Ketamina en graves/Ketamine uin critical care cases

Ketamina en cirugía cardiaca y la UCI de adultos. Evidencia basada en revisión clínica Ketamine in adult cardiac surgery and the cardiac surgery Intensive Care Unit: An evidence-based clinical review. Mazzeffi M, Johnson K, Paciullo C. Ann Card Anaesth 2015;18:202-9 Abstract Ketamine is a unique anesthetic drug that provides analgesia, hypnosis, and amnesia with minimal respiratory and cardiovascular depression. Because of its sympathomimetic properties it would seem to be an excellent choice for patients with depressed ventricular function in cardiac surgery. However, its use has not gained widespread acceptance in adult cardiac surgery patients, perhaps due to its perceived negative psychotropic effects. Despite this limitation, it is receiving renewed interest in the United States as a sedative and analgesic drug for critically ill-patients. In this manuscript, the authors provide an evidence-based clinical review of ketamine use in cardiac surgery patients for intensive care physicians, cardio-thoracic anesthesiologists, and cardio-thoracic surgeons. All MEDLINE indexed clinical trials performed during the last 20 years in adult cardiac surgery patients were included in the review. Keywords: Cardiac surgery; dissociative anesthesia; intensive care; ketamine PDF    Combinación de ketamina-propofol (Ketofol) para intubación endotraqueal en pacientes graves. Estudio de casos Ketamine and propofol combination ("ketofol") for endotracheal intubations in critically ill patients: a case series. Gallo de Moraes A, Racedo Africano CJ, Hoskote SS, Reddy DR, Tedja R, Thakur L, Pannu JK, Hassebroek EC, Smischney NJ. Am J Case Rep. 2015 Feb 13;16:81-6. doi: 10.12659/AJCR.892424. Abstract BACKGROUND: Endotracheal intubation is a common procedure performed for critically ill patients that can have immediate life-threatening complications. Induction medications are routinely given to facilitate the procedure, but most of these medications are associated with hypotension. While etomidate is known for its neutral hemodynamic profile, it has been linked with increased mortality in septic patients and increased morbidity in trauma patients. Ketamine and propofol are effective anesthetics with counteracting cardiovascular profiles. No data are available about the use of this combination in critically ill patients undergoing endotracheal intubation. CASE REPORT: We describe 6 cases in which the combination of ketamine and propofol ("ketofol") was used as an induction agent for endotracheal intubation in critically ill patients with a focus on hemodynamic outcomes. All patients received a neuromuscular blocker and fentanyl, while 5 patients received midazolam. We recorded mean arterial pressure (MAP) 1 minute before induction and 15 minutes after intubation with the combination. Of the 6 patients, 5 maintained a MAP ≥ 65 mmHg 15 minutes after intubation. One patient was on norepinephrine infusion with a MAP of 64 mmHg, and did not require an increase in the dose of the vasopressor 15 minutes after intubation. No hemodynamic complications were reported after any of the intubations. CONCLUSIONS: This case series describes the use of the "ketofol" combination as an induction agent for intubation in critically ill patients when hemodynamic stability is desired. Further research is needed to establish the safety of this combination and how it compares to other induction medications. PDF Ketamina para sedación continua en paciente con ventilación mecánica Ketamine for continuous sedation of mechanically ventilated patients. Umunna BP1, Tekwani K1, Barounis D1, Kettaneh N1, Kulstad E1. J Emerg Trauma Shock. 2015 Jan-Mar;8(1):11-5. doi: 10.4103/0974-2700.145414.Author Abstract CONTEXT: Long-term sedation with midazolam or propofol has been demonstrated to have serious adverse side effects, such as toxic accumulation or propofol infusion syndrome. Ketamine remains a viable alternative for continuous sedation as it is inexpensive and widely available, however, there are few analyses regarding its safety in this clinical setting. OBJECTIVE: To review the data related to safety and efficacy of ketamine as a potential sedative agent in mechanically ventilated patients admitted to the intensive care unit (ICU). MATERIALS AND METHODS: This was a single-center retrospective study from September 2011 to March 2012 of patients who required sedation for greater than 24 hours, in whom ketamine was selected as the primary sedative agent. All patients greater than 18 years of age, regardless of admitting diagnosis, were eligible for inclusion. Patients that received ketamine for continuous infusion but died prior to receiving it for 24 hours were not included. RESULTS: Thirty patients received ketamine for continuous sedation. In four patients, ketamine was switched to another sedative agent due to possible adverse side effects. Of these, two patients had tachydysrhythmias, both with new onset atrial fibrillation and two patients had agitation believed to be caused by ketamine. The adverse event rate in our patient population was 13% (4/30). CONCLUSIONS: Among ICU patients receiving prolonged mechanical ventilation, the use of ketamine appeared to have a frequency of adverse events similar to more common sedative agents, like propofol and benzodiazepines. KEYWORDS: Adverse event; Ketamine; continuous sedation Artículo/Article

