Utilidad de los modelos modernos de simulación artroscópica: un metanálisis y una revisión sistemática actualizada.

http://www.ortotrauma.xyz/academia/utilidad-de-los-modelos-modernos-de-simulacion-artroscopica-un-metanalisis-y-una-revision-sistematica-actualizada/

Utility of Modern Arthroscopic Simulator Training Models: A Meta-analysis and Updated Systematic Review.

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/29366742

https://www.arthroscopyjournal.org/article/S0749-8063(17)31431-7/fulltext

De:

Frank RM¹, Wang KC², Davey A², Cotter EJ², Cole BJ², Romeo AA², Bush-Joseph CA², Bach BR Jr², Verma NN².

Arthroscopy. 2018 May;34(5):1650-1677. doi: 10.1016/j.arthro.2017.10.048. Epub 2018 Jan 20.

Todos los derechos reservados para:

Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Abstract

PURPOSE:

To determine the utility of modern arthroscopic simulators in transferring skills learned on the model to the operating room.

CONCLUSIONS:

This review suggests that (1) training on arthroscopic simulators improves performance on arthroscopic simulators and (2) performance on simulators for basic diagnostic arthroscopy correlates with experience level. Limited data suggest that simulator training can improve basic diagnostic arthroscopy skills in vivo.

Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Resumen

PROPÓSITO:

Determinar la utilidad de los simuladores artroscópicos modernos para transferir las habilidades aprendidas en el modelo a la sala de operaciones.

CONCLUSIONES:

Esta revisión sugiere que (1) el entrenamiento en simuladores artroscópicos mejora el rendimiento en simuladores artroscópicos y (2) el rendimiento en simuladores para correlaciones artroscópicas diagnósticas básicas con el nivel de experiencia. Datos limitados sugieren que el entrenamiento con simulador puede mejorar las habilidades básicas de diagnóstico de artroscopia en vivo.

Copyright © 2017 Arthroscopy Association of North America. Publicado por Elsevier Inc. Todos los derechos reservados.

PMID: 29366742   DOI:   10.1016/j.arthro.2017.10.048

Ideas no confirmadas en UCI / ICU unconfirmed ideas.

Mayo 24, 2018. No. 3090

Siete ideas no confirmadas para mejorar la práctica futura de la UCI. Seven unconfirmed ideas to improve future ICU practice. Marini JJ1, De Backer D2, Ince C3,4, Singer M5, Van Haren F6,7,8, Westphal M9, Wischmeyer P10. Author information Crit Care. 2017 Dec 28;21(Suppl 3):315. doi: 10.1186/s13054-017-1904-x. Abstract With imprecise definitions, inexact measurement tools, and flawed study execution, our clinical science often lags behind bedside experience and simply documents what appear to be the apparent faults or validity of ongoing practices. These impressions are later confirmed, modified, or overturned by the results of the next trial. On the other hand, insights that stem from the intuitions of experienced clinicians, scientists and educators-while often neglected-help place current thinking into proper perspective and occasionally point the way toward formulating novel hypotheses that direct future research. Both streams of information and opinion contribute to progress. In this paper we present a wide-ranging set of unproven 'out of the mainstream' ideas of our FCCM faculty, each with a defensible rationale and holding clear implications for altering bedside management. Each proposition was designed deliberately to be provocative so as to raise awareness, stimulate new thinking and initiate lively dialog. KEYWORDS: Adaptive clinical trials; Melatonin; Metabolic monitoring; Microcirculation; Personalized medicine; Resuscitation; Sepsis; Shock; Ventilator-induced lung injury PDF Algunas de nuestras ideas favoritas sin confirmar. A few of our favorite unconfirmed ideas. Marini JJ, Gattinoni L, Ince C, Kozek-Langenecker S, Mehta RL, Pichard C, Westphal M, Wischmeyer P, Vincent JL. Crit Care. 2015;19 Suppl 3:S1. doi: 10.1186/cc14719. Epub 2015 Dec 18.Abstract Medical practice is rooted in our dependence on the best available evidence from incremental scientific experimentation and rigorous clinical trials. Progress toward determining the true worth of ongoing practice or suggested innovations can be glacially slow when we insist on following the stepwise scientific pathway, and a prevailing but imperfect paradigm often proves difficult to challenge. Yet most experienced clinicians and clinical scientists harbor strong thoughts about how care could or should be improved, even if the existing evidence base is thin or lacking. One of our Future of Critical Care Medicine conference sessions encouraged sharing of novel ideas, each presented with what the speaker considers a defensible rationale. Our intent was to stimulate insightful thinking and free interchange, and perhaps to point in new directions toward lines of innovative theory and improved care of the critically ill. In what follows, a brief background outlines the rationale for each novel and deliberately provocative unconfirmed idea endorsed by the presenter. PDF Congresos Médicos por Especialidades en todo Mundo Medical Congresses by Specialties around the World Información / Information Safe Anaesthesia Worldwide Delivering safe anaesthesia to the world's poorest people Informes / Information X Foro Internacional de Medicina del Dolor y Paliativa Taller de Bloqueos guiados por Ultrasonido con el Dr. Philip Peng Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Ciudad de México, 7 al 9 de junio de 2018.  Información/ Information V Congreso Internacional de Vía Aérea, EVALa, México Junio 7-9, 2018. Guadalajara. México Información / Information

