¿cuales son las recomendaciones más actualizadas para la prevención de infecciones en heridas quirúrgicas durante el postoperatorio inmediato ?
¿Cómo influye la sobrecarga emocional y física del cuidador principal en la recuperación postquirúrgica del paciente dentro del ámbito hospitalario?
¿Qué métodos podemos aplicar como profesionales de la salud para ayudar a las personas a desarrollar resiliencia y valor para cambiar sus hábitos alimenticios, incluso cuando enfrentan recaídas o momentos difíciles?
¿CUAL ES EL HALLAZGO CLINICO MAS CARACTERISTICO DE LA APENDICITIS AGUDA?
¿CUAL ES LA INDICACION PRINCIAPL DE LA COLECISTECTOMIA LAPAROSCOPICA?
Preparar el área quirúrgica, incluye los aspectos de higiene corporal adecuada previa al procedimiento, la implementación de retiro de bello en el sitio y región de la incisión, la utilización del antiséptico adecuado, como métodos específicos para un transoperatorio correcto. Fuente: P. Ramirez Galleymore y V. Viera (2019). Antisepsia cutánea antes de la cirugía. medicina intensiva, 43(s 1), 18- 22 DOI: 10.1016/j.medin.2018.07.019
Mi nombre es Addiel Borges Hernández soy especialista en medicina familiar, tengo 28 años y acudí a esta red social pidiendo ayuda a mis colegas, la situación en mi país es súper difícil, la energía eléctrica solo la ponen dos horas al dia, mi salario básico es de 20 dólares al mes que prácticamente no me da para nada, lo peor es q tengo una niña pequeña de 5 años a la cual no puedo sustentar con sus cosas básicas por ejemplo la leche, bueno mi objetivo con esta publicación no es q me regalen dinero sino q me ayuden de cierta manera a buscar un trabajo por esta vía q me permita mejorar mi economía. Por favor si alguien está interesado en ayudarme me puede escribir.
¿Porque los niños mueren por una infeccion?
https://fs.unm.edu/NCML2/index.php/112/article/view/688
¿Cuales son las causas mas frecuentes de una fractura de cadera? ¿Como evaluamos una fractura de cadera ?
¿Qué bacterias elimina la yodopovidona y sus recomendaciones de uso?
cómo evitar que un cuerpo rechace un trasplante de órganos
Paciente femenino de 78 años de edad pide moverse tras 3 semanas postoperada de cadera y tener fijación. Explica que a pesar de no tener lesión de tegumentos le es molesto la posición encamada decubito supino y no quiere continuar así (en cama) . Que le vale pues y quiere pararse alv y que no solo quiere moverse un poco con terapia ya se fastidió. SSe le favorece cambios de posición y practicar la posición sentada
Es contraindicado el nifedipino sublingual en una emergencia hipertensiva
¿Medidas alternativas para realizar una descompresion de hernia discal, sin cirugia?
¿En los hospitales aún se sigue utilizando yodopovidona ? Ya que en base a estudios sabemos que esta contraindicado en pacientes diabéticos.
En los hospitales aún se sigue utilizando nifedipino sublingual? Ya que en base a estudios sabemos que esta contraindicado
Here is the request of a French colleague... Dear colleagues, I am a French doctor, specialised in emergency medicine, but also a Doctor of Life and Health Sciences (phD). I am doing a year of research at the IRL GT-CNRS in Metz (north-east France). My work focuses on the link between health engineering and medical practice. I have launched an international survey (in English) on biomarkers and their usefulness for rapid acquisition. It is 5 minutes long and is open to all doctors and residents, from all specialties. Could you fill it out and pass it around? This survey is the starting point for a publication that I will be sure to pass on to you. Thank you very much! Dr Laure Abensur Vuillaume https://cutt.ly/4vCf4u5
While debates are taking place on the medical use of cannabis, debates about ketamine have heated the global medical community in recent months.
