Walter Damián Rodríguez, Maximiliano Dohmen, S. Longo
{"title":"Ecocardiografía intraoperatoria: causa de la hipotensión post circulación extracorporea.","authors":"Walter Damián Rodríguez, Maximiliano Dohmen, S. Longo","doi":"10.31042/aa3.31.1.6","DOIUrl":"https://doi.org/10.31042/aa3.31.1.6","url":null,"abstract":"","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"106 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123346932","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":"¿Se debe permitir la presencia de familiares en reanimación?","authors":"","doi":"10.31042/aa3.31.1.2","DOIUrl":"https://doi.org/10.31042/aa3.31.1.2","url":null,"abstract":"","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114381252","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}
Domingo A Bianchi, Marcos Schioppi, Ruben Pepe, Valentina Mutay, Adrian Barbella
Inter-auricular communication is the second congenital heart disease after the bicuspid aorta. Improvements in imaging techniques as well as improvements in catheters and devices have made this technique the gold standard. The use of cardiogram echo by anesthesiologists is of frequent use in the world and is increasing in our environment, in this case the usefulness of trans thoracic and trans esophageal ultrasound for the closure of CIA in the laboratory of hemodynamics, supported in three-dimensional reconstruction.
{"title":"Caso clínico: colocación de dispositivo oclusor en sala de hemodinamia para comunicación interauricular.","authors":"Domingo A Bianchi, Marcos Schioppi, Ruben Pepe, Valentina Mutay, Adrian Barbella","doi":"10.31042/aa3.31.1.8","DOIUrl":"https://doi.org/10.31042/aa3.31.1.8","url":null,"abstract":"Inter-auricular communication is the second congenital heart disease after the bicuspid aorta. Improvements in imaging techniques as well as improvements in catheters and devices have made this technique the gold standard. The use of cardiogram echo by anesthesiologists is of frequent use in the world and is increasing in our environment, in this case the usefulness of trans thoracic and trans esophageal ultrasound for the closure of CIA in the laboratory of hemodynamics, supported in three-dimensional reconstruction.","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121958149","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":"Reflexiones acerca del rol de enfermería especializado en anestesia en Uruguay","authors":"Analía Siritto, Laura Perdomo","doi":"10.31042/aa3.31.1.7","DOIUrl":"https://doi.org/10.31042/aa3.31.1.7","url":null,"abstract":"","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127993142","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}
The accuracy of the TEG/ROTEM as diagnostic test has been proved(19) and systematic reviews were performed to aggregate the evidence from different clinical scenarios (mainly cardiac surgery). Assess the impact of the intraoperative point of care use of TEG or ROTEM versus conventional coagulation tests (CCT) on the blood components transfusion, bleeding, complications, mortality, hospitalization and costs during adult LTX surgeries. I used PICOS framework to establish the research questions (objectives section) and the inclusion criteria. Type of studies included. The eligibility criteria were randomized controlled trials and non-randomized controlled trials (RCTs and non-RCTs). Primary outcomes: mortality at maximal follow up, allogeneic transfusion requirements: packaged red cells (PRC), platelets, fresh frozen plasma(FFP), cryoprecipitates), complications (medical adverse event that may be related to the coagulation status). Secondary outcomes: blood loss (however measured by authors), total hospital stays, intensive care unit (ICU) stay, costs (of the transplant surgery or of the patient in-hospital treatment). A total of 183 studies were identified and a PRISMAbased diagram was constructed and 8 of them were selected to assess. Six articles were found in full text and were screened for inclusion and exclusion criteria. Five trials had the selected outcomes and inclusion criteria and the quality was assessed with a critical appraisal approach to identify bias and confounders. In conclusion, TEG/ROTEM directed blood products replacement in LTX might be effective in reducing FFP transfusion during the intraoperative. Further studies are required to confirm this finding and to assess the overall requirements of other blood products, bleeding mortality and complications.
