Información del artículo
RESUMEN
Introducción.
El manejo de eventos críticos en el quirófano no siempre coincide con el manejo general de la reanimación, y se puede considerar una acción terapéutica de la anestesiología.
Metodología.A partir del estudio australiano de monitoreo de 4.000 incidentes en anestesia se ha podido implementar un algoritmo de reglas nemotécnicas simplificadas. La Asociación Americana del Corazón (AHA) utiliza el cuadrante cardiovascular para ubicar la causa principal de inestabilidad hemodinámica de acuerdo con 4 componentes: bomba cardiaca, frecuencia cardiaca, resistencia y volumen.
Resultados.En esta revisión se conjugan ambos sistemas, para intervenir de manera exitosa en el manejo de los eventos críticos en anestesia.
Palabras clave::
Resucitación cardiopulmonar
anestesia
paro cardíaco
morbilidad (Fuente: DeCS, BIREME).
SUMMARY
Introduction.
Managing critical events in the OR is not always consistent with the usual resuscitation management and can be considered an anesthesia therapeutic approach.
Mathodologhy.On the basis of an Australian study that monitored 4,000 anesthesia incidents, an algorithm of simplified acronyms has been implemented. The American Heart Association (AHA) uses the cardiovascular quadrant to localize the main cause of hemodynamic instability, in accordance with 4 components: Cardiac pump, heart rate, resistance and volume.
Results.This review combines both systems to successfully manage any critical events during anesthesia.
Key words:
Cardiopulmonary resuscitation
anesthesia
cardiac arrest
morbidity. (Source: MeSH, NLM).
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REFERENCES
[1.]
G. Muñoz-Wütscher, J. Casasbuenas.
Boletín de Anestesiología del Hospital San Juan de Dios, 3 (1965), pp. 8
[2.]
G. Muñoz-Wütscher, J. Casasbuenas.
Boletín de Anestesiología del Hospital San Juan de Dios, 1 (1963), pp. 4
[3.]
P. Ibarra.
¿Cuáles pacientes podemos mejorar con nuestra práctica anestesiológica? Documento presentado en: XVIII Curso Anual de Anestesiología.
Horizontes en Anestesiología, Fundación Universitaria Sánitas, (5 de febrero del 2011),
[4.]
S.H. Rosenbaum, P.G. Barash.
Is anesthesia therapeutic? Editorial.
Anesth Analg, 69 (1989), pp. 555-557
[5.]
POISE Study Group, P.J. Devereaux, H. Yang.
Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomized controlled trial.
Lancet, 371 (2008), pp. 1839-1847
[6.]
B. Branstrup, H. Tonnesen, R. Beier-Holgersen.
Effects of intravenous fluids restriction on postoperative complications: comparison of two perioperative fluid regimens: A randomized assessor-blinded multicenter trial.
Ann Surg, 238 (2003), pp. 641-648
[7.]
S. Liu, R.L. Carpenter, J.M. Neal.
Epidural anesthesia and analgesia. Their role in post operative outcome.
Anesthesiology, 82 (1995), pp. 1474
[8.]
C.L. Wu.
Dolor agudo postoperatorio.
6ta ed, pp. 2737-2744
[9.]
J. Kutza, I. Gratz, M. Afshar.
The effects of general anesthesia and surgery on basal interferon stimulated natural killer cell activity of humans.
Anesth Analg, 85 (1997), pp. 918-923
[10.]
M. Ballow, R. Nelson.
Immunopharmacology, Immunomodulation and immunotherapy.
JAMA, 278 (1997), pp. 2008-2023
[11.]
A. Romo Zúñiga.
Consideraciones anestésicas en el paciente con cáncer.
Hospital de Carmen, (2010),
[12.]
R. Maaloe, M. La Cour, A. Hansen.
Scrutinizing incident reporting in anaesthesia.
Why is an incident perceived as critical? Acta Anaesthesiol Scand, 50 (2006), pp. 1005-1013
[13.]
R.O. Cummins, J.P. Ornato, W.H. Thies.
Improving survival from sudden cardiac arrest the "chain of survival" concept. A statement for health professionals from the 20 advanced cardiac life support subcommittee and the emergency cardiac care committee, American Heart Association.
Circulation, 83 (1991), pp. 1832-1847
[14.]
G.D. Perkins, J. Soar.
In hospital cardiac arrest: missing links in the chain of survival.
Resuscitation, 66 (2005), pp. 253-255
[15.]
ACLS.
Resource text for instructors and experienced providers.
American Heart Association, (2008),
[16.]
J.R. Navarro.
Manual de arritmias.
SCARE, Gente Nueva Editorial, (2008),
[17.]
C. Sandroni, J. Nolan, F. Cavallaro.
In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival.
Intensive Care Med, 33 (2007), pp. 237-245
[18.]
American Heart Association.
Guidelines for CPR and ECC.
Supplement to Circulation, 122 (2010),
[19.]
AVAP Manual para proveedores.
Edición en español.
American Heart Association, (2003),
[20.]
Bautista J, Navarro JR. Las neuronas espejo y el aprendizaje en anestesiología. Rev Fac Med Univ Nac de Col, en prensa.
[21.]
D. Gaba, K. Fish, S. Howard.
Crisis management in anesthesiology.
Churchill Livingstone, (1994),
[22.]
W.B. Runciman, A.F. Merry.
Crisis management in clinical care: an approach to management.
Qual Saf Health Care, 14 (2005), pp. 156-163
[23.]
S. Gupta, U. Naithani, S.K. Brajesh.
Critical inicident reporting in anesthesia: A prospective internal audit.
Indian J Anaesth, 53 (2009), pp. 425-433
[24.]
R.K. Webb, M. Currie, C. Morgan.
The Australian incident monitoring study: an analysis of 2000 incident reports.
