R. Mato-Búa, Lucía Sampayo-Rodríguez, Pablo Casas-Reza, María Gestal-Vázquez
{"title":"Manejo anestésico de la estenosis grave de la vía aérea en la papilomatosis laríngea","authors":"R. Mato-Búa, Lucía Sampayo-Rodríguez, Pablo Casas-Reza, María Gestal-Vázquez","doi":"10.35366/106352","DOIUrl":"https://doi.org/10.35366/106352","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"439 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":"127607259","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}
Yaiza Beatriz Molero-Díez, Víctor Javier Sánchez-Hernando, Francisco Antonio Ruiz-Simón
{"title":"Aclaración en el manejo anestésico en la enfermedad de Steinert","authors":"Yaiza Beatriz Molero-Díez, Víctor Javier Sánchez-Hernando, Francisco Antonio Ruiz-Simón","doi":"10.35366/100880","DOIUrl":"https://doi.org/10.35366/100880","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"35 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":"133883060","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":"Actualidades en valoración preoperatoria y riesgo anestésico: un enfoque práctico para cirugía no cardíaca","authors":"Samuel Jonathan Cruz-Ahumada","doi":"10.35366/106344","DOIUrl":"https://doi.org/10.35366/106344","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":"133418790","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, Ramón De Lille-y-Fuentes, U. Guevara-López, Emma Capultitla-Rodríguez, Edwin Balan Nicasio-Espinoza
{"title":"Cincuenta años del Departamento de Medicina del Dolor y Paliativa del Instituto Nacional de Ciencias Médicas y Nutrición «Salvador Zubirán»","authors":"Alfredo Covarrubias-Gómez, Ramón De Lille-y-Fuentes, U. Guevara-López, Emma Capultitla-Rodríguez, Edwin Balan Nicasio-Espinoza","doi":"10.35366/110197","DOIUrl":"https://doi.org/10.35366/110197","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"16 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":"132813433","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}
M. Suárez-Morales, C. U. Mendoza-Popoca, R. Carrillo-Esper
Confinement and social isolation during the COVID-19 pandemic limited close physical contact, especially close ones, of which hugs stand out. The social impact of emptiness and affective isolation still endures. The hug is an innate affective response of the human being that is expressed in different circumstances. It originates from different brain regions, ranging from limbic to cortical, in which a complex interaction between afferents, signaling systems, and neurotransmitters is intertwined, conditioning a neurohormonal response with multisystem impact. The hug goes beyond this complex substrate, it represents the sublimation of the merely anatomical and physiological, to the affective manifestation of the human spirit. The objective of this brief essay is to put to your consideration the neuroscientific bases of the hug and its expression in the complexity of life and art. (English) [ FROM AUTHOR] El confinamiento y aislamiento social durante la pandemia por COVID-19 limitaron el contacto físico estrecho, en especial los de cercanía, del que destacan los abrazos. El impacto social del vacío y aislamiento afectivo aún perdura. El abrazo es una respuesta innata afectiva del ser humano que se expresa en diferentes circunstancias. Tiene su origen en diferentes regiones cerebrales, que van de las límbicas a las corticales, en las que se entrelaza una compleja interacción entre aferencias, sistemas de señalización y neurotransmisores que condicionan una respuesta neurohormonal con impacto multisistémico. El abrazo va más allá de este complejo sustrato, representa la sublimación de lo meramente anatómico y fisiológico, a la manifestación afectiva del espíritu humano. El objetivo de este breve ensayo es poner a su consideración las bases neurocientíficas del abrazo y su expresión en la complejidad de la vida y el arte. (Spanish) [ FROM AUTHOR] Copyright of Revista Mexicana de Anestesiologia is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
