Carlos Alberto Rocha-Cruz, A. A. Peña-Riverón, David Campos-García, Cinthia Stefania Wiedman-Duarte, Julieta Lizet Castañeda-Vázquez, Héctor Javier Durán-Arizaga
{"title":"Efectividad del bloqueo de plexo braquial con abordaje costoclavicular y factores que modifican la sonoanatomía en pacientes pediátricos","authors":"Carlos Alberto Rocha-Cruz, A. A. Peña-Riverón, David Campos-García, Cinthia Stefania Wiedman-Duarte, Julieta Lizet Castañeda-Vázquez, Héctor Javier Durán-Arizaga","doi":"10.35366/106340","DOIUrl":"https://doi.org/10.35366/106340","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"28 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":"134295465","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}
Verónica Guadarrama-Bustamante, Juan Alberto Díaz-Ponce-Medrano, José Carlos Buenfil-Medina, Juan Carlos Orozco-Lara, Víctor Manuel Antonio-Figueroa, C. I. Villeda-Sandoval, Víctor Hugo Villaseñor-Santiago, J. H. Muñoz-Cuevas
The practice of robotic surgery is a complex process, involving development and technology; not only in the surgery field but also in the anesthesiology field. It implies a multifactorial process since it has generated a drastic multidisciplinary change based on state-of-the-art technology; which aims to offer better conditions during perioperative management in robotic surgery. Intravenous Total Anesthesia accomplishes specific objectives in relation to patient position, brain relaxation, neuroprotection, hemodynamics, loss and recovery of consciousness, neuromuscular paralysis, ventilatory parameters, providing safety and quality during the procedure; with minimal intervention during electrophysiological monitoring and enabling anesthetic depth to be modulated from neurosedation to general anesthesia, according to the different stages of the surgery. A factor attributable to modern anesthesia for robotic surgery success is to employ different anesthetic agents promoting induction, maintenance of general anesthesia, smother and faster anesthetic emersion, for the purpose of reducing recovery time of the state of consciousness), basic and psychomotor functions; as is the general multimodal anesthesia. Impacto de la anestesia intravenosa en cirugía robótica para paciente de alto riesgo sometido a cirugía oncológica de larga duración en el Centro Médico Naval Impact of intravenous anesthesia in robotic surgery for high-risk patient undergoing long-term oncologic surgery at the Naval Medical Center Dra. Verónica Guadarrama-Bustamante,* Dr. Juan Alberto Díaz-Ponce-Medrano,‡ Dr. José Carlos Buenfil-Medina,§ Dr. Juan Carlos Orozco-Lara,¶ Dr. Víctor Manuel Antonio-Figueroa,|| Dr. Christian Isaac Villeda-Sandoval,** Dr. Víctor Hugo Villaseñor-Santiago,‡‡ Dr. Juan Heberto Muñoz-Cuevas§§
机器人手术的实践是一个复杂的过程，涉及发展和技术;不仅在外科领域，而且在麻醉学领域。它意味着一个多因素的过程，因为它在最先进的技术基础上产生了剧烈的多学科变化;旨在为机器人手术的围手术期管理提供更好的条件。静脉全麻醉完成与患者体位、脑放松、神经保护、血流动力学、意识丧失和恢复、神经肌肉麻痹、呼吸参数相关的特定目标，在手术过程中提供安全性和质量;根据手术的不同阶段，电生理监测期间的干预最小，麻醉深度可以从神经镇静调节到全身麻醉。现代麻醉对机器人手术成功的一个因素是使用不同的麻醉剂促进诱导、维持全麻、窒息和更快的麻醉恢复，以缩短意识状态、基本功能和精神运动功能的恢复时间;一般的多模式麻醉也是如此。静脉内麻醉的影响cirugía robótica para pacente de alto riesgo sometido a cirugía oncológica de larga duración en el Centro msamico海军在海军医疗中心进行长期肿瘤手术的高危患者机器人手术中静脉麻醉的影响Verónica瓜达拉马-布斯塔曼特，*胡安·阿尔贝托博士Díaz-Ponce-Medrano，‡何塞·卡洛斯·布恩菲尔-梅迪纳博士，§胡安·卡洛斯·奥罗斯科-拉拉博士，¶Víctor曼努埃尔·安东尼奥-菲格罗亚博士，||克里斯蒂安·艾萨克·维勒达-桑多瓦尔博士，** Víctor雨果博士Villaseñor-Santiago，‡胡安·埃贝托博士Muñoz-Cuevas§§
