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Anestesiología

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72 papers 25 to 100 followers
https://www.readbyqxmd.com/read/25498581/monitoring-and-delivery-of-sedation
#1
REVIEW
C G Sheahan, D M Mathews
Sedation for medical procedures is provided in a variety of clinical settings by medical personnel with differing levels of education and training. Although generally a safe practice, there is a degree of morbidity and mortality associated with sedation practice. Monitoring standards continue to be refined by professional societies with the goal of improving care. The depth of sedation should be monitored with clinical criteria. Processed electroencephalographic monitors currently do not contribute significantly to sedation care...
December 2014: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28085788/essentials-of-our-current-understanding-abdominal-wall-blocks
#2
Ki Jinn Chin, John G McDonnell, Brendan Carvalho, Aidan Sharkey, Amit Pawa, Jeffrey Gadsden
Abdominal wall blocks rely on the spread of local anesthetic within musculofascial planes to anesthetize multiple small nerves or plexuses, rather than targeting specific nerve structures. Ultrasonography is primarily responsible for the widespread adoption of techniques including transversus abdominis plane and rectus sheath blocks, as well as the introduction of novel techniques such as quadratus lumborum and transversalis fascia blocks. These blocks are technically straightforward and relatively safe and reduce pain and opioid requirements in many clinical settings...
March 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/26095487/fentanyl-induced-hyperalgesia-in-acute-pain-management
#3
REVIEW
Pamela J Lyons, Ryan M Rivosecchi, Jose P Nery, Sandra L Kane-Gill
There are safety concerns with the use of fentanyl, including respiratory depression, nausea, constipation, and possibly opioid-induced hyperalgesia (OIH). The purpose of this review is to evaluate the occurrence and significance of opioid-induced hyperalgesia (OIH) after acute fentanyl exposure. A literature search was conducted from October 1995 through January 2015 using MEDLINE, Embase, and Scopus with the terms hyperalgesia, fentanyl, pronociceptive, acute tolerance, and acute. Published articles evaluating the adverse effects of fentanyl during acute pain management (≤96 hours) in humans were included...
June 2015: Journal of Pain & Palliative Care Pharmacotherapy
https://www.readbyqxmd.com/read/23742735/fentanyl-for-the-relief-of-refractory-breathlessness-a-systematic-review
#4
REVIEW
Steffen T Simon, Peyla Köskeroglu, Jan Gaertner, Raymond Voltz
CONTEXT: Fentanyl is a potent opioid that has been proven to provide effective treatment for breakthrough cancer pain. Although opioids are the only drug group with evidence for the symptomatic treatment of breathlessness, evidence about the efficacy of fentanyl for the relief of breathlessness is unknown. OBJECTIVES: We performed a systematic review to evaluate the current evidence for the use of fentanyl for the relief of breathlessness. METHODS: The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendation for systematic reviews...
December 2013: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/21941219/ultrasound-guided-versus-anatomic-landmark-guided-ankle-blocks-a-6-year-retrospective-review
#5
COMPARATIVE STUDY
Ki Jinn Chin, Natalie W Y Wong, Alan James Robert Macfarlane, Vincent W S Chan
BACKGROUND AND OBJECTIVES: Ultrasound-guided (USG) ankle block has been described; however, its clinical efficacy compared with conventional anatomic landmark-guided (ALG) techniques remains undetermined. METHODS: We performed a 6-year retrospective cohort study of all ankle blocks performed for foot surgery and extracted demographic, intraoperative, and postoperative outcome data. We divided blocks into 2 groups for comparison, depending on whether they were performed using an ALG technique or a USG technique...
November 2011: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/21812509/dexmedetomidine-a-review-of-its-use-for-sedation-in-mechanically-ventilated-patients-in-an-intensive-care-setting-and-for-procedural-sedation
#6
REVIEW
Sheridan M Hoy, Gillian M Keating
Dexmedetomidine (Precedex®), a pharmacologically active dextroisomer of medetomidine, is a selective α(2)-adrenergic receptor agonist. It is indicated in the US for the sedation of mechanically ventilated adult patients in an intensive care setting and in non-intubated adult patients prior to and/or during surgical and other procedures. This article reviews the pharmacological properties, therapeutic efficacy and tolerability of dexmedetomidine in randomized, double-blind, placebo-controlled, multicentre studies in these indications...
