Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5221121601
Andrés Carmona L., Luis Alvarez D., Guillermo López S., Marco Balkenhol N.
{"title":"Consideraciones anestésicas en mucopolisacaridosis","authors":"Andrés Carmona L., Luis Alvarez D., Guillermo López S., Marco Balkenhol N.","doi":"10.25237/revchilanestv5221121601","DOIUrl":"https://doi.org/10.25237/revchilanestv5221121601","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49170122","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5220121208
Sebastian Felipe Preciado López, Valentina Cortés Morales, José Ricardo Navarro-Vargas, M. González Sandoval
{"title":"Uso del desfibrilador externo automático en el sistema masivo de transporte TransMilenio en Bogotá, Colombia","authors":"Sebastian Felipe Preciado López, Valentina Cortés Morales, José Ricardo Navarro-Vargas, M. González Sandoval","doi":"10.25237/revchilanestv5220121208","DOIUrl":"https://doi.org/10.25237/revchilanestv5220121208","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43748468","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5205011146
Israel Morales García
{"title":"Manejo de cefalea cervicogénica mediante bloqueo great occipital nerve (GON) ecoguiado en el área de urgencias. Reporte de un caso","authors":"Israel Morales García","doi":"10.25237/revchilanestv5205011146","DOIUrl":"https://doi.org/10.25237/revchilanestv5205011146","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46153087","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5223121124
{"title":"Analgesia multimodal en el paciente crítico","authors":"","doi":"10.25237/revchilanestv5223121124","DOIUrl":"https://doi.org/10.25237/revchilanestv5223121124","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46383514","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5221121219
J. Marchant K., John Rijks P., M. Maltes P., S. Vigueras Á.
{"title":"Manejo de la anticoagulación y tromboprofilaxis en paciente con patología neuroquirúrgica","authors":"J. Marchant K., John Rijks P., M. Maltes P., S. Vigueras Á.","doi":"10.25237/revchilanestv5221121219","DOIUrl":"https://doi.org/10.25237/revchilanestv5221121219","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49466302","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5202021601
Juan Sebastián Rivera Becerra, Ingrid del Pilar Chitiva Martínez, Juan Gabriel Ardila, Cesar Mill, Miguel Alfonso Junior Aguilera Cruz
We present the case of a 26 year old polytrauma patient with a left intra-articular distal radial fracture, with an uncorrected late univentricular heart with severe pulmonary hypertension, subsequent Eisenmenger syndrome and supraventricular tachycardia managed with metoprolol. We find this case particularly interesting given the need for osteosynthesis with the obstacle of a non-palliated congenital heart disease in an adult; whose anesthetic implications required particular considerations in order to avoid fatal outcomes in the perioperative setting. Ultimately the pa - tient underwent regional anesthesia with careful hemodynamics monitoring, leading to a satisfactory outcome
{"title":"Manejo anestésico en paciente politraumatizado con corazón univentricular y síndrome de Eisenmenger secundario","authors":"Juan Sebastián Rivera Becerra, Ingrid del Pilar Chitiva Martínez, Juan Gabriel Ardila, Cesar Mill, Miguel Alfonso Junior Aguilera Cruz","doi":"10.25237/revchilanestv5202021601","DOIUrl":"https://doi.org/10.25237/revchilanestv5202021601","url":null,"abstract":"We present the case of a 26 year old polytrauma patient with a left intra-articular distal radial fracture, with an uncorrected late univentricular heart with severe pulmonary hypertension, subsequent Eisenmenger syndrome and supraventricular tachycardia managed with metoprolol. We find this case particularly interesting given the need for osteosynthesis with the obstacle of a non-palliated congenital heart disease in an adult; whose anesthetic implications required particular considerations in order to avoid fatal outcomes in the perioperative setting. Ultimately the pa - tient underwent regional anesthesia with careful hemodynamics monitoring, leading to a satisfactory outcome","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47928241","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5221121445
J. Parra-Maldonado, P. C. Gallardo-Astorga, Alberto Gómez-González, M. Fernández-Chavez, Santiago Nicolás Saavedra
{"title":"Progresión en el paciente con traqueostomía. Desde la ventilación mecánica hasta la decanulación","authors":"J. Parra-Maldonado, P. C. Gallardo-Astorga, Alberto Gómez-González, M. Fernández-Chavez, Santiago Nicolás Saavedra","doi":"10.25237/revchilanestv5221121445","DOIUrl":"https://doi.org/10.25237/revchilanestv5221121445","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41726055","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5228121402
Rodrigo Fuentes G., Francesca Astele G.
{"title":"Gastrosquisis: Experiencia del Hospital Carlos van Buren en el manejo anestésico del Símil-EXIT. Un estudio de cohorte retrospectiva","authors":"Rodrigo Fuentes G., Francesca Astele G.","doi":"10.25237/revchilanestv5228121402","DOIUrl":"https://doi.org/10.25237/revchilanestv5228121402","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47345129","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}
Pub Date : 2023-03-01DOI: 10.25237/revchilanestv5206021237
Raúl Guillén R., Jaime A. Espinosa E., Yazmín Guillén D.
Background: A high radial-femoral gradient has been described in complex cardiac surgery patients, but its association with organ dysfunc - tion has not been studied well. The principal objective of this study was to analyze whether a high gradient is a significant risk factor for organ dysfunction. Methods: Observational and prospective study. We measured the radial-femoral gradient at sternal closure. The sample was divided in 2 groups: Significant gradient (SG) and Without gradient (WG). We use non-parametric analysis. Results: We analyzed data corresponding to 15 patients. The incidence of SG was 73% (11 patients). The anesthetic time was 540 min in SG group vs 438 min in WG, p = 0.04. We found a positive correlation with lactate and SG group, r2 0.8, p = 0.001. Conclusion: The radial-femoral gradient had a high incidence in this high risk population undergoing cardiac complex surgery. There was a positive correlation between significant gradient and lactate, which suggest that a high gradient probably is an indicator of hypoperfusion. We suggest monitoring patients with two artery lines in complex cardiac surgery for early detection of hypoperfusion.
{"title":"¿El gradiente radial-femoral es un factor de riesgo significativo de disfunción orgánica en pacientes bajo cirugía cardíaca compleja? Estudio observacional","authors":"Raúl Guillén R., Jaime A. Espinosa E., Yazmín Guillén D.","doi":"10.25237/revchilanestv5206021237","DOIUrl":"https://doi.org/10.25237/revchilanestv5206021237","url":null,"abstract":"Background: A high radial-femoral gradient has been described in complex cardiac surgery patients, but its association with organ dysfunc - tion has not been studied well. The principal objective of this study was to analyze whether a high gradient is a significant risk factor for organ dysfunction. Methods: Observational and prospective study. We measured the radial-femoral gradient at sternal closure. The sample was divided in 2 groups: Significant gradient (SG) and Without gradient (WG). We use non-parametric analysis. Results: We analyzed data corresponding to 15 patients. The incidence of SG was 73% (11 patients). The anesthetic time was 540 min in SG group vs 438 min in WG, p = 0.04. We found a positive correlation with lactate and SG group, r2 0.8, p = 0.001. Conclusion: The radial-femoral gradient had a high incidence in this high risk population undergoing cardiac complex surgery. There was a positive correlation between significant gradient and lactate, which suggest that a high gradient probably is an indicator of hypoperfusion. We suggest monitoring patients with two artery lines in complex cardiac surgery for early detection of hypoperfusion.","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41711035","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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