Search

Copyright of Revista Científica de Enfermería (2071-5080) is the property of Colegio de Enfermeros del Peru and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Tesla Revista Científica is the property of Puerto Madero Editorial Academica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Enhanced recovery after Surgery (ERAS) or STAR are the tools that have proven to be more effective in perioperative management. Objective: Primary objective is to describe the results obtained regarding complications, hospital stay and readmissions after 2 years of implementation of the STAR. Secondary objective is to describe protocol adherence. Materials and Method: Non-concurrent retrospective cohort study, in patients with elective colorectal surgery. From January to December 2016 non-protocolized management (non-STAR group), August 2018 to July 2020 STAR protocol management (STAR group). Registration of data like the demographic variables, adherence to protocol, complications and readmissions. Continuous variables (quartiles, mean and SD), t-Student test, Wilcoxon test, categorical variables (frequencies and percentages), Fisher test and propensity score (PS) were used. Results: 239 patients; non-STAR group 85 patients (35.5%), STAR group 154 (64.5%), male 111 patients (43 non- STAR p = 0.347). Average age non-STAR 64.2 (SD 14.7) vs STAR 66.3 (SD 14.39) (p = 0.3147). Median non-STAR stays 5 days (average 6.9, SD 6.2) and for STAR 3 days (average 4.8 days, SD 4.4). Non-STAR had 22 complications (25.9%) vs 28 STAR (18.2%) p = 0.185. No-STAR 7 hospital readmissions vs 17 STAR (p = 0.654). Analysis of covariance (ANCOVA) for hospitalization days adjusted by gender, age and laparoscopic surgery shows 1.93 less hospitalization days (p = 0.005); Propensity Score (PS) shows reduced hospital stay in 1.92 days (p-value = 0.007). Discussion and Conclusion: The implementation of an advanced recovery protocol achieves a reduction of 2 days in the hospital stay of patients undergoing colorectal surgery, without increasing complications, mortality or readmissions. [ABSTRACT FROM AUTHOR]

El monitoreo neurofisiológico intraoperatorio (MNIO) permite vigilar y evaluar la integridad del sistema motor y sensitivo en procedimientos que ponen en riesgo al sistema nervioso (SN) y evitar complicaciones. Para el éxito del MNIO, es de vital importancia comprender las técnicas que existen, cómo funcionan y la influencia de los anestésicos y otras variables sobre los registros. Objetivo: revisión de publicaciones revisadas por pares; identificar y describir las principales técnicas de MNIO y el impacto del manejo anestésico y perioperatorio sobre estas. Métodología: búsqueda y revisión sistemática y narrativa, en idioma inglés y español, en las bases de datos Medline, Scopus y PubMed, utilizando los términos MeSH: "Monitoreo Neurofisiológico Intraoperatorio"; "Anestesia"; "Neuroanestesia"; "Manejo perioperatorio"; "Cirugía neurológica"; "Complicaciones"; "Seguridad". Resultados: las guías clínicas nacionales e internacionales actuales recomiendan el MNIO multimodal en cirugía intracraneal y de columna para evaluar la integridad funcional del SN y disminuir la posibilidad de complicaciones. Se recomienda anestesia total intravenosa (ATIV) con propofol para un mejor registro de los potenciales evocados motores (PEM) y los potenciales evocados somatosensoriales (PESS). Conclusiones: es fundamental comprender las bases clínicas de las diferentes técnicas del MNIO e interpretar de forma oportuna alertas y criterios de alarma para obtener mejores resultados quirúrgicos y prevenir lesiónes neurológicas. El neuroanestesiólogo debe asegurar un adecuado estado de profundidad anestésica, estabilidad fisiológica, hempodinámica y de presión de perfusión cerebromedular, evitando modificaciones que alteren los registros. [ABSTRACT FROM AUTHOR]

