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Association between fibrinogen levels and the severity of postpartum haemorrhage
Conclusion The initial fibrinogen level in obstetric postpartum haemorrhage is a predictor of severity that helps in alerting to the need for treatment in these patients. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - March 6, 2015 Category: Anesthesiology Source Type: research

Anesthesia for interventional neuroradiology
Publication date: Available online 4 March 2015 Source:Colombian Journal of Anesthesiology Author(s): Chanhung Z. Lee Interventional Neuroradiology (INR) is firmly established in the management of cerebrovascular diseases. The aim of this manuscript is to present the author's critical review of the literature and interpretation emphasizing perioperative and anesthetic management strategies to prevent complications and minimize their effects if they occur. Planning the anesthetic and perioperative management is predicated on understanding the goals of the therapeutic intervention and anticipating potential problems. (...
Source: Colombian Journal of Anesthesiology - March 5, 2015 Category: Anesthesiology Source Type: research

Cardiopulmonary resuscitation beyond the technique
Publication date: Available online 24 February 2015 Source:Colombian Journal of Anesthesiology Author(s): Fritz E. Gempeler R. This reflective article presents the current state of cardiopulmonary resuscitation (CPR) and reviews it from a bioethical standpoint. It starts with the ineffectiveness of CPR and the reasons why today it is a universally applied procedure, sometimes without taking into consideration the wishes or condition of the patient. Possible courses of action for the continuous improvement of cardiopulmonary resuscitation are proposed, especially from the humanistic point of view. Greater involvement o...
Source: Colombian Journal of Anesthesiology - February 26, 2015 Category: Anesthesiology Source Type: research

A comparative analysis of 3 sedation guidelines for patients undergoing subarachnoid anesthesia. Randomized, single blind clinical trial
Conclusions The three sedation guidelines presented were effectively used in subarachnoid anesthesia; the results were more favorable with the use of midazolam+fentanyl or midazolam+ketamine. p-2011-1682 Colciencias. Registro # NCT0213664 (clinicaltrials.gov,prospectivo). (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 26, 2015 Category: Anesthesiology Source Type: research

The special abilities of the healthcare professional
Publication date: Available online 23 February 2015 Source:Colombian Journal of Anesthesiology Author(s): Geovana Andrea Vallejo Jiménez Introduction One of the parameters used when analysing the occurrence of an offence of negligence is the so-called ideal average individual scale. 1 Thus, in order to determine whether medical negligence has occurred, the criteria that apply to the average ideal practitioner are generally used. 2 Nonetheless, there are situations in which healthcare professionals have abilities that are superior to those of the average ideal practitioner. This essay reflects on whether these super...
Source: Colombian Journal of Anesthesiology - February 24, 2015 Category: Anesthesiology Source Type: research

Nasotracheal intubation with Airtraq optical laryngoscope in two cases of oral brachytherapy
Publication date: Available online 23 February 2015 Source:Colombian Journal of Anesthesiology Author(s): Miguel Castañeda Pascual , Eva Turumbay Ramírez , Alejandro Bilbao Ares , Juan P. Jimeno García , Mikel Batllori Gastón , Esther Hijosa Basarte Nasotracheal intubation is usually the selected airway approach for oral and maxillofacial surgery to enable a free surgical field. It is an unusual intubation technique with a high success rate. However, it is not free from difficulties and complications in certain groups of patients, like those with oral, facial or cervical tumors. The Airtraq® laryngoscope (Pr...
Source: Colombian Journal of Anesthesiology - February 24, 2015 Category: Anesthesiology Source Type: research

Point-of-care ultrasonography for anesthesiologists
Publication date: Available online 22 February 2015 Source:Colombian Journal of Anesthesiology Author(s): Cristian Arzola (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 23, 2015 Category: Anesthesiology Source Type: research

Paradigm change in anesthesia education
Publication date: Available online 19 December 2014 Source:Colombian Journal of Anesthesiology Author(s): Carlos Camayo Ortiz (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 20, 2014 Category: Anesthesiology Source Type: research

Evidence-based clinical practice manual: Postoperative controls
Conclusions This handbook comprises the basic guidelines for primary management of patients at the postoperative care unit. It may be amended or adapted according to the institutional requirements and for specific patient groups and is not intended to replace the existing protocols at the particular institution and does not define outcomes or prognosis. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 19, 2014 Category: Anesthesiology Source Type: research

Evidence-based clinical practice manual: Patient preparation for surgery and transfer to the operating room
Conclusion It is expected that with the use of this manual the incidence of events that produce morbidity and mortality in patients undergoing surgical procedures will be minimized. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 19, 2014 Category: Anesthesiology Source Type: research

Cerebral salt wasting syndrome in the posterior fossa surgery post-operative period: Case report
We present a case of a patient taken to microvascular decompression (Janetta surgery) for the treatment of trigeminal neuralgia who developed a symptomatic magnification of basal hyponatremia in the immediate post-operative period. Cerebral salt wasting syndrome was diagnosed. The management of this condition poses a challenge for physicians involved in postoperative neurosurgical care. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 13, 2014 Category: Anesthesiology Source Type: research

Anaesthetic implications in Von Recklinghausen disease: A case report
We describe the anaesthetic management of a patient with NF1 under general anaesthesia for facial neurofibroma excision. We performed a brief review of the literature with the aim of optimizing the anaesthetic management and reducing the number of complications associated with the systemic manifestations of this syndrome. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 13, 2014 Category: Anesthesiology Source Type: research

Teamwork and safety in surgery
Publication date: Available online 11 December 2014 Source:Colombian Journal of Anesthesiology Author(s): Louise Hull , Nick Sevdalis (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 12, 2014 Category: Anesthesiology Source Type: research

Intrathecal opioids and respiratory depression: Is it myth in obstetrics?
Publication date: Available online 11 December 2014 Source:Colombian Journal of Anesthesiology Author(s): Pedro José Herrera Gómez , Juan Federico Garzón The addition of opioids to bupivacaine for spinal anesthesia has been shown to improve quality of anesthesia by the action of fentanyl, and extend postoperative analgesia by the effect of morphine. Side effects, particularly respiratory depression, have prevented their widespread use. Studies are not consistent regarding the incidence of respiratory depression due to the variety of definitions of this complication and the doses of opioids used. Low dose regimens ...
Source: Colombian Journal of Anesthesiology - December 12, 2014 Category: Anesthesiology Source Type: research

Anaesthetic management for craniotomy in a pregnant patient with rupture of a cerebral arterio-venous malformation: Case report
We describe the anaesthetic management of a 32-year-old woman at 22 weeks gestation with intracranial haemorrhage due to a ruptured arteriovenous malformation (AVM). Managing these patients requires a complex approach with a highly individualised plan involving neurosurgeons, neuroradiologists, anaesthetists, obstetricians and neonatologists to assess the risk and benefit of all the different therapeutic alternatives. Given the high risk of further bleeding during pregnancy and the location of the AVM, the best therapeutic option in this case was considered to be a craniotomy and complete removal of the lesion. (Source: Co...
Source: Colombian Journal of Anesthesiology - December 12, 2014 Category: Anesthesiology Source Type: research