Revista Mexicana de Anestesiología最新文献_第8页

Catéter epidural roto, una complicación poco frecuente 硬膜外导管破裂，一种罕见的并发症

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/110201

J. A. Meléndez-Ordoñez, I. I. Hernández-Ortiz, Raymundo Rojas-Terres, Ismael B Viveros-Peralta

引用次数: 0

Autoidentificación de la cintura-útil en la ubicación del sitio de punción en anestesia neuroaxial de paciente obstétrica con obesidad clase III III类肥胖产科患者神经轴向麻醉穿刺部位定位有用带的自我识别

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/100869

Martha Isabel Gaona-Ramírez

{"title":"Autoidentificación de la cintura-útil en la ubicación del sitio de punción en anestesia neuroaxial de paciente obstétrica con obesidad clase III","authors":"Martha Isabel Gaona-Ramírez","doi":"10.35366/100869","DOIUrl":"https://doi.org/10.35366/100869","url":null,"abstract":"The neuraxial anesthetic technique in the obese class III, pregnant patient, can represent a challenge for the anesthesiologist, due to the difficulty in recognizing the anatomical landmarks. The objective of the study was to determine the difficulty and quality of combined spinal/epidural anesthesia, in 14 pregnant patients with a body mass index ≥ 40 kg/m2 scheduled for cesarean section. For the location of the puncture site, self-identification of the waist was used, a methodology that has not been previously reported. The patients straddled the surgical table, pointing to her waist with both hands. Two lines were drawn on the back. A horizontal line at the waist, indicated by the patient, and a vertical line corresponding to the midline. The intersection of the two lines was the coordinate for the neuraxial puncture. The mean ± SD of the body mass index was 47.5 ± 3.7 kg/m2. A first level success rate of 92.8% was determined, 57.1% of the patients received one puncture, and the average of punctures was 1.5. Spinal/epidural anesthesia failed in two cases, a change from anesthetic technique to epidural and supplementation with infiltration was performed, with adequate analgesia. It was not necessary to convert to general anesthesia in any case. Self-identification of the waist and coordinate marking can be a clinical aid for the identification of the lumbar puncture site, during the installation of neuraxial anesthesia, in obstetric patients with class III obesity, scheduled for cesarean section. Citar como: Gaona-Ramírez MI. Autoidentificación de la cintura-útil en la ubicación del sitio de punción en anestesia neuroaxial de paciente obstétrica con obesidad clase III. Rev Mex Anestesiol. 2021; 44 (4): 250-257. https://dx.doi.","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"23 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":"116143559","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}

引用次数: 0

Protocolo para el manejo anestésico del binomio materno fetal en el proyecto EXIT para neonatos con hernia diafragmática 新生儿膈疝退出项目中母胎二项麻醉处理方案

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/99011

Nathalie Contreras-Ramírez, Kelly Arlett Maldonado-Sánchez, J. M. Alarcón-Almanza, Víctor Fuentes-García

{"title":"Protocolo para el manejo anestésico del binomio materno fetal en el proyecto EXIT para neonatos con hernia diafragmática","authors":"Nathalie Contreras-Ramírez, Kelly Arlett Maldonado-Sánchez, J. M. Alarcón-Almanza, Víctor Fuentes-García","doi":"10.35366/99011","DOIUrl":"https://doi.org/10.35366/99011","url":null,"abstract":". The anesthetic management for this procedure is quite different from the anesthetic management of a conventional caesarean section. It includes deep general anesthesia with halogenated and narcotic administration, to get adecuate uterine relaxation and preservation of best uteroplacental flow to the fetus during anesthesia and the benefit of general anesthesia to aim the neonate show effects of of anesthetic medication by this way facilitate airway access before umbilical cord clamping. The aim to mantain placental oxigenation to neonate is avoid hypoxia risk during intubation technique. In the Hospital Infantil de Mexico «Federico Gómez» this procedures have been carried out since June 2007, however, there is still no homogeneous management. Material and methods: Through a case report, a perioperative files review was made of pregnant patients who were given anesthetic management for EXIT procedure in June 2007 to May 2018 period . Results: Of the 43 cases, the perioperative anesthetic information obtained allowed to standardize the anesthetic management of the maternal fetal binomial in order to perform an intrahospital protocol. Conclusion: The ability to perform","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":"116538599","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}

引用次数: 0

Uso de dispositivos (hoja McCoy vs videolaringoscopio Airtraq®) en paciente con obesidad con predictores de vía aérea difícil en cirugía general 设备(McCoy sheet vs Airtraq®videolaringoscope)在普通外科中具有困难气道预测因子的肥胖患者中的应用