{"title":"Impacto de la anestesia intravenosa en cirugía robótica para paciente de alto riesgo sometido a cirugía oncológica de larga duración en el Centro Médico Naval","authors":"Verónica Guadarrama-Bustamante, Juan Alberto Díaz-Ponce-Medrano, José Carlos Buenfil-Medina, Juan Carlos Orozco-Lara, Víctor Manuel Antonio-Figueroa, C. I. Villeda-Sandoval, Víctor Hugo Villaseñor-Santiago, J. H. Muñoz-Cuevas","doi":"10.35366/99669","DOIUrl":"https://doi.org/10.35366/99669","url":null,"abstract":"The practice of robotic surgery is a complex process, involving development and technology; not only in the surgery field but also in the anesthesiology field. It implies a multifactorial process since it has generated a drastic multidisciplinary change based on state-of-the-art technology; which aims to offer better conditions during perioperative management in robotic surgery. Intravenous Total Anesthesia accomplishes specific objectives in relation to patient position, brain relaxation, neuroprotection, hemodynamics, loss and recovery of consciousness, neuromuscular paralysis, ventilatory parameters, providing safety and quality during the procedure; with minimal intervention during electrophysiological monitoring and enabling anesthetic depth to be modulated from neurosedation to general anesthesia, according to the different stages of the surgery. A factor attributable to modern anesthesia for robotic surgery success is to employ different anesthetic agents promoting induction, maintenance of general anesthesia, smother and faster anesthetic emersion, for the purpose of reducing recovery time of the state of consciousness), basic and psychomotor functions; as is the general multimodal anesthesia. Impacto de la anestesia intravenosa en cirugía robótica para paciente de alto riesgo sometido a cirugía oncológica de larga duración en el Centro Médico Naval Impact of intravenous anesthesia in robotic surgery for high-risk patient undergoing long-term oncologic surgery at the Naval Medical Center Dra. Verónica Guadarrama-Bustamante,* Dr. Juan Alberto Díaz-Ponce-Medrano,‡ Dr. José Carlos Buenfil-Medina,§ Dr. Juan Carlos Orozco-Lara,¶ Dr. Víctor Manuel Antonio-Figueroa,|| Dr. Christian Isaac Villeda-Sandoval,** Dr. Víctor Hugo Villaseñor-Santiago,‡‡ Dr. Juan Heberto Muñoz-Cuevas§§","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":"134032546","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}
David Jiménez-Hernández, Renato Francisco Ochoa-Ecos, Andrea Fernanda Quispe-Huamani
{"title":"Manejo anestésico en la enfermedad de Steinert","authors":"David Jiménez-Hernández, Renato Francisco Ochoa-Ecos, Andrea Fernanda Quispe-Huamani","doi":"10.35366/100879","DOIUrl":"https://doi.org/10.35366/100879","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"40 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":"133329242","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":"Historia de la terapia electroconvulsiva: ¿cuándo empezó a utilizarse anestesia para este procedimiento?","authors":"Beatriz Eugenia Vitela-Maldonado","doi":"10.35366/106351","DOIUrl":"https://doi.org/10.35366/106351","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"20 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":"127680736","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}
L. Ramírez-Reyes, O. Carrillo-Torres, Fabiola Brito-Ramírez
. Introduction: The alteration in lipid metabolism has been involved in the pathogenesis of postoperative complications primarily by inducing inflammatory processes that may affect morbidity, in addition an increase in vulnerability/sensitivity for ischemia reperfusion has been observed involved apoptosis by stress mediated by the endoplasmic reticulum. During the anesthetic procedure, serum lipid levels can affect the pharmacokinetics of various anesthetic agents. Objective: To determine if there is scientific evidence to prove or refute the development of complications in post-operated patients who present with lipid decontrol in the preoperative period. Methodology: A review was made in the literature through the search engines PubMed, ScienceDirect, and BiomedCentral. Results: With the search criteria, 17 studies were reviewed (controlled clinical trials, case and control studies, cohorts and basic experimental studies). Conclusions: Although it is necessary to improve the methodology of several articles reviewed and increase the number of them, in most of them a relationship was found between dyslipidemia with postoperative alterations that affect an increase in morbidity or mortality.