COVID-19大流行期间的禁闭和社会隔离限制了密切的身体接触，特别是亲密的身体接触，其中拥抱尤为突出。空虚和情感孤立的社会影响仍然存在。拥抱是人类在不同情况下表现出来的一种天生的情感反应。它起源于不同的大脑区域，从边缘到皮质，其中传入事件，信号系统和神经递质之间的复杂相互作用交织在一起，调节具有多系统影响的神经激素反应。拥抱超越了这个复杂的基础，它代表了仅仅是解剖学和生理学的升华，到人类精神的情感表现。这篇短文的目的是让你思考拥抱的神经科学基础及其在生活和艺术复杂性中的表达。(中文)[来源:作者]新冠肺炎疫情限制期间，El confinamiento y is - islamiento to social durante la COVID-19限制，El contact to físico estrecho，特别是los de cercanía, del que destacan los abrazos。El对社会发展的影响vacío通过伊斯兰教的影响aún perdura。在不同的情况下，人的情感表达是一种内在的情感表达。不同脑区间的遗传变异，不同脑区间的遗传变异，不同脑区间的遗传变异，不同脑区间的遗传变异，不同脑区间的遗传变异，不同脑区间的遗传变异，不同脑区间的遗传变异，不同神经递质间的遗传变异，不同脑区间的遗传变异，不同神经激素间的遗传变异。El abrazo va más all de este complexjo sustrato，代表了sublimación de lo meramente anatómico y fisiológico, a la manifestación afectiva del espíritu humano。El objtivo de esteste breve enayo es poner a su consideración las bases neurocientíficas del abrazo y su expresión en la complejidad de la vida y El arte。(西班牙语)[来自作者]revsta Mexicana de Anestesiologia的版权是Colegio Mexicano de Anestesiologia的财产，未经版权所有者的明确书面许可，其内容不得复制或通过电子邮件发送到多个网站或发布到listserv。但是，用户可以打印、下载或通过电子邮件发送文章供个人使用。这可以删节。对副本的准确性不作任何保证。用户应参阅原始出版版本的材料的完整。(版权适用于所有人。)
{"title":"El abrazo, de las bases a su expresión en la vida y el arte","authors":"M. Suárez-Morales, C. U. Mendoza-Popoca, R. Carrillo-Esper","doi":"10.35366/111080","DOIUrl":"https://doi.org/10.35366/111080","url":null,"abstract":"Confinement and social isolation during the COVID-19 pandemic limited close physical contact, especially close ones, of which hugs stand out. The social impact of emptiness and affective isolation still endures. The hug is an innate affective response of the human being that is expressed in different circumstances. It originates from different brain regions, ranging from limbic to cortical, in which a complex interaction between afferents, signaling systems, and neurotransmitters is intertwined, conditioning a neurohormonal response with multisystem impact. The hug goes beyond this complex substrate, it represents the sublimation of the merely anatomical and physiological, to the affective manifestation of the human spirit. The objective of this brief essay is to put to your consideration the neuroscientific bases of the hug and its expression in the complexity of life and art. (English) [ FROM AUTHOR] El confinamiento y aislamiento social durante la pandemia por COVID-19 limitaron el contacto físico estrecho, en especial los de cercanía, del que destacan los abrazos. El impacto social del vacío y aislamiento afectivo aún perdura. El abrazo es una respuesta innata afectiva del ser humano que se expresa en diferentes circunstancias. Tiene su origen en diferentes regiones cerebrales, que van de las límbicas a las corticales, en las que se entrelaza una compleja interacción entre aferencias, sistemas de señalización y neurotransmisores que condicionan una respuesta neurohormonal con impacto multisistémico. El abrazo va más allá de este complejo sustrato, representa la sublimación de lo meramente anatómico y fisiológico, a la manifestación afectiva del espíritu humano. El objetivo de este breve ensayo es poner a su consideración las bases neurocientíficas del abrazo y su expresión en la complejidad de la vida y el arte. (Spanish) [ FROM AUTHOR] Copyright of Revista Mexicana de Anestesiologia is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"51 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132535958","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":"En memoria de la Dra. Estela Melman Szteyn","authors":"Juan Manuel Rodríguez-Zepeda","doi":"10.35366/108627","DOIUrl":"https://doi.org/10.35366/108627","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"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":"130133561","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}
María Elena Pinto-Segura, Yolanda Valera-Rodríguez, Patricia Vázquez-Estrada, José Luis Limón-Aguilar, Alinne Lemus-Cázares, Héctor Carrero-Soto, Lizbeth Cañas-Lucero
The assisted ventilatory mode during a laparoscopic procedure is still controversial. Objective: To compare ventilatory dynamics according to the assisted ventilation mode: by volume-controlled ventilation (VCV), pressure-controlled (PCV) or by pressure with volume guarantee (PVC-VG), in general anesthesia for laparoscopic cholecystectomy. Material and methods: 21 adult patients managed with one of the three modalities (seven per group). Their respiratory rate, minute expiratory volume, end tidal CO2 (EtCO2), peak airway pressure, mean pulmonary pressure, compliance, oxygen saturation and minute respiratory volume were analyzed during the procedure (at intubation, abdominal CO2 insufflation and resolution). Results: After intubation