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Category: General Topics

Posted in: ATOTW > General Topics 2019 Language: portuguese

Este tutorial descreve transtornos cognitivos pós-operatórios e as implicações na prática anestésica. A compreensão do delirium pós-operatório e do uso de estratégias de prevenção podem melhorar a morbidade e mortalidade neste grupo de pacientes vulneráveis.

Posted in: ATOTW > General Topics 2019 Language: english

There is evidence that intraoperative neurophysiological monitoring reduces neurological disability from surgery, but universal protocols & guidelines are lacking. The anaesthetist plays an important role in evaluating the impact of anesthesia & physiology on IOM signals and optimising these factors. Here we discuss the IOM modalities commonly used & the management of signal changes.

Posted in: ATOTW > General Topics 2019 Language: portuguese

HIPEC, uma quimioterapia intraperitoneal hipertérmica altamente concentrada, é administrada diretamente no abdomen durante a cirurgia como tratamento multimodal eficaz para pacientes selecionados com malignidade da superfície peritoneal. O tutorial aborda os aspectos anestésicos e impactos fisiológicos do procedimento.

Posted in: ATOTW > General Topics 2019 Language: portuguese

Este tutorial oferece uma visão geral de como lidar com as alterações fisiológicas complexas e desafios da anestesia em transplantes hepáticos. Após a sua leitura, o leitor deverá estar ciente dos principais tópicos perioperatórios em pacientes com insuficiência hepática e da necessidade de abordagens multidisciplinares para garantir um bom desfecho.

Posted in: ATOTW > General Topics 2019 Language: portuguese

Este tutorial apresenta os fatores de risco para isquemia miocárdica perioperatória. Também aborda as evidências de técnicas anestésicas nesse grupo de alto risco e o manejo de isquemia miocárdica intraoperatória.

Posted in: ATOTW > General Topics 2019 Language: spanish

Este tutorial analiza la importancia de las técnicas de conservación de sangre y las estrategias para lograrlo durante el período preoperatorio, intraoperatorio y postoperatorio del paciente.

Posted in: ATOTW > General Topics 2019 Language: chinese

贫血是一种常见的、可改变的、影响术后发病率和死亡率的危险因素。一个患者身上可并存一系列的复杂病因并导致混乱和冲突的结果。本教程将探讨术前贫血的筛查、诊断和处理。

Posted in: ATOTW > General Topics 2018 Language: english

Evidence is rapidly emerging that prehabilitation may improve patient preoperative fitness, leading to better postoperative outcomes. This tutorial provides an overview of the evidence supporting prehabilitation, as well as practical suggestions for those interested in initiating a prehabilitation programme.

Posted in: ATOTW > General Topics 2018 Language: chinese

经口腔机器人手术是一种适用于头颈外科的微创手术。其潜在的困难气道和手术强刺激对麻醉技术提出更高要求。基于阿片类药物的多模式镇痛可有效减轻术后严重疼痛现象。本教程介绍了TORS麻醉管理要点。

Posted in: ATOTW > General Topics 2018 Language: chinese

本教程描述了术后认知功能异常以及与麻醉实践的关系,理解术后谵妄并采取预防性措施可降低易感患者人群的患病率及死亡率。

Posted in: ATOTW > General Topics 2018 Language: chinese

本教程旨在为读者提供一个用于了解麻醉肝移植复杂的生理变化和挑战的框架。阅读本文后,读者能够理解常见的围绕肝功能衰竭患者围手术期问题,并认识到预后取决于多学科的管理方法。

Posted in: ATOTW > General Topics 2018 Language: english

The tutorial covers anatomy and physiology of the pancreas and the pathophysiology and perioperative management of patients with pancreatic adenocarcinoma and neuroendocrine tumours. Risk stratification, management of preoperative anaemia and role of enhanced recovery programme for Whipple’s procedure are discussed.

Posted in: ATOTW > General Topics 2018 Language: english

This tutorial discusses the importance of blood conservation techniques and the strategies to achieve this during the pre-operative, intra-operative and post-operative period of patient journey.

