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Revista Mexicana de Anestesiología最新文献

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Apgar quirúrgico como criterio de activación de código 77 en el Hospital Ángeles Pedregal 在angeles Pedregal医院,外科阿普加作为代码77的激活标准
Pub Date : 1900-01-01 DOI: 10.35366/103881
Erika Ramírez-Patiño, J. Alarcon-rodriguez, Jeanette Fabiola Schlitt-Niño, Pedro Alejandro Elguea-Echavarría, José Manuel Portela-Ortiz
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引用次数: 0
Manejo perioperatorio del paciente con coagulopatía por COVID-19 COVID-19凝血病患者的围手术期管理
Pub Date : 1900-01-01 DOI: 10.35366/94938
S. Oriol-López
. The appearance of the SARS-CoV-2 coronavirus disease, in China late 2019, has spread rapidly to become a pandemic, the clinical characteristics which range from being asymptomatic to having the severe form, where patients present abnormalities of the Coagulation, generally a hypercoagulable state, may evolve to disseminated intravascular coagulation, multiple organ failure, and / or death. It is important to investigate comorbidities; verify the coagulation status from the first contact, analyzing the routes: endogenous, exogenous, common, fibrinolytic system and platelet count, using technology like thromboelastography and sonoclot. The use of anticoagulants is indicated, it can be used unfractionated or low molecular weight heparin, with laboratory tests to adjust the dose, in order to avoid states of hypocoagulability, use blood products when necessary. Remember that antiviral treatment can have interactions with anticoagulants, especially oral ones, bleeding is not common. There are occlusion problems of installed catheters, one must avoid frequent of these washing with heparin. If the patient requires an emergency surgical or invasive procedure, it must verify the evolution of the coagulation, if it cannot be postponed, use treatment with blood products according to the alteration detected. Follow the management algorithm in the operating room to avoid infections from health personnel.
. 2019年底在中国出现的SARS-CoV-2冠状病毒疾病已迅速传播成为大流行,其临床特征从无症状到严重形式,其中患者出现凝血异常,通常为高凝状态,可能演变为弥散性血管内凝血,多器官衰竭和/或死亡。重要的是调查合并症;从第一次接触开始验证凝血状态,分析途径:内源性、外源性、共同、纤溶系统和血小板计数,使用血栓弹性成像和超声心动图等技术。使用抗凝剂有指征时,可使用未分级或低分子量肝素,配合实验室试验调整剂量,以避免低凝状态,必要时使用血液制品。记住,抗病毒治疗可能与抗凝剂相互作用,尤其是口服抗凝剂,出血并不常见。安装的导管存在闭塞问题,必须避免频繁使用肝素清洗。如果患者需要紧急手术或侵入性手术,必须验证凝血的演变,如果不能推迟,则根据检测到的改变使用血液制品治疗。遵循手术室管理算法,避免卫生人员感染。
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引用次数: 0
Influencia de posición del brazo en adultos para abordaje de plexo braquial costoclavicular: estudio observacional
Pub Date : 1900-01-01 DOI: 10.35366/110195
Angélica Peña-Riverón, J. Morales-Nuño, Maritza María Elena Hermosillo-Franco, Diana Carolina Domínguez-Rodríguez, Gregorio Ibrain Osorio-Sánchez
{"title":"Influencia de posición del brazo en adultos para abordaje de plexo braquial costoclavicular: estudio observacional","authors":"Angélica Peña-Riverón, J. Morales-Nuño, Maritza María Elena Hermosillo-Franco, Diana Carolina Domínguez-Rodríguez, Gregorio Ibrain Osorio-Sánchez","doi":"10.35366/110195","DOIUrl":"https://doi.org/10.35366/110195","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"14 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":"126504432","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
POCUS perioperatorio cuando el corazón se detiene: ¿sirve o no sirve? 围手术期心脏停止时的POCUS:有用还是没用?