there were no clinical differences in measurements between ventilation modes. On insufflation, patients with PCV mode increased their respiratory rate, but kept their peak pressure; against those in VCV and PCV-VG mode who increased their peak pressure with little reduction in their respiratory rate. The other variables were not modified during the procedure and there were no differences between the ventilatory modes. Conclusion: The three modes of ventilation allowed a good ventilatory control, but we suggest the PCV since it prevents an increase in peak pressure. Rev Mex Anest, 2021; 44 (1): 178-183 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L mecánica respiratoria es una compleja interacción entre la pared torácica y los pulmones(1), pero un buen manejo intraoperatorio permite una ventilación a través de un flujo de aire con presión positiva y con un volumen corriente adecuado(1). En las cirugías laparoscópicas ante la insuflación de dióxido de carbono (CO2) (2) abdominal es posible la afectación de la función pulmonar. Esto se debe al incremento de la presión Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica Comparison of 3 mechanical ventilation modes in laparoscopic cholecystectomy Dra. Lizbeth Cañas-Lucero,* Dr. Héctor Carrero-Soto,‡ Dra. Alinne Lemus-Cázares,§ Dr. José Luis Limón-Aguilar,¶ Dra. Patricia Vázquez-Estrada,‡ Dra. Yolanda Valera-Rodríguez,‡ Dra. María Elena Pinto-Segura|| Citar como: Cañas-Lucero L, Carrero-Soto H, Lemus-Cázares A, Limón-Aguilar JL, Vázquez-Estrada P, Valera-Rodríguez Y, et al. Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica. Rev Mex Anestesiol. 2021; 44 (3): 178-183. https://dx.doi.org/10.35366/99664 intraabdominal (PIA) que desplaza el diafragma en dirección cefálica, exacerbado por la posición de Trendelenburg(2). Las cuatro complicaciones pulmonares asociadas a la insuflación abdominal incluyen: atelectasias(3), hipoxemia, reducción de la distensibilidad pulmonar y enfisema subcutáneo. La hipercarbia además puede causar vasodilatación sistémica, arritmias, depresión miocárdica y exacerbación de la hipertensión pulmonar(2). El principal objetivo de la ventilación mecánica intraoperatoria es optimizar el interca
在腹腔镜手术过程中辅助通气模式仍然存在争议。目的:比较腹腔镜胆囊切除术全麻辅助通气方式:量控通气(VCV)、压力控制通气(PCV)和压力保量通气(PVC-VG)的通气动力学。材料和方法:21例成年患者采用三种方式中的一种(每组7例)。分析两组患者的呼吸频率、呼气分气量、末潮CO2 (EtCO2)、气道峰值压、平均肺压、依从性、氧饱和度和呼吸分气量(插管、腹腔CO2注入和溶解时)。结果:插管后不同通气方式的测量结果无临床差异。PCV模式患者呼吸频率增加，但血压峰值保持不变;而在VCV和PCV-VG模式下，峰值压升高，呼吸速率几乎没有下降。其他变量在手术过程中没有改变，通气模式之间没有差异。结论:三种通气方式都能很好地控制通气，但我们建议采用PCV，因为它可以防止峰值压力的增加。Rev Mex Anest, 2021;44 (1): 178-183 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L mecánica呼吸器的完整情况interacción entre la pared torácica由los pulmones(1)， pero unenenmanejo术中准许的情况ventilación和气管的完整情况(presión阳性)由conconvoluumen corriente adecado(1)。En las cirugías laparoscópicas ante la insuflación de dióxido de carbono (CO2)(2)腹腔可能la afectación de la función pulmonar。Esto se debe al incremento de la presión Comparación de 3种方式de ventilación mecánica en colecistectomía laparoscópica腹腔镜胆囊切除术中3种机械通气方式的比较利兹贝斯Cañas-Lucero，*卡雷罗-索托博士，德拉。Alinne Lemus-Cázares, Dr. josise Luis Limón-Aguilar，¶帕特丽夏Vázquez-Estrada，德拉。Yolanda Valera-Rodríguez，‡德拉。María Elena Pinto-Segura|| Citar como: Cañas-Lucero L, carero - soto H, Lemus-Cázares A, Limón-Aguilar JL, Vázquez-Estrada P, Valera-Rodríguez Y，等。Comparación de 3 mode de ventilación mecánica en colecistectomía laparoscópica。Rev Mex anestiol . 2021;44(3): 178-183。https://dx.doi.org/10.35366/99664腹腔内(PIA) que desplaza el diafragma en dirección cefálica, exacerbado por la posición de Trendelenburg(2)。与肺相关的其他并发症包括:肺不张(3)、血氧症、reducción肺膨胀性肺气肿subcutáneo。La hipercarbia además puede causar vasodilatación sistsamicima, aria, depresión miocárdica y exacerbación de La hipertensión pulmonar(2)。该研究的主要目标是通过优化井间气体排放，最小化井间气体排放daño Cañas-Lucero井间气体排放。Modos de ventilación mecánica en colecistectomía laparoscópica 179 www.medigraphic.com/rma www.medigraphic.org.mx pulmonar inducido por la misma(4)， con ello, se loggra mantener una adecuada tensión de oxígeno tissue (PtisO2)。Para logarlo，这些必要条件hemodinámicas adecuada y optimización del intercambio de gas logado conuna ventilación adecuada(5)。在实际应用中，针对不同的风量调节目标，提出了不同的风量调节目标:风量调节目标presión (VCP)、风量调节目标presión (VCV)、风量调节目标presión con garantía de voluumen (VCP- gv)。