lunes, 24 de agosto de 2015

Libro sobre arritmias/Book on arrhythmias

Anestesia y Medicina del Dolor

Ritmos cardiacos anormales
Abnormal Heart Rhythms
Edited by Francisco R. Breijo-Marquez, ISBN 978-953-51-2148-0, 138 pages, Publisher: InTech, Chapters published August 20, 2015
 
We know a lot of things about cardiac rhythms and their abnormalities, but there are some things that are still waiting to be discovered and, therefore, require more study. In this book, the authors put a little light on those matters, which are not well known yet. The authors have exposed some of such cardiac arrhythmias, especially those affecting the atria of the heart (with special emphasis on fibrillation and flutter atria). By means of this book, readers can broaden their knowledge about this specific topic of supraventricular arrhythmias. They can also find a special chapter on Amiodarone as a cardiac antiarrhythmic drug, which is very revealing, even today.
Modulo CEEA Leon, Gto. 

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

Copyright © 2015

VII Foro Internacional de Medicina del Dolor y Paliativa

Anestesia y Medicina del Dolor

VII Foro Internacional de Medicina del Dolor y Paliativa
Clínica del Dolor del Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán"
Ciudad de Mexico, Octubre 1,2 y 3, 2015
 
Dra. Argelia Lara - Solares
Jefe del Departamento de Medicina del Dolor y Paliativa
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Tel. Ofna. 5487 0900 Ext. 5011
Modulo CEEA Leon, Gto. 

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

Ultrasonido para bloqueos neuroaxiales/Ultrasound for neuraxial blockade

Anestesia y Medicina del Dolor

Ultrasonido para bloqueos neuroaxiales
Ultrasound for neuraxial blockade.
Med Ultrason.2014 Dec;16(4):356-63.
Abstract
Neuraxial blockade is still largely performed as a blind procedure. Despite of developments in the type of needles used and drugs administered, the process of locating the epidural or intra-thecal space is still limited to identification of landmarks by palpation and reliance on tactile feedback of the operator. Ultrasound has provided the long needed "eye" to the procedure and has already shown promise of improving the safety and efficacy or neuraxial blocks. This review focuses on understanding the sonoanatomy of the neuraxial space, performing a systematic pre-procedural ultrasound scan, and reviewing the available evidence.
 PDF
Modulo CEEA Leon, Gto. 

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

Copyright © 2015

lunes, 17 de agosto de 2015

3 BECAS para CONGRESISTAS XXIII Congreso Internacional SLAOT para HOSPITALES en ALEMANIA



#slaot2015


http://traumayortopediaslaot.blogspot.mx/


3 BECAS para CONGRESISTAS


XXIII Congreso Internacional SLAOT

para HOSPITALES en ALEMANIA


Ver bases en Convocatoria:


www.congresoslaot.org


domingo, 16 de agosto de 2015

Zoonosis de la recámara

Estimado Pediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 19 Agosto 2015 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: 

“Zoonosis de la recámara” por los“Dres. Cesar Martínez L. y Pablo Treviño V”, Infectologos pediatras de la Cd de Monterrey N.L.. 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/zoonosis_recamara/
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

Ventilación mecánica protectiva/Protective mechanical ventilation

No. 2056                                                                                  Agosto 16, 2015
Ventilación protectiva intraoperatoria y riesgo de complicaciones respiratorias postoperatorias.
Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study.
BMJ. 2015 Jul 14;351:h3646. doi: 10.1136/bmj.h3646.
Ventilación protectiva vs convencional en cirugía.
Protective versus Conventional Ventilation for Surgery: A Systematic Review and Individual Patient Data Meta-analysis
Anesthesiology. 2015 May 15. [Epub ahead of print]
Abstract
This individual patient meta-analysis of 2,127 patients ventilated under general anesthesia for surgery from 15 randomized controlled trials shows that intraoperative ventilation with low tidal volume protects against postoperative pulmonary complications, but further trials are necessary to define the role of intraoperative higher positive end-expiratory pressure to prevent postoperative pulmonary complications after major abdominal surgery.
PDF 
Ventilación pulmonar protectiva en pacientes obesos
Perioperative lung protective ventilation in obese patients.
BMC Anesthesiol. 2015 May 6;15:56. doi: 10.1186/s12871-015-0032-x.
Abstract
The perioperative use and relevance of protective ventilation in surgical patients is being increasingly recognized. Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of postoperative respiratory depression and other pulmonary complications. The number of surgical patients with obesity is increasing, and facing these challenges is common in the operating rooms and critical care units worldwide. In this review we summarize the existing literature which supports the following recommendations for the perioperative ventilation in obese patients: (1) the use of protective ventilation with low tidal volumes (approximately 8 mL/kg, calculated based on predicted -not actual- body weight) to avoid volutrauma; (2) a focus on lung recruitment by utilizing PEEP (8-15 cmH2O) in addition to recruitment maneuvers during the intraoperative period, as well as incentivized deep breathing and noninvasive ventilation early in the postoperative period, to avoid atelectasis, hypoxemia and atelectrauma; and (3) a judicious oxygen use (ideally less than 0.8) to avoid hypoxemia but also possible reabsorption atelectasis. Obesity poses an additional challenge for achieving adequate protective ventilation during one-lung ventilation, but different lung isolation techniques have been adequately performed in obese patients by experienced providers. Postoperative efforts should be directed to avoid hypoventilation, atelectasis and hypoxemia. Further studies are needed to better define optimum protective ventilation strategies and analyze their impact on the perioperative outcomes of surgical patients with obesity.
PDF 
Efecto de la ventilación protectiva sobre las complicaciones pulmonares en pacientes bajo anestesia general
Effect of protective ventilation on postoperative pulmonary complications in patients undergoing general anaesthesia: a meta-analysis of randomised controlled trials.
BMJ Open. 2014 Jun 24;4(6):e005208. doi: 10.1136/bmjopen-2014-005208.
 
CONCLUSIONS: Intraoperative use of protective ventilation strategies has the potential to reduce the incidence of postoperative pulmonary complications in patients undergoing general anaesthesia. Prospective, well-designed clinical trials are warranted to confirm the beneficial effects of protective ventilation strategies in surgical patients.
Atentamente
Anestesia y Medicina del Dolor
Safe Anesthesia World Wide