viernes, 17 de diciembre de 2010

Intensivistas vibran mas de lo que orinan [Archivos adjuntos 2]


 
[Más abajo se incluyen archivos adjuntos de Manuel Mayorga]

¿Sabian ustedes que los medicos intensivistas tienen un mayor riesgo de injuria renal aguda (definida como un volumen urinario < 0.5 cc/k/h por 6h seguidas o mas) que sus propios pacientes monitorizados en la UCI durante las guardias? Adjunto les envio un sorprendente estudio de casos-control realizado en un hospital ingles por los investigadores del PARCHED (Prospective Analysis of Renal Compensation for

Hypohydration in Exhausted Doctors) que llama la atencion sobre la necesidad de tomar mas agua en las guardias (sic).

De otro lado, ¿conocian Uds la existencia del llamado SINDROME DE VIBRACION FANTASMA entre los colegas que usan beepers y celulares en modo de vibrador?. Adjunto les envio estos dos interesantes y graciosos papers aparecidos en el ultimo numero del BMJ a pocos dias de celebrar el dia de los inocentes.


 

 

Saludos cordiales

 

Dr. MANUEL MAYORGA

Red Intensiv@ Perú

Address:   Avenida Aramburú S/N Cuadra 2 Piso 8 Miraflores Lima 18-Perú

Office:   +511  422-1277

Hospital:   +511  513-5300  Ext 2655

Site:   +511  5135-300  Ext 2765

Fax :  +511  422-1277

Mobile Nextel:  +511  (99) 819*6526

 

P Please consider the environment before printing this e-mail

 

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Archivos adjuntos de Manuel Mayorga

Archivo 2 de 2

domingo, 12 de diciembre de 2010

domingo, 28 de noviembre de 2010

Resucitación cardiopulmonar


 

----- Mensaje reenviado ----
De: Victor Whizar-Lugo <vwhizar@anestesia-dolor.org>
Para: maximocuadros@yahoo.es
Enviado: jue,25 noviembre, 2010 12:51
Asunto: Resucitación cardiopulmonar

Anestesia y Medicina del Dolor
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No:327     

Noviembre 24, 2010
 Tradiciones

Estimad@ Maximo Jesus Cuadros Chavez:

 

Aspectos destacados de las guías de la American Heart Association de 2010 para RCP y ACE

Mary Fran Hazinski, RN, MSN
© 2010 American Heart Association


La presente publicación "Aspectos destacados de las guías" resume las principales cuestiones y cambios de las Guías de la American Heart Association (AHA) de 2010 para reanimación cardiopulmonar (RCP) y atención cardiovascular de emergencia (ACE). Se ha desarrollado con el objetivo de que los proveedores de reanimación y los instructores de la AHA se enfoquen en la ciencia y en las recomendaciones que son más importantes, las que fueron más discutidas o las que resultarán en cambios en la aplicación de la reanimación o en el modo de entrenarse para ello. Además, se ofrecen los fundamentos de dichas recomendaciones.


Artículo en PDF

Atentamente
Enf. Rosario Camacho

Anestesiología y Medicina del Dolor


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jueves, 11 de noviembre de 2010

Ketamina en urgencias



 

----- Mensaje reenviado ----
De: Victor Whizar-Lugo <vwhizar@anestesia-dolor.org>
Para: maximocuadros@yahoo.es
Enviado: jue,11 noviembre, 2010 17:12
Asunto: Ketamina en urgencias

XLIV Congreso Mexicano de Anestesiologia

Anestesia y Medicina del Dolor
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No:242     

Noviembre 11, 2010
 Tradiciones

Estimad@ Maximo Jesus Cuadros Chavez:

 

 

Auditoría de la seguridad y la eficacia de la ketamina para la sedación de procedimientos en el servicio de urgencias

Audit of the safety and effectiveness of ketamine for procedural sedation in the emergency department
J M Vardy, N Dignon, N Mukherjee, D M Sami, G Balachandran, S Taylor.
Emerg Med J 2008;25:579-582   doi:10.1136/emj.2007.056200

 

Abstract
Aim: To examine the effectiveness and safety of the sedative agents used in the emergency department following the introduction of ketamine as an agent for procedural sedation. Methods: A 2-year prospective audit of sedation practice was undertaken. This specifically examined the rationale behind a doctor's choice of sedative agent, the depth of sedation achieved, adverse events and the time taken to regain full orientation. Results: 210 patients were included of whom 85 (40%) were given ketamine, 107 (51%) midazolam and 18 (9%) propofol. The median time to full orientation was 25 min for ketamine, 30 min for midazolam and 10 min for propofol. Complications occurred in 15.9% of sedations overall (14.6% of those given ketamine, 15.8% given midazolam and 22.2% given propofol). Apnoea and hypoxia most often occurred with midazolam and propofol, while hypertension and hypertonicity were encountered more frequently with ketamine. In addition, 19.5% of patients given ketamine suffered the re-emergence phenomenon. The association between deep sedation with no response to pain and adverse events encountered with midazolam does not occur with ketamine.  Conclusions: Ketamine is both safe and effective and compares favourably with midazolam as an agent for procedural sedation in the emergency department. Although the re-emergence phenomenon occurred, no psychological sequelae were encountered after return to full orientation. Ketamine may be particularly useful in groups of patients at high risk of adverse effects with midazolam

