Anestesia y endocrinopatias / Anaesthesia and endocrinopathies

Julio 4, 2017. No. 2739

Endocrinopatías: las perspectivas actuales y cambiantes en la práctica de la anestesia. Endocrinopathies: The current and changing perspectives in anesthesia practice. Bajwa SJ1, Kaur G1. Indian J Endocrinol Metab. 2015 Jul-Aug;19(4):462-9. doi: 10.4103/2230-8210.159026.Abstract The gateways to advancements in medical fields have always been accessed through the coalition between various specialties. It is almost impossible for any specialty to make rapid strides of its own. However, the understanding of deeper perspectives of each specialty or super specialty is essential to take initiatives for the progress of the other specialty. Endocrinology and anesthesiology are two such examples which have made rapid progress in the last three decades. Somehow the interaction and relationship among these medical streams have been only scarcely studied. Diabetes and thyroid pathophysiologies have been the most researched endocrine disorders so far in anesthesiapractice but even their management strategies have undergone significant metamorphosis over the last three decades. As such, anesthesiapractice has been influenced vastly by these advancements in endocrinology. However, a comprehensive understanding of the relationship between these two partially related specialties is considered to be an essential cornerstone for further progress in anesthesia and surgical sciences. The current review is an attempt to imbibe the current and the changing perspectives so as to make the understanding of the relationship between these two medical streams a little simple and clearer. KEYWORDS: Acromegaly; anesthesia for endocrinopathies; craniopharyngioma; diabetes mellitus; endocrinology; phaeochromocytoma; thyroid crisis PDF XIV Congreso Virtual Mexicano de Anestesiología 2017 Octubre 1-Diciembre 31, 2017 Información / Information Encuentro Internacional de Manejo de la Vía Aérea Bariloche. Argentina. Nov 30-Dic 2, 20l7 Información / Information

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

Feocromocitoma / Pheochromocytoma

Julio 5, 2017. No. 2740

FEOCROMOCITOMA: MANEJO PERI-OPERATORIO Nidia Bustos Vásquez REVISTA MEDICA DE COSTA RICA Y CENTROAMERICA LXXI (609) 159 - 164, 2014 PDF Punto de controversia: el cuidado perioperatorio de los pacientes sometidos a la remoción de feocromocitoma. ¿Tiempo para una reevaluación? Point of controversy: perioperative care of patients undergoing pheochromocytoma removal-time for a reappraisal? Lentschener C1, Gaujoux S, Tesniere A, Dousset B. Eur J Endocrinol. 2011 Sep;165(3):365-73. doi: 10.1530/EJE-11-0162. Epub 2011 Jun 6. Abstract Adrenalectomy for pheochromocytoma is reported with a mortality close to zero in recent studies. The dogma of preoperative fluid and hypotensive drug administrations is widely applied in patients scheduled for pheochromocytoma removal and is assumed to have a beneficial effect on operative outcomes. This paradigm is only based on historical studies of non-standardized practices and criteria for efficacy, with no control group. Pre- and intraoperative hypovolemia have never been demonstrated in patients scheduled for pheochromocytoma removal. Recent improvements in outcome of patients undergoing adrenalectomy for pheochromocytoma could also be the result of improvement in surgical techniques and refinement in anesthetic practices. Whether better knowledge of the disease, efficiency of available intravenous short-acting vasoactive drugs, and careful intraoperative handling of the tumor make it possible to omit preoperative preparation in most patients scheduled for pheochromocytoma removal is presently questionable. We reviewed available literature in this respect. PDF Manejo del feocromocitoma: ideas Viejas y nuevas drogas Management of pheochromocytoma: old ideas and new drugs. Domi R1, Laho H. Niger J Clin Pract. 2012 Jul-Sep;15(3):253-7. doi: 10.4103/1119-3077.100616. Abstract Pheochromocytoma presents a challenge to the surgery team because of its clinical features and implications. The patient must be treated before the surgery until a stable hemodynamically state is achieved. The preoperative treatment includes α2-short acting adrenergic blocking and β-blocker agents. The most crucial intraoperative moments are induction of anesthesia and hemodynamic oscillations. An adequate preoperative preparation, modern anesthetic drugs, good collaboration between the surgeons and the anesthesiologists, and postoperative care decrease the rate of complications and improve the outcome. This review aims to discuss all the possible pharmacological strategies of perioperative management of phoechromocytoma, focusing on new drugs and treatments. PDF Guía norteamericana de consenso de la Sociedad Neuroendócrina de Tumores para el diagnóstico y manejo de tumores neuroendocrinos: feocromocitoma, paraganglioma y cáncer medular de tiroides. The North American Neuroendocrine Tumor Society consensus guideline for the diagnosis and management of neuroendocrine tumors: pheochromocytoma, paraganglioma, and medullary thyroid cancer. Chen H1, Sippel RS, O'Dorisio MS, Vinik AI, Lloyd RV, Pacak K; North American Neuroendocrine Tumor Society (NANETS). Pancreas. 2010 Aug;39(6):775-83. doi: 10.1097/MPA.0b013e3181ebb4f0. Abstract Pheochromocytomas, intra-adrenal paraganglioma, and extra-adrenal sympathetic and parasympathetic paragangliomas are neuroendocrine tumors derived from adrenal chromaffin cells or similar cells in extra-adrenal sympathetic and parasympathetic paraganglia, respectively. Serious morbidity and mortality rates associated with these tumors are related to the potent effects of catecholamines on various organs, especially those of the cardiovascular system. Before any surgical procedure is done, preoperative blockade is necessary to protect the patient against significant release of catecholamines due to anesthesia and surgical manipulation of the tumor. Treatment options vary with the extent of the disease, with laparoscopic surgery being the preferred treatment for removal of primary tumors. Medullary thyroid cancer (MTC) is a malignancy of the thyroid C cells or parafollicular cells. Thyroid C cells elaborate a number of peptides and hormones, such as calcitonin, carcinoembryonic antigen, and chromogranin A. Some or all of these markers are elevated in patients with MTC and can be used to confirm the diagnosis as well as to follow patients longitudinally for recurrence. Medullary thyroid cancer consists of a spectrum of diseases that ranges from extremely indolent tumors that are stable for many years to aggressive types associated with a high mortality rate. Genetic testing for RET mutations has allowed identification of familial cases and prophylactic thyroidectomy for cure. The only curative treatment is complete surgical resection. PDF XIV Congreso Virtual Mexicano de Anestesiología 2017 Octubre 1-Diciembre 31, 2017 Información / Information Encuentro Internacional de Manejo de la Vía Aérea Bariloche. Argentina. Nov 30-Dic 2, 20l7 Información / Information