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Más de anestesia cervical epidural/Cervical epidural anaesthesia

Comparación de tres formulaciones diferentes de anestésicos locales para anestesia epidural cervical en cirugía de tiroides Comparison of three different formulations of local anaesthetics for cervical epidural anaesthesia during thyroid surgery. Jain G, Bansal P, Garg GL, Singh DK, Yadav G. Indian J Anaesth. 2012 Mar;56(2):129-34. doi: 10.4103/0019-5049.96306. Abstract BACKGROUND: To compare the efficacy and safety of local anaesthetics under cervical epidural anaesthesia (CEA) using lignocaine (1%), bupivacaine (0.25%) and ropivacaine (0.5%) for thyroid surgery. METHODS: In a prospective, randomized fashion, 81 patients were selected for thyroid surgery under CEA. They were assigned to one of three groups: Group L, B and R to receive 10 mL of 1% lignocaine, 0.25% bupivacaine and 0.5% ropivacaine, respectively. We compared their efficacy in terms of pulmonary and haemodynamic parameters, blockade quality and complications. RESULTS: Of the total, 74 patients completed the study successfully. Sensory block attained the median dermatomal range of C2-T4/T5 in all the groups. Motor block was more pronounced in the ropivacaine group. Cardiorespiratory parameters decreased significantly in all the groups; however, none of the patients had any major complications except for bradycardia in two patients. Among the measured variables, the decrease in heart rate and peak expiratory force was more in the lignocaine group while forced vital capacity and forced expiratory volume at 1 sec declined to a greater extent in the ropivacaine group. The lignocaine group required significantly more epidural top-ups compared with the other two groups. CONCLUSION: We conclude that cervical epidural route can be safely used for surgery on thyroid gland in patients with normal cardiorespiratory reserve, using either of local anaesthetics chosen for our study. Under the selected dose and concentrations, the decrease in cardiorespiratory parameters was lesser with bupivacaine. KEYWORDS: Bupivacaine; cervical epidural anaesthesia; lignocaine; ropivacaine; thyroid surgery PDF Burbujas de aire simulan hernia discal en la RNM después de bloqueo cervical epidural Air bubbles mimic disc herniation in MRI after cervical epidural block. Kim TS1, Shin SS, Kim JR, Kim DY. Korean J Pain. 2010 Sep;23(3):202-6. doi: 10.3344/kjp.2010.23.3.202. Epub 2010 Aug 26. Abstract Magnetic resonance image (MRI) is the most sensitive imaging test of the spine in routine clinical practice. Unlike conventional x-ray examinations and computed tomography scans, high-quality magnetic resonance images can be assured only if patients are able to remain perfectly still. However, some patients find it uncomfortable to remain still because of pain. In that condition, interlaminar cervical epidural injections can reduce pain and allow the procedure. When using air with the "loss of resistance" technique in epidural injections to identify the epidural space, there is the possibility of injected excessive air epidurally to mimic a herniated disc. We describe a case report of epidural air artifact in a cervical MRI aftercervical epidural injections. KEYWORDS: artifact; epidural injections; herniated disc; magnetic resonance image PDF Manejo de la cefalea cervicogénica con inyección cervical epidural de esteroides Treatment of cervicogenic headache with cervical epidural steroid injection. Wang E, Wang D. Curr Pain Headache Rep. 2014 Sep;18(9):442. doi: 10.1007/s11916-014-0442-3. Abstract Cervicogenic headache (CGH) is defined as referred pain from various cervical structures innervated by the upper three cervical spinal nerves. Such structures are potential pain generators, and include the atlanto-occipital joint, atlantoaxial joint, C2-3 zygapophysial joint, C2-3 intervertebral disc,cervical myofascial trigger points, as well as the cervical spinal nerves. Various interventional techniques, including cervical epidural steroid injection (CESI), have been proposed to treat this disorder. And while steroids administered by cervical epidural injection have been used in clinical practice to provide anti-inflammatory and analgesic effects that may alleviate pain in patients with CGH, the use of CESI in the diagnosis and treatment of CGH remains controversial. This article describes the neuroanatomy, neurophysiology, and classification of CGH as well as a review of the available literature describing CESI as treatment for this debilitating condition. PDF Bloqueo cervical epidural para manejo de cirugía de trauma de miembro superior Dra. Leslian Janet Mejía-Gómez Rev Mex Anestesiología Vol. 36. Supl. 1 Abril-Junio 2013 pp S211-S215 PDF Bloqueo cervicotorácico en cirugía mamaria Video Cervical Epidural Block technique for mastectomy (C7-T1) Videoclip Cervical Epidural Injection Video

