Actualizaciones en Anestesiologia y Reanimacion

Current impact factor: 0.00

Impact Factor Rankings

Additional details

5-year impact 0.00
Cited half-life 0.00
Immediacy index 0.00
Eigenfactor 0.00
Article influence 0.00
ISSN 1132-0095

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Pheochromocytomas are rare neuroendocrine tumors with a highly variable clinical presentation usually includes high blood pressure, headache and sweating. Patients with pheochromocytoma may develop potentially lethal cardiovascular complications without adequate perioperative management, including cardiomyopathy. These complications are due to the secretion of catecholamines. During the preoperative period the patient should be prepared pharmacologically to prevent a hypertensive crisis during surgery. Three intraoperative periods are the most critical for the patient: intubation, surgical manipulation of the tumor and ligation of venous drainage of the tumor. The first two are associated with catecholamine release, and the latter to a relative deficiency of these; this stage after tumor resection is characterized by a severe hypotension requiring anesthesiologic care as their consequences can become serious complications . Knowledge of the alterations caused by the secretion of catecholamines and therapeutic options for treatment are essential to reduce the risk in this surgery, which is a challenge for the anesthesiologist.
    Actualizaciones en Anestesiologia y Reanimacion 06/2013; 23(3).
  • [Show abstract] [Hide abstract]
    ABSTRACT: Preeclampsia is a major cause of maternal mortality (15-20% in developed countries) and morbidities, perinatal deaths, preterm birth and intrauterine grow restriction. Refers to a syndrome characterized by the new onset of hypertension and proteinuria after 20 weeks of gestation in a previously normotensive woman. It is classified as mild or severe. Women with diagnosed preeclampsia require close evaluation of maternal and fetal conditions for the duration of pregnancy, and those with severe disease should be managed in hospital. The decision between delivery and expectant management depends on fetal gestational age, fetal status and severity of maternal condition at time of evaluation. Steroids are effective in reducing neonatal mortality and morbidity when administered to those with severe disease between 24 and 34 weeks gestation. Magnesium sulfate should be used during labor and for at least 24 hours postpartum to prevent seizures in all women with severe disease. The aim of this article was to review literature and to make recommendations for diagnosis and treatment.
    Actualizaciones en Anestesiologia y Reanimacion 07/2010; 20(3):121-135.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Gas analysers are based on physical principles. They improve accuracy; they can provide continuous breath-to-breath measurement. We describe infrared absorption, ultraviolet absorption, thermal conductivity, electrode of CO 2, electrodes transcutaneous, intravascular probes and end tidal CO2 measurement. Copyright © 2010 Aran Ediciones, s. l.
    Actualizaciones en Anestesiologia y Reanimacion 01/2010; 20(1-1):4-10.