enel modo VCP相对于VCV entrega la mayor partite del voluumconente tempranente durante la fastoratoria (5)， aumenta más el tiempo de permanente肺泡del voluumconente产生presones de la vía aacemrea más altas;Todo ello mejora el intercambio gaseoso(4)。VCP的主要不便之处是依赖于系统呼吸的扩张性和抵抗力。在连续的情况下，cualquier condición quirúrgica que disminuya el plplimiento o aumente la resistance del sistema respiratory disminuia <e:1> la ventilación肺泡(6)。在麻醉条件下，VCV是一种改进的方法。在禁运期间，目前有两种情况，一种是肺部扩张，一种是肺部扩张，一种是肺部扩张，一种是肺部扩张，一种是肺部扩张。一种不同的模式的VCP是由气压损伤引起的。Durante el neumoper腹膜(en cirugía laparoscópica)，在此基础上，对VCP模型进行了分析，并对presión de la vía和despusamas de la insuflación de CO2进行了分析。在禁运中，aún有争议的sobre el beneficio en la cirugía laparoscópica(1,7)。Es común en la práctica习惯性观察变形中心的模式可能会发生unproblem de oxigenación术中(4)。 在腹腔镜手术过程中辅助通气模式仍然存在争议。目的:比较腹腔镜胆囊切除术全麻辅助通气方式:量控通气(VCV)、压力控制通气(PCV)和压力保量通气(PVC-VG)的通气动力学。材料和方法:21例成年患者采用三种方式中的一种(每组7例)。分析两组患者的呼吸
{"title":"Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica","authors":"María Elena Pinto-Segura, Yolanda Valera-Rodríguez, Patricia Vázquez-Estrada, José Luis Limón-Aguilar, Alinne Lemus-Cázares, Héctor Carrero-Soto, Lizbeth Cañas-Lucero","doi":"10.35366/99664","DOIUrl":"https://doi.org/10.35366/99664","url":null,"abstract":"The assisted ventilatory mode during a laparoscopic procedure is still controversial. Objective: To compare ventilatory dynamics according to the assisted ventilation mode: by volume-controlled ventilation (VCV), pressure-controlled (PCV) or by pressure with volume guarantee (PVC-VG), in general anesthesia for laparoscopic cholecystectomy. Material and methods: 21 adult patients managed with one of the three modalities (seven per group). Their respiratory rate, minute expiratory volume, end tidal CO2 (EtCO2), peak airway pressure, mean pulmonary pressure, compliance, oxygen saturation and minute respiratory volume were analyzed during the procedure (at intubation, abdominal CO2 insufflation and resolution). Results: After intubation there were no clinical differences in measurements between ventilation modes. On insufflation, patients with PCV mode increased their respiratory rate, but kept their peak pressure; against those in VCV and PCV-VG mode who increased their peak pressure with little reduction in their respiratory rate. The other variables were not modified during the procedure and there were no differences between the ventilatory modes. Conclusion: The three modes of ventilation allowed a good ventilatory control, but we suggest the PCV since it prevents an increase in peak pressure. Rev Mex Anest, 2021; 44 (1): 178-183 @https://dx.doi.org/00.00000/00000 @ INTRODUCCIÓN L mecánica respiratoria es una compleja interacción entre la pared torácica y los pulmones(1), pero un buen manejo intraoperatorio permite una ventilación a través de un flujo de aire con presión positiva y con un volumen corriente adecuado(1). En las cirugías laparoscópicas ante la insuflación de dióxido de carbono (CO2) (2) abdominal es posible la afectación de la función pulmonar. Esto se debe al incremento de la presión Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica Comparison of 3 mechanical ventilation modes in laparoscopic cholecystectomy Dra. Lizbeth Cañas-Lucero,* Dr. Héctor Carrero-Soto,‡ Dra. Alinne Lemus-Cázares,§ Dr. José Luis Limón-Aguilar,¶ Dra. Patricia Vázquez-Estrada,‡ Dra. Yolanda Valera-Rodríguez,‡ Dra. María Elena Pinto-Segura|| Citar como: Cañas-Lucero L, Carrero-Soto H, Lemus-Cázares A, Limón-Aguilar JL, Vázquez-Estrada P, Valera-Rodríguez Y, et al. Comparación de 3 modos de ventilación mecánica en colecistectomía laparoscópica. Rev Mex Anestesiol. 2021; 44 (3): 178-183. https://dx.doi.org/10.35366/99664 intraabdominal (PIA) que desplaza el diafragma en dirección cefálica, exacerbado por la posición de Trendelenburg(2). Las cuatro complicaciones pulmonares asociadas a la insuflación abdominal incluyen: atelectasias(3), hipoxemia, reducción de la distensibilidad pulmonar y enfisema subcutáneo. La hipercarbia además puede causar vasodilatación sistémica, arritmias, depresión miocárdica y exacerbación de la hipertensión pulmonar(2). El principal objetivo de la ventilación mecánica intraoperatoria es optimizar el interca","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"57 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":"130078668","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}