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Bibliotecas populares. Alerta

bibliotecas populares


Inauguraron la sede local de la Red de Bibliotecas Populares
Diario El Argentino
Estuvieron presentes el rector de la UADER, Aníbal Sattler, el presidente de la red de bibliotecas populares, Pascual Manganiello, el intendente Juan ...



TiempoSur Diario Digital

Se inauguró la Biblioteca Popular "Néstor Kirchner" en la UTN
TiempoSur Diario Digital
El acto se llevó a cabo hoy donde el Decano de la Facultad Regional Santa Cruz, Martín Goicochea, junto a la Vicepresidenta de la Red de ...
Goycochea inauguró la Biblioteca “Néstor Kirchner” - PrensaLibreonline
Cobertura total de la noticia




TiempoSur Diario Digital

El lunes se inaugura la Biblioteca Popular “Néstor Kirchner”
TiempoSur Diario Digital
El Decano de la Facultad Regional Santa Cruz, Ing. Martín Goicoechea, invita a toda la comunidad a la inauguración de la Biblioteca de la “Red de ...




La Voz del Interior

Entra en vigencia la ley de estímulo a las ediciones literarias cordobesas
La Voz del Interior
González dijo también que "con este fondo se van a comprar libros para distribuirlos en lasbibliotecas populares e instituciones, porque es una forma ...
Se aprobó la ley que promueve a las ediciones literarias cordobesas - Carlos Paz Vivo
Cobertura total de la noticia




Diario Democracia

Mañana será el acto oficial por los 126 años de la Biblioteca D. Sarmiento
Diario Democracia
Mañana viernes, a las 19, la Biblioteca Popular Municipal “Domingo F. ... “Como toda biblioteca popular en sus comienzos, un grupo de personas ...




El Liberal Digital

La Biblioteca Domingo Bravo se equiparía para servir de apoyo a los estudiantes de Medicina
El Liberal Digital
Publicado el 27/04/2015 - La Biblioteca Popular Domingo Bravo se encuentra en el corazón del barrio Villa Juana y, desde este espacio, se ofrece a ...




Radio Máxima

Inauguraron la Red de Bibliotecas Populares para la integración latinoamericana
Radio Máxima
En la noche de este viernes, el intendente Juan José Bahillo participó de la inauguración de la sede local de la Red de Bibliotecas Populares para la ...




El Diario del Sur de Córdoba

Con fondos de la Municipalidad
El Diario del Sur de Córdoba
La Comisión Nacional de Bibliotecas Populares convoca a las entidades a aprovechar que entre el 1 y el 3 de mayo “todas las bibliotecas populares ...




La Voz del Interior

Aprueban ley de estímulo a las ediciones literarias cordobesas
La Voz del Interior
Los libros adquiridos serán distribuidos por el Poder Legislativo, en su sede, a bibliotecas populares, instituciones educativas, gremiales, culturales y ...




Diario Democracia

Marina Monti destacó la importancia de las bibliotecas
Diario Democracia
En el acto estará presente el Bibliomóvil de la Comisión Nacional de Bibliotecas Populares(CONABIP), mientras que el payaso “Cachimbo” ...

