Revista Espanola de Anestesiologia y Reanimacion最新文献

{"title":"Consideraciones anestésicas en el manejo perioperatorio del paciente con síndrome de Jarcho-Levin","authors":"F. Rico Rodríguez ,&nbsp;D.A. Camargo Espitia ,&nbsp;A. Mayoral Márquez ,&nbsp;S. Ruan Lin ,&nbsp;M.C. Martín Lorenzo","doi":"10.1016/j.redar.2023.03.003","DOIUrl":"10.1016/j.redar.2023.03.003","url":null,"abstract":"<div><p>Jarcho-Levin syndrome is an eponym used to describe a spectrum of small thoracic skeletal dysplasias with variable involvement of vertebrae and ribs. Initially considered lethal, it is currently compatible with life in its mildest forms. Bone alterations that lead to a restrictive respiratory pattern, recurrent respiratory infections and particular phenotype can make perioperative anesthetic management difficult. The proper assessment of the airway is of special interest because it presents predictors of a difficult airway, as well as the prevention, early diagnosis and adequate treatment of respiratory failure.</p><p>We present the case of a patient with Jarcho-Levin syndrome who underwent vertebral distraction surgery, with its most notable implications in anesthetic management.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55301368","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":"Uso de una guía de punta flexible (FlexTip) para manejar el fallo del primer intento de intubación con el videolaringoscopio C-MAC D-Blade en la unidad de cuidados intensivos: serie prospectiva de casos","authors":"M. Taboada ,&nbsp;A. Cariñena ,&nbsp;J. Regueira ,&nbsp;C. Francisco ,&nbsp;M. Rodríguez ,&nbsp;T. Seoane-Pillado","doi":"10.1016/j.redar.2023.02.002","DOIUrl":"10.1016/j.redar.2023.02.002","url":null,"abstract":"<div><p>We describe a series of 11 cases in which we used the new flexible tip (FlexTip) bougie as a rescue device following first-attempt failure at intubation with the C-MAC D-Blade video laryngoscope in our UCI. We collected data from all intubations performed using the C-MAC D-Blade video laryngoscope over a 16-month period. Ninety six patients were included in the study: 79 (86.8%) were intubated at the first attempt; 11 (12.1%) required 2 attempts; and one patient required 3 attempts. The Frova Intubating Introducer was used in one of the 12 patients requiring more than one intubation attempt, and the FlexTip was used in the remaining 11. This study shows that the new FlexTip bougie is a good rescue device when the first attempt at video laryngoscope intubation fails.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249535","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":"Anestesia neuroaxial en pacientes portadores de dispositivos de derivación de líquido cefalorraquídeo: revisión descriptiva","authors":"P. García Casas,&nbsp;M. Echevarría Moreno","doi":"10.1016/j.redar.2023.05.009","DOIUrl":"https://doi.org/10.1016/j.redar.2023.05.009","url":null,"abstract":"<div><p>Neuraxial anesthesia in patients with cerebrospinal fluid (CSF) shunt devices has traditionally been associated with a high risk of complications. In order to gather all available evidence, a structured search was conducted to include published studies involving users of these devices, undergoing any form of neuraxial technique for obstetric or surgical procedures unrelated to them. Effectiveness of the technique and perioperative complications were assessed. Only case series and case reports (n = 72) were identified. One patient was found to have insufficient anesthetic coverage, necessitating a modification of the technique, and another one had an intraoperative complication which compromised the subject's safety. No infection events or postoperative device dysfunction related to the anesthetic method were described. The evidence found is scarce and of low quality, preventing the establishment of significant conclusions. Nevertheless, patients may obtain benefit from an individualized evaluation.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308649","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":"Pregabalina preoperatoria previene las fasciculaciones y mialgias inducidas por succinilcolina: metaanálisis de ensayos aleatorizados","authors":"P.A. Vélez ,&nbsp;V. Lara-Erazo ,&nbsp;A.F. Caballero-Lozada ,&nbsp;A. Botero ,&nbsp;G. Lozada ,&nbsp;A.F. Velásquez ,&nbsp;L.M. Villegas ,&nbsp;A. Zorrilla-Vaca","doi":"10.1016/j.redar.2022.12.004","DOIUrl":"10.1016/j.redar.2022.12.004","url":null,"abstract":"<div><p>Succinylcholine is the gold standard neuromuscular blocker for rapid sequence induction, however, its use is associated with fasciculations and myalgias. A systematic review and meta-analysis including randomized controlled clinical trials was performed comparing gabapentinoids versus placebo for the prevention of fasciculations and succinylcholine-induced myalgias. Six randomized clinical studies were included. The total number of patients was 481, of which 241 were in the intervention group and 240 in the placebo group. Gabapentinoids reduced the incidence of succinylcholine-induced myalgia (RR<!