Introduction: postoperative nausea and vomiting is a troublesome side effect after spinal anesthesia, increases the need for perioperative care and is associated with more postoperative morbidity. Objective: to determine the incidence of postoperative nausea and vomiting in patients undergoing spinal anesthesia in elective surgery. Methods: an observational, descriptive, cross-sectional, descriptive study was performed in 502 patients from January 2017 to December 2018. The variables sex, age, smoking, history of motion sickness and nausea (or both) and postoperative vomiting, anesthetic agents used, use of postoperative opioids, type of surgery according to diagnosis, hospital stay and approach to the surgical site, surgical time and occurrence of nausea and vomiting in the first 24 hours postoperatively were evaluated. Results: the incidence of postoperative nausea and vomiting was 10.16% with a predominance in the female sex, non-smokers, those with a history of postoperative nausea and vomiting and motion sickness (or both), in gynecological surgery, in patients with surgical time equal to or greater than one hour and when postoperative opioids were used. Age, anesthetic agents used for spinal anesthesia, approach to the surgical site, and hospital stay were not associated with an increased incidence of postoperative nausea and vomiting. Conclusions: the incidence of postoperative nausea and vomiting was low and the higher number of risk factors was associated with higher occurrence of nausea and vomiting. [ABSTRACT FROM AUTHOR]

Palmoplantar erythrodysesthesia is an adverse event associated with the administration of docetaxel and fluoropyrimidines. The activity of the enzyme dihydropyrimidine dehydrogenase (DPD) determines the rate of catabolism of 5-Fluorouracil (5-FU) and is subject to interindividual variability and genetic polymorphism. Therefore, patients with DPD deficiency present an increased risk of toxicity. We present the case of a patient treated with docetaxel, oxaliplatin and 5-FU (FLOT scheme) who presented moderate skin toxicity and who was suspected of DPD deficiency. [ABSTRACT FROM AUTHOR]

Objective: To draw a synthesis of the available evidence regarding interventions for the prevention of venous thromboembolic events during the perioperative care of women with benign gynecological pathology, with the aim of reducing the associated morbidity and mortality. Materials and methods: The development group included healthcare professionals, decision-makers and one patient representative. All the participants stated their disclosures. Answerable clinical questions were built and outcomes were graded. The search for information was conducted in Medline, Embase, Epistemonikos and LILACS, but it also included grey literature and was updated on September 22, 2020, with no date or language restrichttps tions. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach was used to determine the quality of the evidence and the strength of the recommendations. Formal consensus was developed in accordance with the RAND/UCLA methodology. The document was submitted to peer review before publication. Results: The abbreviated version of the "consensus on the prevention of venous thromboembolic events during the perioperative care of women with benign gynecological pathology" is presented together with the supporting evidence and respective recommendations. Conclusions: The key recommendations for implementation include the use of the Caprini scale and of interventions consistent with the individual perioperative risk level. [ABSTRACT FROM AUTHOR]

Chronic pain is an increasingly prevalent condition, estimated in approximately 32% of the Chilean population. These patients have characteristics that make optimal perioperative care more complex, especially in terms of analgesia, adverse effects of the different drugs, and post-surgical complications. The aim of this publication is to expose the growing problem involved in the management of patients with chronic pain undergoing surgery, and to highlight some considerations that must be taken. Among the most relevant aspects are an adequate characterization of pain and a good analgesic scheme to be used in the perioperative period, preferring a multimodal analgesia approach adjusted according to the patient's needs. Special consideration should be given to patients with chronic opioids use, those with neuropathic pain and those with fibromyalgia. An adequate follow-up of these groups will allow adjusting the schemes according to their needs and achieve a better perioperative analgesic management. [ABSTRACT FROM AUTHOR]

Background: During surgery, the patient is exposed to multiple medications and molecules that can be associated with the development hypersensitivity, which makes it difficult to detect the causative agent of a perioperative reaction and makes it necessary to perform allergy tests. Case report: 53-year-old man who after a right knee arthroscopy was administered intravenous ketorolac; at 12 minutes, a pruriginous rash appeared on the chest, abdomen and limbs; infusion of the drug was immediately stopped and 100 mg intravenous hydrocortisone were administered. At 15 minutes, the patient experienced bilateral angioedema of the eyelids and a sensation of breathlessness, and oxygen was therefore administered, as well as 2 mg intravenous clemastine, 5 mg intravenous ranitidine and 20 µg subcutaneous adrenaline. Epidermal tests with 0.5% chlorhexidine and serum chlorhexidine-specific immunoglobulin E (IgE) were performed, both with positive results. The patient recovered without complications; at discharge, he was prescribed intramuscular etofenamate. Conclusion: Perioperative anaphylaxis is a rare, but potentially fatal event. Proper identification of the drug or substance responsible for the reaction by using allergy tests decreases unnecessary pharmacological restrictions and avoids re-exposure. [ABSTRACT FROM AUTHOR]

