Revista Mexicana de Anestesiología最新文献

{"title":"Manejo anestésico de la estenosis grave de la vía aérea en la papilomatosis laríngea","authors":"R. Mato-Búa, Lucía Sampayo-Rodríguez, Pablo Casas-Reza, María Gestal-Vázquez","doi":"10.35366/106352","DOIUrl":"https://doi.org/10.35366/106352","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"439 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":"127607259","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":"Aclaración en el manejo anestésico en la enfermedad de Steinert","authors":"Yaiza Beatriz Molero-Díez, Víctor Javier Sánchez-Hernando, Francisco Antonio Ruiz-Simón","doi":"10.35366/100880","DOIUrl":"https://doi.org/10.35366/100880","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"35 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":"133883060","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":"Actualidades en valoración preoperatoria y riesgo anestésico: un enfoque práctico para cirugía no cardíaca","authors":"Samuel Jonathan Cruz-Ahumada","doi":"10.35366/106344","DOIUrl":"https://doi.org/10.35366/106344","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"40 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":"133418790","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":"Cincuenta años del Departamento de Medicina del Dolor y Paliativa del Instituto Nacional de Ciencias Médicas y Nutrición «Salvador Zubirán»","authors":"Alfredo Covarrubias-Gómez, Ramón De Lille-y-Fuentes, U. Guevara-López, Emma Capultitla-Rodríguez, Edwin Balan Nicasio-Espinoza","doi":"10.35366/110197","DOIUrl":"https://doi.org/10.35366/110197","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"16 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":"132813433","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":"El abrazo, de las bases a su expresión en la vida y el arte","authors":"M. Suárez-Morales, C. U. Mendoza-Popoca, R. Carrillo-Esper","doi":"10.35366/111080","DOIUrl":"https://doi.org/10.35366/111080","url":null,"abstract":"Confinement and social isolation during the COVID-19 pandemic limited close physical contact, especially close ones, of which hugs stand out. The social impact of emptiness and affective isolation still endures. The hug is an innate affective response of the human being that is expressed in different circumstances. It originates from different brain regions, ranging from limbic to cortical, in which a complex interaction between afferents, signaling systems, and neurotransmitters is intertwined, conditioning a neurohormonal response with multisystem impact. The hug goes beyond this complex substrate, it represents the sublimation of the merely anatomical and physiological, to the affective manifestation of the human spirit. The objective of this brief essay is to put to your consideration the neuroscientific bases of the hug and its expression in the complexity of life and art. (English) [ FROM AUTHOR] El confinamiento y aislamiento social durante la pandemia por COVID-19 limitaron el contacto físico estrecho, en especial los de cercanía, del que destacan los abrazos. El impacto social del vacío y aislamiento afectivo aún perdura. El abrazo es una respuesta innata afectiva del ser humano que se expresa en diferentes circunstancias. Tiene su origen en diferentes regiones cerebrales, que van de las límbicas a las corticales, en las que se entrelaza una compleja interacción entre aferencias, sistemas de señalización y neurotransmisores que condicionan una respuesta neurohormonal con impacto multisistémico. El abrazo va más allá de este complejo sustrato, representa la sublimación de lo meramente anatómico y fisiológico, a la manifestación afectiva del espíritu humano. El objetivo de este breve ensayo es poner a su consideración las bases neurocientíficas del abrazo y su expresión en la complejidad de la vida y el arte. (Spanish) [ FROM AUTHOR] Copyright of Revista Mexicana de Anestesiologia is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"51 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132535958","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":"En memoria de la Dra. Estela Melman Szteyn","authors":"Juan Manuel Rodríguez-Zepeda","doi":"10.35366/108627","DOIUrl":"https://doi.org/10.35366/108627","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":"130133561","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":"Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica","authors":"María Elena Pinto-Segura, Yolanda Valera-Rodríguez, Patricia Vázquez-Estrada, José Luis Limón-Aguilar, Alinne Lemus-Cázares, Héctor Carrero-Soto, Lizbeth Cañas-Lucero","doi":"10.35366/99664","DOIUrl":"https://doi.org/10.35366/99664","url":null,"abstract":"The assisted ventilatory mode during a laparoscopic procedure is still controversial. Objective: To compare ventilatory dynamics according to the assisted ventilation mode: by volume-controlled ventilation (VCV), pressure-controlled (PCV) or by pressure with volume guarantee (PVC-VG), in general anesthesia for laparoscopic cholecystectomy. Material and methods: 21 adult patients managed with one of the three modalities (seven per group). Their respiratory rate, minute expiratory volume, end tidal CO2 (EtCO2), peak airway pressure, mean pulmonary pressure, compliance, oxygen saturation and minute respiratory volume were analyzed during the procedure (at intubation, abdominal CO2 insufflation and resolution). Results: After intubation there were no clinical differences in measurements between ventilation modes. On insufflation, patients with PCV mode increased their respiratory rate, but kept their peak pressure; against those in VCV and PCV-VG mode who increased their peak pressure with little reduction in their respiratory rate. The