Anestesia obstétrica/Obstetric anesthesia

¿Que hay de nuevo en anestesia obstétrica? Conferencia 2013 Gerard W. Ostheirmer What's new in Obstetric Anesthesia? The 2013 Gerard W. Ostheimer lecture. Palanisamy A Anesth Analg. 2014 Feb;118(2):360-6. doi: 10.1213/ANE.0000000000000101. Abstract The "What's New in Obstetric Anesthesia?" keynote lecture was established by the Society for Obstetric Anesthesia and Perinatology in memory of the eminent obstetric anesthesiologist, Dr. Gerard W. Ostheimer. From a wide selection of journals encompassing the fields of obstetric anesthesia, obstetrics, and perinatology, the designated lecturer identifies articles of significant impact and interest published in the preceding year. The Ostheimer lecture, delivered this year at the annual meeting of the Society in April 2013 in San Juan, Puerto Rico, included highly relevant papers that have the potential to change obstetric anesthesia practice or impact public health. This review summarizes 5 categories of pertinent articles that were published in 2012 and discussed in the 2013 Ostheimer lecture: maternal diseases, labor and delivery, advances in obstetric anesthesia, obstetric complications, and anesthesia-related complications. PDF Esencial en paro cardíaco durante la cesárea Essentials in cardiac arrest during cesarean section. van Liempt SW, Stoecklein K, Tjiong MY, Schwarte LA, de Groot CJ, Teunissen PW. Clin Pract. 2015 Feb 17;5(1):668. doi: 10.4081/cp.2015.668. eCollection 2015. Abstract Cardiac arrest during cesarean section is very rare. Obstetrical teams have low exposure to these critical situations necessitating frequent rehearsal and knowledge of its differential diagnosis and treatment. A 40-year-old woman pregnant with triplets underwent cesarean sections because of vaginal bleeding due to a placenta previa at 35.2 weeks of gestation. Spinal anesthesia was performed. Asystole occurred during uterotomy. Immediate resuscitation and delivery of the neonates eventually resulted in good maternal and neonatal outcomes. The differential diagnosis is essential and should include obstetric and non-obstetric causes. We describe the consideration of Bezold Jarisch reflex and amniotic fluid embolism as most appropriate in this case. KEYWORDS: Bezold Jarisch reflex; cardiac arrest; cesarean section PDF Un cambio en el manejo de la hemorragia obstétrica intratable en más de 15 años en un centro de atención terciaria. A change in the management of intractable obstetrical hemorrhage over 15 years in a tertiary care center. Juneja SK, Tandon P, Mohan B, Kaushal S. Int J Appl Basic Med Res. 2014 Sep;4(Suppl 1):S17-9. doi: 10.4103/2229-516X.140710. Abstract CONTEXT: Peripartum hysterectomy was the gold standard to save a woman with persistent obstetrical bleeding, but compromised the menstrual and reproductive functions. Bilateral internal iliac artery ligation (BIAL) is a potentially effective, fertility preserving means of controlling pelvic hemorrhage, but with surgical and anesthetic risks and low success. Angiographic embolization has the potential to arrest severe pelvic hemorrhage without removing the uterus and without hazarding general anesthesia in a hemodynamically unstable patient. AIMS: The aim of this study is to discuss change in the management of intractable obstetrical hemorrhage from removing to conserving the uterus over 15 years. SETTINGS AND DESIGN: A retrospective analysis of 122 cases of intractable obstetrical hemorrhage over a period of 15 years (January 1997 to December 2011) was done. We started uterine artery embolization (UAE) in 2007 for obstetrical hemorrhage. The patients were analyzed for maternal characteristics, indications, treatment modality, maternal morbidity, and mortality. STATISTICAL ANALYSIS USED: Descriptive. RESULTS: We analyzed 12,055 deliveries, (6029 cesarean sections; 6026 vaginal deliveries). One hundred and twenty-two cases of intractableobstetrical hemorrhage were managed with obstetrical hysterectomies in 63, UAE in 53 cases and BIAL in six cases. During the period between 1997 and 2006 intractable obstetrical hemorrhage was managed by hysterectomy/internal iliac artery ligation. The last 5 years of the study period had 80 patients with intractable obstetrical hemorrhage, 53 patients underwent arterial embolization and 35 had a hysterectomy and two had internal artery ligation. There was no mortality and significantly less morbidity in embolization group in our study. CONCLUSIONS: Embolization should be tried in patients with intractable obstetrical hemorrhage before proceeding for surgical intervention. KEYWORDS: Bilateral internal iliac artery ligation; obstetrical hemorrhage; uterine artery embolization PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Anestésicos volátiles/Volatile anesthetics

