Oncologia and anesthesia

Pericardial tamponade due to myocardial perforation from central venous catheter is rather unusual, especially if it happens during a trans-operative period. When it comes up, it has a high mortality risk if the pericardial fluid is not drained at the proper time. At the Oncology Hospital of the National Medical Center, IMSS, Mexico City (Hospital de Oncología del Centro Médico Nacional, Siglo XXI), at the Anesthesia Service, a case of tamponade in transoperative period came up, after a surgical procedure that lasted more than 6 hours, and that manifested itself with signs of cardiogenic shock that did not improve with treatment...

INTRODUCTION: The purpose of preventive analgesia based on regional blocks with local anesthetics is to avoid sharp and hard-to-control pain in the anterior side of thorax and axilla secondary to radical mastectomy. OBJECTIVE: Our aim was to compare the analgesic effectiveness of direct trans-operational block applied to nerves vs conventional analgesia using analgesic-antipiretic and antiinflammatory (AINES) drugs. MATERIAL AND METHODS: We designed a 1-year case-control study at the Hospital de Oncología of the Instituto Mexicano del Seguro Social's (IMSS's) Centro Medico Nacional Siglo XXI (CMN-SXXI) in Mexico City...