Subject(s)
Anemia, Hemolytic/etiology , Fetal Death , Obstetric Labor Complications/etiology , Purpura, Thrombotic Thrombocytopenic/etiology , Adult , Anemia, Hemolytic/blood , Anemia, Hemolytic/diagnosis , Anemia, Hemolytic/therapy , Antihypertensive Agents/therapeutic use , Combined Modality Therapy , Diagnosis, Differential , Erythrocyte Transfusion , Female , HELLP Syndrome/diagnosis , Humans , Labor, Induced , Obstetric Labor Complications/blood , Obstetric Labor Complications/diagnosis , Obstetric Labor Complications/therapy , Oliguria/etiology , Plasma , Plasmapheresis , Platelet Transfusion , Pre-Eclampsia/diagnosis , Pregnancy , Pulmonary Edema/etiology , Purpura, Thrombotic Thrombocytopenic/blood , Purpura, Thrombotic Thrombocytopenic/diagnosis , Purpura, Thrombotic Thrombocytopenic/therapySubject(s)
Analgesia, Epidural , Anesthesia, Epidural , Brain/physiopathology , Hepatolenticular Degeneration/complications , Varicose Veins/surgery , Amides/administration & dosage , Analgesics, Non-Narcotic/administration & dosage , Anesthetics, Local/administration & dosage , Basal Ganglia/diagnostic imaging , Basal Ganglia/physiopathology , Brain/diagnostic imaging , Frontal Lobe/diagnostic imaging , Frontal Lobe/physiopathology , Hepatolenticular Degeneration/diagnostic imaging , Hepatolenticular Degeneration/physiopathology , Humans , Liver/physiopathology , Male , Middle Aged , Positron-Emission Tomography , RopivacaineABSTRACT
No disponible
Subject(s)
Male , Adult , Humans , Hepatolenticular Degeneration/epidemiology , Hepatolenticular Degeneration/pathology , Hepatolenticular Degeneration/surgery , Analgesia, Epidural , Anesthesia, Epidural , Telencephalon/physiopathology , Hepatolenticular Degeneration/diagnosis , Hepatolenticular Degeneration/drug therapy , Spinal Puncture/instrumentation , Tomography, Emission-Computed , Treatment Outcome , Brain Diseases, Metabolic, InbornABSTRACT
A 33-year-old pregnant woman with episodes of nocturnal tachycardia and anxiety diagnosed with extra-renal pheochromocytoma in her 28th month of gestation was admitted in her 38th week for an alpha-adrenergic block prior to elective cesarean section and tumor exeresis. The cesarean section was performed with the patient given an epidural lumbar block, and immediately after delivery of the fetus total intravenous anesthesia (with propofol, remifentanil, and rocuronium) was administered in addition to the continuous epidural analgesia used during tumor resection and postoperatively. No complications developed during surgery or recovery and the clinical courses were satisfactory for both mother and child. The use of propofol and remifentanil in combination with epidural anesthesia is not common in our clinical context. We point out that the multimodal technique affords good hemodynamic stability, guarantees satisfactory analgesia, and reduces the need for vasoactive drugs.
Subject(s)
Adrenal Gland Neoplasms/surgery , Anesthesia, Epidural , Anesthesia, General , Anesthesia, Obstetrical , Cesarean Section , Pheochromocytoma/surgery , Pregnancy Complications, Neoplastic/surgery , Adult , Female , Humans , PregnancyABSTRACT
No disponible
Subject(s)
Adult , Female , Humans , Tremor , Sympathomimetics , Muscular Diseases , Muscle Cramp , Pain , EphedrineABSTRACT
Solitary plasmocytoma is a rare presentation of plasma cell dyscrasia. About 1% od the patients can present with a extramedullary plasmocytoma; although bone presentation is the most frequent, in some cases, soft tissue can be affected. Radiotherapy remain as the election treatment. A case of primary plasmocytoma of the larynx is presented. The patient is alive after radiotherapy. Discussion about the clinical differentiation and also a review of the literature is present.
Subject(s)
Laryngeal Neoplasms , Plasmacytoma , Aged , Humans , Laryngeal Neoplasms/diagnosis , Laryngeal Neoplasms/radiotherapy , Male , Plasmacytoma/diagnosis , Plasmacytoma/radiotherapyABSTRACT
Está planteada la controversia entre el uso de la ventilación mecánica "profiláctica" y la extubación precoz de los pacientes sometidos a cirugía cardiovascular. En este trabajo analizamos morbilidad, mortalidad e incidencia de reintubación en 130 pacientes pediátricos operados en nuestro centro, en los cuales aplicamos parámetros definidos para decidir o no la extubación precoz al término de la operación. En los 93 pacientes extubados precozmente solo fueron reintubados 4 (4.3%), por complicaciones. La mortalidad de este grupo fue del 0%. En los 37 pacientes no extubados 27 (73%) presentaron complicaciones y la mortalidad fue 8 casos (21.6%). Concluimos que los parámetros de extubación precoz son confiables y que la ventilación mecánica no debe utilizarse en forma rutinaria e indiscriminada (AU)
Subject(s)
Infant , Child, Preschool , Comparative Study , Cardiovascular Surgical Procedures , Intubation, Intratracheal , Pediatrics , Respiration, Artificial/methodsABSTRACT
Está planteada la controversia entre el uso de la ventilación mecánica "profiláctica" y la extubación precoz de los pacientes sometidos a cirugía cardiovascular. En este trabajo analizamos morbilidad, mortalidad e incidencia de reintubación en 130 pacientes pediátricos operados en nuestro centro, en los cuales aplicamos parámetros definidos para decidir o no la extubación precoz al término de la operación. En los 93 pacientes extubados precozmente solo fueron reintubados 4 (4.3%), por complicaciones. La mortalidad de este grupo fue del 0%. En los 37 pacientes no extubados 27 (73%) presentaron complicaciones y la mortalidad fue 8 casos (21.6%). Concluimos que los parámetros de extubación precoz son confiables y que la ventilación mecánica no debe utilizarse en forma rutinaria e indiscriminada