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/97774

Lorena López-Maya, Francisco Lina-Manjarrez, L. Lina-López, Laura López-Gámez

{"title":"Uso de dispositivos (hoja McCoy vs videolaringoscopio Airtraq®) en paciente con obesidad con predictores de vía aérea difícil en cirugía general","authors":"Lorena López-Maya, Francisco Lina-Manjarrez, L. Lina-López, Laura López-Gámez","doi":"10.35366/97774","DOIUrl":"https://doi.org/10.35366/97774","url":null,"abstract":"A controlled, prospective, comparative, randomized, simple blind clinical trial was conducted. Objective: Determine the correlation and predictive value of the airway assessment and difficult intubation scales, obesity, McCoy sheet and Airtraq® type videolaryngoscope. Material and methods: 152 patients scheduled for surgery, with a history of obesity and risk factors for difficult ventilation and intubation under general anesthesia. Two groups were formed: group, intubation with McCoy sheet and group 2, Airtraq® videolaryngoscope. Results: In the contrast statistics of difficult ventilation, statistical significance was obtained with p < 0.05 for all factors except snoring. In predictors of difficult intubation, the Mallampati and Cormack-Lehane classification obtained p < 0.05, with sensitivity of 63 and 68% respectively, with a high negative predictive value for all factors. The average of attempts was 1 and duration 55-59 seconds, in both groups. There were not differences with the use of McCoy sheet and Airtraq®. Conclusions: Orotracheal intubation was successful in 97% of cases, thanks to the use of difficult intubation predictors and devices for managing it. Palabras clave: Predictores de vía aérea difícil, ventilación e intubación difícil, McCoy, Airtraq®.","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"154 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":"122187194","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}

引用次数: 0

La terapia electroconvulsiva en el síndrome neuroléptico maligno 恶性神经安定综合征的电休克治疗

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/110206

Pablo Casas-Reza, María Gestal-Vázquez, David López-López, R. Mato-Búa

引用次数: 0

Bloqueo regional intraarticular con anestésicos locales en cirugía artroscópica de rodilla 膝关节镜手术中局部麻醉关节内阻滞

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/cma201b

I. Cordero-escobar, Araceli Chico-Capote, José Escobar-Andarade, Miguel H Estévez-Chico, Isabel Mora-Díaz

引用次数: 0

Tratamiento del dolor en pacientes con quemaduras severas 严重烧伤患者疼痛的治疗

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/97778

Evelyn Judith Cruz-Nocelo, Víctor Hugo Zúñiga-Carmona, María Concepción Serratos-Vázquez

{"title":"Tratamiento del dolor en pacientes con quemaduras severas","authors":"Evelyn Judith Cruz-Nocelo, Víctor Hugo Zúñiga-Carmona, María Concepción Serratos-Vázquez","doi":"10.35366/97778","DOIUrl":"https://doi.org/10.35366/97778","url":null,"abstract":"Severe burns are characterized by inducing the most severe and sustained metabolic response than any other form of trauma. The treatment of pain in these patients is complex. In this review, the scientific support available in the current literature was integrated from a practical clinical approach in regard to the treatment of pain in the patient with burns; in turn, two representative schemes of the classification of pain and multimodal analgesia for the patient with major burns were integrated. Multimodal analgesia is the technique currently recommended for the treatment of burn pain; however, more research is required mainly with regard to analgesic adjuvants in burned patients. It is likely that the state of intense and persistent inflammation that characterizes these patients, which implies the massive genomic reorganization of the leukocyte transcriptome, contributes to the exceptional quality of the pain of the patient with burn injuries. The foundation of successful analgesic management could be in the search for specific regulatory anti-inflammatories for these patients. It is necessary to undertake the development of effective anti-inflammatoriesanalgesics with properties that allow them to overcome the challenge of the high variability of the pharmacological parameters of the patient with major burns. Palabras clave: Quemaduras, manejo del dolor, inflamación, genómica.","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"53 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":"129043322","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}

引用次数: 4

Manejo anestésico en neonatos con tumoraciones pulmonares 新生儿肺肿瘤的麻醉处理

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/103890

Fabio Andrés Avellaneda-Suárez, Edgardo Luis Vizcaíno-Ramírez, Juan Carlos Ramírez-Mora

引用次数: 0

Manejo anestésico en hipoglucemia hiperinsulinémica del recién nacido 新生儿高胰岛素低血糖的麻醉处理

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/106350

Ivón Alejandra Moreno-Ravelo, Silvia Peña-Olvera

引用次数: 0

Análisis retrospectivo del diferimiento quirúrgico a un año de la pandemia COVID-19 COVID-19大流行手术延迟一年的回顾性分析

Revista Mexicana de Anestesiología Pub Date : 1900-01-01 DOI: 10.35366/110192

Víctor León-Ramírez, Janaí Santiago-López, Bertha Karina Arrieta-Valdez

引用次数: 0