ABSTRACT
Es cada vez más frecuente el uso de dispositivos cardíacos implantables en personas de todas las edades, siendo superlativo en la población adulta mayor, y favoreciendo que cada vez sea más frecuente encontrar pacientes con marcapasos, cardiodesfibriladores o resincronizadores en cirugía por causas no cardíacas. Esta revisión se hizo con el fin de seleccionar y analizar la más actualizada evidencia para el manejo apropiado de los dispositivos cardíacos implantables en el perioperatorio. A través de una exploración detallada en las bases de datos PubMed, Academic Search Complete (EBSCO), ClinicalKey, Cochrane (Ovid), el software de búsqueda UpToDate, libros de texto y patentes de libre acceso al público en Google, seleccionamos 33 monografías que se ajustaban a los objetivos de esta publicación (AU)
The use of implantable cardiac devices in people of all ages is increasing, especially in the elderly population: patients with pacemakers, cardioverter-defibrillators or cardiac resynchronization therapy devices regularly present for surgery for non-cardiac causes. This review was made in order to collect and analyze the latest evidence for the proper management of implantable cardiac devices in the perioperative period. Through a detailed exploration of PubMed, Academic Search Complete (EBSCO), ClinicalKey, Cochrane (Ovid), the search software UpToDate, textbooks and patents freely available to the public on Google, we selected 33 monographs, which matched the objectives of this publication (AU)
Subject(s)
Humans , Male , Female , Perioperative Period , Heart-Assist Devices , Cardiac Resynchronization Therapy/methods , Defibrillators, Implantable , Heart-Assist Devices/trends , Biological Clocks/physiology , Electromagnetic Radiation , Monitoring, Physiologic/methodsABSTRACT
The use of implantable cardiac devices in people of all ages is increasing, especially in the elderly population: patients with pacemakers, cardioverter-defibrillators or cardiac resynchronization therapy devices regularly present for surgery for non-cardiac causes. This review was made in order to collect and analyze the latest evidence for the proper management of implantable cardiac devices in the perioperative period. Through a detailed exploration of PubMed, Academic Search Complete (EBSCO), ClinicalKey, Cochrane (Ovid), the search software UpToDate, textbooks and patents freely available to the public on Google, we selected 33 monographs, which matched the objectives of this publication.
Subject(s)
Defibrillators, Implantable , Perioperative Care , HumansABSTRACT
La experiencia del anestesiólogo en vía aérea le hace partícipe en los casos de ines-tabilidad cervical en el quirófano cuando el paciente es sometido a procedimientos quirúrgicos,o en casos de dificultad para acceder o mantener la vía aérea permeable en las urgencias. Elpresente artículo hace una revisión de la epidemiología, definición, etiología, criterios diagnós-ticos, métodos para abordaje de la vía aérea y recomendaciones actualmente vigentes para losdiferentes escenarios de inestabilidad cervical. No existe ninguna aproximación a la vía aéreaque asegure una inmovilidad completa de la columna cervical, pero sí existen métodos quese adecúan mejor a contextos específicos; al final, el lector podrá identificar con claridad lasbondades y defectos de las diferentes opciones de las que disponemos los anestesiólogos paraabordar la vía aérea en casos de inestabilidad cervical (AU)
The experience in airway management permits the anesthesiologist to participatein cases of cervical spine instability in the operating room when the patient is subjected tosurgical procedures, or in cases of difficulty to access or keep the airway open in emergencies.This article reviews the epidemiology, definition, etiology, diagnostic criteria, methods ofapproach to airway management, and current recommendations on handling cervical instabilityin different scenarios. There is no approach to the airway that ensures complete immobility ofthe cervical spine, but there are methods that are better adapted to specific contexts; at theend, the reader will be able to identify the virtues and defects of the various options thatthe anesthesiologists have to address the airway in cases of cervical instability (AU)
Subject(s)
Humans , Male , Female , /methods , Anesthesiology/instrumentation , Anesthesiology/methods , Intubation/instrumentation , Intubation/methods , Intubation , Intubation/ethics , Intubation/standards , Intubation/trends , Spine , Spine/surgeryABSTRACT
The experience in airway management permits the anesthesiologist to participate in cases of cervical spine instability in the operating room when the patient is subjected to surgical procedures, or in cases of difficulty to access or keep the airway open in emergencies. This article reviews the epidemiology, definition, etiology, diagnostic criteria, methods of approach to airway management, and current recommendations on handling cervical instability in different scenarios. There is no approach to the airway that ensures complete immobility of the cervical spine, but there are methods that are better adapted to specific contexts; at the end, the reader will be able to identify the virtues and defects of the various options that the anesthesiologists have to address the airway in cases of cervical instability.
