIVE:

The purpose of this systematic review is to evaluate the effect of peri-operative steroids on the incidence and severity of dysphagia following anterior cervical spine surgery.

CONCLUSIONS AND CLINICAL RELEVANCE:

Steroids may reduce dysphagia after anterior cervical spinal procedures in the early post-operative period without increasing complications. This may be especially beneficial in patients undergoing multilevel procedures. Future studies should further define the optimal dose and route of steroid administration, and the specific contraindications for use.

KEYWORDS:

anterior cervical spine; dysphagia; steroids

Resumen

ANTECEDENTES:
La disfagia después de la cirugía cervical anterior es común. Los esteroides potencialmente reducen la inflamación postoperatoria que conduce a la disfagia; Sin embargo, la eficacia, la dosis óptima y la vía de administración de esteroides no se han elucidado completamente.

OBJETIVO:
El propósito de esta revisión sistemática es evaluar el efecto de los esteroides perioperatorios sobre la incidencia y severidad de la disfagia después de la cirugía cervical anterior.

CONCLUSIONES Y RELEVANCIA CLÍNICA:
Los esteroides pueden reducir la disfagia después de los procedimientos espinales cervicales anteriores en el período postoperatorio temprano sin aumentar las complicaciones. Esto puede ser especialmente beneficioso en pacientes sometidos a procedimientos multinivel. Los estudios futuros deben definir aún más la dosis óptima y la vía de administración de esteroides, y las contraindicaciones específicas para su uso.

PALABRAS CLAVE:
Columna cervical anterior; Disfagia; Esteroides

PMID:   28377867   PMCID:  

PMC5374993

  DOI:  

10.14444/4009

Free PMC Article

#Columna cervical anterior#disfagia#esteroides