{"title":"Complicaciones postoperatorias por descontrol lipídico perioperatorio. Revisión sistemática","authors":"L. Ramírez-Reyes, O. Carrillo-Torres, Fabiola Brito-Ramírez","doi":"10.35366/97775","DOIUrl":"https://doi.org/10.35366/97775","url":null,"abstract":". Introduction: The alteration in lipid metabolism has been involved in the pathogenesis of postoperative complications primarily by inducing inflammatory processes that may affect morbidity, in addition an increase in vulnerability/sensitivity for ischemia reperfusion has been observed involved apoptosis by stress mediated by the endoplasmic reticulum. During the anesthetic procedure, serum lipid levels can affect the pharmacokinetics of various anesthetic agents. Objective: To determine if there is scientific evidence to prove or refute the development of complications in post-operated patients who present with lipid decontrol in the preoperative period. Methodology: A review was made in the literature through the search engines PubMed, ScienceDirect, and BiomedCentral. Results: With the search criteria, 17 studies were reviewed (controlled clinical trials, case and control studies, cohorts and basic experimental studies). Conclusions: Although it is necessary to improve the methodology of several articles reviewed and increase the number of them, in most of them a relationship was found between dyslipidemia with postoperative alterations that affect an increase in morbidity or mortality.","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":"117131539","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}
Alfredo Covarrubias-Gómez, H. M. Esquer-Guzmán, O. Carrillo-Torres, José L Carmona-Rodríguez, J. A. Ramos-Guerrero, Enrique Soto-Pérez de Celis, Jorge García-Andreu, J. L. Vega-Blancas, Claudia Gutiérrez-Salmerón
{"title":"La crisis de opioides en México+","authors":"Alfredo Covarrubias-Gómez, H. M. Esquer-Guzmán, O. Carrillo-Torres, José L Carmona-Rodríguez, J. A. Ramos-Guerrero, Enrique Soto-Pérez de Celis, Jorge García-Andreu, J. L. Vega-Blancas, Claudia Gutiérrez-Salmerón","doi":"10.35366/111069","DOIUrl":"https://doi.org/10.35366/111069","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"31 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":"127128726","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}
E. Trujillo-Magallón, Janeth Rojas-Peñaloza, Hugo Aburto-Monzalvo, Juan José González-Leonel, C. A. Sánchez-Ramírez, K. B. Carrazco-Peña, Ximena Trujillo-Magallón, Luis Osvaldo Suárez-Carreón, B. Trujillo-Hernández
{"title":"Índice neutrófilo/linfocito en anestesia general con ventilación controlada por volumen versus ventilación controlada por presión: ensayo clínico aleatorizado","authors":"E. Trujillo-Magallón, Janeth Rojas-Peñaloza, Hugo Aburto-Monzalvo, Juan José González-Leonel, C. A. Sánchez-Ramírez, K. B. Carrazco-Peña, Ximena Trujillo-Magallón, Luis Osvaldo Suárez-Carreón, B. Trujillo-Hernández","doi":"10.35366/108619","DOIUrl":"https://doi.org/10.35366/108619","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"13 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":"126391244","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}
Juana Martha Abraham-Aguirre, Diego Fernando Pinilla-Albarracín, Julián Andrés Bustamante-Castro
{"title":"Manejo anestésico durante la cirugía para pseudoaneurisma ventricular izquierdo","authors":"Juana Martha Abraham-Aguirre, Diego Fernando Pinilla-Albarracín, Julián Andrés Bustamante-Castro","doi":"10.35366/102904","DOIUrl":"https://doi.org/10.35366/102904","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"119 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":"123250322","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}
Erika León-Álvarez, Janet Gloria Ortiz-Bautista, Columba Ortega-Munguía, C. Murata
