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Revista Argentina de Anestesiologia最新文献

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Disección coronaria espontánea en el servicio de reanimación. A propósito de un caso 在复苏服务中自发冠状动脉解剖。关于一个案例
Revista Argentina de Anestesiologia Pub Date : 2021-07-19 DOI: 10.24875/raa.21000004
Jonatan Vargas-Caño, Haizea Montes-Hijosa, Raquel Crespo Sainz-Aja, Karmelo Intxaurraga-Fernández
{"title":"Disección coronaria espontánea en el servicio de reanimación. A propósito de un caso","authors":"Jonatan Vargas-Caño, Haizea Montes-Hijosa, Raquel Crespo Sainz-Aja, Karmelo Intxaurraga-Fernández","doi":"10.24875/raa.21000004","DOIUrl":"https://doi.org/10.24875/raa.21000004","url":null,"abstract":"","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132036236","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
Relación entre la viscosidad sanguínea y la perfusión tisular 血液粘度与组织灌注的关系
Revista Argentina de Anestesiologia Pub Date : 2020-10-08 DOI: 10.24875/raa.20000016
D. Cerutti, J. Fernández, I. Schein
{"title":"Relación entre la viscosidad sanguínea y la perfusión tisular","authors":"D. Cerutti, J. Fernández, I. Schein","doi":"10.24875/raa.20000016","DOIUrl":"https://doi.org/10.24875/raa.20000016","url":null,"abstract":"Background: Hemorrhagic shock is one of the leading causes of death in the surgical and polytraumatized patient. The central goal: Of every reanimation maneuvers is to bring oxygen to the cells, requiring an adequate management of macro and micro hemodynamic variables. The blood viscosity, one of these variables, plays a very important role. Methods: An experimental study was carried out with 10 pigs which were randomly divided in two groups. Both groups were exanguinated to a 70% of their blood volume. In the first group, named Group H, the fluid reposition was made with HES, while in the second group, named Group S, was made with autologous blood. Hourly assessment of macro and micro hemodynamic variables, and plasmatic viscosity, was carried out for six hours. Results: The results obtained were individually analyzed. Lactate, central venous oxygen saturation and bases exces values were taken to measure tissue perfusion. These values were reflected in tables and figures, and were analyzed together with the viscosity of the swine blood. Conclusions: On the basis of the results of ours measurements we can infer that the tissue perfusion was better when the maintenance of plasmatic and, secondarily, blood viscosity values were prioritize over the hematocrit level. However more studies are needed to confirm this theory.","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131566710","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
Satisfacción de la recuperación anestésica postoperatoria por la escala de Iowa 爱荷华州术后麻醉恢复满意度量表
Revista Argentina de Anestesiologia Pub Date : 2020-10-08 DOI: 10.24875/raa.20000041
I. Cordero-escobar, Aymé González-Torrero, G. Pérez-Martínez
{"title":"Satisfacción de la recuperación anestésica postoperatoria por la escala de Iowa","authors":"I. Cordero-escobar, Aymé González-Torrero, G. Pérez-Martínez","doi":"10.24875/raa.20000041","DOIUrl":"https://doi.org/10.24875/raa.20000041","url":null,"abstract":"Introduction: The quality of assistance is generally evaluated based on the results and has well-defined standards. Objective: To determine the degree of satisfaction recovery anesthetic, according to the Iowa Scale. Methods : A descrip-tive, cross-sectional study was conducted to assess the satisfaction of patients in the postoperative period after receiving an anesthetic procedure, electively. 791 patients were surveyed with the Iowa Scale. Results : The age group prevailed between 29 and 39 years (38%), the male sex (63%) and the physical state ASA II (63%). The most frequent surgical procedures were those of General Surgery (35%), the surgical time between 60-120 minutes in 48%. The most common anesthetic technique was general anesthesia 56%. There were no intraoperative complications in 85% and post-anesthe-sia were tremors in 27% of the total. The average score on the Iowa Scale according to patient satisfaction was 4.05 ± 0.75, 5.75 ± 1.25 and 7.15 ± 1.70 and its correlation with satisfaction was low, moderate and high respectively. Conclusions: incluían aspectos multidimensionales, ni incluían ningún tipo de proceso de exploración psicométrica y que la gran mayoría de los estudios relaciona-dos con la anestesia no utiliza herramientas validadas A high degree of satisfaction with the anesthetic recovery was observed, which was verified electively. The value of the Iowa Scale score, specifically measured the correlation between numerical value and the high degree of satisfaction of anesthetic recovery.","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"178 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122104490","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: 1
Experiencia clínica con el uso de la mascarilla laríngea Ambu® AuraGain™ en situaciones avanzadas 有在高级情况下使用Ambu®AuraGain™喉部口罩的临床经验