July 30, 2011: Drugs
https://www.readbyqxmd.com/read/27206565/gabapentin-for-the-hemodynamic-response-to-intubation-systematic-review-and-meta-analysis
#7
REVIEW
Brett Doleman, Matthew Sherwin, Jonathan N Lund, John P Williams
PURPOSE: Endotracheal intubation is the gold standard for securing the airway before surgery. Nevertheless, this procedure can produce an activation of the sympathetic nervous system and result in a hemodynamic response which, in high-risk patients, may lead to cardiovascular instability and myocardial ischemia. The aim of this review was to evaluate whether gabapentin can attenuate this response and whether such an attenuation could translate into reduced myocardial ischemia and mortality...
September 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/24259635/rapid-sequence-intubation-a-review-of-the-process-and-considerations-when-choosing-medications
#8
REVIEW
Joanna L Stollings, Daniel A Diedrich, Lance J Oyen, Daniel R Brown
OBJECTIVE: To summarize published data regarding the steps of rapid-sequence intubation (RSI); review premedications, induction agents, neuromuscular blockers (NMB), and studies supporting use or avoidance; and discuss the benefits and deficits of combinations of induction agents and NMBs used when drug shortages occur. DATA SOURCE: A search of Medline databases (1966-October 2013) was conducted. STUDY SELECTION AND DATA EXTRACTION: Databases were searched using the terms rapid-sequence intubation, fentanyl, midazolam, atropine, lidocaine, phenylephrine, ketamine, propofol, etomidate thiopental, succinylcholine, vecuronium, atracurium, and rocuronium...
January 2014: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/16402115/neuromuscular-block
#9
REVIEW
W C Bowman
Descriptions of the South American arrow poisons known as curares were reported by explorers in the 16th century, and their site of action in producing neuromuscular block was determined by Claude Bernard in the mid-19th century. Tubocurarine, the most important curare alkaloid, played a large part in experiments to determine the role of acetylcholine in neuromuscular transmission, but it was not until after 1943 that neuromuscular blocking drugs became established as muscle relaxants for use during surgical anaesthesia...
January 2006: British Journal of Pharmacology
https://www.readbyqxmd.com/read/27289336/managing-initial-mechanical-ventilation-in-the-emergency-department
#10
REVIEW
Scott D Weingart
No abstract text is available yet for this article.
November 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27342820/understanding-preoxygenation-and-apneic-oxygenation-during-intubation-in-the-critically-ill
#11
Jarrod M Mosier, Cameron D Hypes, John C Sakles
No abstract text is available yet for this article.
February 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/27566791/systematic-review-of-the-anaesthetic-management-of-non-iatrogenic-acute-adult-airway-trauma
#12
S J Mercer, C P Jones, M Bridge, E Clitheroe, B Morton, P Groom
INTRODUCTION: Non-iatrogenic trauma to the airway is rare and presents a significant challenge to the anaesthetist. Although guidelines for the management of the unanticipated difficult airway have been published, these do not make provision for the 'anticipated' difficult airway. This systematic review aims to inform best practice and suggest management options for different injury patterns. METHODS: A literature search was conducted using Embase, Medline, and Google Scholar for papers after the year 2000 reporting on the acute airway management of adult patients who suffered airway trauma...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26968174/fentanyl-iontophoretic-transdermal-system-a-review-in-acute-postoperative-pain
#13
REVIEW
Lesley J Scott
Fentanyl iontophoretic transdermal system (ITS) [Ionsys(®)] is indicated for the management of acute postoperative pain in adults requiring opioid analgesia in the hospital setting. This article reviews the clinical use of fentanyl ITS for postoperative pain management, and summarizes the pharmacology of fentanyl and the characteristics of the two-component fentanyl ITS (Ionsys(®)) device. In well-designed, multicentre clinical trials, fentanyl ITS was an effective and generally well tolerated method for managing acute postoperative pain in inpatients who had undergone major abdominal, thoracic or orthopaedic surgery...
April 2016: Clinical Drug Investigation
https://www.readbyqxmd.com/read/28318323/sublingual-transdermal-and-intravenous-patient-controlled-analgesia-for-acute-post-operative-pain-systematic-literature-review-and-mixed-treatment-comparison
#14
REVIEW
Pablo Katz, Shweta Takyar, Pamela Palmer, Hiltrud Liedgens
OBJECTIVE: To conduct a systematic literature review (SLR) and quantitative analysis to assess the comparative efficacy and safety of the sufentanil sublingual tablet system (SSTS) against other available patient controlled analgesia (PCA) options for post-operative analgesia. METHODS: An SLR was conducted for studies published between 2004 and 2016. Due to study heterogeneity, subgroup analyses were conducted controlling for differences in imputation methods for missing values, baseline pain severity, and type of surgery...