Pub Date : 1900-01-01 DOI: 10.35366/102907
Marta Inés Berrío-Valencia
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引用次数: 0
Manejo racional de las neuropatías diabéticas: consenso multidisciplinario de expertos 糖尿病神经病变的合理管理:多学科专家共识
Pub Date : 1900-01-01 DOI: 10.35366/111074
María del Rocío Guillén-Núñez, M. Araujo-Navarrete, M. Duarte-Vega, Dinorah Ivon Fonseca-Soliz, B. C. Hernández-Porras, A. Lara-Solares, Armando Loyo-Galindo, J. Negrete-Corona, K. Madrigal-Rentería, José Héctor Sánchez-Mijangos
. Diabetes mellitus, a chronic and progressive condition, was the third most common cause of death in Mexico between January and June 2021. Its most frequent chronic complication is diabetic neuropathy, which has a major impact on the nervous system. A multidisciplinary group of experts met in Mexico City to establish a treatment algorithm considering the symptomatic and etiopathogenic aspects of diabetic neuropathy. A real-time Delphi method with two rounds of interative questions was used. The implementation of the proposed algorithm will allow a comprehensive approach to the diabetic patient with painful and non-painful neuropathy, both in terms of symptoms and etiopathogenesis. This approach provides the opportunity to improve quality of life and achieve reintegration into family and work life. The expert panel recommends thioctic acid as the first line etiopathogenic treatment for diabetic neuropathy. Citar como: Guillén-Núñez MR, Araujo-Navarrete ME, Duarte-Vega M, Fonseca-Soliz DI, Hernández-Porras BC, Lara-Solares A, et al. Manejo racional de las neuropatías diabéticas: consenso multidisciplinario de expertos. Rev Mex Anestesiol. 2023; 46 (3): 184-190
. 糖尿病是一种慢性进行性疾病,在2021年1月至6月期间是墨西哥第三大常见死因。其最常见的慢性并发症是糖尿病性神经病变,这对神经系统有重大影响。一个多学科专家小组在墨西哥城开会,建立了一种考虑糖尿病神经病变症状和致病方面的治疗算法。采用实时德尔菲法进行两轮问答。所提出的算法的实施将允许在症状和发病机制方面对患有疼痛性和非疼痛性神经病变的糖尿病患者进行全面的治疗。这种做法提供了改善生活质量和重新融入家庭和工作生活的机会。专家小组推荐硫辛酸作为糖尿病神经病变的一线致病治疗。Citar como: Guillén-Núñez MR, Araujo-Navarrete ME, Duarte-Vega M, Fonseca-Soliz DI, Hernández-Porras BC, Lara-Solares A等。人力资源管理neuropatías人力资源管理:多学科专家共识。中华麻醉学杂志。2023;46 (3): 184-190
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引用次数: 0
El envejecimiento, un camino que empezamos a recorrer 衰老,我们开始走的道路
Pub Date : 1900-01-01 DOI: 10.35366/103880
D. Moyao-García
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引用次数: 0
Tromboelastografía para cirugía general 普外科血栓弹性描记术
Pub Date : 1900-01-01 DOI: 10.35366/102903
A. Hernández-Pérez, Karina Ramírez-Morales, J. Lagarda-Cuevas, Cristina Revilla-Monsalve, Gerardo Manuel Bermúdez-Ochoa, José Salvador Juárez-Pichardo, Ana Gabriela Gallardo-Hernández
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引用次数: 0
Fidel Pagés, el auténtico descubridor de la anestesia epidural, en el centenario de su publicación Anestesia metamérica (1921-2021) 菲德尔pages,硬膜外麻醉的真正发现者,在他出版麻醉metamerica(1921-2021)一百周年之际
Pub Date : 1900-01-01 DOI: 10.35366/108625
José M Beleña, Mónica Núñez
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引用次数: 0
Efecto de la maniobra de fijación en línea en la clasificación de Cormack-Lehane 在线固定操作对Cormack-Lehane分类的影响
Pub Date : 1900-01-01 DOI: 10.35366/102900
F. López-Jiménez, E. A. Wilson-Manríquez, Mercedes Nicté López-Hernández
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引用次数: 0
Medidas de protección para el personal de salud durante la pandemia por COVID-19 COVID-19大流行期间卫生人员的保护措施
Pub Date : 1900-01-01 DOI: 10.35366/94945
U. Guevara-López, Kena Guadalupe Herrera-Lugo, V. R. Vásquez-Garzón, Perla Violeta Robles-Rodríguez, Jesús Daniel Elizarrarás-Cruz, N. G. Cruz-Ruiz, Jesús Elizarrarás-Rivas
. In this epidemiological clinical review article, we searched CENTRAL, MEDLINE, Embase and CINAHL until May 8, 2020. Describing in a timely manner the prevention and control measures that health personnel should apply at the hospital level. It is very important that hospitals have prevention and control protocols for the COVID-19 pandemic, the unit must have the resources and personnel to care for the infected population, all workers must have training in the use of personal protection equipment (PPE), as well as hygiene measures. All the aforementioned must be applied in all areas of the hospital center, from reception to ICU (Intensive Care Unit), in medical procedures, disinfection and waste.
. 在这篇流行病学临床综述文章中,我们检索了CENTRAL、MEDLINE、Embase和CINAHL,检索截止日期为2020年5月8日。及时描述卫生人员在医院层面应采取的预防和控制措施。医院必须制定COVID-19大流行的预防和控制方案,该单位必须拥有照顾受感染人群的资源和人员,所有工作人员必须接受个人防护装备(PPE)使用和卫生措施方面的培训,这一点非常重要。上述所有规定都必须适用于医院中心的所有领域,从接待处到ICU(重症监护病房)、医疗程序、消毒和废物处理。
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引用次数: 4
期刊
Revista Mexicana de Anestesiología
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