Pub Date : 2023-01-01DOI: 10.25237/revchilanestv5202111644
O. Ramírez, V. Garzón, P. Ibarra
{"title":"Consideraciones perioperatorias en pacientes con hipertensión: el día de su cirugía","authors":"O. Ramírez, V. Garzón, P. Ibarra","doi":"10.25237/revchilanestv5202111644","DOIUrl":"https://doi.org/10.25237/revchilanestv5202111644","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":"69447847","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/revchilanestv5206021048
C. Carolina, Joao M. Rego, C. G. Pereira, Hélder P. Cardoso, Fernando P. Moura
{"title":"Awake videolaryngoscopy: Could it be a safe alternative to awake fiberoptic intubation?","authors":"C. Carolina, Joao M. Rego, C. G. Pereira, Hélder P. Cardoso, Fernando P. Moura","doi":"10.25237/revchilanestv5206021048","DOIUrl":"https://doi.org/10.25237/revchilanestv5206021048","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":"69447858","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/revchilanestv5207031447
M. J. Andrade, Marcelino Marcelino, María A. Zuñiga, Sebastián Sebastián, N. Natalia, Carlos J. Carlos J., Andres Felipe González
{"title":"Perioperative benzodiazepine use in the pediatric population: A narrative review","authors":"M. J. Andrade, Marcelino Marcelino, María A. Zuñiga, Sebastián Sebastián, N. Natalia, Carlos J. Carlos J., Andres Felipe González","doi":"10.25237/revchilanestv5207031447","DOIUrl":"https://doi.org/10.25237/revchilanestv5207031447","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":"69447957","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":"El metaverso y la educación en anestesiología","authors":"Sebastián Mohar Menéndez-Aponte, Daniel Ríos Gil, Esmeralda Landa Ramírez, Rodrigo Rubio Martínez","doi":"10.25237/revchilanestv5220031544","DOIUrl":"https://doi.org/10.25237/revchilanestv5220031544","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":"69449165","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/revchilanestv52n04-13
J. Guevara, Leonel Vega-Useche
Myelomeningocele (MMC) is a subtype of spina bifida, occurs due to a neural tube closure defect during embryogenesis, is usually compatible with life and is associated in most cases with Arnold Chiari malformation. In Colombia, it is estimated that there are 1.41 cases per 10,000 bir - ths. Currently, the gold standard for the treatment of this malformation is prenatal surgical closure before the 26th week of gestation. To carry out this procedure, special anesthetic techniques are required to guarantee safety, analgesia, immobility, neuromuscular relaxation, and fetal-maternal well-being in the perioperative period. In our institution we developed an anesthetic protocol which we applied in 8 cases of prenatal myelomeningocele closure performed in the period between 2020 and 2022, the mean age of the participants was 31.8 years, all of them had an ASA classification. II; the mean duration of anesthesia was 3 h 50 min and approximately 11.97 mcg/kg/h of norepinephrine was administered in each procedure. Said protocol was effective in 100% of the cases, it avoided complications and improved maternal-fetal perioperative outcomes, likewise, it achieved the analgesic objectives, neuromuscular relaxation, hemodynamic stability, without maternal-fetal adverse effects, for this reason we suggest implementing it to carry out this study. types of fetal procedures safely and effectively.
{"title":"Protocolo de anestesia para cirugía de cierre abierto de mielomeningocele in-utero: una serie de casos","authors":"J. Guevara, Leonel Vega-Useche","doi":"10.25237/revchilanestv52n04-13","DOIUrl":"https://doi.org/10.25237/revchilanestv52n04-13","url":null,"abstract":"Myelomeningocele (MMC) is a subtype of spina bifida, occurs due to a neural tube closure defect during embryogenesis, is usually compatible with life and is associated in most cases with Arnold Chiari malformation. In Colombia, it is estimated that there are 1.41 cases per 10,000 bir - ths. Currently, the gold standard for the treatment of this malformation is prenatal surgical closure before the 26th week of gestation. To carry out this procedure, special anesthetic techniques are required to guarantee safety, analgesia, immobility, neuromuscular relaxation, and fetal-maternal well-being in the perioperative period. In our institution we developed an anesthetic protocol which we applied in 8 cases of prenatal myelomeningocele closure performed in the period between 2020 and 2022, the mean age of the participants was 31.8 years, all of them had an ASA classification. II; the mean duration of anesthesia was 3 h 50 min and approximately 11.97 mcg/kg/h of norepinephrine was administered in each procedure. Said protocol was effective in 100% of the cases, it avoided complications and improved maternal-fetal perioperative outcomes, likewise, it achieved the analgesic objectives, neuromuscular relaxation, hemodynamic stability, without maternal-fetal adverse effects, for this reason we suggest implementing it to carry out this study. types of fetal procedures safely and effectively.","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":"69450717","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/revchilanestv52n04-19
{"title":"Páralisis del sexto par craneal, una rara e inusual presentación de preeclampsia","authors":"","doi":"10.25237/revchilanestv52n04-19","DOIUrl":"https://doi.org/10.25237/revchilanestv52n04-19","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69451125","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}
