Pub Date : 2023-01-01DOI: 10.25237/revchilanestv5220031508
Ricardo Navarro-Vargas, David A. Rincón-Valenzuela, J. Eslava-Schmalbach
{"title":"La investigación en América Latina","authors":"Ricardo Navarro-Vargas, David A. Rincón-Valenzuela, J. Eslava-Schmalbach","doi":"10.25237/revchilanestv5220031508","DOIUrl":"https://doi.org/10.25237/revchilanestv5220031508","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69449392","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 : 2023-01-01DOI: 10.25237/revchilanestv52n04-08
R. Mostafa, A. N. Saleh, Shaimaa M.S. Rakhia, A. Khamis
Background: The most used psychoactive substance worldwide is caffeine. Acute caffeine administration in a laboratory setting or caffeine as an adjuvant have been shown to have pain-relieving effects. The possible effects of habitual dietary caffeine consumption on the use of intraoperative analgesics and pain perception, however, are far less well understood. Methods: Design: A prospective observational exploratory pilot study. Setting: Single university teaching hospital’s operating rooms. Patients: After institutional approval of the study design, 90 surgical patients - scheduled for laparoscopic surgery-were surveyed about their average daily caffeine consumption. They were then grouped to either: non consumers, low caffeine consumers and high caffeine consumers. Objectives: This pilot study aimed to explore the relationship between the amount of daily dietary caffeine consumption and intraoperative analgesic requirements. Results: In this study, no significant difference was found between the three study groups as regard intraoperative analgesic requirements, hemodynamics, recovery time, postoperative headache, and postoperative sedation level. However -although statistically insignificant-both caffeine consumers groups had higher intraoperative analgesic consumption. Additionally, higher consumer group had earlier request time of postoperative 1st rescue analgesia. Conclusion: Despite the limitations of any pilot study, our results suggest that habitual caffeine -whether in low or high consumers-had no significant effect on intraoperative analgesic requirements, when compared to non-consumers group. The data presented require careful consideration and promote the need for further studies with larger sample size as our study is an exploratory pilot study with small sample size.
{"title":"A pilot study for the relationship between habitual dietary caffeine consumption and intraoperative analgesic requirements in patients undergoing laparoscopic surgeries","authors":"R. Mostafa, A. N. Saleh, Shaimaa M.S. Rakhia, A. Khamis","doi":"10.25237/revchilanestv52n04-08","DOIUrl":"https://doi.org/10.25237/revchilanestv52n04-08","url":null,"abstract":"Background: The most used psychoactive substance worldwide is caffeine. Acute caffeine administration in a laboratory setting or caffeine as an adjuvant have been shown to have pain-relieving effects. The possible effects of habitual dietary caffeine consumption on the use of intraoperative analgesics and pain perception, however, are far less well understood. Methods: Design: A prospective observational exploratory pilot study. Setting: Single university teaching hospital’s operating rooms. Patients: After institutional approval of the study design, 90 surgical patients - scheduled for laparoscopic surgery-were surveyed about their average daily caffeine consumption. They were then grouped to either: non consumers, low caffeine consumers and high caffeine consumers. Objectives: This pilot study aimed to explore the relationship between the amount of daily dietary caffeine consumption and intraoperative analgesic requirements. Results: In this study, no significant difference was found between the three study groups as regard intraoperative analgesic requirements, hemodynamics, recovery time, postoperative headache, and postoperative sedation level. However -although statistically insignificant-both caffeine consumers groups had higher intraoperative analgesic consumption. Additionally, higher consumer group had earlier request time of postoperative 1st rescue analgesia. Conclusion: Despite the limitations of any pilot study, our results suggest that habitual caffeine -whether in low or high consumers-had no significant effect on intraoperative analgesic requirements, when compared to non-consumers group. The data presented require careful consideration and promote the need for further studies with larger sample size as our study is an exploratory pilot study with small sample size.","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69450465","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 : 2023-01-01DOI: 10.25237/revchilanestv52n04-15
Introduction: In pregnant women diagnosed with Proteus Syndrome, anesthetic management in cesarean delivery becomes a real challenge for the anesthesiologist, who must be prepared to approach a difficult airway or neuraxial access, due to the anatomical changes due to the presence of tumors or facial asymmetry, kyphoscoliosis and anatomical deformations produced by hamartomas on the thoracic and lumbar surfaces. Also, consider the importance of antithrombotic prophylaxis due to the high risk of deep vein thrombosis and pulmonary thromboembolism in this type of patient. Objective: To describe the anesthetic management by spinal technique of a pregnant woman with Proteus Syndrome. Methods and Results: We present the case of a 34-week pregnant woman with Proteus syndrome undergoing cesarean section under spinal anesthesia. In addition, a literature review was carried out in this regard. Conclusions: Spinal anesthesia was an effective and safe technique in this patient, providing adequate sensory and motor blockade for cesarean section, without major hemodynamic changes, allowing rapid recovery and adequate postoperative pain control.