. Introduction: There is still a belief that patients do not experience intense pain after intracranial surgery. Sympathetic stimulation associated with pain can lead to elevated intracranial pressure and postoperative haemorrhage. There is controversy about the use of opioids for postoperative analgesia in craniotomies, owing to fear of its side effects, which can mask signs of neurological alteration. There are limited studies in the pediatric patient for post-craniotomy analgesia. Objective: To describe the postcraneotomies pain control level, using buprenorphine in partnership with ketorolac and ondansetron in pediatric patients. Methods: Descriptive cohort study. For postoperative pain control, patients were given continuous infusion buprenorphine, ketorolac and ondansetron for 30 hours. The main variables to investigate were pain at beginning of infusion, at four, eight, 12, 24 and 30 hours, hemodynamic variables and depth of sedation. Results: 109 patients were included. Adequate control of pain was observed in 71.56% of patients, whereas in 28.4% insufficient control was found, with a statistically significant difference (p < 0.001). There was moderate sedation in 5.6% of the patients at the start of infusion and at 24 hours (4.5%), without significant impact on hemodynamic variables. Nausea was found in 8.2% and vomiting in 6.64%. No deep sedation, or respiratory depression was presented. Conclusions: These findings suggest that is an effective option to treat postcraneotomy pain in pediatric patients.
{"title":"Analgesia postoperatoria para craneotomías en pediatría: experiencia en un Hospital de Tercer Nivel","authors":"Erika León-Álvarez, Janet Gloria Ortiz-Bautista, Columba Ortega-Munguía, C. Murata","doi":"10.35366/99010","DOIUrl":"https://doi.org/10.35366/99010","url":null,"abstract":". Introduction: There is still a belief that patients do not experience intense pain after intracranial surgery. Sympathetic stimulation associated with pain can lead to elevated intracranial pressure and postoperative haemorrhage. There is controversy about the use of opioids for postoperative analgesia in craniotomies, owing to fear of its side effects, which can mask signs of neurological alteration. There are limited studies in the pediatric patient for post-craniotomy analgesia. Objective: To describe the postcraneotomies pain control level, using buprenorphine in partnership with ketorolac and ondansetron in pediatric patients. Methods: Descriptive cohort study. For postoperative pain control, patients were given continuous infusion buprenorphine, ketorolac and ondansetron for 30 hours. The main variables to investigate were pain at beginning of infusion, at four, eight, 12, 24 and 30 hours, hemodynamic variables and depth of sedation. Results: 109 patients were included. Adequate control of pain was observed in 71.56% of patients, whereas in 28.4% insufficient control was found, with a statistically significant difference (p < 0.001). There was moderate sedation in 5.6% of the patients at the start of infusion and at 24 hours (4.5%), without significant impact on hemodynamic variables. Nausea was found in 8.2% and vomiting in 6.64%. No deep sedation, or respiratory depression was presented. Conclusions: These findings suggest that is an effective option to treat postcraneotomy pain in pediatric patients.","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"339 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":"123416740","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}
José Manuel Portela-Ortiz, Adriana Enríquez-Barajas, Fernanda Yerai García-Rangel, Pamela Olvera-Meza, Luis Antonio García-Hernández
{"title":"Remimazolam: ¿el agente ideal para sedación, inducción y mantenimiento de la anestesia?","authors":"José Manuel Portela-Ortiz, Adriana Enríquez-Barajas, Fernanda Yerai García-Rangel, Pamela Olvera-Meza, Luis Antonio García-Hernández","doi":"10.35366/111077","DOIUrl":"https://doi.org/10.35366/111077","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"83 1 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":"123120579","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：