Farmacología molecular de los anestésicos volátiles The Molecular Pharmacology of Volatile Anesthetics Borghese, Cecilia M. PhD International Anesthesiology Clinics: Spring 2015 - Volume 53 - Issue 2 - p 28-39 Volatile anesthetics (VAs) transformed medical practice, although their impact may now be taken for granted. More than 150 years after they were introduced, VAs are now ubiquitous in operating rooms, but should not be considered commonplace in terms of our understanding of how they act. Despite their history of use, there is still much to learn about them, including their precise mechanism of action. PDF Insensibilidad durante operaciones quirúrgicas producidas por inhalación Insensibility during Surgical Operations Produced by Inhalation Dr. Charles A. Lee Boston Med Surg J 1847; 35:518-519 PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Medwave. Mayo 2015

A continuación le informamos los artículos recientemente publicados en Medwave


ESTUDIOS PRIMARIOS

Imagen corporal en personas con disforia de género
María Frenzi Rabito Alcón, José Miguel Rodríguez Molina (España)

Medwave 2015 May;15(4):e6138
http://dx.doi.org/10.5867/medwave.2015.04.6138


Conocimientos, prácticas y actitudes hacia el voluntariado ante una influenza pandémica: estudio transversal con estudiantes de medicina en Perú
Julio A. Huapaya, Julio Maquera-Afaray, Patricia J. García, César Cárcamo, Javier A. Cieza (Perú)

Medwave 2015 May;15(4):e6136
http://dx.doi.org/10.5867/medwave.2015.04.6136


Hepatotoxicidad medicamentosa y tuberculosis en un hospital del noreste argentino: estudio transversal
Alfredo Sebastián Golemba, Francisco Gastón Emmanuel Ferreyra, Ricardo Enrique Martearena, Fernando Ramón Achinelli, Gloria Beatriz Rovai (Argentina)

Medwave 2015 May;15(4):e6135
http://dx.doi.org/10.5867/medwave.2015.04.6135


REPORTE DE CASO

Teratoma sacrococcígeo: presentación de un caso
Ricardo Molina Vital, José Martín De Santiago Valenzuela, Roberto Carlos De Lira Barraza (México)

Medwave 2015 May;15(4):e6137
http://dx.doi.org/10.5867/medwave.2015.04.6137


RESÚMENES EPISTEMONIKOS

¿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
www.medwave.cl

IV Jornada Uruguaya de Bibliotecología e Información

bibliotecologia Notificaciones diarias ⋅ 15 de mayo de 2015
	WEB
	IV Jornada Uruguaya de Bibliotecología e Información Asociación de Bibliotecólogos del Uruguay IV Jornada Uruguaya de Bibliotecología e Información. (JUBI IV). ¿Qué necesitan los niños y los jóvenes hoy? Una mirada desde las Bibliotecas.

Guías para con pacientes con antiagregantes y anticoagulantes/Guidelines for patients on antiplatelet and an

Intervencionismo en la columna y procedimientos intervencionistas para el dolor en pacientes con medicamentos antiagregantes y anticoagulantes. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications: Guidelines From the American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation Society, the North American Neuromodulation Society, and the World Institute of Pain Narouze, Samer, Benzon, Honorio T, Provenzano, David A, Buvanendran, Asokumar, De Andres, José, Deer, Timothy R, Rauck, Richard, Huntoon, Marc A.Regional Anesthesia & Pain Medicine: May/June 2015 - Volume 40 - Issue 3 - p 182-212 PDF Editorial. Sobre el momento de sangrado! Editorial. About Bloody Time!: Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications: Guidelines From the American Society of Regional Anesthesia and Pain Medicine, European Society of Regional Anaesthesia and Pain Therapy, American Academy of Pain Medicine, International Neuromodulation Society, North American Neuromodulation Society, and World Institute of Pain Rosenquist, Richard W. MD Regional Anesthesia & Pain Medicine: May/June 2015 - Volume 40 - Issue 3 - p 179-181 PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Camilo Golgi y Louis Antoine Ranvier