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

Cuidado cardiovascular agudo / Acute cardiovascular care

Mayo 25, 2018. No. 3091

Los mejores artículos descargados de 2017 de la revista European Heart Journal: Acute Cardiovascular Care Top Downloaded Papers of 2017 from European Heart Journal: Acute Cardiovascular Care PDFs Congresos Médicos por Especialidades en todo Mundo Medical Congresses by Specialties around the World Información / Information X Foro Internacional de Medicina del Dolor y Paliativa Taller de Bloqueos guiados por Ultrasonido con el Dr. Philip Peng Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Ciudad de México, 7 al 9 de junio de 2018.  Información/ Information V Congreso Internacional de Vía Aérea, EVALa, México Junio 7-9, 2018. Guadalajara. México Información / Information Congreso Nacional de Residentes de Anestesiología 7 al 9 de junio, 2018. Lima, Perú  Informes / Information  Safe Anaesthesia Worldwide Delivering safe anaesthesia to the world's poorest people Informes / Information

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

Trauma en obstetricia / Obstetric trauma

Mayo 26, 2018. No. 3092

Cirugía general urgente durante el embarazo Emergency general surgery in pregnancy. Skubic JJ1, Salim A1. Author information Trauma Surg Acute Care Open. 2017 Nov 2;2(1):e000125. doi: 10.1136/tsaco-2017-000125. eCollection 2017. Abstract It is often that the acute care surgeon will be called on to evaluate the pregnant patient with abdominal pain. Most of the diagnostic and management decisions regarding pregnant patients will follow the usual tenets of surgery; however, there are important differences in the pregnant patient to be aware of to avoid pitfalls which can lead to complications for both mother and fetus. This review hopes to describe the most common emergencies facing the surgeon caring for the pregnant patient and the latest management options. KEYWORDS: emergency general surgery; emergency surgery; pregnancy; pregnant PDF  Indicadores clínicos de shock hemorrágico en el embarazo Clinical indicators of hemorrhagic shock in pregnancy. Jenkins PC1, Stokes SM1, Fakoyeho S1, Bell TM1, Zarzaur BL1. Author information Trauma Surg Acute Care Open. 2017 Nov 7;2(1):e000112. doi: 10.1136/tsaco-2017-000112. eCollection 2017 Abstract BACKGROUND: Several hemodynamic parameters have been promoted to help establish a rapid diagnosis of hemorrhagic shock, but they have not been well validated in the pregnant population. In this study, we examined the association between three measures of shock and early blood transfusion requirements among pregnant trauma patients.  We found that patients with SI>1 were significantly more likely to receive blood transfusions compared with patients with SI<1 (OR 10.35; 95% CI 1.80 to 59.62), whereas ROPE>3 was not associated with blood transfusion compared with ROPE≤3 (OR 2.92; 95% CI 0.28 to 30.42). Furthermore, comparison of area under the ROC curve for SI (0.68) and ROPE (0.54) suggested that SI was more predictive than ROPE of blood transfusion. CONCLUSION: We found that an elevated SI was more closely associated with early blood product transfusion than SBP and ROPE in injured pregnant patients. KEYWORDS: hemorrahgic shock; pregnancy; shock management PDF Congresos Médicos por Especialidades en todo Mundo Medical Congresses by Specialties around the World Información / Information Congreso Nacional de Residentes de Anestesiología 7 al 9 de junio, 2018. Lima, Perú  Informes / Information  V Congreso Internacional de Vía Aérea, EVALa, México Junio 7-9, 2018. Guadalajara. México Información / Information X Foro Internacional de Medicina del Dolor y Paliativa Taller de Bloqueos guiados por Ultrasonido con el Dr. Philip Peng Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Ciudad de México, 7 al 9 de junio de 2018.  Información/ Information Safe Anaesthesia Worldwide Delivering safe anaesthesia to the world's poorest people Informes / Information

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