{"title":"Reporte de caso: Anestesia para cesárea en paciente con síndrome de Proteo","authors":"","doi":"10.25237/revchilanestv52n04-15","DOIUrl":"https://doi.org/10.25237/revchilanestv52n04-15","url":null,"abstract":"Introduction: In pregnant women diagnosed with Proteus Syndrome, anesthetic management in cesarean delivery becomes a real challenge for the anesthesiologist, who must be prepared to approach a difficult airway or neuraxial access, due to the anatomical changes due to the presence of tumors or facial asymmetry, kyphoscoliosis and anatomical deformations produced by hamartomas on the thoracic and lumbar surfaces. Also, consider the importance of antithrombotic prophylaxis due to the high risk of deep vein thrombosis and pulmonary thromboembolism in this type of patient. Objective: To describe the anesthetic management by spinal technique of a pregnant woman with Proteus Syndrome. Methods and Results: We present the case of a 34-week pregnant woman with Proteus syndrome undergoing cesarean section under spinal anesthesia. In addition, a literature review was carried out in this regard. Conclusions: Spinal anesthesia was an effective and safe technique in this patient, providing adequate sensory and motor blockade for cesarean section, without major hemodynamic changes, allowing rapid recovery and adequate postoperative pain control.","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69450785","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 : 2023-01-01DOI: 10.25237/revchilanestv52n5-01
Diego Diego, Gerardo A. Solís-Pérez, M. G. Guerrero Gutiérrez, Jorge M. Antolinez-Mota, Arturo Vázquez Peralta
{"title":"Anestesia: trigger en el deterioro cognitivo posoperatorio","authors":"Diego Diego, Gerardo A. Solís-Pérez, M. G. Guerrero Gutiérrez, Jorge M. Antolinez-Mota, Arturo Vázquez Peralta","doi":"10.25237/revchilanestv52n5-01","DOIUrl":"https://doi.org/10.25237/revchilanestv52n5-01","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69451368","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 : 2023-01-01DOI: 10.25237/revchilanestv52n5-02
Israel Morales García
{"title":"Dolor en las salas de urgencias","authors":"Israel Morales García","doi":"10.25237/revchilanestv52n5-02","DOIUrl":"https://doi.org/10.25237/revchilanestv52n5-02","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69451405","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 : 2023-01-01DOI: 10.25237/revchilanestv52n5-16
María Mora-Aznar, Miguel Moreno-Hijazo
Objetivos: Análisis de un caso de espondilodiscitis infecciosa con retraso en su diagnóstico que deriva en un shock distributivo de difícil manejo. Estudio de los diagnósticos diferenciales y revisión bibliográfica. Material y Métodos: Presentación de un caso clínico sobre la espondilodiscitis infecciosa de una paciente que precisó ingreso en la Unidad del Paciente Crítico de un Hospital de Segundo Nivel en España. Para ello, se obtuvo consentimiento expreso por parte del paciente, así como del Comité de Ética de nuestro Centro. Resultados: Revisión de la historia clínica y actual de una mujer de avanzada edad que acude a nuestro centro hospitalario por lumbalgia sin etiología filiada, evolución rápida y tórpida hacia un cuadro de shock distributivo, que plantea distintos diagnósticos diferenciales, encontrando finalmente el diagnóstico acertado mediante pruebas complementarias específicas, pudiendo instaurar un tratamiento orientado, inicialmente conservador y después quirúrgico con correcta evolución posterior. Conclusiones: La espondilodiscitis infecciosa es una entidad infecciosa cuya incidencia ha aumentado en los últimos años debido a una mayor esperanza de vida de pacientes con enfermedades crónicas que suponen condiciones para cierto grado de inmunodeficiencia. Se han descrito casos con espondilodiscitis en los que se debe evaluar la coexistencia de endocarditis infecciosa, como es el caso que hemos planteado, así como valorar la indicación de intervención quirúrgica en casos sin respuesta a terapia antimicrobiana como es la paciente que nos ocupa.
