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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 > Obstetric Anaesthesia 2018 Language: english

The Maternal Early Warning Score (MEWS) is a system designed to help early detection of sick mothers and potentially allows the opportunity to intervene and prevent deterioration. This tutorial discusses the application of MEWS and the evidence behind its use.

Posted in: ATOTW > Intensive Care Medicine 2018 Language: english

Ventilator-associated pneumonia is a significant cause of morbidity and mortality in critically unwell patients who undergo invasive mechanical ventilation via an endotracheal tube or tracheostomy. Throughout this article we will discuss the incidence, scoring systems, pathophysiology, prevention, risk factors, diagnosis and treatment of this condition.

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 > Obstetric Anaesthesia 2018 Language: english

Intraoperative cell salvage in obstetrics is a safe adjunct or alternative treatment to allogenic blood transfusions during a postpartum hemorrhage. This tutorial will describe how the cell salvage circuit works and review the indications, contraindications, advantages, disadvantages and risks of intraoperative cell salvage in obstetrics.

Posted in: ATOTW > Regional Anaesthesia 2018 Language: chinese

本教程涵盖超声引导的椎旁神经阻滞。 它讨论了与周围区域麻醉相关的基本解剖,适应症和并发症。 文章详细介绍了实施这个阻滞所需的准备工作,并讨论了可以使用的3种常见超声引导方法。

Posted in: ATOTW > Patient Safety 2018 Language: portuguese

Este tutorial mostra como aprender com incidentes notificados ao National Health Service England and Wales National Reporting and Learning System, e aborda os seguintes tópicos: segurança na infusão, avaliações pré-operatórias, e a síndrome da implantação óssea do cimento.

Posted in: ATOTW > Intensive Care Medicine 2018 Language: english

Hyperthermic intraperitoneal chemotherapy (HIPEC) is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery as an effective multimodality treatment option for selected patients with peritoneal surface malignancies. This tutorial discusses the anaesthetic considerations and physiological impacts of the procedure.

Posted in: ATOTW > Patient Safety 2018 Language: english

This case report describes a number of risk factors that are associated with potential deformation or fracture of spinal needles during subarachnoid anaesthesia, followed by some practical tips on how to avoid this complication and how to deal with it if it occurs.

Posted in: ATOTW > Regional Anaesthesia & Anaesthesia 2018 Language: spanish

En este tutorial, se describirá la anatomía clásica del plexo braquial. Las variantes anatómicas del plexo braquial serán exploradas subsecuentemente y se discutirán las implicaciones clínicas asociadas para el anestesiólogo.

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 > Patient Safety 2018 Language: chinese

本教程是基于“英格兰及威尔士国家卫生服务中心报告与学习系统”所收集到的事件研究制定而成,内容涵盖输注安全、术前评估和骨水泥植入综合征三个方面。

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。

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: chinese

这一系列的两篇文章对硬膜外阻滞用于分娩镇痛提供了一个概述。第一篇文章论述了硬膜外分娩镇痛的适应症和禁忌症、局部解剖及阻滞所需平面等。

Posted in: ATOTW > Regional Anaesthesia & Anaesthesia 2018 Language: french

Dans ce tutoriel, l’anatomie classique du PB sera décrite. Les variations anatomiques seront ensuite examinées avec discussion des conséquences cliniques.

Posted in: ATOTW > General Topics & Intensive Care Medicine 2018 Language: english

This tutorial aims to provide the reader with a framework for approaching the complex physiologic changes and challenges of liver transplant anesthesiology. After reading this article the reader should be able to understand the common perioperative issues surrounding the patient with liver failure and recognize that outcomes are dependent on a multidisciplinary approach to management.

Posted in: ATOTW > General Topics 2018 Language: spanish

Este artículo resalta los factores que hacen que los pacientes tengan un alto riesgo de isquemia miocárdica perioperatoria. También discute la evidencia de la técnica anestésica para este grupo de alto riesgo y el manejo de la isquemia miocárdica intraoperatoria

Posted in: ATOTW > Patient Safety 2018 Language: french

Mise à jour sur l’apprentissage à partir de récents incidents de sécurité liés à l’anesthésie des patients, déclarés au Royaume-Uni. Ce tutoriel couvre trois domaines présentés dans ces rapports : la Sécurité du Bloc Neuraxial Central, les Erreurs Médicamenteuses et les Evénements Indésirables.

Posted in: ATOTW > Cardiothoracic Anaesthesia 2018 Language: portuguese

Este tutorial descreve a conduta de hipotermia profunda com parada circulatória total e a sua relevância para o anestesista, baseado nas mais recentes evidências. Também abordamos o conceito de hipotermia terapêutica, as opções de monitorização intraoperatória e as diferentes estratégias de neuroproteção.

Posted in: ATOTW > Intensive Care Medicine 2018 Language: portuguese

A retirada do paciente da ventilação mecânica e do suporte das vias aéreas na UTI é um grande desafio. O sucesso depende de uma perfeita mistura de arte e ciência. A combinação de abordagem por algoritmos e perspicácia clínica é provavelmente a melhor receita para o sucesso. Este tutorial faz um resumo das atuais recomendações na área.

Posted in: ATOTW > General Topics 2018 Language: spanish

Debido a la mayor expectativa de vida del paciente y al número total de reemplazos de cadera que se realizan anualmente, la carga de la cirugía de revisión de cadera está aumentando. La cirugía es compleja y crea desafíos únicos para el anestesista. Este tutorial resume las técnicas quirúrgicas, las posibles complicaciones perioperatorias y la atención anestésica de estos pacientes.

Posted in: ATOTW > Intensive Care Medicine 2018 Language: spanish

La liberación de la ventilación mecánica y el soporte de la vía aérea artificial en la unidad de cuidados intensivos es difícil y desafiante. El éxito depende de la combinación perfecta de arte y ciencia. Un algoritmo con enfoque basado en la evidencia junto con una perspicacia clínica muy fuerte es posiblemente la mejor receta para el éxito. Este tutorial intenta resumir las guías actualmente aceptadas en esta área.

Il ne peut avoir de scénarios plus difficiles pour les équipes de soins intensifs non pédiatriques que la gestion initiale et la stabilisation d'un nouveau-né en détresse. Cet article est la partie 2 de la série de tutoriels et développe la gestion spécifique de chacune des quatre étiologies les plus communes responsables de causer la détresse du nouveau-né.

Posted in: ATOTW > Regional Anaesthesia & Pain 2018 Language: english

This tutorial covers ultrasound-guided paravertebral nerve block. It discusses the basic anatomy, indications and complications associated with this peripheral regional anaesthesia. The article goes into detail the preparation required to carry out this block and discusses 3 common ultrasound-guided approaches that can be utilized.