With the increased number of patients with cardiac implantable electronic devices (CIED), which include pacemakers and/or implantable cardioverter-defibrillators, the perioperative management of those patients who will be undergoing surgery requires that surgical team to become familiar with these devices and their implications, in order to reduce the adverse outcomes. Current guidelines recommend a multidisciplinary approach of these patients. However, when these conditions are not feasible, both surgical and anesthesia team should be able to provide a safe and effective perioperative environment. This management should be individualized for each patient, type of device and surgical procedure; therefore a single recommendation is not appropriate for all cases. The main recommendations for the perioperative management of patients with pacemakers and/or implantable cardioverter-defibrillators are described in this review. [ABSTRACT FROM AUTHOR]

Unlabelled: Introducción: Preoperative nutritional status (NS) has consequences on postoperative (POSTOP) recovery. Our aim was to systematically review the nutritional interventions (NI) in Fast-Track protocols for colorectal cancer surgery and assess morbidity-mortality and patient´s recovery.Method: Systematic review of scientific literature after consulting bibliographic databases: Medline, The Cochrane Library, Scopus, Embase, Web of Science, Institute for Scientific Information, Latin American and Caribbean Health Sciences Literature, The Cumulative Index to Nursing and Allied Health Literature. MeSH Descriptors: "Colorectal Surgery", "Fast-Track", "Perioperative Care", "Nutrition Therapy" and "Enhanced recovery programme". Filters: "Humans", Adult (19+ years) and "Clinical Trial". Variables POSTOP outcomes: bowel recovery (BR), hospital stay (HS), complications and death.Results: Selected studies, 27, had good or excellent methodological quality. From 25 to 597 patients were included. Aged between 16-94 years, men were predominant in 66.6%. NS was evaluated in 13 studies; 7 by Body Mass Index while one by Subjective Global Assessment. One presented POSTOP data. Fast-Track groups had solids, liquids or supplements (SS) in prior 2-8 hours. SS were high in carbohydrates, immune-nutrients and non-residue. Free liquids, solids and SS intake was allowed in POSTOP. Half traditional groups fasted between 3-12 hours and resumed POSTOP food intake progressively.Conclusions: Fast-Track groups had early BR (p < 0.01). Traditional groups had more infections episodes, deaths and a longer HS. Great variability between NI but had a common item; early intake. Although was seen patient's recovery. Future studies with detailed NI characteristics are need. Nutritional status must be assessed for a higher acknowledgement of NI impact. [ABSTRACT FROM AUTHOR]

Tranexamic acid (TXA) is a medication to priphylaxis use and excessive blood lost treat. As a consequience of CRASH 2 publishing earned itself an important área in the bleeding lost perioperative surgery field. A patient of 39 years old eith a big supratentorial tumor was taken to embolization without successful, using tranexamic acid such a bledding treatment clinic case. [ABSTRACT FROM AUTHOR]

Microsurgery is a developing technique in our setting, and it's success can be related to elements that are not related to the surgeon. Because of this, the Plastic Surgery Team in the Chilean Airforce Hospital has become aware of the need to develop a support protocol for microsurgery, which can be used in any setting throughout our country. It's focus is set in optimizing and controlling physiological and anesthetic variables, and those not related to the technique itself, which can influence the microsurgery outcome and the patients perioperative morbi-mortality. [ABSTRACT FROM AUTHOR]

Outpatient surgery is being performed with increasing frequency due to its significant benefits, including lower costs in health care, and lower incidence of complications and mortality, requiring an appropriate selection of patients and surgeries to be performed in this setting. To select patients and surgeries to be operated on an ambulatory basis, it is relevant an adequate preoperative evaluation. Regarding the risks of patient, it is important the comorbidities and the American Society of Anesthesiologists classification. Risks associated with the type of surgery are divided according to their cardiovascular risk and duration of the procedure. Both will define those suitable for outpatient surgery. Serious complications and associated mortality are infrequents nowadays, therefore it is necessary to take into account other indicators, such as unanticipated hospital admission, hospital readmission and prolonged postoperative stay. There are some patients that require more specific preoperative evaluation, such as the elderly, obese, among others. [ABSTRACT FROM AUTHOR]

Inhaled iloprost is one of the most recent drugs from prostanoids group's in the treatment of pulmonary arterial hypertension. His place in pulmonary hypertension seen in the perioperative cardiovascular surgery has not been defined. In this review we analyze pulmonary hypertension group's susceptibles of cardiac surgery and its importance, besides the current clinical evidence from drug use in this context. [ABSTRACT FROM AUTHOR]