Many of us might be aware of China’s long push to make this substance a List IV substance through the United Nations Commission on Narcotic Drugs (UNCND). This, after failing to place it as a List I (even more restrictive) under the 1971 Convention on Psychotropic Substances. Such a move would leave it with very limited access, especially in developing countries with vulnerable access to anaesthetics.
The country made the request in the context of the drug being used as a recreational drug in China and more widely across the East Asian region, where trafficking and misuse is increasing exponentially. However Ketamine is currently the most common and essential anesthetic substance in low-income countries. Since morphine and morphine related anaesthetics are more regulated, morphine use is often impossible in those countries with limited financial, legal, bureaucratic and logistical resources.
Now, with a toughened regulation of ketamine, the implications are:
- Annual estimates of scientific and medical needs must be submitted to the INCB (International Narcotics Control Board) for their validation.
- Limitation on estimates for production, exports and imports.
- Securitization of the supply chain through a system of authorized handling personnel.
- Medical prescription for its issuance for scientific/medical use.
- Report to the INCB all quantities imported, exported, produced and consumed.
- Build, maintain and monitor an inspection system for stocks and supply chains.
- Strategic planning, application and monitoring for tackling misuse.
However, in countries where electricity access remains difficult, stocks can not be regulated down to the nearest milligram, which would create a access barrier of the substance. In situations in which because of the already limited resource, ketamine is the most common (if not the only) method of anesthesia, the establishment of these regulations and maintenance of such control systems are massively disrupting. Furthermore, without Ketamine, surgeries in such low-income settings may stop being performed, or if so, it will push doctors in their health systems to perform risky and painful surgeries necessary.
Although the WHO has rejected this restriction requests through vetos, and the work done within WHO and UNDC by doctors to prevent any damaging ruling continues (in particular I can refer to the work of international researchers, especially J. Nickerson of the Bruyère Research Institute in Ottawa) China withdrew its proposals for further analysis, but this attempts are far from settled. The debate is still active, and any attempts that are not met by a mobilized medical community could jeopardize access to anesthesia to 5.5 billion people… Can any of you share (especially those in anesthesiology) how you´re keeping connected and active to deter this process in your local/national/international networks? Thanks to all.
Hi everyone, this is more of an open question and reflexion.
After a few exchanges with patients, it has come to my attention again a 2013 study titled “Effect of increased potassium intake on cardiovascular risk and disease factors: a systematic review and meta-analyzes”. Here the link:
https://www.ncbi.nlm.nih.gov/pubmed/23558164
While our ancestors’ arguably included in their eating habits about a daily potassium intake of 200ml, present day societies to my knowledge are seeing a surge in hypokalemia cases. This deficiency could be due to the massification of processed foods, with people tending to go for the chocolate bar over the fruit. I have come across a wave of new studies on the role of potassium in lowering blood pressure values. Potassium is hence an effective component in the prevention and treatment of hypertension. Stroke, kidney failure, cardiovascular risks .... We all know the dramatic consequences from these conditions but I think we often underestimate how this awareness is not necessarily still widespread amongst patients. Hypertensive subjects who are more comfortable coping and living their everyday lives with their hypertension tend to abandon their treatment but are also more likely to change their diets, if given specific “hacks” of what to eat. If they are advised to consume more potassium with clear food examples, there is a good chance that they prefer to follow this rather than following their (pharmacological) treatment. I guess potassium intake in this way, has an insidious effect on high blood pressure and it does not overwhelm patients too much. So do not hesitate to “prescribe” and encourage patients to eat a banana or a fruit of their choice more frequently and on a daily basis!
Whats your experience with this? Should we at least keep our patients informed on fruits and vegetables as a form of prevention and solution to certain conditions? Have you found this to be effective in cases where treatment compliance fails or is intermittent? Has this been effective in their control readings for their pathologies.
Thanks all for any reflections!
Anna