  • Actualizaciones en Anestesiologia y Reanimacion 01/2010; 20(1-1):38-39.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Monitoring of respiratory gases (oxygen, carbon dioxide, nitrous oxide, volatile agents), is considered highly important for the practice of anaesthesia and also a standard monitoring technique during anaesthesia. Paramagnetic oxygen analysers are the most common form of oxygen analyser used for monitoring inspired oxygen levels. Paramagnetic and mass spectrometer methods are suitable for analysis of respiratory gas mixtures. Fuel cell and polarographic methods are suitable for blood gas analysis. Mass spectrometry is a very accurate technique. Copyright © 2009 Aran Ediciones, S. L.
    Actualizaciones en Anestesiologia y Reanimacion 01/2009; 19(3-3):98-104.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Massive obstetric haemorrhage is a very important cause of maternal morbidity and mortality in developed countries and in third world countries. Massive obsteric haemorrhage has a coagulopathic component and a vascular or surgical component that are often associated in the same patient. Nearly two thirds of patients cannot be identified with risk factors for obstetric haemorrhage, although a good knowledge and early identification of associated risk factors is helpful for its prevention in many cases. Obstetric haemorrhage is not always adequately identified or treated, because blood loss is underestimated by clinical observation. Postpartum haemorrhage is the cause of 95% of all obstetric haemorrhages. In this group, the main cause is uterine atony. Women's resuscitation objective is thr intravascular volume restoration, to reach and adequate tissue perfussion pressure. Once an obstetric haemorrhage is diagnosed, it is very important a coordinated, rapid and protocolized treatment. Rational use of blood components, team work with the blood bank, the use of pharmacological and surgical resources readily, are necessary actions in this context. It is highly recommended prompt implication of senior staff in severe obstetric haemorrhage resolution. It is recommended the use of local protocols for each maternity. This protocol must be known by all team members and it must be adapted to local hospital characteristics, and should be periodically revised. High risk patients for obstetric haemorrhage, must be transferred to a level III hospital where all resources can be used if necessary. Copyright © 2009 Aran Ediciones, S. L.
    Actualizaciones en Anestesiologia y Reanimacion 01/2009; 19(2-2):49-60.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Labour pain is individually felt by women and it can be the most painful experience that a woman can feel in all the life. That is the reason because the analgesic offer for labour pain should be wide and adapted to individual needs and adapted too to the environmental conditions (hospital and not hospital labour). The most effective technique for labour pain is epidural or neuraxial analgesia. This technique is sometimes unavailable for different reasons, such as: contraindication, not available in hospital, and woman's refusal. Non pharmacological techniques can be offered to laboring women, as example: acupuncture, massage, emotional support, etc. Its efficacy is variable and not completely studied. Systemic analgesia is another analgesic option and we remark the use of pethidine, as the most popular opioid for labour pain, and remifentanil, as a recently developed analgesic option. Self-administered inhalatory drugs have been commonly used in United Kingdom in the last century, although its use in Spain is nowadays unusual. Opioids and inhalatory drugs must be delivered in a hospital, with protocols and specialist medical care, what means the anesthesiologist guard duty. Copyright © 2009 Aran Ediciones, S. L.
    Actualizaciones en Anestesiologia y Reanimacion 01/2009; 19(3-3):105-112.
  • [Show abstract] [Hide abstract]
    ABSTRACT: There are multiple definitions of the concept of general anaesthesia, and there is no unanimous agreement on what are the common elements that comprise general anaesthesia. This is partly due to incomplete knowledge of the functioning of the nervous system which conditions that many aspects on the cellular actions of anaesthetic drugs are ignored. These concepts are basic if we want to describe accurately the concept of depth of anaesthesia, especially important as there are various systems available for monitoring such depth. In this review we will come to a pragmatic definition of anaesthesia, as a reversible state, pharmacologically induced, characterized by unconsciousness and immobility of the patient, which causes amnesia, to enable and facilitate potentially harmful or unpleasant medical acts, within the context of an anaesthetic act in which reducing the adverse effects of the medical act and restoring homeostasis are also pursued.
    Actualizaciones en Anestesiologia y Reanimacion 01/2009; 19(2):61-68.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Flurbiprofen is a nonsteroidal anti-inflammatory drug of the aryl-propionic acid class. It possesses an important platelet antiaggregant activity, that is reversible, and its effects disappear in 24 h. This characteristic is one of the causes for its renewed importance in the therapeutic arsenal. Now, in neuraxial anesthesia, flurbiprofen is indicated for the substitution of secondary prophylaxis when the patients are treated with clopidogrel or ticlopidine, with a II level of evidence. Only 50-100 mg/day are necessary to get the same effect as aspirin, because flurbiprofen is very powerful and rarely prolongs the hemorrhagic time. We review several pharmacokinetic aspects, clinical safety profile, antiaggregant efficacy studies and its potencial adverse effects.
    Actualizaciones en Anestesiologia y Reanimacion 01/2006; 16(4):152-158.

  • Actualizaciones en Anestesiologia y Reanimacion 01/2004; 14(2):43-45.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Other peripheral blockades that can be in use in paediatrics are the ear blockade, for interventions of otoplasty or timpanoplasty, the blockade of the glossopharingeal nerve for amigdalectomy (though the level of scientific evidence does not sustain sufficiently this practice), and the blockade paraumbilical for the achievement of umbilical hernirraphy. They are blockades of those who must know each other the anatomy, so though they are superficial nerves and easily blockables, they present special characteristics in every case that they must be taken in mind to avoid an ineffective blockade. The serious complications of these blockades are scarces, although the danger of an intravascular injection with systemic overdose must be avoided.
    Actualizaciones en Anestesiologia y Reanimacion 01/2004; 14(4):154-156.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Levosimendan is a novel calcium sensitiser which enhances cardiac contractility by the calcium sensitization of contractile proteins without increasing myocardial oxygen consumption, and induces vasodilation for opening ATP-Sensitive Potassium Channels. The target protein of levosimendan is cardiac troponin C. The combination of positive inotropy with anti-ischemic effects of K-channel opening offers many potential benefits in comparison to currently available intravenous inotropes, that are more or less contraindicated in patients with ongoing myocardial ischemia. There are a low experience in surgical patients. Levosimendan has been extensively studied in various animal models of heart failure, in which the drug has increased contractility without adverse effects on diastolic function. These results have been repeated in patients with heart failure, by whom levosimendan dose-dependently increases cardiac output and reduces pulmonary capillary wedge pressure. On higher doses, the drug can induce tachycardia and hypotension. In clinical trials, drug-induced ventricular arrhythmia have been rare. Recently, trials in patients with decompensated heart failure have suggested that short-term intravenous treatment with levosimendan might improve the survival of these critical patients. These results high-light the importance of adequate treatment of the acute heart failure patients for their long-term outcome.
    Actualizaciones en Anestesiologia y Reanimacion 01/2003; 13(4):165-177.

  • Actualizaciones en Anestesiologia y Reanimacion 01/1997; 7(1):41-52.

  • Actualizaciones en Anestesiologia y Reanimacion 03/1994; 4(3):150-60.