Golgi y Ranvier: de la reacción negra a la teoría del dolor referido Golgi and Ranvier: from the black reaction to a theory of referred pain. Cani V, Mazzarello P. Funct Neurol. 2015 Apr 13:1-5. [Epub ahead of print] Abstract In his brief report on the structure of the gray matter of the central nervous system (1873), in which he described the "black reaction", Golgi noted the ramifications of the axon. This discovery prompted the French histologist Louis Antoine Ranvier, one of the first to try the black reaction outside Italy, to propose an ingenious theory of referred pain in his Traité technique d'histologie. Ranvier suggested that the nerve fibers originating from the irritated area and those coming from the region to which the sensation is referred converge on the same axon and thus the same cell body, causing the spatial dislocation of sensation. This theory of referred pain is a powerful example of the extraordinary clinical-physiological impact of the first of Golgi's neurocytological discoveries.PDF Como Camilo Golgi se convirtió en el "Aparato de Golgi" How Camillo Golgi became "the Golgi". Mazzarello P, Garbarino C, Calligaro A. FEBS Lett. 2009 Dec 3;583(23):3732-7. doi: 10.1016/j.febslet.2009.10.018. Epub 2009 Oct 13. Abstract On April 1898 Camillo Golgi communicated to the Medical-Surgical Society of Pavia, the discovery of the "internal reticular apparatus", a novel intracellular organelle which he observed in nerve cells with the silver impregnation he had introduced for the staining of the nervous system. Soon after the discovery it became evident that this cellular component, which was also named the "Golgi apparatus", was a ubiquitous structure in eukaryotic cells. However the reality of the organelle was questioned for years and many cytologists considered the internal reticular apparatus as an artefact due to the fixation and/or metallic impregnation procedure. The controversy was finally solved in the mid-1950s by electron microscopy when the Golgi apparatus definitely acquired its dignity of being a genuine cell organelle. The designation of "Golgi complex" entered officially in the literature in 1956. Both the terms Golgi apparatus and Golgi complex are currently interchangeable. However a quick "the Golgi" and the introduction of Golgi in adjectival form are now prevalent in the blooming scientific literature on the organelle. Thus Camillo Golgi underwent his final transformation and, becoming the eponym of the organelle he had discovered, he found a way to immortality. PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Más de clonidina IT en cesárea / More IT clonidine for C-section

Evaluación de los efectos analgésicos de la clonidina intratecal junto con bupivacaína en cesárea. Evaluation of analgesic effects of intrathecal clonidine along with bupivacaine in cesarean section. Kothari N, Bogra J, Chaudhary AK. Saudi J Anaesth. 2011 Jan;5(1):31-5. doi: 10.4103/1658-354X.76499. PDF Raquia para cesárea electiva. Tres dosis diferentes de bupivacaína hiperbárica asociada con morfina y clonidina Spinal anesthesia for elective ceasarean section: use of different doses of hyperbaric bupivacaine associated with morphine and clonidine. Braga Ade F1, Frias JA, Braga FS, Pereira RI, Titotto SM. Acta Cir Bras. 2013 Jan;28(1):26-32. PDF Efecto de adicionar clonidina intratecal a la bupivacaína hiperbárica sobre el dolor postoperatorio y los requerimientos de morfina después de cesárea. Estudio randomizado controlado The effect of addition of intrathecal clonidine to hyperbaric bupivacaine on postoperative pain and morphine requirements after Caesarean section: a randomized controlled trial. van Tuijl I1, van Klei WA, van der Werff DB, Kalkman CJ. Br J Anaesth. 2006 Sep;97(3):365-70. Epub 2006 Jul 21. PDF Raquia en cesárea. Uso de bupivacaína hiperbárica (10 mg) combinada con diferentes adyuvantes Spinal anesthesia for cesarean section. Use of hyperbaric bupivacaine (10mg) combined with different adjuvants. Braga AA, Frias JA, Braga FS, Potério GB, Hirata ES, Torres NA. Rev Bras Anestesiol. 2012 Nov-Dec;62(6):775-87. doi: 10.1016/S0034-7094(12)70178-2. PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

La dieta mediterránea con frutos secos detiene la demencia asociada a la edad

Fuente

Este artículo es originalmente publicado en:

http://www.madrimasd.org/informacionidi/noticias/noticia.asp?id=63651&origen=notiweb&dia_suplemento=martes