 

Artí­culo en PDF

Atentamente
Anestesiología y Medicina del Dolor


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martes, 2 de noviembre de 2010

Manual of Intensive Care Medicine

 




Manual of Intensive Care Medicine
Publisher: Lippincott Williams and Wilkins | ISBN: 0781799929 | edition 2009 | PDF | 976 pages | 17,9 mb

Completely rewritten and updated for the Fifth Edition, this Spiral Manual remains the leading quick-reference guide to both medical and surgical intensive care. The essential principles, protocols, and techniques from Irwin and Rippe's Intensive Care Medicine, Sixth Edition have been distilled into a portable, practical manual that is ideal for rapid bedside consultation. The user-friendly outline format features numerous tables, illustrations, and annotated references. Highlights of this Fifth Edition include a comprehensive overdoses and poisonings section presented in tabular format, new chapters on minimally invasive monitoring in the ICU, and completely revised cardiology and hematology sections.

http://www.megaupload.com/?d=BY8VQXNX


Best regards


--


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lunes, 1 de noviembre de 2010

George Harrison's "All those Years Ago"

George Harrison - Blow Away

George Harrison - Love Comes To Everyone

George Harrison - Love Comes To Everyone

George Harrison-Give Me Love (Give Me Peace On Earth)

He aqui un resumen de las GUIAS DE RESUCITACION...


Edwin Villacorta posted in MEDICOS.
He aqui un resumen de las GUIAS DE RESUCITACION CARDIOPULMONAR 2010
Edwin Villacorta 6:30pm Nov 1
He aqui un resumen de las GUIAS DE RESUCITACION CARDIOPULMONAR 2010
ERC Guidelines 2010
www.cprguidelines.eu
The European Resuscitation Council Guidelines for Resuscitation 2010 provide specific instructions for how resuscitation should be practiced and take into account ease of teaching and learning, as well as the science. They were developed by Europeans and have been specifically written with European

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traumatismos torácicos


 

Indicadores de gravedad en los traumatismos torácicos

pulse sobre visualizar documento.
 


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lunes, 21 de junio de 2010

ACLS Review


 

ACLS (Advanced Cardiac Life Support) Review: Pearls of Wisdom, Third Edition
McGraw-Hill/Appleton And Lange | 2007-11-28 | ISBN: 0071492577 | 173 pages | PDF | 5 MB

"This book's most impressive aspect is that it presents the core topics in a direct and concise manner, that makes it a quick read and easy to understand. 3 Stars."--Doody's Review Service. .

Pearls of Wisdom ACLS Review, 3e is your most effective weapon in preparing for the American Heart Association's Advanced Cardiac Life Support exam. This rapid, effective review ensures your best possible performance on the American Heart Asssociation's ACLS exam, in the shortest possible study time. There is no easier or faster way to guarantee that you perform your best on the exam!

* 1200+ rapid-fire questions cover all topics on the ACLS exam.
* Powered with performance-improving pearls and other potent learning aids.
* Updated to reflect the 2005 AMA guidelines.
* NEW chapter on child and infant CPR and ventilation.

http://sharingmatrix.com/file/8809637/acls__advanced_cardiac_life_support__review_pdf_0071492577.rar


__._,_.___

ACLS Review



ACLS (Advanced Cardiac Life Support) Review: Pearls of Wisdom, Third Edition
McGraw-Hill/Appleton And Lange | 2007-11-28 | ISBN: 0071492577 | 173 pages | PDF | 5 MB

"This book's most impressive aspect is that it presents the core topics in a direct and concise manner, that makes it a quick read and easy to understand. 3 Stars."--Doody's Review Service. .

Pearls of Wisdom ACLS Review, 3e is your most effective weapon in preparing for the American Heart Association's Advanced Cardiac Life Support exam. This rapid, effective review ensures your best possible performance on the American Heart Asssociation's ACLS exam, in the shortest possible study time. There is no easier or faster way to guarantee that you perform your best on the exam!

* 1200+ rapid-fire questions cover all topics on the ACLS exam.
* Powered with performance-improving pearls and other potent learning aids.
* Updated to reflect the 2005 AMA guidelines.
* NEW chapter on child and infant CPR and ventilation.

http://sharingmatrix.com/file/8809637/acls__advanced_cardiac_life_support__review_pdf_0071492577.rar


Best regards

--
welcome to http://www.myescience.com a good password forum, and medcine forum, we provider special resoucres (some passwords) for donators who donate >100 usd, open http://www.myescience.com

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