Revista Espanola de Anestesiologia y Reanimacion最新文献_第10页

Revisión de la tomografía por impedancia eléctrica en el paciente pediátrico 儿科患者电阻抗断层扫描回顾

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-06-01 DOI: 10.1016/j.redar.2023.08.003

S. Cabezudo Ballesteros , P. Sanabria Carretero, F. Reinoso Barbero

引用次数: 0

Bloqueo continuo del grupo de nervios pericapsulares (PENG) en una paciente oncológica con necrosis avascular de la cabeza femoral bilateral 一名患有双侧股骨头血管性坏死的肿瘤患者的连续性囊周神经组阻滞（PENG）。

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-06-01 DOI: 10.1016/j.redar.2022.11.009

A. Server, V. Sánchez, E. Schmucker, Á. Mesas, J. Medel

{"title":"Bloqueo continuo del grupo de nervios pericapsulares (PENG) en una paciente oncológica con necrosis avascular de la cabeza femoral bilateral","authors":"A. Server, V. Sánchez, E. Schmucker, Á. Mesas, J. Medel","doi":"10.1016/j.redar.2022.11.009","DOIUrl":"10.1016/j.redar.2022.11.009","url":null,"abstract":"<div><p>The PENG block (Pericapsular Nerve Group) is a recently described technique to address the innervation of the hip, one of the most complex anatomical regions to treat at the locoregional level.</p><p>We present the case of a patient with acute lymphoblastic leukemia complicated by avascular necrosis of the bilateral femoral head and previous history of severe chronic pain with probable central sensitization to opioids and a severe thrombocytopenia due to myelotoxicity from chemotherapy treatment.</p><p>Given the need for orthopedic surgery to manage femoral necrosis and in anticipation of complex perioperative pain management, a multimodal strategy was planned including bilateral ultrasound-guided continuous PENG blocks to achieve proper pain control in the perioperative period and promote early recovery. The operation and initial recovery were uneventful and the patient was discharged to the ward within 24 h and started early rehabilitation as planned. The patient had a successful recovery with good functionality.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 6","pages":"Pages 486-490"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136055215","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

En defensa de la Especialidad médica de Anestesiología: Garantizando la máxima Seguridad del Paciente 捍卫麻醉医学专业：确保最大程度的患者安全

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-03-28 DOI: 10.1016/j.redar.2024.03.001

J.G. Fernández

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Un mecanismo nefrogénico subyace a la poliuria inducida por dexmedetomidina: informe de un caso 右美托咪定诱发多尿的肾源性机制：一份病例报告

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-03-11 DOI: 10.1016/j.redar.2022.10.006

L. Vaz Rodrigues , D. Roriz , F.S. Seixas , S. Marinho , P.R. Ferreira

引用次数: 0

Recomendaciones del grupo de trabajo para la valoración preanestésica de la cirugía de cataratas 白内障手术麻醉前评估工作组建议

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-03-05 DOI: 10.1016/j.redar.2023.09.007

L. Quecedo Gutierrez , E. Alsina Marcos , B. Blanco Narciso , A. Vázquez Lima , M. Zaballos García , A. Abad Gurumeta

{"title":"Recomendaciones del grupo de trabajo para la valoración preanestésica de la cirugía de cataratas","authors":"L. Quecedo Gutierrez , E. Alsina Marcos , B. Blanco Narciso , A. Vázquez Lima , M. Zaballos García , A. Abad Gurumeta","doi":"10.1016/j.redar.2023.09.007","DOIUrl":"https://doi.org/10.1016/j.redar.2023.09.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Cataract surgery is one of the most common procedures in outpatient surgery units. The use of information and communication technologies (ICT) in clinical practice and the advent of new health scenarios, such as the Covid pandemic, have driven the development of pre-anaesthesia assessment models that free up resources to improve access to cataract surgery without sacrificing patient safety. The approach to cataract surgery varies considerably among public, subsidised and private hospitals. This raises the need for guidelines to standardise patient assessment, pre-operative testing, management of background medication, patient information and informed consent.</p></div><div><h3>Results</h3><p>In this document, the SEDAR Clinical Management Division together with the Major Outpatient Surgery Division put forward a series of consensus recommendations on pre-anaesthesia testing based on the use of ITCs, health questionnaires, patient information, and informed consent supervised and evaluated by an anaesthesiologist.</p></div><div><h3>Conclusions</h3><p>This consensus document will effectivise pre-anaesthesia assessment in cataract surgery while maintaining the highest standards of quality, safety and legality.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 5","pages":"Pages 403-411"},"PeriodicalIF":1.3,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0034935624000124/pdfft?md5=41b124211097ff32845b5335c08c451e&pid=1-s2.0-S0034935624000124-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Uterotónicos, sulfato de magnesio y antibióticos durante el parto y periparto: fármacos obstétricos de importancia para el anestesiólogo 分娩和围产期的子宫收缩剂、硫酸镁和抗生素：与麻醉师有关的产科药物