Obesidad / Imagen del mes/Image of the month

La obesidad es un tema muy importante en salud pública, y se ha convertido en un patógeno significativo en todo el mundo, primordialmente en las zonas desarrolladas. Afecta a todas las edades, y en los niños y adolescentes es particularmente importante establecer medidas de prevención. En 2008 se estimó que había 502 millones de personas obesas en el mundo, y la OMS menciona que para esta década serán 700 millones de obesos en todo el mundo.  La obesidad se acompaña de múltiples enfermedades comunes con resultados letales, siendo la muerte prematura y la calidad de vida dos temas de capital importancia. El manejo del obeso mórbido grave es muy complejo y las Unidades de Cuidado Intensivo se enfrentan a este reto con frecuencia creciente. Se envían algunas imágenes y artículos sobre este apasionante tema. Obesity is a major public health issue, that has become a significant pathogen worldwide, primarily in developed areas. It affects all ages, and in children and adolescents is particularly important to establish preventive measures. In 2008 it was estimated that there were 502 million obese people in the world, and WHO says that this decade will be 700 million obese worldwide. Obesity is associated with many common diseases with lethal results, being premature death and quality of life two issues of paramount importance. The management of severe morbid obesity is very complex and Intensive Care Units are facing this challenge with increasing frequency. Some images and articles on this fascinating subject are sent. Incremento de los servicios de salud por los pacientes obesos sometidos a cirugía de urgencia. Estudio retrospectivo Increased health services use by severely obese patients undergoing emergency surgery: a retrospective cohort study. Küpper S, Karvellas CJ, Khadaroo RG, Widder SL; Acute Care and Emergency Surgery (ACES) Group. Can J Surg. 2015 Feb;58(1):41-7. doi: 10.1503/cjs.003914. PDF El efecto de la obesidad sobre la evolución en pacientes con ventilación mecánica en una unidad de cuidados intensivos médicos. The effect of obesity on outcomes in mechanically ventilated patients in a medical intensive care unit.  Lee CK, Tefera E, Colice G. Respiration. 2014;87(3):219-26. doi: 10.1159/000357317. Epub 2014 Jan 23. PDF El paciente obeso en terapia intensiva Carlos Lovesio Libro Virtual Intramed PDF Síndrome de obesidad e hipoventilación en terapia intensiva Eduardo Borsini, Florencia Ballestero , Miguel Blasco, Sebastián Chapela , Emiliano Descotte , Florencia Lascar , Julio Chertcoff Revista Americana de Medicina Respiratoria Vol 14 Nº 4 - Diciembre 2014 PDF Papel de la endoscopía en los pacientes bariátricos quirúrgicos Role of endoscopy in the bariatric surgery of patients. De Palma GD, Forestieri P. World J Gastroenterol. 2014 Jun 28;20(24):7777-84. doi: 10.3748/wjg.v20.i24.7777. PDF Reducción significativa de eventos hipóxicos en pacientes con obesidad mórbida sometidos a endoscopia digestiva: predictores y efecto de la práctica. Significantly reduced hypoxemic events in morbidly obese patients undergoing gastrointestinal endoscopy: Predictors and practice effect. Goudra BG, Singh PM, Penugonda LC, Speck RM, Sinha AC. J Anaesthesiol Clin Pharmacol. 2014 Jan;30(1):71-7. doi: 10.4103/0970-9185.125707. PDF Manejo de sospecha de fuga anastomótica después de bypass gástrico en Y de Roux Management of suspected anastomotic leak after bariatric laparoscopic Roux-en-y gastric bypass. Jacobsen HJ, Nergard BJ, Leifsson BG, Frederiksen SG, Agajahni E, Ekelund M, Hedenbro J, Gislason H. Br J Surg. 2014 Mar;101(4):417-23. doi: 10.1002/bjs.9388. PDF Ventilación protectiva perioperatoria en obesos Perioperative lung protective ventilation in obese patients. Fernandez-Bustamante A, Hashimoto S, Serpa Neto A, Moine P, Vidal Melo MF, Repine JE. BMC Anesthesiol. 2015 Apr 25;15(1):56. [Epub ahead of print] PDF Restricción respiratoria y presiones pleural y esofágicas elevadas en la obesidad mórbida Respiratory restriction and elevated pleural and esophageal pressures in morbid obesity. Behazin N1, Jones SB, Cohen RI, Loring SH. J Appl Physiol (1985). 2010 Jan;108(1):212-8. doi: 10.1152/japplphysiol.91356.2008. Epub 2009 Nov 12. PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Libros sobre obesidad/Books on obesity