Revista Argentina de Anestesiologia Pub Date : 2019-11-19 DOI: 10.24875/raa.19000023
Elisa Díez-Castillo, Unai Ortega-Mera, Ó. González-Larrocha, María San-Juan-González, Luis F Ortega-Largo, Alba Fernández-Fernández-de Quincoces, S. López-Álvarez
{"title":"Experiencia clínica con el uso de la mascarilla laríngea Ambu® AuraGain™ en situaciones avanzadas","authors":"Elisa Díez-Castillo, Unai Ortega-Mera, Ó. González-Larrocha, María San-Juan-González, Luis F Ortega-Largo, Alba Fernández-Fernández-de Quincoces, S. López-Álvarez","doi":"10.24875/raa.19000023","DOIUrl":"https://doi.org/10.24875/raa.19000023","url":null,"abstract":"Objective: Efficacy of the advanced use of the Ambu® AuraGainTM laryngeal mask airway (LMA) in a sample of 92 surgery patients. Method: Descriptive and prospective study. The inclusion criteria were classically named as advanced use of LMA: obesity, laparoscopic surgery, surgery of two or more hours and different positions from the supine position, excluding patients with risk of aspiration and/or limited oral opening (inter-incisor distance ≤ 3 cm). The degree of difficulty in device placement,","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128981568","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
Hemólisis masiva intravascular y sepsis: Clostridium perfringens, un patógeno a tener en cuenta 血管内大量溶血和败血症:产气荚膜梭菌，一种需要考虑的病原体
Revista Argentina de Anestesiologia Pub Date : 2019-11-19 DOI: 10.24875/raa.19000026
Alba Fernández-Fernández-de Quincoces, Iraira Ereño-Orbea, S. Telletxea-Benguría, Rubén Álvarez-Álvarez
{"title":"Hemólisis masiva intravascular y sepsis: Clostridium perfringens, un patógeno a tener en cuenta","authors":"Alba Fernández-Fernández-de Quincoces, Iraira Ereño-Orbea, S. Telletxea-Benguría, Rubén Álvarez-Álvarez","doi":"10.24875/raa.19000026","DOIUrl":"https://doi.org/10.24875/raa.19000026","url":null,"abstract":"We describe the case of a 68-year-old diabetic type 2 and hypercholesterolemic woman admitted to our hospital with a clinical frame consistent with acute cholecystitis. During the first hours of admission, an emergency cholecystectomy was performed without incidents, after which she begins with a hemodynamic deterioration, renal and clinical failure compatible with intravascular hemolysis and coagulopathy, of fatal evolution. The patient died 48 h after admission, despite the fact that empirical broad-spectrum antibiotic treatment and the support measures applied were started. Gram-positive bacilli were detected in blood cultures sensitive to the treatment established. Massive hemolysis is a condition caused by Clostridium perfringens, which can be associated with shock and multiple organ failure, as happened in this case. Although it is infrequent, a high index of suspicion and a rapid therapeutic action is very important, since it has a mortality of 70-100%.","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126560541","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
Controversias sobre el uso de bloqueadores neuromusculares en el síndrome de insuficiencia respiratoria aguda 神经肌肉阻滞剂在急性呼吸衰竭综合征中的应用争议
Revista Argentina de Anestesiologia Pub Date : 2019-11-19 DOI: 10.24875/raa.19000030
I. Cordero-escobar, Caridad de Dios-Soler-Morejón
{"title":"Controversias sobre el uso de bloqueadores neuromusculares en el síndrome de insuficiencia respiratoria aguda","authors":"I. Cordero-escobar, Caridad de Dios-Soler-Morejón","doi":"10.24875/raa.19000030","DOIUrl":"https://doi.org/10.24875/raa.19000030","url":null,"abstract":"Neuromuscular blockers are drugs that are used as a complement to general anesthesia. To update review of the literature on the use of neuromuscular blockers in acute respiratory failure syndrome. The possibility of use in this context has opened a vast field of research. Its prolonged administration has been associated with complications and despite the controversies about its use, in recent years it has been observed that it can be considered an adjuvant drug for the treatment of this syndrome. It is necessary to increase the scientific evidence to guarantee a high safety profile of these drugs as adjuvants in the treatment of acute respiratory failure syndrome before their systematic use can be recommended. In light of current knowledge and the controversy of the subject, the indication of these drugs should be individualized in the critical patient in general and in that with acute respiratory distress syndrome in particular.","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126921354","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
Cuantificación del consumo de gases anestésicos y medicinales después de la implementación de anestesia general a bajo flujo 低流量全身麻醉后麻醉和药用气体消耗量的量化
Revista Argentina de Anestesiologia Pub Date : 2019-11-19 DOI: 10.24875/raa.19000031
M. Ramos, Franco Fratebianchi, J. Lafourcade, Bruno Santoro, María J. Laiño, D. Guardabassi