Background: Cardioplegia is crucial for protecting the heart. Long-term cardiac protection is offered by the Del Nido Cardioplegia solution (dNCS). Aim: To compare conventional crystalloid cardioplegia with modified del Nido cardioplegia in mitral valve regurgitation replacement surgery. Objectives and Methods: This randomized clinical study included 80 patients undergoing to elective mitral regurgitation replacement surgery of both sex and age from 21 to 60 years with ASA (III and IV). All 80 patients were randomly assigned to receive conventional cardioplegia (St. Thomas’ cardioplegic solutions) or to obtain a modified del Nido cardioplegia (using normal saline) (groups A and B, respectively). The laboratory data for assessment of myocardial protection were obtained through measurements of preoperative serum levels of cardiac enzymes as, CK-MB, troponin, and lactate, immediately after operation, 12 and 24 hours postoperatively. Results: There was a significant increase in CK-MB only after 1 h (p < .001) in group (A) and after 12 h. CK-MB and lactate levels were significantly increased (p < 0.05). Also, after 24 h. CK-MB and Troponin T levels were significantly increased (p < .001). Regarding complications, one patient had atrial fibrillation and one case had permanent stroke in group (A), and two patients died in group (A), while one patient died in group (B) without a significant difference between the groups. Conclusions: We report that Modified Del Nido Cardioplegia has better postoperative chemical parameters as CK-MB, Troponin T and Lactate in mitral valve surgery in adults. DNC is a safe alternative to conventional cardioplegia and has achieved at least the same results.
{"title":"Comparative study between conventional crystalloid cardioplegic solution with modified del nido cardioplegia in mitral valve regurgitation surgery","authors":"Tarek Abdelsalam Seleem, Mohamed Abdelgawad Abdelhalim Aboelsuod, Mohamed Hussienny Mahmoud, Mostafa Shaaban Abdelazeem","doi":"10.25237/revchilanestv52n6-06","DOIUrl":"https://doi.org/10.25237/revchilanestv52n6-06","url":null,"abstract":"Background: Cardioplegia is crucial for protecting the heart. Long-term cardiac protection is offered by the Del Nido Cardioplegia solution (dNCS). Aim: To compare conventional crystalloid cardioplegia with modified del Nido cardioplegia in mitral valve regurgitation replacement surgery. Objectives and Methods: This randomized clinical study included 80 patients undergoing to elective mitral regurgitation replacement surgery of both sex and age from 21 to 60 years with ASA (III and IV). All 80 patients were randomly assigned to receive conventional cardioplegia (St. Thomas’ cardioplegic solutions) or to obtain a modified del Nido cardioplegia (using normal saline) (groups A and B, respectively). The laboratory data for assessment of myocardial protection were obtained through measurements of preoperative serum levels of cardiac enzymes as, CK-MB, troponin, and lactate, immediately after operation, 12 and 24 hours postoperatively. Results: There was a significant increase in CK-MB only after 1 h (p < .001) in group (A) and after 12 h. CK-MB and lactate levels were significantly increased (p < 0.05). Also, after 24 h. CK-MB and Troponin T levels were significantly increased (p < .001). Regarding complications, one patient had atrial fibrillation and one case had permanent stroke in group (A), and two patients died in group (A), while one patient died in group (B) without a significant difference between the groups. Conclusions: We report that Modified Del Nido Cardioplegia has better postoperative chemical parameters as CK-MB, Troponin T and Lactate in mitral valve surgery in adults. DNC is a safe alternative to conventional cardioplegia and has achieved at least the same results.","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"28 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":"135400539","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/revchilanestv52n7-07
Andrés Felipe Murillo Ruiz, Alexander Trujillo Mejía, Fernando Arango Gómez
{"title":"Cetonemia y glicemia en niños con 3 diferentes líquidos claros una hora antes de cirugía","authors":"Andrés Felipe Murillo Ruiz, Alexander Trujillo Mejía, Fernando Arango Gómez","doi":"10.25237/revchilanestv52n7-07","DOIUrl":"https://doi.org/10.25237/revchilanestv52n7-07","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":"46 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":"134980533","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/revchilanestv5209111522
Arian J. Cuba-Naranjo, Ariel Sosa-Remón, Ana E. Jeréz-Alvarez
{"title":"Poder mecánico, variable relacionada a la lesión pulmonar inducida por la ventilación y la mortalidad","authors":"Arian J. Cuba-Naranjo, Ariel Sosa-Remón, Ana E. Jeréz-Alvarez","doi":"10.25237/revchilanestv5209111522","DOIUrl":"https://doi.org/10.25237/revchilanestv5209111522","url":null,"abstract":"","PeriodicalId":39813,"journal":{"name":"Revista Chilena de Anestesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47028843","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":"Interacciones farmacéuticas: La importancia de las ayudas visuales","authors":"Eduardo Lema Flórez, Andrés Mauricio Galarza Prado","doi":"10.25237/revchilanestv5208031335","DOIUrl":"https://doi.org/10.25237/revchilanestv5208031335","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":"69447770","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}