Martín Martínez-Rosas, Luis Leobardo Fortis-Olmedo, Mariela García-Bravo, Nora Bernal-Ríos, Pastor Luna-Ortiz
Recent studies on the death causes in the postoperative period of non-cardiac surgery have identified myocardial injury as a complication that is associated with major adverse cardiac events that increase mortality at 30 days after surgery. This kind of myocardial lesion is characterized by the elevation of the cardiac troponins levels during or in the 30 days after the surgery, without symptoms ischemia or changes in the electrocardiogram. Currently, one main goal has been the timely diagnosis of this complication, besides preventive therapies development. The present review article examines the current body of knowledge of this injury, the physiopathological mechanisms
{"title":"La lesión miocárdica en el perioperatorio de cirugía no cardíaca","authors":"Martín Martínez-Rosas, Luis Leobardo Fortis-Olmedo, Mariela García-Bravo, Nora Bernal-Ríos, Pastor Luna-Ortiz","doi":"10.35366/99016","DOIUrl":"https://doi.org/10.35366/99016","url":null,"abstract":"Recent studies on the death causes in the postoperative period of non-cardiac surgery have identified myocardial injury as a complication that is associated with major adverse cardiac events that increase mortality at 30 days after surgery. This kind of myocardial lesion is characterized by the elevation of the cardiac troponins levels during or in the 30 days after the surgery, without symptoms ischemia or changes in the electrocardiogram. Currently, one main goal has been the timely diagnosis of this complication, besides preventive therapies development. The present review article examines the current body of knowledge of this injury, the physiopathological mechanisms","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"57 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":"114815386","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}
Samuel Hernández-González, María Beatriz Perdomo-Perdomo, Raquel Sánchez-Gamarro, Silvia Ávila-Fuentes, Laura Hernández-Rodríguez, Julio Fernández-García
{"title":"Electroencefalografía básica para monitores de profundidad anestésica","authors":"Samuel Hernández-González, María Beatriz Perdomo-Perdomo, Raquel Sánchez-Gamarro, Silvia Ávila-Fuentes, Laura Hernández-Rodríguez, Julio Fernández-García","doi":"10.35366/110199","DOIUrl":"https://doi.org/10.35366/110199","url":null,"abstract":"","PeriodicalId":106683,"journal":{"name":"Revista Mexicana de Anestesiología","volume":"300 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":"133303998","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}
Isabel Mora-Díaz, G. Pérez-Martínez, I. Cordero-escobar, Rodner Ernesto Fuentes-Broqueet
Introduction: Perioperative anaphylaxis is a potentially lethal clinical condition. The most frequent cause is attributed to neuromuscular blockers. Objective: To identify the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers. Material and methods: A descriptive, observational, cross-sectional investigation was conducted to assess the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers. The study was carried out at the «Hermanos Ameijeiras» Hospital, in the period between january 2016 and december 2018. Results: Of the total elective surgical interventions, 3,431 required general anesthesia and the use of neuromuscular blockers. The female sex predominated with 75%, the age group of 60 years and over with 68 patients (32.7%), ASA II physical condition, 98 patients (41.1%). The average BMI was 22.7 ± 1.14. The mean surgical time was 190 ± 42.5 min. Of all the drugs the most used was atracurium in 90 patients (43.3%), followed by vecuronium 79 (38.0%) and rocuronium 39 (18.8%). The number of adverse events was low. Only four were found, two with atracurium (50%), one with rocuronium and one with 25% vecuronium respectively. Conclusions: The presence of anaphylactic reactions was observed with the use of neuromuscular blockers, which occurred in a short period at the beginning of induction. The atracurium presented the highest frequency and all were of mild intensity. Citar como: Fuentes-Broqueet RE, Cordero-Escobar I, Pérez-Martínez G, Mora-Díaz I. Reacción de hipersensibilidad secundaria al uso de bloqueadores neuromusculares. Rev Mex Anestesiol. 2021; 44 (2): 105-109. https://dx.doi.