{"title":"The effectiveness of Thromboelastography (TEG) or thromboelastometry (ROTEM) to guide transfusion treatment versus usual care in liver transplant.","authors":"K. Rando","doi":"10.31042/AA3.31.1.4","DOIUrl":"https://doi.org/10.31042/AA3.31.1.4","url":null,"abstract":"The accuracy of the TEG/ROTEM as diagnostic test has been proved(19) and systematic reviews were performed to aggregate the evidence from different clinical scenarios (mainly cardiac surgery). Assess the impact of the intraoperative point of care use of TEG or ROTEM versus conventional coagulation tests (CCT) on the blood components transfusion, bleeding, complications, mortality, hospitalization and costs during adult LTX surgeries. I used PICOS framework to establish the research questions (objectives section) and the inclusion criteria. Type of studies included. The eligibility criteria were randomized controlled trials and non-randomized controlled trials (RCTs and non-RCTs). Primary outcomes: mortality at maximal follow up, allogeneic transfusion requirements: packaged red cells (PRC), platelets, fresh frozen plasma(FFP), cryoprecipitates), complications (medical adverse event that may be related to the coagulation status). Secondary outcomes: blood loss (however measured by authors), total hospital stays, intensive care unit (ICU) stay, costs (of the transplant surgery or of the patient in-hospital treatment). A total of 183 studies were identified and a PRISMAbased diagram was constructed and 8 of them were selected to assess. Six articles were found in full text and were screened for inclusion and exclusion criteria. Five trials had the selected outcomes and inclusion criteria and the quality was assessed with a critical appraisal approach to identify bias and confounders. In conclusion, TEG/ROTEM directed blood products replacement in LTX might be effective in reducing FFP transfusion during the intraoperative. Further studies are required to confirm this finding and to assess the overall requirements of other blood products, bleeding mortality and complications.","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130276302","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":"Síndrome de cauda equina post anestesia raquidea","authors":"Marcos Schioppi","doi":"10.31042/AA3.31.1.3","DOIUrl":"https://doi.org/10.31042/AA3.31.1.3","url":null,"abstract":"","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131406843","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}
S. Longo, Mariana Daniela Castillo, Martín Palacios, Luis Pablo Masco, J. Siri
We have analysed, through the description of 4 clinical cases of hepatic orthotopic transplant surgery, the causes of hemodynamic instability through the intraoperative use of transesophageal echocardiography. The identification of the cause and the precise mechanism of the decompensation allowed the adequate treatment of the intraoperative complication.
{"title":"Ecocardiografía transesofágica para diagnostico etiológico de inestabilidad hemodinámica en trasplante hepático","authors":"S. Longo, Mariana Daniela Castillo, Martín Palacios, Luis Pablo Masco, J. Siri","doi":"10.31042/aa3.31.1.1","DOIUrl":"https://doi.org/10.31042/aa3.31.1.1","url":null,"abstract":"We have analysed, through the description of 4 clinical cases of hepatic orthotopic transplant surgery, the causes of hemodynamic instability through the intraoperative use of transesophageal echocardiography. The identification of the cause and the precise mechanism of the decompensation allowed the adequate treatment of the intraoperative complication.","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121094547","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}
S. Longo, J. Siri, Luis Richetta, Martín Perez Soria, Luis Pablo Masco, Andragnez Romina
Echocardiography in cardiac arrest allows for accurate identification of the presence or absence of cardiac activity and to determine the underlying cause, including left and right ventricular failure, pulmonary embolism, cardiac tamponade and hypovolemia. This findings can result in changes in patient management such as in intravenous fluid administration, use of blood products, vasopressors or thrombolytic agents, or performance of invasive procedures such as pericardiocentesis. Transesophageal ehocardiography allows to effectively asses CPR efforts and determining cardiac arrest causes in real time with high quality imaging.
{"title":"Ecocardiografía transesofágica, herramienta fundamental en el diagnóstico y tratamiento del paro cardíaco","authors":"S. Longo, J. Siri, Luis Richetta, Martín Perez Soria, Luis Pablo Masco, Andragnez Romina","doi":"10.31042/AA3.31.1.5","DOIUrl":"https://doi.org/10.31042/AA3.31.1.5","url":null,"abstract":"Echocardiography in cardiac arrest allows for accurate identification of the presence or absence of cardiac activity and to determine the underlying cause, including left and right ventricular failure, pulmonary embolism, cardiac tamponade and hypovolemia. This findings can result in changes in patient management such as in intravenous fluid administration, use of blood products, vasopressors or thrombolytic agents, or performance of invasive procedures such as pericardiocentesis. Transesophageal ehocardiography allows to effectively asses CPR efforts and determining cardiac arrest causes in real time with high quality imaging.","PeriodicalId":269874,"journal":{"name":"Anestesia, Analgesia y Reanimación","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122584254","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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