La dieta mediterránea con frutos secos detiene la demencia asociada a la edad


¿Hay algo más saludable que la dieta mediterránea? Pues sí, la misma dieta tradicional pero con frutos secos o aceite de oliva extra virgen. Lo afirma un estudio español en el que se ha visto que este 'cóctel' saludable, rico en antioxidantes, se asocia con una mejor función cognitiva en personas mayores. En el artículo que publica la revista JAMA Internal Medicine se demuestran los beneficios de la dieta mediterránea para prevenir o retrasar el deterioro cognitivo asociado al envejecimiento que eventualmente termina en demencia o alzhéimer. El estudio, derivado del ensayo PREDIMED, Prevención con Dieta Mediterránea, revela que, después de 4 años de seguimiento, las personas que siguen esta dieta complementada con aceite de oliva virgen extra o frutos secos tienen una mejor función cognitiva que las personas asignadas a la dieta control....

Tópicos de pediatría/Pediatric topics

Ultrasound Imaging for Pediatric Anesthesia: A Review . Santhanam Suresh, Lauren J. Taylor and Amar S. Minhas Ultrasound Imaging. Masayuki Tanabe (Ed.),2011 ISBN: 978-953-307-239-5, InTech, PDF Parámetros de anestesia-sedación en niños con radioterapia Parameters of anesthesia/sedation in children receiving radiotherapy. McMullen KP, Hanson T, Bratton J, Johnstone PA. Radiat Oncol. 2015 Mar 11;10(1):65. doi: 10.1186/s13014-015-0363-2. PDF Efectos analgésicos, ansiolíticos y anestésicos de la melatonina. Usos potenciales en pediatría Analgesic, anxiolytic and anaesthetic effects of melatonin: new potential uses in pediatrics. Marseglia L, D'Angelo G, Manti S, Aversa S, Arrigo T, Reiter RJ, Gitto E. Int J Mol Sci. 2015 Jan 6;16(1):1209-20. doi: 10.3390/ijms16011209. PDF Anestesia y el cerebro en desarrolo. Relevancias en cirugía cardiaca pediátrica Anesthesia and the developing brain: relevance to the pediatric cardiac surgery. Wise-Faberowski L, Quinonez ZA, Hammer GB. Brain Sci. 2014 Apr 16;4(2):295-310. doi: 10.3390/brainsci4020295. PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Ultrasonido pulmonar/Lung ultrasound

Ultrasonido pulmonar: Presente y futuro Lung ultrasound: Present and future. Saraogi A. Lung India 2015;32:250-7 Abstract The scope of lung ultrasound (LUS) in emergency and critical care settings has been studied extensively. LUS is easily available at bedside, free of radiation hazard and real time. All these features make it useful in reducing need of bedside X-rays and CT scan of chest. LUS has been proven to be superior to the bedside chest X-ray and equal to chest CT in diagnosing many pleural and lung pathologies. The first International Consensus Conference on Lung Ultrasound (ICC-LUS) has given recommendations for unified approach and language in major six areas of LUS. The LUS diagnosis is to be given after integration of findings of both lungs. The BLUE protocol is first LUS-based systematic approach in diagnosing pleural and lung pathologies. The protocol suggested in this article includes history and conventional clinical assessment along with LUS features. Keywords: Interstitial syndrome, lung ultrasound, pneumothorax, pulmonary edema PDF Precisión diagnóstica del ultrasonido pulmonar en el protocolo de emergencia para el diagnóstico de la insuficiencia respiratoria aguda en pacientes con respiración espontánea. Diagnostic accuracy of the Bedside Lung Ultrasound in Emergency protocol for the diagnosis of acute respiratory failure in spontaneously breathing patients. Neto FL, de Andrade JM, Raupp AC, Townsend Rda S, Beltrami FG, Brisson H, Lu Q, Dalcin Pde T. J Bras Pneumol. 2015 Jan-Feb;41(1):58-64. doi: 10.1590/S1806-37132015000100008. Abstract OBJECTIVE: Bedside lung ultrasound (LUS) is a noninvasive, readily available imaging modality that can complement clinical evaluation. TheBedside Lung Ultrasound in Emergency (BLUE) protocol has demonstrated a high diagnostic accuracy in patients with acute respiratory failure (ARF). Recently, bedside LUS has been added to the medical training program of our ICU. The aim of this study was to investigate the accuracy of LUS based on the BLUE protocol, when performed by physicians who are not ultrasound experts, to guide the diagnosis of ARF. METHODS: Over a one-year period, all spontaneously breathing adult patients consecutively admitted to the ICU for ARF were prospectively included. After training, 4 non-ultrasound experts performed LUS within 20 minutes of patient admission. They were blinded to patient medical history. LUS diagnosis was compared with the final clinical diagnosis made by the ICU team before patients were discharged from the ICU (gold standard). RESULTS: Thirty-seven patients were included in the analysis (mean age, 73.2 ± 14.7 years; APACHE II, 19.2 ± 7.3). LUS diagnosis had a good agreement with the final diagnosis in 84% of patients (overall kappa, 0.81). The most common etiologies for ARF were pneumonia (n = 17) and hemodynamic lung edema (n = 15). The sensitivity and specificity of LUS as measured against the final diagnosis were, respectively, 88% and 90% for pneumonia and 86% and 87% for hemodynamic lung edema. CONCLUSIONS: LUS based on the BLUE protocol was reproducible by physicians who are not ultrasound experts and accurate for the diagnosis of pneumonia and hemodynamic lung edema. KEYWORDS: Intensive care units; Respiratory insufficiency; Ultrasonography, interventional PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org