--> <!-->=<!--> <!-->.69; 95%<!--> <!-->CI: .56-.84; <em>P</em> <!-->&lt;<!--> <!-->.001), which remained statistically significant for pregabalin (RR<!--> <!-->=<!--> <!-->.71; 95%<!--> <!-->CI: .54-.93; <em>P</em> <!-->=<!--> <!-->.013) and gabapentin (RR<!--> <!-->=<!--> <!-->.61; 95%<!--> <!-->CI: .45-.82; <em>P</em> <!-->=<!--> <!-->.001) separately. There was no difference between the groups in fasciculations (RR<!--> <!-->=<!--> <!-->.92; 95%<!--> <!-->CI: .82-1.03; <em>P</em> <!-->=<!--> <!-->.148). Preoperative use of gabapentinoids is associated with lower incidence of succinylcholine-induced myalgias within the first 24<!--> <!-->hours after the procedure.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139018169","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":"Trombo en tránsito izquierdo intraoperatorio en trasplante bipulmonar diagnosticado por ecocardiografía transesofágica: ¿qué es lo siguiente?","authors":"D. Perez-Ajami ,&nbsp;P. Carmona García ,&nbsp;I. Zarragoikoetxea Jauregui ,&nbsp;G. Sales Badía ,&nbsp;P. Argente Navarro ,&nbsp;E. Viscasillas Navarro","doi":"10.1016/j.redar.2023.03.006","DOIUrl":"10.1016/j.redar.2023.03.006","url":null,"abstract":"<div><p>61-year-old man without any thrombotic predisposition was undergone double sequential lung transplantation due to terminal stage of COPD without extracorporeal membrane oxygenation (ECMO) support. After implantation and reperfusion of both lungs, a complete transoesophageal echocardiography exam was performed to check especially the pulmonary venous anastomosis. In this exam, a large heterogenous, dense, hyperechoic mobile mass was identified in the LA, which was compatible with a thrombus in transit from pulmonary veins circulation. This finding was communicated to the surgical team to reopen the anastomosis and remove the clot before further consequences. There were no clinical manifestations when the patient was awakened.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139024217","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 adición de midazolam intratecal al anestésico local mejora los bloqueos sensorial y motor y reduce la puntuación del dolor sin incrementar los efectos secundarios en la cirugía de miembros inferiores. Metaanálisis y revisión sistemática","authors":"A.U. Huda ,&nbsp;M.Z. Mughal","doi":"10.1016/j.redar.2023.01.007","DOIUrl":"10.1016/j.redar.2023.01.007","url":null,"abstract":"<div><p>This meta-analysis was done to investigate the role of intrathecal midazolam in lower limb surgeries regarding prolongation of spinal block, postoperative pain control and associated side effects. The included studies reported onset and duration of sensory and motor block, time to first request analgesia, 24<!--> <!-->hours opioid consumption, postoperative pain control, and associated side effects following use of intrathecal midazolam for lower limb surgeries. This review was performed following the PRISMA guidelines and using the online databases, Medline, Science Direct, Google scholar and Cochrane library. We registered this review with the PROSPERO database (ID-CRD42022346361) in August 2022. A total of 10 randomised controlled trials were included in this meta-analysis.</p><p>Our results showed patients receiving 1<!--> <!-->mg intrathecal midazolam showed significantly faster onset of sensory block (<em>P</em> <!-->=<!--> <!-->.001 [<span>C</span>I: −0.98, −0.31]). Duration of sensory and motor block were also significantly prolonged in intrathecal midazolam group (<em>P</em> <!-->&lt;<!--> <!-->.00001 [CI: 18.08, 39.12], <em>P</em> <!-->=<!--> <!-->.002 [CI: 0.45, 2]). Intrathecal midazolam also increased the time to first request analgesia (<em>P</em> <!--> <!-->=<!--> <!-->.0003 [CI: 1.22, 4.14]). Pain scores at 4 and 12<!--> <!-->hours postoperatively were significantly lower in patients receiving intrathecal midazolam (<em>P</em> <!--> <!-->=<!--> <!-->.00001[CI: −1.20, −0.47] and <em>P</em> <!-->=<!--> <!