Revista Mexicana de Anestesiología最新文献

{"title":"Schwannoma en el puerperio","authors":"Daria Irina Romero-Luna, Arturo Jaime Córdova, Y. Bustamante-Quan, Yolanda Valera-Rodríguez, Alberto Kably-Ambe","doi":"10.35366/103891","DOIUrl":"https://doi.org/10.35366/103891","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127289132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clínicas de ketamina: usos actuales según la evidencia","authors":"Selene Sharid Torres-Valdés, O. Carrillo-Torres, D. M. Rascón-Martínez","doi":"10.35366/111076","DOIUrl":"https://doi.org/10.35366/111076","url":null,"abstract":". Ketamine is a drug known for","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125311680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reintubación postoperatoria en pacientes sometidos a reemplazo valvular aórtico: extubación estándar vs ultra fast-track","authors":"Janaí Santiago-López, Víctor León-Ramírez, Hilen Bravo-Briseño, A. Castellanos-Olivares","doi":"10.35366/100868","DOIUrl":"https://doi.org/10.35366/100868","url":null,"abstract":"Introduction: There is controversy about the use of early extubation in patients undergoing aortic valve replacement due to stenosis, given their tendency to develop postoperative hypertension, which could defeat the whole purpose of the surgical intervention. Objective: To compare the incidence of postoperative reintubation for hypertension in patients undergoing aortic valve replacement using the standard extubation technique and the ultra fast-track. Material and methods: A retrospective cohort study that included 73 cases of patients undergoing aortic valve replacement. The patients were divided into two according to the extubation technique used: standard (group I) and ultra fast-track (group II). The presence of hypertension and postoperative reintubation was evaluated. The analysis of variables was performed using the χ2 test. A p < 0.05 was considered significant. The data were processed using SPSS v. 24.0. Results: 45 patients were in group I and 28 in group II. The incidence of hypertension and reintubation was higher in group II (p = 0.027). There were no differences in morbidity (p = 0.348), mortality (p = 0.202) and length of postoperative stay (p = 0.182). Conclusion: In our hospital unit, the incidence of postoperative reintubation for hypertension in patients undergoing aortic valve replacement with the ultra fast-track technique is higher than with standard extubation. Citar como: Santiago-López J, León-Ramírez V, Bravo-Briseño H, Castellanos-Olivares A. Reintubación postoperatoria en pacientes sometidos a reemplazo valvular aórtico: extubación estándar vs ultra fast-track. Rev Mex Anestesiol. 2021; 44 (4): 245-249. https://dx.doi.org/10.35366/100868","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133334016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Esplenectomía laparoscópica en paciente con síndrome de Evans","authors":"José Eduardo Bendaña, Lea Crisel Salinas-Vallecillo","doi":"10.35366/103889","DOIUrl":"https://doi.org/10.35366/103889","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"334 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132188206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identificación oportuna del sangrado anormal postparto: método gravimétrico para cuantificar sangrado. Proyecto de mejora","authors":"Jonathan Whelan, Miguel Ángel Martínez-Andrade, Martha Isabel Gaona-Ramírez","doi":"10.35366/102899","DOIUrl":"https://doi.org/10.35366/102899","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"227 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117172767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Memoriam. Dr. Luis Arturo Pérez Tamayo","authors":"A. Silva-Jiménez","doi":"10.35366/103893","DOIUrl":"https://doi.org/10.35366/103893","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127423167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo anestésico del paciente quemado","authors":"M. García-Lara, Alejandra Sánchez-Sagrero, Alejandro Aguilar-Águila-Martínez, Nora Lorena López-León","doi":"10.35366/103888","DOIUrl":"https://doi.org/10.35366/103888","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129039900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menor aerolización con bloqueo del nervio laríngeo superior comparado con lidocaína intravenosa a la extubación","authors":"Mariana Carolina González-Grijalva, Gabriela Josefina Vidaña-Martínez, Gloria Fabiola Álvarez-Orenday, R. D. Tirado-Aguilar, Mauricio Pierdant-Pérez","doi":"10.35366/110196","DOIUrl":"https://doi.org/10.35366/110196","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130473974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca","authors":"Yeraldi Azucena Merino-Machuca, José Antonio Barragán-Zamora, Víctor León-Ramírez, Janaí Santiago-López","doi":"10.35366/99663","DOIUrl":"https://doi.org/10.35366/99663","url":null,"abstract":"Introduction: It has been suggested that the use of a cell saver reduces the content of proinflammatory cytokines after cardiac surgery, improving the balance of these cytokines in the systemic circulation, which in turn could minimize the inflammatory response that contributes to postoperative pulmonary dysfunction. Objective: To compare the postoperative gas exchange in patients undergoing cardiac surgery with the use of cell saver and without it. Material and methods: A prospective cohort study that included 253 patients undergoing cardiac surgery under cardiopulmonary bypass. The patients were assigned to two study groups depending on whether a cell saver was used: group I (without cell saver) and group II (with cell saver). The PaO2/FiO2 ratio and the postoperative respiratory morbidity were then estimated. The analysis was done using descriptive and inferential statistics by means of the Student t test and MannWhitney U test. A p < 0.05 was considered significant. The data were processed using SPSS v. 24.0. Results: 59.29% of patients underwent surgery with the use of a cell saver. The PaO2/FiO2 ratio was lower in group II (p = 0.018). There were no differences between groups in respiratory morbidity 30 days after surgery (p = 0.943). Conclusion: The postoperative gas exchange is lower in patients undergoing cardiac surgery with the use of a cell saver than without it. Citar como: Santiago-López J, León-Ramírez V, Barragán-Zamora JA, Merino-Machuca YA. Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca. Rev Mex Anestesiol. 2021; 44 (3): 173-177. https://dx.doi.org/10.35366/99663 Rev Mex Anest, 2021; 44 (1): 173-177 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L etiología de la disfunción pulmonar luego de cirugía cardíaca es multifactorial y ocurre secundariamente a los efectos combinados de la anestesia, derivación cardiopulmonar y trauma quirúrgico(1,2). Es bien conocido que la circulación extracorpórea afecta la función pulmonar mediante la activación de la respuesta inflamatoria, lo que incluye la activación leucocitaria y de la vía alterna del complemento Efecto del uso del recuperador celular en el intercambio gaseoso en pacientes sometidos a cirugía cardíaca Effect of the use of operative blood salvage on the pulmonary gas exchange in patients undergoing cardiac surgery Dra. Janaí Santiago-López,* Dr. Víctor León-Ramírez,* Dr. José Antonio Barragán-Zamora,‡ Dra. Yeraldi Azucena Merino-Machuca‡ que condiciona la liberación de radicales libres, proteasas, leucotrienos y otros metabolitos del ácido araquidónico así como acumulación de neutrófilos con obstrucción del flujo capilar y liberación de elastasa a la circulación pulmonar, resultando en un incremento de la permeabilidad capilar pulmonar y daño en el parénquima(3). Se ha sugerido que el recuperador celular reduce el contenido de citocinas proinflamatorias después de la cirugía cardíaca y mejora el equilibrio entre las c","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130485373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perfil algológico del paciente con enfermedad del sistema musculoesquelético","authors":"Yadira Irlette Martínez-Ruíz, Evelyn Judith Cruz-Nocelo, María Concepción Serratos-Vázquez","doi":"10.35366/99662","DOIUrl":"https://doi.org/10.35366/99662","url":null,"abstract":"Introduction: It is estimated that of the total number of people who report chronic pain, one in every four presents pain of musculoskeletal origin. The objective of the study was to analyze the demographic and clinical profile of the patient with musculoskeletal pathology who visits a specialized pain treatment center for the first time. Material and methods: A cross-sectional, descriptive and retrospective study consisting of the review of the clinical history of the records archived from 2009 to 2017 of the Interdisciplinary Center for the Study and Treatment of Pain and Palliative Care of the UMAE «Dr. Victorio de la Fuente Narváez». Results: 4,518 records were included. The median age of patients was 59 years (IQR 47:72), with more frequent consultation for the female gender (62%). Chronic pain occurred in 83% of patients with an intensity assessed by the average visual analog scale (VAS) of 6 (± 2.4). Mixed pain syndrome (somatic and neuropathic) occurred more frequently (41%). Conclusions: The progression of chronic degenerative diseases on the musculoskeletal system impacts on the origin and evolution of chronic pain. The moment in which patients are referred to a clinic of pain and receive specific treatment could modify its evolution and consequences. Citar como: Martínez-Ruiz YI, Cruz-Nocelo EJ, Serratos-Vázquez MC. Perfil algológico del paciente con enfermedad del sistema musculoesquelético. Rev Mex Anestesiol. 2021; 44 (3): 166-172. https://dx.doi.org/10.35366/99662 Rev Mex Anest, 2021; 44 (3): 166-172 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L Organización Mundial de la Salud (OMS) reconoce al dolor crónico como un problema de salud pública(1). A nivel internacional, se ha estimado que afecta del 25 al 29% de la población general(2) representando del 15 al 20% de las consultas médicas(3). En México, es posible que poco más de 28 millones de habitantes padezcan este tipo de dolor(2). El dolor crónico se ha reconocido como aquel dolor que persiste más allá del tiempo de curación normal, carece de la función de advertencia aguda de la nocicepción fisiológica y es definido como un dolor persistente o recurrente con duración mayor a tres meses(3). Se estima que del total de personas que refieren dolor crónico, uno de cada cuatro presenta dolor de origen musculoesquelético(4). Numerosos estudios han documentado el manejo del dolor crónico en una variedad de contextos con resultados variables; sin embargo, los mejores resultados se han observado en las clínicas multidisciplinarias de dolor. Lamentablemente, en la actualidad estos servicios Perfil algológico del paciente con enfermedad del sistema musculoesquelético Algological profile of the patient with musculoskeletal system disease Dra. Yadira Irlette Martínez-Ruiz,* Dra. Evelyn Judith Cruz-Nocelo,‡ Dra. María Concepción Serratos-Vázquez‡ Martínez-Ruiz YI y cols. Perfil del paciente con dolor musculoesquelético 167 www.medigraphic.com/rma www.medigraphic.org.mx no están disponi","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123347992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}