Objective: To determine the maternal complications of cesarean sections performed in the expulsive period of labor in a general hospital. Methods: Case series performed at Hospital Nacional Cayetano Heredia from January 1st, 2011 to December 31st, 2012. Sixty-seven pregnants in whom a cesarean section was performed during the expulsive period of labor were included. Clinical charts were reviewed to gather clinical information. Results: A total of 4218 cesarean sections were performed during the study period, 1.84% were performed during the expulsive period of labor. Overall, 88.1% (59/67) had any kind of complication. Eight cases of uterine hypotonia (11.9%) were observed, and 2 of uterine atonia (2.9%). Detachment of the segment close to the uterine incision was observed in 5 patients (7.4%), in two cases affection of the vagina and uterus was observed, and 4 cases (5.9%) of laceration of the uterine artery, one with bilateral laceration, were observed. No urinary tract or digestive tract lesions were observed; there was also no need to perform re-interventions. Four patients presented puerperal hemorrhage; two were associated with uterine hypotonia. Post-operative anemia was observed in 56 patients (83.5%). There was one case (1.5%) of endometritis and 3 (4.5%) of wound infections. Conclusions: Cesarean sections performed in the expulsive period of labor are associated with frequent complications; some of them are very severe. [ABSTRACT FROM AUTHOR]

Massive hemorrhage is a common complication in multiple clinical scenarios. Such as traumatic injury, where bleeding is responsible for almost 50% of deaths occurring within the first 24 hours after injury and up to 80% of these deaths occur in the perioperative period. The use of blood products before and after a massive hemorrhage is a priority in this scenario. Since 25% of all deaths are related to coagulopathy, uncontrolled bleeding may be preventable. Therefore, treatment of coagulopathy and hemostatic control is necessary to reduce mortality due to exsanguination. [ABSTRACT FROM AUTHOR]

The perioperative management of patients receiving antithrombotic therapy based on vitamin K antagonists (VKA) or new oral anticoagulants (NACOs), represent a dilemma in daily practice for anesthesiologists because of the multiple circumstances we face in such clinical scenarios in emergency surgeries. Today, millions of patients worldwide use anticoagulants for the prevention or treatment of a variety of entities particularly from cardiovascular causes. According to recent epidemiological studies in the US, more than 250,000 patients annually admitted to emergency surgeries are under this therapeutic (1) scheme. If not treated properly, the potential risk of bleeding is imminent, increasing mortality. It is of great importance to acknowledge the evidence and provide strategies for the approach of perioperative management. [ABSTRACT FROM AUTHOR]

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) has become the standard treatment for patients with tumors of the peritoneal surface. Completion of this combined procedure can last up to more than 13 hours during which alterations as hydroelectrolyte imbalance, hypovolemia, coagulopathy, changes in temperature and metabolism, as well as changes in lung function are presented. The technique for the administration of intraperitoneal therapy has its own risks, mainly cardiovascular, especially with the closed technique. The perioperative management should be individualized according to the needs of each patient and use the monitoring to adapt and optimize the mechanical ventilation, fluid replacement, coagulation and hemodynamic status. The use of combined general and regional anesthesia improves the prognosis of patients, however not all are candidates for neuraxial blockade. The aim of this review is that the anesthesiologist knows the process of HI PEC and alterations that may occur in the perioperative period to prevent and treat them in a timely manner. [ABSTRACT FROM AUTHOR]

Objectives: To describe the indications for surgical management of infective endocarditis (IE), timing of surgical intervention, type of surgery and post-operative morbi-mortality. Methods: Retrospective study that enrolled patients with IE following Duke´s criteria that did not respond to medical treatment, with indications for surgical management based on an evaluation by cardiothoracic specialists of Hospital Nacional Cayetano Heredia from January 2008 to December 2013. Clinical charts were reviewed in search for indications for surgical management of IE, timing of surgical intervention, type of surgery and post-operative morbi-mortality. Results: A total of 27 patients were diagnosed with IE during the study period; 40.7% had indications for surgical intervention due to risk of embolization; 70.37% for heart failure not responding to medical treatment and 51.85% for uncontrolled infection; 77.78% had indication for urgent intervention and 22.2% of emergency intervention. A total of 25.93% were surgically intervened; 6 patients underwent valve exchange. One patient died after surgery and 3-presented post-surgical complications. Conclusions: The most frequent reason for surgical intervention was risk of embolism, the mitral valve was the most affected and valve exchange was the most common procedure performed. Postoperative mortality was 14.28%, post-surgical bleeding and coagulopathy were the most frequent post-operative complications. [ABSTRACT FROM AUTHOR]