围手术期过敏反应是一种潜在的致死性临床疾病。最常见的原因是神经肌肉阻滞剂。目的:了解神经肌肉阻滞剂使用后继发过敏反应的发生率。材料和方法:进行描述性、观察性、横断面调查，以评估使用神经肌肉阻滞剂后继发过敏反应的发生率。该研究于2016年1月至2018年12月期间在“Hermanos Ameijeiras”医院进行。结果:在所有选择性手术干预中，有3431例需要全身麻醉和使用神经肌肉阻滞剂。女性占75%，年龄60岁及以上68例(32.7%)，ASA II级身体状况98例(41.1%)。平均BMI为22.7±1.14。平均手术时间为190±42.5 min，使用最多的药物为阿曲库铵90例(43.3%)，其次为维库溴铵79例(38.0%)和罗库溴铵39例(18.8%)。不良事件发生率低。仅发现4例，阿曲库铵(50%)2例，罗库溴铵1例，维库溴铵25% 1例。结论:使用神经肌肉阻滞剂观察到过敏反应的存在，并在诱导开始时的短时间内发生。以阿曲库铵频率最高，且均为轻度。参考文献:Fuentes-Broqueet RE, Cordero-Escobar I, Pérez-Martínez G, Mora-Díaz I. Reacción继发性高敏感性神经肌肉组织的研究。Rev Mex anestiol . 2021;44(2): 105-109。https://dx.doi。
{"title":"Reacción de hipersensibilidad secundaria al uso de bloqueadores neuromusculares","authors":"Isabel Mora-Díaz, G. Pérez-Martínez, I. Cordero-escobar, Rodner Ernesto Fuentes-Broqueet","doi":"10.35366/99013","DOIUrl":"https://doi.org/10.35366/99013","url":null,"abstract":"Introduction: Perioperative anaphylaxis is a potentially lethal clinical condition. The most frequent cause is attributed to neuromuscular blockers. Objective: To identify the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers. Material and methods: A descriptive, observational, cross-sectional investigation was conducted to assess the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers. The study was carried out at the «Hermanos Ameijeiras» Hospital, in the period between january 2016 and december 2018. Results: Of the total elective surgical interventions, 3,431 required general anesthesia and the use of neuromuscular blockers. The female sex predominated with 75%, the age group of 60 years and over with 68 patients (32.7%), ASA II physical condition, 98 patients (41.1%). The average BMI was 22.7 ± 1.14. The mean surgical time was 190 ± 42.5 min. Of all the drugs the most used was atracurium in 90 patients (43.3%), followed by vecuronium 79 (38.0%) and rocuronium 39 (18.8%). The number of adverse events was low. Only four were found, two with atracurium (50%), one with rocuronium and one with 25% vecuronium respectively. Conclusions: The presence of anaphylactic reactions was observed with the use of neuromuscular blockers, which occurred in a short period at the beginning of induction. The atracurium presented the highest frequency and all were of mild intensity. Citar como: Fuentes-Broqueet RE, Cordero-Escobar I, Pérez-Martínez G, Mora-Díaz I. Reacción de hipersensibilidad secundaria al uso de bloqueadores neuromusculares. Rev Mex Anestesiol. 2021; 44 (2): 105-109. https://dx.doi.","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":"134059683","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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