{"title":"Espondilodiscitis infecciosa Caso clínico","authors":"María Mora-Aznar, Miguel Moreno-Hijazo","doi":"10.25237/revchilanestv52n5-16","DOIUrl":"https://doi.org/10.25237/revchilanestv52n5-16","url":null,"abstract":"Objetivos: Análisis de un caso de espondilodiscitis infecciosa con retraso en su diagnóstico que deriva en un shock distributivo de difícil manejo. Estudio de los diagnósticos diferenciales y revisión bibliográfica. Material y Métodos: Presentación de un caso clínico sobre la espondilodiscitis infecciosa de una paciente que precisó ingreso en la Unidad del Paciente Crítico de un Hospital de Segundo Nivel en España. Para ello, se obtuvo consentimiento expreso por parte del paciente, así como del Comité de Ética de nuestro Centro. Resultados: Revisión de la historia clínica y actual de una mujer de avanzada edad que acude a nuestro centro hospitalario por lumbalgia sin etiología filiada, evolución rápida y tórpida hacia un cuadro de shock distributivo, que plantea distintos diagnósticos diferenciales, encontrando finalmente el diagnóstico acertado mediante pruebas complementarias específicas, pudiendo instaurar un tratamiento orientado, inicialmente conservador y después quirúrgico con correcta evolución posterior. Conclusiones: La espondilodiscitis infecciosa es una entidad infecciosa cuya incidencia ha aumentado en los últimos años debido a una mayor esperanza de vida de pacientes con enfermedades crónicas que suponen condiciones para cierto grado de inmunodeficiencia. Se han descrito casos con espondilodiscitis en los que se debe evaluar la coexistencia de endocarditis infecciosa, como es el caso que hemos planteado, así como valorar la indicación de intervención quirúrgica en casos sin respuesta a terapia antimicrobiana como es la paciente que nos ocupa.","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69451663","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 : 2023-01-01DOI: 10.25237/revchilanestv52n6-05
Xiomara Muñoz Pérez, Nazhid Feris Monterrosa
Las Mucopolisacaridosis (MPS) son un grupo de patologías raras que consisten en deficiencias enzimáticas y se caracterizan por la acumulación lisosomal de glucosaminoglucanos (GAG). La mayoría de pacientes con MPS durante el curso de su enfermedad requerirán anestesia para procedimientos diagnósticos o cirugías. El objetivo del presente artículo es revisar el estado actual del conocimiento en torno al manejo anestésico en pacientes con MPS. Revisión no sistemática. Se realizó una búsqueda literaria en Pubmed, Lilacs, Google Scholar y se escogieron los artículos relevantes. El conocimiento de la clasificación, fisiopatología, tratamiento, la adecuada valoración preoperatoria permiten anticiparse a los riesgos y complicaciones que representan estas patologías, especialmente los retos en el manejo de la vía aérea, el déficit cognitivo, la disfunción cardiopulmonar y los riesgos de daño medular permanente.
{"title":"Enfoque anestésico en pacientes con mucopolisacaridosis","authors":"Xiomara Muñoz Pérez, Nazhid Feris Monterrosa","doi":"10.25237/revchilanestv52n6-05","DOIUrl":"https://doi.org/10.25237/revchilanestv52n6-05","url":null,"abstract":"Las Mucopolisacaridosis (MPS) son un grupo de patologías raras que consisten en deficiencias enzimáticas y se caracterizan por la acumulación lisosomal de glucosaminoglucanos (GAG). La mayoría de pacientes con MPS durante el curso de su enfermedad requerirán anestesia para procedimientos diagnósticos o cirugías. El objetivo del presente artículo es revisar el estado actual del conocimiento en torno al manejo anestésico en pacientes con MPS. Revisión no sistemática. Se realizó una búsqueda literaria en Pubmed, Lilacs, Google Scholar y se escogieron los artículos relevantes. El conocimiento de la clasificación, fisiopatología, tratamiento, la adecuada valoración preoperatoria permiten anticiparse a los riesgos y complicaciones que representan estas patologías, especialmente los retos en el manejo de la vía aérea, el déficit cognitivo, la disfunción cardiopulmonar y los riesgos de daño medular permanente.","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135358914","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 : 2023-01-01DOI: 10.25237/revchilanestv52n7-05
Ricardo Ramírez, Luciano Bravo
{"title":"Cambios cardiovasculares y hemodinámicos en la paciente con preeclampsia","authors":"Ricardo Ramírez, Luciano Bravo","doi":"10.25237/revchilanestv52n7-05","DOIUrl":"https://doi.org/10.25237/revchilanestv52n7-05","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980483","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 : 2023-01-01DOI: 10.25237/revchilanestv52n7-08
Jorge López Fermín, Diego Escarramán Martínez, Jesús Salvador Sánchez Díaz, Orlando Rubén Pérez Nieto
{"title":"Ratio de oxígeno como determinante de severidad en neumonía COVID-19","authors":"Jorge López Fermín, Diego Escarramán Martínez, Jesús Salvador Sánchez Díaz, Orlando Rubén Pérez Nieto","doi":"10.25237/revchilanestv52n7-08","DOIUrl":"https://doi.org/10.25237/revchilanestv52n7-08","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"07 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980532","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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