Anaesth Intensive Care, 21 (1993), pp. 520-528
[25.]
W.B. Runciman, R.K. Webb, I.D. Klepper.
Crisis management: validation of an algorithm by analysis of 2000 incident reports.
Anaesth Intensive Care, 21 (1993), pp. 579-592
[26.]
W.B. Runciman, M.T. Kluger, R.W. Morris.
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.
Qual Saf Health Care, 14 (2005), pp. 156-163
[27.]
R.D. Miller.
El futuro de la anestesia.
Documento presentado en: XVIII Curso Anual de Anestesiología. Horizontes en Anestesiología, Fundación Universitaria Sánitas, (5 de febrero del 2011),
[28.]
T. Visvanathan, M.T. Kluger, R.K. Webb.
Crisis management during anaesthesia: obstruction of the natural airway.
Qual Saf Health Care, 14 (2005), pp. e2
[29.]
T. Visvanathan, M.T. Kluger, R.K. Webb.
Crisis management during anaesthesia: laryngospasm.
Qual Saf Health Care, 14 (2005), pp. e3
[30.]
M.T. Kluger, T. Visvanathan, J.A. Myburgh.
Crisis management during anaesthesia: regurgitation, vomiting, and aspiration.
Qual Saf Health Care, 14 (2005), pp. e4
[31.]
A.D. Paix, J.A. Williamson, W.B. Runciman.
Crisis management during anaesthesia: difficult intubation.
Qual Saf Health Care, 14 (2005), pp. e5
[32.]
S.M. Szekely, W.B. Runciman, R.K. Webb.
Crisis management during anaesthesia: desaturation.
Qual Saf Health Care, 14 (2005), pp. e6
[33.]
R.N. Westhorpe, G.L. Ludbrook, S.C. Helps.
Crisis management during anaesthesia: bronchospasm.
Qual Saf Health Care, 14 (2005), pp. e7
[34.]
M.J. Chapman, J.A. Myburgh, M.T. Kluger.
Crisis management during anaesthesia: pulmonary oedema.
Qual Saf Health Care, 14 (2005), pp. e8
[35.]
J.A. Williamson, S.C. Helps, R.N. Westhorpe.
Crisis management during anaesthesia: embolism.
Qual Saf Health Care, 14 (2005), pp. e17
[36.]
A.K. Bacon, A.D. Paix, J.A. Williamson.
Crisis management during anaesthesia: pneumothorax.
Qual Saf Health Care, 14 (2005), pp. e18
[37.]
G.L. Ludbrook, R.K. Webb, M. Currie.
Crisis management during anaesthesia: myocardial ischaemia and infarction.
Qual Saf Health Care, 14 (2005), pp. e13
[38.]
W.B. Runcinman, R.W. Morris, L.M. Watterson.
Crisis management during anaesthesia: cardiac arrest.
Qual Saf Health Care, 14 (2005), pp. e14
[39.]
L.M. Watterson, R.W. Morris, R.N. Westhorpe.
Crisis management during anaesthesia: Bradycardia.
Qual Saf Health Care, 14 (2005), pp. e9
[40.]
L.M. Watterson, R.W. Morris, J.A. Williamson.
Crisis management during anaesthesia: Tachycardia.
Qual Saf Health Care, 14 (2005), pp. e10
[41.]
A.L. Mark.
The Bezold-Jarish reflex revisited: clinical implications of inhibitory reflexes originating in the heart.
J Am Coll Cardiol, 1 (1983), pp. 90-102
[42.]
M. Currie, R.K. Kerridge, A.K. Bacon.
Crisis management during anaesthesia: anaphylaxis and allergy.
Qual Saf Health Care, 14 (2005), pp. e19
[43.]
M.A.L. Fox, R.W. Morris, W.B. Runciman.
Crisis management during regional anaesthesia.
Qual Saf Health Care, 14 (2005), pp. e24
[44.]
J.A. Myburgh, M.J. Chapman, S.M. Szekely.
Crisis management during anaesthesia: sepsis.
Qual Saf Health Care, 14 (2005), pp. e22
[45.]
A.D. Paix, W.B. Runciman, B.F. Horan.
Crisis management during anaesthesia: hypertension.
Qual Saf Health Care, 14 (2005), pp. e12
[46.]
SCARE.
Manual actualizado de RCCP avanzada 3ra edición.
SCARE, Gente Nueva Editorial, (2009),
[47.]
R.W. Morris, L.M. Watterson, R.N. Westhorpe.
Crisis management during anaesthesia: hypotension.
Qual Saf Health Care, 14 (2005), pp. e11
[48.]
W.M. Griggs, R.W. Morris, W.E. Runciman.
Trauma: development of a sub-algorithm.
Qual Saf Health Care, 14 (2005), pp. e21
[49.]
M.T. Kluger, S.M. Szekely, R.J. Singleton.
Crisis management during anaesthesia: water intoxication.
Qual Saf Health Care, 14 (2005), pp. e23
[50.]
A.D. Paix, M.F. Bullock, W.B. Runciman.
Crisis management during anaesthesia: problems associated with drug administration during anaesthesia.
Qual Saf Health Care, 14 (2005), pp. e15
[51.]
R.J. Singleton, S.B. Kinnear, M. Currie.
Crisis management during anaesthesia: vascular access problems.
Qual Saf Health Care, 14 (2005), pp. e120
[52.]
G.A. Osborne, A.K. Bacon, W.B. Runciman.
Crisis management during anaesthesia: awareness and anaesthesia.
Qual Saf Health Care, 14 (2005), pp. e16
[53.]
A.K. Bacon, R.W. Morris, W.B. Runciman.
Crisis management during anaesthesia: recovering from a crisis.
Qual Saf Health Care, 14 (2005), pp. e25
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