domingo, 20 de diciembre de 2015

Anestesia ambulatoria y disfunción cognitiva/Ambulatory anaesthesia and cognitive dysfunction

Diciembre 18, 2015. No. 2179

Anestesia ambulatoria y disfunción cognitiva
Ambulatory anaesthesia and cognitive dysfunction
Rasmussen, Lars S.; Steinmetz, Jacob
Current Opinion in Anaesthesiology December 2015 - Volume 28 - Issue 6 - p 631-635

Abstract

PURPOSE OF REVIEW: More surgical procedures are performed on an ambulatory basis and the advantages are apparent, but outpatient surgery presents challenges because of the expectation of a fast recovery soon after termination of anaesthesia. Ambulatory surgery is a well tolerated regimen with few serious adverse outcomes, hence difficult to obtain sound scientific evidence for avoiding complications.RECENT FINDINGS: Few studies have assessed recovery of cognitive function after ambulatory surgery, but it seems that both propofol and modern volatile anaesthetics are rational choices for general anaesthesia in the outpatient setting. Cognitive complications such as delirium and postoperative cognitive dysfunction are less frequent in ambulatory surgery than with hospitalization. SUMMARY: The elderly are especially susceptible to adverse effects of the hospital environment such as immobilisation, sleep deprivation, unfamiliar surroundings, and medication errors. Enhanced recovery programmes (fast-track regimens) may allow earlier discharge which is probably beneficial for the elderly. Frailty is becoming an increasingly important concept that needs to be clinically considered in elderly patients, as well as in future studies.

 

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

Copyright © 2015

Libro gratis sobre Muerte Celular/Free book on Cell Death

Diciembre 19, 2015. No. 2180

 
Muerte celular- Autofagia, Apoptosis y Necrosis
Cell Death - Autophagy, Apoptosis and Necrosis
Edited by Tobias M. Ntuli, ISBN 978-953-51-2236-4, 444 pages, Publisher: InTech, Chapters published December 16, 2015 under CC BY 3.0 license
DOI: 10.5772/59648
This book is a collection of selected and relevant research, concerning the developments within the Cell Death field of study. Each contribution comes as a separate chapter complete in itself but directly related to the books topics and objectives. The target audience comprises scholars and specialists in the field.
JACCOA


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

Copyright © 2015

Combo de anestesia

Diciembre 20, 2015. No. 2181

Como minimizar lesión pulmonar inducida por el ventilador en transplantados de pulmón. El papel de la ventilación protectiva y otras estrategias
How to minimise ventilator-induced lung injury in transplanted lungs: The role of protective ventilation and other strategies
Soluri-Martins, Andre; Sutherasan, Yuda; Silva, Pedro L.; Pelosi, Paolo; Rocco, Patricia R.M.
European Journal of Anaesthesiology:December 2015 - Volume 32 - Issue 12 - p 828-836
PDF  
Sobrevida despues de sedación prolongada con isoflorano en en comparación con sedación intravenosa en pacientes quirúrgicos graves. Análisis retrospectivo
Survival after long-term isoflurane sedation as opposed to intravenous sedation in critically ill surgical patients Retrospective analysis
Martin Bellgardt, Hagen Bomberg, Jenny Herzog-Niescery, Burkhard Dasch, Heike Vogelsang, Thomas P. Weber, Claudia Steinfort, Waldemar Uhl, Stefan Wagenpfeil, Thomas Volk and Andreas Meiser
European Journal of Anaesthesiology January 2016 - Volume 33 - Issue 1
Dolor a la inyección de propofol. Causas y remedios
Pain on Propofol Injection: Causes and Remedies
DeSousa K
J Anesth Crit Care Open Access (2015). 3(5): 00115. DOI: 10.15406/
jaccoa.2015.03.00115
Propofol y sobrevida. Meta-análisis de estudios clínicos randomizados
Propofol and survival: a meta-analysis of randomized clinical trials.
Acta Anaesthesiol Scand. 2015 Jan;59(1):17-24. doi: 10.1111/aas.12415. Epub 2014 Oct 14.
PDF 
Riesgo de demencia después de anestesia y cirugía
Risk of dementia after anaesthesia and surgery
Pin-Liang Chen, Chih-Wen Yang, Yi-Kuan Tseng, Wei-Zen Sun, Jane-Ling Wang, Shuu-Jiun Wang, Yen-Jen Oyang, Jong-Ling Fuh
The British Journal of Psychiatry Mar 2014, 204 (3) 188-193; DOI: 10.1192/bjp.bp.112.119610
JACCOA


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

Copyright © 2015

lunes, 14 de diciembre de 2015

Mecanismos de la anestesia general/Mechanisms of general anesthesia.

Diciembre 13, 2015. No. 2174

Anestésicos generales y mecanismos moleculares de la inconciencia
General anesthetics and molecular mechanisms of unconsciousness.
Int Anesthesiol Clin. 2008 Summer;46(3):43-53. doi: 10.1097/AIA.0b013e3181755da5.
Mecanismos moleculares de la anestesia general
Molecular mechanisms of general anesthesia.
Korean J Anesthesiol. 2010 Jul;59(1):3-8. doi: 10.4097/kjae.2010.59.1.3. Epub 2010 Jul 21.
Anestesia general mediada por efectos en los canales iónicos
General anesthesia mediated by effects on ion channels.
World J Crit Care Med. 2012 Jun 4;1(3):80-93. doi: 10.5492/wjccm.v1.i3.80. eCollection 2012.
          
Anestesiología y Medicina del Dolor
52 664 6848905
vwhizar@anestesia-dolor.org
anestesia-dolor.org

Copyright © 2015