other variables were not modified during the procedure and there were no differences between the ventilatory modes. Conclusion: The three modes of ventilation allowed a good ventilatory control, but we suggest the PCV since it prevents an increase in peak pressure. Rev Mex Anest, 2021; 44 (1): 178-183 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L mecánica respiratoria es una compleja interacción entre la pared torácica y los pulmones(1), pero un buen manejo intraoperatorio permite una ventilación a través de un flujo de aire con presión positiva y con un volumen corriente adecuado(1). En las cirugías laparoscópicas ante la insuflación de dióxido de carbono (CO2) (2) abdominal es posible la afectación de la función pulmonar. Esto se debe al incremento de la presión Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica Comparison of 3 mechanical ventilation modes in laparoscopic cholecystectomy Dra. Lizbeth Cañas-Lucero,* Dr. Héctor Carrero-Soto,‡ Dra. Alinne Lemus-Cázares,§ Dr. José Luis Limón-Aguilar,¶ Dra. Patricia Vázquez-Estrada,‡ Dra. Yolanda Valera-Rodríguez,‡ Dra. María Elena Pinto-Segura|| Citar como: Cañas-Lucero L, Carrero-Soto H, Lemus-Cázares A, Limón-Aguilar JL, Vázquez-Estrada P, Valera-Rodríguez Y, et al. Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica. Rev Mex Anestesiol. 2021; 44 (3): 178-183. https://dx.doi.org/10.35366/99664 intraabdominal (PIA) que desplaza el diafragma en dirección cefálica, exacerbado por la posición de Trendelenburg(2). Las cuatro complicaciones pulmonares asociadas a la insuflación abdominal incluyen: atelectasias(3), hipoxemia, reducción de la distensibilidad pulmonar y enfisema subcutáneo. La hipercarbia además puede causar vasodilatación sistémica, arritmias, depresión miocárdica y exacerbación de la hipertensión pulmonar(2). El principal objetivo de la ventilación mecánica intraoperatoria es optimizar el interca","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"57 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":"130078668","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":"La lesión miocárdica en el perioperatorio de cirugía no cardíaca","authors":"Martín Martínez-Rosas, Luis Leobardo Fortis-Olmedo, Mariela García-Bravo, Nora Bernal-Ríos, Pastor Luna-Ortiz","doi":"10.35366/99016","DOIUrl":"https://doi.org/10.35366/99016","url":null,"abstract":"Recent studies on the death causes in the postoperative period of non-cardiac surgery have identified myocardial injury as a complication that is associated with major adverse cardiac events that increase mortality at 30 days after surgery. This kind of myocardial lesion is characterized by the elevation of the cardiac troponins levels during or in the 30 days after the surgery, without symptoms ischemia or changes in the electrocardiogram. Currently, one main goal has been the timely diagnosis of this complication, besides preventive therapies development. The present review article examines the current body of knowledge of this injury, the physiopathological mechanisms","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"57 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":"114815386","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":"Electroencefalografía básica para monitores de profundidad anestésica","authors":"Samuel Hernández-González, María Beatriz Perdomo-Perdomo, Raquel Sánchez-Gamarro, Silvia Ávila-Fuentes, Laura Hernández-Rodríguez, Julio Fernández-García","doi":"10.35366/110199","DOIUrl":"https://doi.org/10.35366/110199","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"300 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":"133303998","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":"Reacción de hipersensibilidad secundaria al uso de bloqueadores neuromusculares","authors":"Isabel Mora-Díaz, G. Pérez-Martínez, I. Cordero-escobar, Rodner Ernesto Fuentes-Broqueet","doi":"10.35366/99013","DOIUrl":"https://doi.org/10.35366/99013","url":null,"abstract":"Introduction: Perioperative anaphylaxis is a potentially lethal clinical condition. The most frequent cause is attributed to neuromuscular blockers. Objective: To identify the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers. Material and methods: A descriptive, observational, cross-sectional investigation was conducted to assess the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers. The study was carried out at the «Hermanos Ameijeiras» Hospital, in the period between january 2016 and december 2018. Results: Of the total elective surgical interventions, 3,431 required general anesthesia and the use of neuromuscular blockers. The female sex predominated with 75%, the age group of 60 years and over with 68 patients (32.7%), ASA II physical condition, 98 patients (41.1%). The average BMI was 22.7 ± 1.14. The mean surgical time was 190 ± 42.5 min. Of all the drugs the most used was atracurium in 90 patients (43.3%), followed by vecuronium 79 (38.0%) and rocuronium 39 (18.8%). The number of adverse events was low. Only four were found, two with atracurium (50%), one with rocuronium and one with 25% vecuronium respectively. Conclusions: The presence of anaphylactic reactions was observed with the use of neuromuscular blockers, which occurred in a short period at the beginning of induction. The atracurium presented the highest frequency and all were of mild intensity. Citar como: Fuentes-Broqueet RE, Cordero-Escobar I, Pérez-Martínez G, Mora-Díaz I. Reacción de hipersensibilidad secundaria al uso de bloqueadores neuromusculares. Rev Mex Anestesiol. 2021; 44 (2): 105-109. https://dx.doi.","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"40 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":"134059683","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}