Bibliotecas populares. Alerta

bibliotecas populares
Notificaciones semanales ⋅ 13 de mayo de 2015
NOTICIAS


Nuevo Diario de Santiago del Estero

Una gran oportunidad para las bibliotecas populares
Diario Democracia
Con la Feria Internacional del Libro en Buenos Aires en pleno desarrollo, distintas bibliotecas buscan renovar su stock, a través de promociones, ...




LaCapital.com.ar

Bautizan con el nombre "Obispo Federico Pagura" a la biblioteca de una cárcel
LaCapital.com.ar
La biblioteca se puso en marcha a fines del año pasado con unos 500 ... del que participan distintas organizaciones sociales y bibliotecas populares.



Refugios del sentido
LaCapital.com.ar
Las bibliotecas populares son refugios del sentido, sinónimos de inclusión, respuestas que se dio el pueblo a sí mismo. Hijas de la solidaridad —que ...




Nuevo Diario de Santiago del Estero

Las bibliotecas de Añatuya visitaron la Feria del Libro
Nuevo Diario de Santiago del Estero
Durante el fin de semana pasado, representantes de las bibliotecas populares Almafuerte y Sarmiento de la ciudad de Añatuya participaron de la ...



El Club de Leones presentará su “Biblioteca Parlante”
Diario San Rafael
El Club de Leones presentará su “Biblioteca Parlante” ... eso que convocamos a todas las bibliotecas populares de San Rafael para hacer entregas a ...



Bienio de la lectura y de las bibliotecas públicas (2015-2016)
ABC.es
Estos años de crisis y recortes han afectado mucho a las bibliotecas ... de la creación de la Red de Bibliotecas Populares de la Mancomunidad de ...



Ángela Signes, la promotora de la literatura nac & pop que tiende lazos con el mundo editorial
lanacion.com (Argentina)
Ángela Signes, presidenta de la Comisión Nacional de Bibliotecas Populares (Conabip), sin embargo, es la mujer de Oscar Parrilli, el actual jefe de ...


Anunciaron talleres y adquisición de libros desde la Biblioteca Estrada
InfoPico.com
Los interesados en participar pueden acercarse, de lunes a viernes, en horario de 9:00 a 18:00 horas, a la Biblioteca Popular Municipal “José M.




Diario La Provincia SJ

Los sanjuaninos quisieron estar en los billetes de 100 pesos
Diario La Provincia SJ
Los representantes de bibliotecas populares y algunos periodistas se acercaron al stand del Banco Central para acceder a una divertida iniciativa: ...



“Hace mucho, mucho tiempo...La Pampa se llenó e cuentos”
InfoPico.com
Los libros fueron a Bibliotecas Populares de Ecuador, Panamá, Uruguay, Entre Ríos, San Juan, Buenos Aires, Catamarca y Santiago del Estero.

Tecnicos Radiologos: ¿El vino tinto reduce efectos de radiación ionizan...

Tecnicos Radiologos: ¿El vino tinto reduce efectos de radiación ionizan...: Desde que vi la película K-19 'The Widowmaker' (Una avería del  sistema de refrigeración del reactor de un submarino nuclear s...