-->0.05 [CI: −0.52, −0.01] respectively). In conclusion, the addition of intrathecal midazolam to local anesthetics in lower limb surgeries results in early onset of sensory and motor block. It also increases the duration of sensory and motor block. The time to first request analgesia is increased. VAS pain scores at 4 and 12<!--> <!-->hours postoperatively were also lower without any increased side effects.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988949","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":"SARS-CoV-2 RT-PCR en ausencia de estándares de referencia no puede garantizar un rendimiento analítico confiable","authors":"S. Chirumbolo","doi":"10.1016/j.redar.2023.03.010","DOIUrl":"10.1016/j.redar.2023.03.010","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139020908","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":"Arriesgar es humano: las cuatro tentaciones del vial multidosis","authors":"A. Romera Rabasa,&nbsp;M. Lema Tomé,&nbsp;A. Garrido Sánchez","doi":"10.1016/j.redar.2023.07.003","DOIUrl":"10.1016/j.redar.2023.07.003","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138620607","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":"Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte I","authors":"M.Á. Gómez-Ríos ,&nbsp;J.A. Sastre ,&nbsp;X. Onrubia-Fuertes ,&nbsp;T. López ,&nbsp;A. Abad-Gurumeta ,&nbsp;R. Casans-Francés ,&nbsp;D. Gómez-Ríos ,&nbsp;J.C. Garzón ,&nbsp;V. Martínez-Pons ,&nbsp;M. Casalderrey-Rivas ,&nbsp;M.Á. Fernández-Vaquero ,&nbsp;E. Martínez-Hurtado ,&nbsp;R. Martín-Larrauri ,&nbsp;L. Reviriego-Agudo ,&nbsp;U. Gutierrez-Couto ,&nbsp;J. García-Fernández ,&nbsp;A. Serrano-Moraza ,&nbsp;L.J. Rodríguez Martín ,&nbsp;C. Camacho Leis ,&nbsp;S. Espinosa Ramírez ,&nbsp;P. Charco-Mora","doi":"10.1016/j.redar.2023.08.002","DOIUrl":"https://doi.org/10.1016/j.redar.2023.08.002","url":null,"abstract":"<div><p>The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care. The document provides evidence-based recommendations, theoretical-educational tools, and implementation tools, mainly cognitive aids, applicable to airway management in the fields of anesthesiology, critical care, emergencies, and prehospital medicine. For this purpose, an extensive literature search was conducted following PRISMA-R guidelines and was analyzed using the GRADE methodology. Recommendations were formulated according to the GRADE methodology. Recommendations for sections with low-quality evidence were based on expert opinion through consensus reached via a Delphi questionnaire.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139985678","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":"Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte II","authors":"M.Á. Gómez-Ríos ,&nbsp;J.A. Sastre ,&nbsp;X. Onrubia-Fuertes ,&nbsp;T. López ,&nbsp;A. Abad-Gurumeta ,&nbsp;R. Casans-Francés ,&nbsp;D. Gómez-Ríos ,&nbsp;J.C. Garzón ,&nbsp;V. Martínez-Pons ,&nbsp;M. Casalderrey-Rivas ,&nbsp;M.Á. Fernández-Vaquero ,&nbsp;E. Martínez-Hurtado ,&nbsp;R. Martín-Larrauri ,&nbsp;L. Reviriego-Agudo ,&nbsp;U. Gutierrez-Couto ,&nbsp;J. García-Fernández ,&nbsp;A. Serrano-Moraza ,&nbsp;L.J. Rodríguez Martín ,&nbsp;C. Camacho Leis ,&nbsp;S. Espinosa Ramírez ,&nbsp;P. Charco-Mora","doi":"10.1016/j.redar.2023.08.001","DOIUrl":"https://doi.org/10.1016/j.redar.2023.08.001","url":null,"abstract":"<div><p>The Airway Management section of the Spanish Society of Anesthesiology, Resuscitation, and Pain Therapy (SEDAR), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) present the Guide for the comprehensive management of difficult airway in adult patients. Its principles are focused on the human factor, cognitive processes for decision-making in critical situations, and optimization in the progression of strategies application to preserve adequate alveolar oxygenation in order to enhance safety and the quality of care. The document provides evidence-based recommendations, theoretical-educational tools, and implementation tools, mainly cognitive aids, applicable to airway management in the fields of anesthesiology, critical care, emergencies, and prehospital medicine. For this purpose, an extensive literature search was conducted following PRISMA-R guidelines and was analyzed using the GRADE methodology. Recommendations were formulated according to the GRADE methodology. Recommendations for sections with low-quality evidence were based on expert opinion through consensus reached via a Delphi questionnaire.</p></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139985675","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}