{"title":"Cuantificación del consumo de gases anestésicos y medicinales después de la implementación de anestesia general a bajo flujo","authors":"M. Ramos, Franco Fratebianchi, J. Lafourcade, Bruno Santoro, María J. Laiño, D. Guardabassi","doi":"10.24875/raa.19000031","DOIUrl":"https://doi.org/10.24875/raa.19000031","url":null,"abstract":"objetivos: Relevar el consumo de gases anestésicos y medicinales y compararlo de acuerdo a si se utilizó o no anestesia a bajo flujo, asimismo, estimar el consumo de oxígeno si las anestesias generales se hubieran realizado con estaciones de trabajo con concertina. Material y métodos: Se obtuvieron los datos de consumo en diferentes cirugías, comparándose estos con el mismo período del año anterior, momento en el que no se realizaba anestesia a bajo flujo. También se estimó cómo hubiese aumentado el consumo de oxígeno si las mismas cirugías relevadas se hubieran efectuado con una máquina de anestesia con tecnología de concertina. Resultados: La recolección de datos incluyó 59 anestesias generales. La cantidad de anestesias por frasco de sevoflurano aumentó de 12.1 a 18.7 después de la implementación parcial de la técnica de bajo flujo. Se estimó un ahorro de 45,633 l de oxígeno al utilizar pistón. Discusión: La precisión en el aporte de gas fresco y el análisis de gases espirados parece reducir el consumo de agente anestésico. Se halló que la eficiencia en el uso de sevoflurano no es óptima, y que la utilización sistemática de la técnica de bajo flujo aportaría beneficios para el paciente, el medio ambiente, la salud del personal de quirófano y la economía institucional.","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133178682","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
Black esophagus: Necrosis aguda esofágica en paciente con shock hemorrágico 黑食管:出血性休克患者急性食管坏死
Revista Argentina de Anestesiologia Pub Date : 2019-03-14 DOI: 10.24875/RAA.18000012
E. Chicote-Álvarez, María J. Domínguez-Artiga, M. González-Martínez, Álvaro Terán-Lantarón
{"title":"Black esophagus: Necrosis aguda esofágica en paciente con shock hemorrágico","authors":"E. Chicote-Álvarez, María J. Domínguez-Artiga, M. González-Martínez, Álvaro Terán-Lantarón","doi":"10.24875/RAA.18000012","DOIUrl":"https://doi.org/10.24875/RAA.18000012","url":null,"abstract":"Acute esophageal necrosis (black esophagus) is an infrequent condition associated with tissue hypoperfusion. The etiology is multifactorial. The treatment consists of treating the triggering situation and keeping the patient nil-per-os. It can present complications such as perforation or esophageal stenosis. It is usually reversible by improving the triggering pathology.","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122914324","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
Manejo anestésico de paciente con enfermedad de Moyamoya sometido a encefaloduroarteriomiosinangiosis 脑硬动脉肌酐血管病变Moyamoya病患者的麻醉处理
Revista Argentina de Anestesiologia Pub Date : 2019-03-14 DOI: 10.24875/RAA.18000008
Ana María Pérez-Muñoz, A. Martínez-Saniger, M. Echevarría-Moreno, I. Jiménez-López
{"title":"Manejo anestésico de paciente con enfermedad de Moyamoya sometido a encefaloduroarteriomiosinangiosis","authors":"Ana María Pérez-Muñoz, A. Martínez-Saniger, M. Echevarría-Moreno, I. Jiménez-López","doi":"10.24875/RAA.18000008","DOIUrl":"https://doi.org/10.24875/RAA.18000008","url":null,"abstract":"Moyamoya’s disease is an unusual vascular entity with important physiopathological implications. Vascular stenosis in main cerebral arteries causes a loss in self-regulation, with high risk of hypoxia. It generates neovascularization too, that implies a high probability of rupture and intracerebral hemorrhage. One of the most extended therapy is the encephalo-dural–arterial synangiosis. This treatment consists of implanting superficial temporal artery in the cortical region affects. The most appropriate anesthetic technique as well as the strategies to optimize cerebral perfusion are still under discussion. In this article we present our experience with a patient undergoing this procedure under total intravenous anesthesia, with preservation of neurological status after extubation.","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129846327","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
Sangrado tardío por déficit de factor XIII tras citorreducción y quimioterapia intraoperatoria hipertérmica 细胞还原和术中高热化疗后因子XIII缺乏导致晚期出血
Revista Argentina de Anestesiologia Pub Date : 2019-03-14 DOI: 10.24875/RAA.18000017
I. Hernández, L. Soriano, E. Terradillos, P. Piñeiro, Wenceslao Vasquez, P. Duque
{"title":"Sangrado tardío por déficit de factor XIII tras citorreducción y quimioterapia intraoperatoria hipertérmica","authors":"I. Hernández, L. Soriano, E. Terradillos, P. Piñeiro, Wenceslao Vasquez, P. Duque","doi":"10.24875/RAA.18000017","DOIUrl":"https://doi.org/10.24875/RAA.18000017","url":null,"abstract":"","PeriodicalId":351025,"journal":{"name":"Revista Argentina de Anestesiologia","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131102790","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
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