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-03-05 DOI: 10.1016/j.redar.2023.08.007

M. Astete , H.J. Lacassie

{"title":"Uterotónicos, sulfato de magnesio y antibióticos durante el parto y periparto: fármacos obstétricos de importancia para el anestesiólogo","authors":"M. Astete , H.J. Lacassie","doi":"10.1016/j.redar.2023.08.007","DOIUrl":"10.1016/j.redar.2023.08.007","url":null,"abstract":"<div><p>The main causes of maternal mortality are comorbidities, hypertensive pregnancy syndrome, obstetric haemorrhage, and maternal sepsis. For this reason, uterotonics, magnesium sulphate, and antibiotics are essential tools in the management of obstetric patients during labour and in the peripartum period. These drugs are widely used by anaesthesiologists in all departments, and play a crucial role in treatment and patient safety.</p><p>For the purpose of this narrative review, we performed a detailed search of medical databases and selected studies describing the use of these drugs in patients during pregnancy, delivery and the pospartum period.</p><p>Uterotonics, above all oxytocin, play an important role in the prevention and treatment of pospartum haemorrhage, and various studies have shown that in obstetric procedures, such as scheduled and emergency caesarean section, they are effective at lower doses than those hitherto accepted. We also discuss the use of carbetocin as an effective alternative that has a therapeutic advantage in certain clinical circumstances.</p><p>Magnesium sulphate is the gold standard in the prevention and treatment of eclampsia, and also plays a neuroprotective role in preterm infants. We describe the precautions to be taken during magnesium administration.</p><p>Finally, we discuss the importance of understanding microbiology and the pharmacology of antibiotics in the management of obstetric infection and endometritis, and draw attention to the latest trends in antibiotic regimens in labour and caesarean section.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 5","pages":"Pages 412-420"},"PeriodicalIF":1.3,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275692","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

Desplazamiento de los catéteres para bloqueo continuo del nervio supraescapular tras fisioterapia: estudio en cadáveres 物理治疗后连续性肩胛上神经阻断导管的移位：一项尸体研究

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-03-02 DOI: 10.1016/j.redar.2023.10.002

P. Goffin , L. Morales , E. Jorcano , A. Prats-Galino , M.A. Reina , X. Sala-Blanch

{"title":"Desplazamiento de los catéteres para bloqueo continuo del nervio supraescapular tras fisioterapia: estudio en cadáveres","authors":"P. Goffin , L. Morales , E. Jorcano , A. Prats-Galino , M.A. Reina , X. Sala-Blanch","doi":"10.1016/j.redar.2023.10.002","DOIUrl":"10.1016/j.redar.2023.10.002","url":null,"abstract":"<div><h3>Background</h3><p>Continuous peripheral nerve blocks are commonly used for pain management. However, the incidence of catheter dislodgement or migration is unclear, and may be underestimated and underreported. Our objective was to assess suprascapular catheter tip positioning before and after routine simulated shoulder physiotherapy manipulation in an anatomical cadaver model.</p></div><div><h3>Method</h3><p>Eight ultrasound-guided continuous suprascapular nerve block catheters were placed in cryopreserved fresh cadavers. Computed tomography (CT) confirmed the location of the catheter tip after injection of 1ml of contrast medium. We performed a series of standardized shoulder movements during a simulated shoulder physiotherapy session in cadavers. Following this, we administered 1ml of methylene blue through the catheters, and then performed anatomical dissections to accurately identify the location of the catheter tips and compare them to their placement prior to the ‘physiotherapy’</p></div><div><h3>Result</h3><p>CT imaging confirmed the location of the catheter tips at the suprascapular notch in all cases. However, following physiotherapy, 2 catheters (25%) were found to have migrated - specifically, 1 was located in the supraspinatus muscle, and the other was located in the trapezius muscle.</p></div><div><h3>Conclusion</h3><p>Our findings suggest that catheter dislodgement may occur in approximately 25% of cases following simulated physiotherapy manipulation. However, further research is needed to determine the read incidence of catheter dislodgement in clinical practice.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 4","pages":"Pages 291-297"},"PeriodicalIF":1.3,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140090780","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

Asociación entre manifestaciones tempranas de infección o sepsis y el pronóstico en un hospital de alta complejidad en la ciudad de Medellín 麦德林市一家高度复杂医院的感染或败血症早期表现与预后之间的关系。