Epidermolysis bullosa is a group of inherited disorders characterized by blistering of the skin and mucous membranes as a result of friction or minor trauma. Clinical, genetic and histopathological criteria are involved in its diagnosis, distinguishing between simple (SEB), junctional (JEB) and dystrophic (DEB) forms. Among them, the junctional forms, especially de Herlitz JEB type and the one associated with pyloric atresia, pose a major challenge to the anaesthetist, given the high comorbidity. We report the case of a newborn diagnosed with Herlitz epidermolysis bullosa, taken to nasojejunal transanastomotic tube placement due to congenital intestinal obstruction. We focused on the main features in the anaesthetic management of these patients considering the preparation of the monitoring and surgical equipment to prevent skin damage by friction and the difficulties establishing venous accesses and airway management. [ABSTRACT FROM AUTHOR]

Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The preoperative visit is often the time to establish the anesthesiologist-patient relationship (APR). Frequently patients remember their surgeon but fail to remember who their anesthesiologist was and his/her key role in perioperative care. Using an opinion survey, the aim of this study was to analyze the current perception of outpatients (ASA I and II) about the APR during the immediate postoperative period. Design: Descriptive cross-sectional multicenter trial including four healthcare institutions between August 2011 and May 2012. Methods: 340 surveys were administered to ASA I and II adult subjects scheduled for outpatient surgery, with Aldrette recovery score of 10 prior to discharge. Results: Only 74.1% of the people acknowledged their anesthesiologist as a specialized physician. 21.2% were unaware of the professional training required to become an anesthesiologist and 99% of the patients said that it was gratifying to have the doctor who did the preoperative evaluation in the OR; however this only occurred in 35% of the cases. Conclusions: Notwithstanding the high level of outpatient satisfaction with their anesthetic care, some strategies are required to strengthen their perception about the specialty. The APR a preoperative evaluation for the surgical procedure, but should be more comprehensive. There is a need to establish closer links with the community to create awareness about the role of the anesthesiologist and his/her outstanding contribution to the patient's care and safety. [ABSTRACT FROM AUTHOR]

The ERAS protocol is an evidence-based protocol that describes a perioperative care pathway with recommendations for patients at various steps in the perioperative process. The implementation of this protocol may reduce complication rates and enhance functional recovery, and thus reduce hospital length of stay and costs. The aim of this paper is to review the current concepts related to the ERAS protocol. [ABSTRACT FROM AUTHOR]

Given the worldwide increase of people with diabetes mellitus and its increasingly frequent admission of these patients to operating rooms is critical, adequate assessment of these patients, both before, during and after surgery, to meet the different complications that can occur, and timely attention to their metabolic control, so that the revision of this article is for the purpose of giving adequate and timely attention to this group of patients. [ABSTRACT FROM AUTHOR]

Pulmonary aspiration of gastric contents is one of the most feared complications of anesthesia. Recently several studies have shown that ultrasonographic measurement of antral cross-sectional area is an important tool to assessement the gastric volume and contents and is a simple and non-invasive method to evaluate the broncoaspiration risk in the perioperative period. [ABSTRACT FROM AUTHOR]

19% of patients with rheumatic mitral valve disease have giant left atrium (diameter greater than 65mm), this condition has been associated with increased risk of stroke and sudden death. The indication for atrial reduction are established when there are compression of neighboring extructura, history of thromboembolic events and in asymptomatic patients for restore sinus rhythm (Maze surgery). We report the case of a patient of 63 years old with rheumatic mitral disease, giant left atrium (diameter greater than 90 mm ) and permanent atrial fibrillation, we performed mitral valve replacement and left atrial reduction. Postoperatively, the patient had renal failure requiring dialysis and ventilatory support with intubation orotroqueal for three weeks. However at the third postoperative month the patient was in functional class I (NYHA) and sinus rhythm. [ABSTRACT FROM AUTHOR]

Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: Literature review on the main aspects of hypomagnesemia in the perioperative period. Data collection: Review of the literature in English. A selection of articles: We selected the most relevant papers about hypomagnesemia. Data extraction: We reviewed the international literature during the period 2011 to 2012 for research studies. Results: Magnesium (Mg2+) is the second most abundant intracellular cation and the fourth at extracellular level. Hypomagnesemia is common in hospitalized patients (12%) and in critical condition (60%). Coexists with other electrolytic disorders. The etiology is multifactorial. Clinical manifestations are: a) neurological convulsions, dizziness, nystagmus, aphasia, hemiparesis; b) neuromuscular signs of Chvostek, Trousseau, tetany, twitching and muscle cramps; c) cardiovascular arrhythmias; and d) psychiatric. The fractional excretion of magnesium is useful for diagnosis. Conclusion: Hypomagnesemia is a common condition in the perioperative period. The most common causes are gastrointestinal and renal losses. Deficiency produces a variety of clinical manifestations. Magnesium sulfate (MgSO4) should be reserved for patients with severe hypomagnesemia (< 1.2 mg/dL). The timely detection and correction prevents a significant increase in morbidity and mortality. [ABSTRACT FROM AUTHOR]

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Neuromuscular blocking agents are without doubt the drugs most frequently associated with perioperative adverse events in anesthesia. Acknowledging and treating those patients at high risk of developing unexpected events caused by the administration of these agents should become a routine for the perioperative medicine specialist. This article is a reflection on simple pharmacokinetics and pharmacodynamics for improved safety in the administration of NMBs by the anesthesiologist. Preserving internal homeostasis, thermoprotection and securing microcirculation are key strategies for reducing events such as postoperative residual curarization. Furthermore, a right clinical approach to patients at high risk of developing NMBrelated hypersensitivity reactions enables a safe and comprehensive management of the patient, avoiding subsequent and more severe or even fatal events. [ABSTRACT FROM AUTHOR]

Copyright of Universitas Médica is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Hydatid cyst is a human parasitic disease caused by the larval stage of Echinococcus granulosus. Prevalence of human hydatid disease in Peru during the last 5 years ranges from 7-11 cases per 100,000 inhabitants. The disease is mainly localized in the liver (>65% of cases) and in the lungs (25%). Involvement of the heart is rare, reported in 0.5-2% of cases. We present the case of an 11-year-old child with cardiac hydatidosis successfully removed using extracorporeal circulation and aortic cross-clamp. [ABSTRACT FROM AUTHOR]

Copyright of Revista Médica Clínica Las Condes is the property of Editorial Sanchez y Barcelo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective. To review the indications and perioperative management considerations for anti-platelet aggregation (APT) therapy. Methodology. Using "non-cardiac surgery", "APT" and "apirine-clopidogrel" as key words, a non-systematic search was conducted in the PubMed/Medline and SciELO databases. Results. APT is used frequently for the management of cardiovascular and non-cardiovascular medical entities. It is important to adopt a clear stance regarding the continuation, change or withdrawal of this therapy in the perioperative context. That decision must be based on a judicious assessment of the risk of bleeding and the risk of perioperative complications secondary to the withdrawal of the antiplatelet agent that has offered the patient adequate management before surgery. Conclusion. In most cases of non-cardiac surgery, withdrawal of aspirin in patients with coronary heart disease, cerebral or peripheral vascular disease must be avoided if the risk of bleeding is considered low or moderate. [ABSTRACT FROM AUTHOR]

Introduction: A reflection based on the article "The blind spot of obstetric anesthesia: intraoperative fetal monitoring" is made, with examples of non invasive monitoring developed in other fields, and a discussion about the expectation of a new device that could prove to be useful for intra-surgical fetal monitoring. Methods: Reading the above-mentioned article, manual search of information about new non-invasive monitoring devices currently being developed that are applicable to diverse situations and patients, and may open up new avenues for intraoperative fetal monitoring in the future. Results: Description of examples of non-invasive monitoring tools that have been developed in the last few years as a result of the need to obtain reliable and real-time information about target organ behavior during the perioperative period. Conclusion: A practical and reliable intraoperative fetal monitoring device is not yet available for obstetric patients in the OR. We suggest the implementation of a novel device similar to those available for the detection of arrhythmias, as a potential tool for non-invasive intraoperative fetal monitoring. [ABSTRACT FROM AUTHOR]

Copyright of Revista Chilena de Pediatría is the property of Revista Chilena de Pediatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)