Obesidad infantil Childhood Obesity Edited by Sevil Ari Yuca, ISBN 978-953-51-0374-5, 248 pages, Publisher: InTech, Chapters published March 28, 2012 under CC BY 3.0 license DOI: 10.5772/1151 This book aims to provide readers with a general as well as an advanced overview of the key trends in childhood obesity. Obesity is an illness that occurs due to a combination of genetic, environmental, psychosocial, metabolic and hormonal factors. The prevalence of obesity has shown a great rise both in adults and children in the last 30 years. It is known that one third of children who are obese in childhood and 80% of adolescents who are obese in their adolescent years continue to be obese later in life. Obesity is an important risk factor in serious illnesses such as heart disease, hyperlipidemia, hyperinsulinemia, hypertension and early atherosclerosis. Libro/Book Cirugía bariátrica y metabólica avanzada Advanced Bariatric and Metabolic Surgery Edited by Chih-Kun Huang, ISBN 978-953-307-926-4, 336 pages, Publisher: InTech, Chapters published February 29, 2012 under CC BY 3.0 license DOI: 10.5772/1066 Bariatric surgery has gained importance in the last 20 years because of the high prevalence of global obesity, and the vast understating of the physiological and pathological aspects of obesity and associated metabolic syndromes. This book has been written by a number of highly outstanding authors and pioneering bariatric surgeons from all over the world. The intended audience for this book includes all medical professionals involved in caring for bariatric patients. The chapters cover the choice of operation, preoperative preparation including psychological aspect, postoperative care and management of complication. It also extends to concept and result of metabolic surgery and scarless bariatric surgery. Libro/Book  Fundamentos y controversias en cirugía bariátrica Essentials and Controversies in Bariatric Surgery Edited by Chih-Kun Huang, ISBN 978-953-51-1726-1, 152 pages, Publisher: InTech, Chapters published October 01, 2014 under CC BY 3.0 license DOI: 10.5772/57007 Bariatric surgery has been proved to be clinically effective and economically viable for obese people when compared to non-surgical interventions. Advancement of minimally invasive surgery in the last 20 years has made the safety and reliability widely accepted by the public and government systems. Bariatric surgery not only proves its efficacy in marked long-term weight loss, but also aids in achieving substantial improvement or remission of co-morbidities. In this book, we review the fundamental knowledge of bariatric surgery, including preoperative nutrition, selection, and surgical complication. In the second part, new emerging and novel procedures are thoroughly described and discussed. Unquestionably, this book will offer you essentials as well as the latest concepts of bariatric and metabolic surgery. Libro/Book

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Medwave. Hemos completado la edición correspondiente al mes de Abril 2015, los artículos incluídos son los siguientes

Hemos completado la edición correspondiente al mes de Abril 2015, los artículos incluídos son los siguientes.


EDITORIAL

La evidencia y la región - ¿conversan o colisionan?
Vivienne C. Bachelet

Medwave 2015 Abr;15(3):e6127
http://dx.doi.org/10.5867/medwave.2015.03.6127


ESTUDIOS PRIMARIOS

Estudio de asociación familiar entre las alteraciones de los potenciales evocados N200/P300 y el fenotipo clínico en familias cubanas con esquizofrenia paranoide
Seidel Guerra López, Migdyrai Martín Reyes, maría de los Ángeles Pedroso Rodríguez, Adnelys Reyes Berazain, Raúl Mendoza Quiñones, Tania Martha Bravo Collazo, Thais Días de Villarvilla, María Julia Machado Cano, María Antonieta Bobés León (Multinacional)

Medwave 2015 Abr;15(3):e6112
http://dx.doi.org/10.5867/medwave.2015.03.6112


Estudio transversal sobre tabaquismo y su relación con valores espirométricos en estudiantes de tercer año de medicina
Victor Hugo Fernández, Mariela Edith Beligoy, Yessica Vanesa Lima, Pablo Federico Barissi (Argentina)

Medwave 2015 Abr;15(3):e6124
http://dx.doi.org/10.5867/medwave.2015.03.6124


REVISIÓN CLÍNICA

Terapia de reemplazo con testosterona y cáncer de próstata: ¿la caída de un paradigma?
Octavio A. Castillo, Gastón López-Fontana, Ivar Vidal-Mora, José Daniel López Laur (Chile, Argentina)

Medwave 2015 Abr;15(3):e6115
http://dx.doi.org/10.5867/medwave.2015.03.6115


ARTÍCULO DE REVISIÓN

Plantas latinoamericanas como fuente de nuevos antineoplásicos, situación actual y nuevas oportunidades contra el cáncer
Eduardo Freddy Orrego Escobar (Chile)

Medwave 2015 Abr;15(3):e6121
http://dx.doi.org/10.5867/medwave.2015.03.6121


RESUMENES EPISTEMONIKOS

¿La aspirina reduce la recurrencia de eventos tromboembólicos idiopáticos después de completado el tratamiento anticoagulante?
Andrés Valenzuela, Andrés Aizman (Chile)