Posted in: ATOTW > General Topics 2018 Language: english

Anaemia is a common, modifiable risk factor contributing to post-operative morbidity and mortality. A complex range of aetiologies can often co-exist in an individual patient, leading to confusing and conflicting results. This tutorial discusses screening, diagnosis, and management of pre-operative anaemia.

Posted in: ATOTW > General Topics 2018 Language: spanish

La Cirugía Robótica Trans-Oral (TORS, del inglés Trans-Oral Robotic Surgery) se utiliza para procedimientos mínimamente invasivos en cirugía de cabeza y cuello. La potencial vía aérea difícil y la naturaleza estimulante del procedimiento requieren una técnica anestésica específica. La analgesia multimodal basada en opioides es necesaria para el posible dolor severo postoperatorio. Este tutorial presenta el manejo de la anestesia para la TORS.

Posted in: ATOTW > General Topics 2018 Language: english

Trans-Oral Robotic Surgery (TORS) is used for minimally invasive procedure for head and neck surgery. Potentially difficult airway and stimulating nature of the procedure requires a specific anaesthetic technique. Opioid based multi-modal analgesia is required for possible severe post-operative pain. This tutorial presents anaesthesia management for TORS.

Posted in: ATOTW > General Topics 2018 Language: spanish

Este tutorial describe los desórdenes cognitivos postoperatorios y las implicaciones en la práctica anestésica. Un entendimiento del delirio postoperatorio y el uso de estrategias preventivas puede mejorar la morbilidad y mortalidad en este grupo vulnerable de pacientes.

Posted in: ATOTW > General Topics 2018 Language: chinese

本文是一篇对氯胺酮的进展以及应用的回顾。其中包括了讨论氯胺酮作为麻醉和镇痛药物在院前急救,急诊,手术室和监护室中的作用。

Posted in: ATOTW > General Topics 2018 Language: english

The tutorial describes post-operative cognitive disorders and the implications on anaesthesia practice. An understanding of post-operative delirium and use of preventative strategies can improve morbidity and mortality in this vulnerable patient group.

Posted in: ATOTW > General Topics 2018 Language: spanish

Este informe de caso describe una serie de factores de riesgo asociados con la posible deformación o fractura de las agujas espinales durante la anestesia subaracnoidea, seguidos de algunos consejos prácticos sobre cómo evitar esta complicación y cómo tratarla si se produce.

Posted in: ATOTW > General Topics 2018 Language: spanish

Revisión de la evidencia y utilidad de la ketamina. Esto incluye la discusión de su papel como fármaco anestésico y analgésico para uso en el ambiente pre-hospitalario, departamento de emergencias, salas de cirugía y unidades de cuidados críticos.

Posted in: ATOTW > General Topics 2018 Language: english

A review of the evidence and utility of ketamine. This includes discussion of its role as an anaesthetic and analgesic drug for use in the pre-hospital environment, emergency department, operating theatre and critical care unit.

Posted in: ATOTW > General Topics 2018 Language: spanish

La cirugía para la enfermedad espinal metastásica es una disciplina en expansión con una demanda por parte de los pacientes que se incrementa continuamente. Este tutorial está dirigido a cubrir las consideraciones anestésicas relacionadas a la cirugía de la enfermedad espinal metastásica incluyendo el manejo de la vía aérea, posición prono, hemorragia masiva, consideraciones de la quimioterapia y analgesia compleja.

Posted in: ATOTW > General Topics 2018 Language: chinese

本文强调了导致患者围手术期心肌缺血高风险的因素。本文也对关于该类高危人群麻醉技术的证据以及术中心肌缺血的处理进行了讨论。

Posted in: ATOTW > General Topics 2018 Language: chinese

手术治疗脊柱转移性肿瘤是一个不断扩大的学科,患者需求量不断增加。本教程旨在介绍与脊柱转移性肿瘤手术有关的麻醉注意事项,包括气道管理、俯卧位、大出血、化疗的相关事项和复杂的镇痛。

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