RESUMO
Claude Bernard, médico, fisiólogo y biólogo francés, se le considera como el Fundador de la Medicina Experimental. Fue uno de los fundadores de la de la Sociedad Francesa de Biología, catedrático de Fisiología en la Sorbona y miembro de la Academia de las Ciencias. Realizó importantes aportaciones en el campo de la fisiología, de la clínica y sobre todo en la investigación médica, donde defendió que las hipótesis científicas deben ser verificadas a través de los experimentos. Sus conocimientos filosóficos tuvieron aplicación en el método experimental. Muchas de sus aportaciones tienen vigencia actual a pesar del paso del tiempo
Claude Bernard, a French physician, physiologist and biologist, is considered the Founder of Experimental Medicine. He was one of the founders of the French Society of Biology, Professor of Physiology at the Sorbonne and a member of the Academy of Sciences. He made important contributions in the field of physiology, clinic and especially in medical research, where he argued that scientific hypotheses should be verified through experiments. Many of their contributions are valid today despite the passage of time
Assuntos
Humanos , História do Século XIX , Pesquisa Biomédica/história , Fisiologia/história , Retratos como Assunto , FrançaRESUMO
Claude Bernard habría realizado el sorprendente descubrimiento de que la "materia inerte" y los "cuerpos vivos" no son la misma cosa. En los seres vivos, ocurren reacciones orgánicas intrínsecas a las que Bernard llamó "medio interior", estas reacciones ocurren a nivel celular y están orientadas a la propia conservación de los seres vivos. Claude Bernard, dio a la biología carta de naturaleza como auténtica ciencia, sin embargo, le impuso unos límites claros, jamás podrá pronunciarse acerca de la esencia de la vida, si bien será capaz de elaborar leyes relativas a sus condiciones físico-químicas. Para Claude Bernard, las hipótesis constituirían la auténtica teoría científica. El pensamiento de Bernard y su filosofía de la experimentación queda reflejada en la Introducción al estudio de la medicina experimental
Claude Bernard would have made the surprising discovery that "inert matter" and "living bodies" are not the same thing. To the intrinsic organic reactions that occur in living beings, Bernard called "internal mediu", these reactions occur at the cellular level and are aimed at the conservation of living beings. Claude Bernard, gave biology a letter of nature as a true science, however, imposed some clear limits, he can never pronounce on the essence of life, although he will be able to develop laws related to their physical-chemical conditions. Claude Bernard, considered the hypotheses as the true scientific theory. Bernards thinking and his philosophy of experimentation is reflected in the Introduction to the study of experimental medicine
Assuntos
História do Século XIX , Pesquisa Biomédica/história , Fisiologia/história , Filosofia/história , Educação Médica/história , Retratos como Assunto , FrançaRESUMO
La hemorragia masiva obstétrica continúa siendo una de las causas principales de morbimortalidad materna. Deben identificarse cuáles son los factores de riesgo asociados a esta enfermedad para adoptar un correcto plan terapéutico y disponer de los recursos necesarios. Se presenta un caso en el que se insertaron balones intraarteriales ilíacos previamente a la realización de la cesárea ante la sospecha de un acretismo placentario. Se describe el tratamiento perioperatorio y se analizan las distintas opciones terapéuticas con sus ventajas e inconvenientes, desde el uso de protocolos de administración de hemoderivados y factores procoagulantes y otras maniobras de control de la hemorragia, hasta la realización de histerectomía (AU)
Massive obstetric hemorrhage still remains a major cause of maternal mortality and morbidity. The risk factors associated with this pathology must be identified in order to schedule the appropriate delivery with the necessary resources. A case is presented of an iliac artery occlusion with intravascular balloons for suspected placenta accreta during cesarean section. The perioperative treatment, as well as an analysis of the treatment options is described, along with their advantages and disadvantages, from the use of postpartum hemorrhage protocols, blood transfusion and procoagulant factors, and other maneuvers to control bleeding, until the hysterectomy (AU)
Assuntos
Humanos , Feminino , Adulto , Placenta Acreta/tratamento farmacológico , Placenta Acreta/cirurgia , Injeções Intra-Arteriais/instrumentação , Injeções Intra-Arteriais/métodos , Injeções Intra-Arteriais , Infusões Intra-Arteriais/instrumentação , Infusões Intra-Arteriais/métodos , Infusões Intra-Arteriais , Hemorragia/complicações , Hemorragia/tratamento farmacológico , Hemorragia Pós-Operatória/complicações , Hemorragia Pós-Operatória/tratamento farmacológico , Fatores de Risco , Período Perioperatório/métodos , Histerectomia/métodosRESUMO
Massive obstetric hemorrhage still remains a major cause of maternal mortality and morbidity. The risk factors associated with this pathology must be identified in order to schedule the appropriate delivery with the necessary resources. A case is presented of an iliac artery occlusion with intravascular balloons for suspected placenta accreta during cesarean section. The perioperative treatment, as well as an analysis of the treatment options is described, along with their advantages and disadvantages, from the use of postpartum hemorrhage protocols, blood transfusion and procoagulant factors, and other maneuvers to control bleeding, until the hysterectomy.