Medwave 2015 Abr;15(3):e6118
http://dx.doi.org/10.5867/medwave.2015.03.6118


¿Debe indicarse acetilcisteína para prevenir la nefropatía por contraste?
Ariel Izcovich, Gabriel Rada (Argentina, Chile)

Medwave 2015 Abr;15(3):e6122
http://dx.doi.org/10.5867/medwave.2015.03.6122


¿Es beneficiosa la profilaxis antibiótica en la pancreatitis aguda? - Primera actualización
Gabriel Rada, José Peña (Chile)
Medwave 2015 Abr;15(3):e6125
http://dx.doi.org/10.5867/medwave.2015.03.6125


¿Tienen un rol los digitálicos en la insuficiencia cardíaca crónica?
Carmen Rain, Gabriel Rada (Chile)

Medwave 2015 Abr;15(3):e6129
http://dx.doi.org/10.5867/medwave.2015.03.6129


PORTADA MEDWAVE
http://www.medwa

Obesidad y embarazo

IMC pre-embarazo y mortalidad por enfermedad cardiovascular. Estudios para el desarrollo y la salud del niño. Prepregnancy body mass index and cardiovascular disease mortality: the Child Health and Development Studies. Mongraw-Chaffin ML1, Anderson CA, Clark JM, Bennett WL. Obesity (Silver Spring). 2014 Apr;22(4):1149-56. doi: 10.1002/oby.20633. Epub 2013 Dec 4. PDF Efectos del IMC materno sobre las concentraciones de eritropoyetina en el cordón umbilical Effect of maternal body mass index on cord blood erthropoietin concentrations Barak S, Mimouni FB, Stern R, Cohen N, Marom R. J Perinatol. 2015 Jan;35(1):29-31. doi: 10.1038/jp.2014.140. Epub 2014 Aug 7. PDF Nutrición y embarazo después de cirugía bariátrica Nutrition and pregnancy after bariatric surgery. Kaska L, Kobiela J, Abacjew-Chmylko A, Chmylko L, Wojanowska-Pindel M, Kobiela P, Walerzak A, Makarewicz W, Proczko-Markuszewska M,Stefaniak T. ISRN Obes. 2013 Jan 30;2013:492060. doi: 10.1155/2013/492060. eCollection 2013. PDF Diagnóstico de obesidad materna y riesgo de parálisis cerebral en el niño Maternal diagnosis of obesity and risk of cerebral palsy in the child. Crisham Janik MD, Newman TB, Cheng YW, Xing G, Gilbert WM, Wu YW. J Pediatr. 2013 Nov;163(5):1307-12. doi: 10.1016/j.jpeds.2013.06.062. Epub 2013 Aug 6. PDF Superobesidad materna y evolución perinatal Maternal superobesity and perinatal outcomes. Marshall NE, Guild C, Cheng YW, Caughey AB, Halloran DR. Am J Obstet Gynecol. 2012 May;206(5):417.e1-6. doi: 10.1016/j.ajog.2012.02.037. Epub 2012 Mar 7. PDF Intervenciones para reducir y prevenir la obesidad en mujeres antes de la concepción y embarazadas. Revisión sistemática y meta-análisis Interventions to reduce and prevent obesity in pre-conceptual and pregnant women: a systematic review and meta-analysis. Agha M, Agha RA, Sandell J. PLoS One. 2014 May 14;9(5):e95132. doi: 10.1371/journal.pone.0095132. eCollection 2014. PDF Efectos del bypass gástrico sobre la función reproductiva Effects of gastric bypass surgery on female reproductive function. Legro RS1, Dodson WC, Gnatuk CL, Estes SJ, Kunselman AR, Meadows JW, Kesner JS, Krieg EF Jr, Rogers AM, Haluck RS, Cooney RN. J Clin Endocrinol Metab. 2012 Dec;97(12):4540-8. doi: 10.1210/jc.2012-2205. Epub 2012 Oct 12. PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Ictericia y rechazo al pecho dos causas de destete incorrecto

Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 6 de Mayo 2015 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Ictericia y rechazo al pecho dos causas de destete incorrecto” por el “Dr. José María Paricio Talayero”, Pediatra de España. La sesión inicia puntualmente 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/ictercia_rechazo/

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.


Henrys


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