Archivo de la categoría ‘Rincón académico’

Onfalocele roto

enero 27, 2012 Publicado en Grupo de videocirugía, Rincón académico
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El Dr. Abello nos comparte este video.

Resección de quiste hepático congénito.

octubre 23, 2010 Publicado en Grupo de videocirugía, Rincón académico
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Enlace en YouTube

El Dr. Cristóbal Abello nos comparte este caso.

@: cmidrabello@gmail.com

Club de Revistas. Dosis de radiación en el estudio de los pacientes politraumatizados.

octubre 23, 2010 Publicado en Club de Revistas, Rincón académico
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Reflexionemos acerca de las dosis de radiación…..

Dos artículos. Disponibles en citeulike sccp

Scaife ER, Rollins MD. Managing radiation risk in the evaluation of the pediatric trauma patient. Semin Pediatr Surg. 2010 Nov;19(4):252-6.

Pediatric trauma is usually a nonoperative experience for the pediatric general surgeon. The pediatric trauma surgeon resuscitates the child and then evaluates and triages the identified injuries. A common diagnostic tool is the computed tomography (CT) scan. Most children who require evaluation for significant trauma will get a CT scan, but there are no national guidelines directing the assessment. Injuries to the head, cervical spine, chest, and abdomen can all be imaged with a CT scan; the question is whether the liberal approach to imaging children is appropriate. Over the past decade, concern has arisen about the radiation dose delivered by CT. This concern has generated a national campaign to “image gently.” This article reviews the data involving the risk of medical radiation exposure and discusses strategies for managing the risk.

Brunetti MA, Mahesh M, Nabaweesi R, Locke P, Ziegfeld S, Brown R. Diagnostic Radiation Exposure in Pediatric Trauma Patients. J Trauma. 2010 Aug 27.

BACKGROUND: The amount of imaging studies performed for disease diagnosis has been rapidly increasing. We examined the amount of radiation exposure that pediatric trauma patients receive because they are an at-risk population. Our hypothesis was that pediatric trauma patients are exposed to high levels of radiation during a single hospital visit.

METHODS: Retrospective review of children who presented to Johns Hopkins Pediatric Trauma Center from July 1, 2004, to June 30, 2005. Radiographic studies were recorded for each patient and doses were calculated to give a total effective dose of radiation. All radiographic studies that each child received during evaluation, including any associated hospital admission, were included.

RESULTS: A total of 945 children were evaluated during the study year. A total of 719 children were included in the analysis. Mean age was 7.8 (+/-4.6) years. Four thousand six hundred three radiographic studies were performed; 1,457 were computed tomography (CT) studies (31.7%). Average radiation dose was 12.8 (+/-12) mSv. We found that while CT accounted for only 31.7% of the radiologic studies performed, it accounted for 91% of the total radiation dose. Mean dose for admitted children was 17.9 (+/-13.8) mSv. Mean dose for discharged children was 8.4 (+/-7.8) mSv (p < 0.0001). Burn injuries had the lowest radiation dose [1.2 (+/-2.6) mSv], whereas motor vehicle collision victims had the highest dose [18.8 (+/-14.7) mSv].

CONCLUSION: When the use of radiologic imaging is considered essential, cumulative radiation exposure can be high. In young children with relatively long life spans, the benefit of each imaging study and the cumulative radiation dose should be weighed against the long-term risks of increased exposure.

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Club de revistas

septiembre 18, 2010 Publicado en Club de Revistas, Rincón académico
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Borgeat A, Aguirre J. Update on local anesthetics. Curr Opin Anaesthesiol. 2010 Aug;23(4):466-71.

Department of Anesthesiology, Balgrist University Hospital, Zurich, Switzerland. alain.borgeat@balgrist.ch

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Club de revistas. Antibióticos en cirugía pediátrica.

septiembre 14, 2010 Publicado en Club de Revistas, Rincón académico
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Ein SH, Sandler A. Wound infection prophylaxis in pediatric acute appendicitis: a 26-year prospective study. J Pediatr Surg. 2006 Mar;41(3):538-41.

Division of General Surgery, Hospital for Sick Children, Toronto, Canada, M5G 1X8. a_ein@istar.ca

Disponible en www.citeulike.org sccp

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Infección quirúrgica en Cirugía Pediátrica

septiembre 14, 2010 Publicado en Club de Revistas, Rincón académico
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Duque-Estrada EO, Duarte MR, Rodrigues DM, Raphael MD. Wound infections in pediatric surgery: a study of 575 patients in a university hospital. Pediatr Surg Int. 2003 Aug;19(6):436-8. Epub 2003 Jul 22.

Hospital das Clínicas de Teresópolis, Av. Alberto Torres, s/n, Teresópolis, Rio de Janeiro, Brazil, 25950-000. duque@cremerj.com.br

Disponible en www.citeulike.org sccp

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Club de revistas. Antibióticos en cirugía pediátrica

septiembre 14, 2010 Publicado en Club de Revistas, Rincón académico
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Nadler EP, Gaines BA; Therapeutic Agents Committee of the Surgical Infection Society. The Surgical Infection Society guidelines on antimicrobial therapy for children with appendicitis. Surg Infect (Larchmt). 2008 Feb;9(1):75-83.

Division of Pediatric Surgery, Department of Surgery, New York University School of Medicine, New York, New York 10016, USA. evan.nadler@med.nyu.edu

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Club de revistas. Cierre primario de la herida en apendicitis complicada.

septiembre 14, 2010 Publicado en Club de Revistas, Rincón académico
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Henry MC, Moss RL. Primary versus delayed wound closure in complicated appendicitis: an international systematic review and meta-analysis. Pediatr Surg Int. 2005 Aug;21(8):625-30. Epub 2005 Oct 13.

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Club de Revistas. Antibióticos profilácticos en cirugía pediátrica

septiembre 14, 2010 Publicado en Club de Revistas, Rincón académico
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Górecki WJ, Grochowski JA. Are antibiotics necessary in nonperforated appendicitis in children? A double blind randomized controlled trial. Med Sci Monit. 2001 Mar-Apr;7(2):289-92.

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Club de revistas. Antibióticos en cirugía pediátrica.

septiembre 14, 2010 Publicado en Club de Revistas, Rincón académico
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Bratzler DW, Houck PM; Surgical Infection Prevention Guideline Writers Workgroup. Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project. Am J Surg. 2005 Apr;189(4):395-404.

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