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-02-20 DOI: 10.1016/j.redar.2023.07.009

J.A. Albarracin Duarte , J. Chaparro Hernández , J.A. Rojas Aceros , J.E. Valoyes Gélvez , J. Ascuntar , F. Jaimes

{"title":"Asociación entre manifestaciones tempranas de infección o sepsis y el pronóstico en un hospital de alta complejidad en la ciudad de Medellín","authors":"J.A. Albarracin Duarte , J. Chaparro Hernández , J.A. Rojas Aceros , J.E. Valoyes Gélvez , J. Ascuntar , F. Jaimes","doi":"10.1016/j.redar.2023.07.009","DOIUrl":"10.1016/j.redar.2023.07.009","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the first symptoms and signs of patients with suspected infection or sepsis and their association with the composite outcome of admission to the intensive care unit or mortality.</p></div><div><h3>Design</h3><p>Prospective cohort study between June 2019 and March 2020.</p></div><div><h3>Setting</h3><p>Hospital Universitario San Vicente Fundación, Colombia.</p></div><div><h3>Patients</h3><p>Over 18 years of age with suspicion or confirmation of sepsis, which required hospitalization.</p></div><div><h3>Interventions</h3><p>None.</p></div><div><h3>Main variables of interest</h3><p>Symptoms and signs associated with infection, with their time of evolution, specified in the study.</p></div><div><h3>Results</h3><p>From 1005 eligible patients, 261 were included. After multivariable adjustment with a logistic regression model, the main factors for intensive care unit admission or mortality were heart rate (OR 1.04 with 95% CI 1.04-3.7), respiratory rate (OR 1.19 with 95% CI 1.0-1.4) and capillary refill time (OR 3.4 with 95% CI 1.9-6.1).</p></div><div><h3>Conclusions</h3><p>Heart rate, respiratory rate, and capillary refill may behave as early predictors of intensive care unit admission and mortality in cases of sepsis.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 5","pages":"Pages 394-402"},"PeriodicalIF":1.3,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466897","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

Guía de sedación inhalada en la UCI 重症监护病房吸入镇静指南

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-02-01 DOI: 10.1016/j.redar.2023.07.001

F. García-Montoto , D. Paz-Martín , D. Pestaña , M. Soro , J.M. Marcos-Vidal , R. Badenes , A. Suárez de la Rica , T. Bardi , A. Pérez-Carbonell , C. García , J.A. Cervantes , M.P. Martínez , J.L. Guerrero , J.V. Lorente , J. Veganzones , M. Murcia , F.J. Belda

{"title":"Guía de sedación inhalada en la UCI","authors":"F. García-Montoto , D. Paz-Martín , D. Pestaña , M. Soro , J.M. Marcos-Vidal , R. Badenes , A. Suárez de la Rica , T. Bardi , A. Pérez-Carbonell , C. García , J.A. Cervantes , M.P. Martínez , J.L. Guerrero , J.V. Lorente , J. Veganzones , M. Murcia , F.J. Belda","doi":"10.1016/j.redar.2023.07.001","DOIUrl":"10.1016/j.redar.2023.07.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Sedation is used in intensive care units (ICU) to improve comfort and tolerance during mechanical ventilation, invasive interventions, and nursing care. In recent years, the use of inhalation anaesthetics for this purpose has increased. Our objective was to obtain and summarize the best evidence on inhaled sedation in adult patients in the ICU, and use this to help physicians choose the most appropriate approach in terms of the impact of sedation on clinical outcomes and the risk-benefit of the chosen strategy.</p></div><div><h3>Methodology</h3><p>Given the overall lack of literature and scientific evidence on various aspects of inhaled sedation in the ICU, we decided to use a Delphi method to achieve consensus among a group of 17 expert panellists. The processes was conducted over a 12-month period between 2022 and 2023, and followed the recommendations of the CREDES guidelines.</p></div><div><h3>Results</h3><p>The results of the Delphi survey form the basis of these 39 recommendations - 23 with a strong consensus and 15 with a weak consensus.</p></div><div><h3>Conclusion</h3><p>The use of inhaled sedation in the ICU is a reliable and appropriate option in a wide variety of clinical scenarios. However, there are numerous aspects of the technique that require further study.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"71 2","pages":"Pages 90-111"},"PeriodicalIF":1.3,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135564278","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}

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Síndrome de Kounis inducido por ceftriaxona: informe de un caso y revisión de la literatura 头孢曲松诱发的库尼斯综合征：病例报告和文献综述

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Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2024-02-01 DOI: 10.1016/j.redar.2023.01.003

S. Ali, M. Athar, R. Rahman, F. Rehman

引用次数: 0