El vino tinto contiene diversos polifenoles que contribuyen a la reducción y eliminación de radicales libres, combate la oxidación, induce apóptosis de determinadas células cancerígenas, es quimiopreventivo.

Y, después de, ojo que no pararé de seguir Aprendiendo, es posible afirmar que el vino tino que bebía la tripulación del Submarino K 19, era una herramienta preventiva ante los efectos ionizantes que estaban recibiendo por su continua proximidad a las fuentes radiactivas. Es muy posible que la investigación en Protección Radiólogica de los años 60, y anteriores, sea mucho menos avanzada que la actual, y las barreras y sistemas de protección radiológica actuales sean mucho mayores en los Submarinos Nucleares. Lamentablemente, beber Vino Tinto, en cantidades moderadas, no puede evitar los efectos letales de una exposición tan alta como la que tuvieron los tripulantes.

Medwave

A continuación le informamos los artículos recientemente publicados en Medwave


ESTUDIOS PRIMARIOS

Conocimientos, prácticas y actitudes hacia el voluntariado ante una influenza pandémica: estudio transversal con estudiantes de medicina en Perú
Julio A. Huapaya, Julio Maquera-Afaray, Patricia J. García, César Cárcamo, Javier A. Cieza (Perú)

Medwave 2015 May;15(4):e6136
http://dx.doi.org/10.5867/medwave.2015.04.6136


Hepatotoxicidad medicamentosa y tuberculosis en un hospital del noreste argentino: estudio transversal
Alfredo Sebastián Golemba, Francisco Gastón Emmanuel Ferreyra, Ricardo Enrique Martearena, Fernando Ramón Achinelli, Gloria Beatriz Rovai (Argentina)

Medwave 2015 May;15(4):e6135
http://dx.doi.org/10.5867/medwave.2015.04.6135


RESÚMENES EPISTEMONIKOS

¿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


¿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


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



PORTADA MEDWAVE
www.medwave.cl

Dolor crónico y obesidad/Chronic pain and obesity

Migraña y el IMC. Revisión sistemática y meta-análisis de estudios observacionales Migraine and body mass index categories: a systematic review and meta-analysis of observational studies. Ornello R, Ripa P, Pistoia F, Degan D, Tiseo C, Carolei A, Sacco S. J Headache Pain. 2015 Mar 28;16(1):27. doi: 10.1186/s10194-015-0510-z. PDF Manejo del dolor crónico en el obeso. Revisión focalizada de desafíos y soluciones potenciales de ejercicio. Chronic pain management in the obese patient: a focused review of key challenges and potential exercise solutions. Zdziarski LA, Wasser JG, Vincent HK. J Pain Res. 2015 Feb 9;8:63-77. doi: 10.2147/JPR.S55360. eCollection 2015. PDF Como la obesidad modifica los tendones (implicaciones para actividades atléticas) How obesity modifies tendons (implications for athletic activities). Abate M. Muscles Ligaments Tendons J. 2014 Nov 17;4(3):298-302. eCollection 2014. PDF Un ensayo clínico aleatorizado de una intervención integrada de auto-manejo conductual Simultáneamente Orientación obesidad y el dolor: el ensayo STOP. A randomized clinical trial of an integrated behavioral self-management intervention Simultaneously Targeting Obesity and Pain: the STOP trial. Janke EA, Fritz M, Hopkins C, Haltzman B, Sautter JM, Ramirez ML. BMC Public Health. 2014 Jun 18;14:621. doi: 10.1186/1471-2458-14-621. PDF Bupivacaína liposonal para dolor postoperatorio en una obesa con dolor crónico sometida a gastrectomía laparoscópica. Informe de caso Liposome bupivacaine for postsurgical pain in an obese woman with chronic pain undergoing laparoscopic gastrectomy: a case report. Bertin PM. J Med Case Rep. 2014 Jan 22;8:21. doi: 10.1186/1752-1947-8-21. PDF El efecto mediador del dolor crónico en la relación entre la obesidad y la función física y la discapacidad en los adultos mayores. The mediating effect of chronic pain on the relationship between obesity and physical function and disability in older adults. Fowler-Brown A, Wee CC, Marcantonio E, Ngo L, Leveille S. J Am Geriatr Soc. 2013 Dec;61(12):2079-86. doi: 10.1111/jgs.12512. Epub 2013 Nov 1. PDF

Atentamente Anestesia y Medicina del Dolor anestesia-dolor.org