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

Lactancia materna como desarrollo sostenible

Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. Continuamos el Programa 2017, el día 5 Julio las 21hrs (Centro, México DF, Guadalajara Liima Perú) a la Conferencia: “Lactancia materna como desarrollo sostenible ”, por el “Dr. Enrique Mendoza López“ Pediátra de la Cd. De Monterrey N.lL. .”. La sesión inicia puntualmente a las 21 hrs.
Para entrar a la Sala de Conferencia:
1.- hacer click en la siguiente liga, o cópiala y escríbela en tu buscador 

http://connectpro60196372.adobeconnect.com/lactancia_sostenibilidad/

2.- “Entra como Invitado” Escribes tu nombre y apellido en el espacio en blanco
3.- Hacer click en el espacio que dice “Entrar en la Sala”
5.- A disfrutar la conferencia
6.- Recomendamos que dejes tu Nombre Completo, Correo electrónico y que participes.


7.- Recientemente te solicita para emtar en la patafoem un add in, que es un parche bajalo de la siguiente liga: https://adobe.ly/2r4SSag


Dr. Enrique Mendoza López Webmaster: CONAPEME Coordinador Nacional: Seminario Ciberpeds-Conapeme Av La clinica 2520-310 Colonia Sertoma ,Mty N.L. México CP 64710 Tel-Fax 52 81 83482940 y 52 81 81146053 Celular 8183094806 www.conapeme.org www.pediatramendoza.com enrique@pediatramendoza.com emendozal@yahoo.com.mx

Lesiones síndesmóticas – tornillos vs. fijación dinámica y otras controversias

http://www.clinicadeartroscopia.com.mx/academia/lesiones-sindesmoticas-tornillos-vs-fijacion-dinamica-y-otras-controversias/

Ankle Syndesmotic Injuries

Fuente
Este artículo es originalmente publicado en:

https://youtu.be/zg2QhPNhkYk

De y Todos los derechos reservados:

Courtesy: Gene Shaffer, MD. Program Director, Orthopedic Residency Program, Albert Einstein Medical Center,

Saqib Rehman MD, Director of Orthopaedic TraumaFrom the 9th Annual Philadelphia Orthopaedic Trauma Symposium June 10, 2017, Lewis Katz School of Medicine at Temple University, Philadelphia

www.orthoclips.com

Publicado el 28 jun. 2017
By Gene Shaffer, MD. Program Director, Orthopedic Residency Program, Albert Einstein Medical Center

From the 9th Annual Philadelphia Orthopaedic Trauma Symposium June 10, 2017, Lewis Katz School of Medicine at Temple University, Philadelphia
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#Lesiones síndesmóticas#sindesmosis#fijación dinámica

Ciencias básicas – Diagrama de cuerpo libre – cadera

http://www.reemplazoprotesico.com.mx/academia/ciencias-basicas-diagrama-de-cuerpo-libre-cadera/

Basic sciences – Free Body diagram – hip

Fuente
Este artículo es originalmente publicado en:

https://youtu.be/x8MsrME81Rw

De y Todos los derechos reservados para:

Courtesy: Harry Benjamin-Laing, Ortho M8, FRCS(Tr and Orth) Tutorials

Publicado el 11 nov. 2016

frcs orth revision

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• Gente y blogs

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#cadera#hip#diagrama de cuerpo libre#free body diagram