May 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/25991942/laryngeal-complications-by-orotracheal-intubation-literature-review
#15
REVIEW
Luiz Alberto Alves Mota, Glauber Barbosa de Cavalho, Valeska Almeida Brito
INTRODUCTION:  The injuries caused for the orotracheal intubation are common in our way and widely told by literature. Generally the pipe rank of or consequence of its permanence in the aerial ways of the patient is caused by accidents in. It has diverse types of larynx injuries, caused for multiple mechanisms. OBJECTIVE:  To verify, in literature, the main causes of laryngeal complications after- orotracheal intubation and its mechanisms of injury. Revision of Literature: The searched databases had been LILACS, BIREME and SCIELO...
April 2012: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/25523320/-tapia-s-syndrome-rare-complication-of-securing-airways
#16
L Brandt
Nerve injuries are a rare complication of airway management. Two cases of Tapia's syndrome following orotracheal intubation are reported. Case 1: a 23-year-old male patient underwent an otorhinolaryngology (ENT) surgical procedure with orotracheal intubation. A left-sided Tapia's syndrome was verified 3 days later. Case 2: a 67-year-old patient developed a right-sided Tapia's syndrome following an arthroscopic intervention of the left shoulder in the beach-chair position. In both cases there was permanent damage of both nerves...
February 2015: Der Anaesthesist
https://www.readbyqxmd.com/read/26028885/intubation-techniques-preferences-of-maxillofacial-trauma-surgeons
#17
Mehul R Jaisani, Leeza Pradhan, Balkrishna Bhattarai, Alok Sagtani
OBJECTIVE: To evaluate the clinical outcomes of alternative techniques of intubation in patients sustaining maxillofacial injuries, where nasotracheal intubation (NTI) is best avoided. MATERIAL AND METHODS: Alternative techniques to standard naso-tracheal intubation like submental intubation, orotracheal intubation-retrotuberosity/retromolar and missing dentition were used and variables of clinical outcome recorded. RESULTS: Submental intubation provides an unobstructed intraoral surgical field, avoids intraoperative and postoperative complications of tracheostomy, and overcomes the disadvantages of NTI...
June 2015: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28712606/effectiveness-of-apneic-oxygenation-during-intubation-a-systematic-review-and-meta-analysis
#18
REVIEW
Lucas Oliveira J E Silva, Daniel Cabrera, Patricia Barrionuevo, Rebecca L Johnson, Patricia J Erwin, M Hassan Murad, M Fernanda Bellolio
STUDY OBJECTIVE: We conduct a systematic review and meta-analysis to evaluate the effectiveness of apneic oxygenation during emergency intubation. METHODS: We searched Ovid MEDLINE, Ovid EMBASE, Ovid CENTRAL, and Scopus databases for randomized controlled trials and observational studies from 2006 until July 2016, without language restrictions. Gray literature, clinicaltrials.gov, and reference lists of articles were hand searched. We conducted a meta-analysis with random-effects models to evaluate first-pass success rates, incidence of hypoxemia, and lowest peri-intubation SpO2 between apneic oxygenation and standard oxygenation cases...
July 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28654173/rocuronium-vs-succinylcholine-for-rapid-sequence-intubation-a%C3%A2-cochrane-systematic-review
#19
REVIEW
D T T Tran, E K Newton, V A H Mount, J S Lee, C Mansour, G A Wells, J J Perry
This systemic review was performed to determine whether rocuronium creates intubating conditions comparable to those of succinylcholine during rapid sequence intubation of the trachea. We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2015, Issue 2), MEDLINE (1966 to February Week 2 2015), and EMBASE (1988 to February 14 2015) for any randomised controlled trials or controlled clinical trials that reported intubating conditions comparing rocuronium and succinylcholine for rapid or modified rapid sequence intubation...
June 2017: Anaesthesia
https://www.readbyqxmd.com/read/28684195/apneic-oxygenation-during-intubation-in-the-emergency-department-and-during-retrieval-a-systematic-review-and-meta-analysis
#20
REVIEW
Matthew J Binks, Rhys S Holyoak, Thomas M Melhuish, Ruan Vlok, Elyse Bond, Leigh D White
BACKGROUND: Hypoxemia increases the risk of intubation markedly. Such concerns are multiplied in the emergency department (ED) and during retrieval where patients may be unstable, preparation or preoxygenation time limited and the environment uncontrolled. Apneic oxygenation is a promising means of preventing hypoxemia in this setting. AIM: To test the hypothesis that apnoeic oxygenation reduces the incidence of hypoxemia during endotracheal intubation in the ED and during retrieval...
June 24, 2017: American Journal of Emergency Medicine
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