Obstetric analgesia: Current situation and alternatives
This article discusses general aspects of epidural obstetric analgesia, and other pharmacological and non-pharmacological management options. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - March 9, 2017 Category: Anesthesiology Source Type: research

Comparison of the effectiveness of fentanyl versus morphine for severe postoperative pain management. A randomized, double blind, clinical trial
Conclusions Morphine and fentanyl were equally effective in treating severe POP after 5min and following intervals after rescue analgesia was initiated, during 25min at PACU, with no differences in efficacy or adverse effects between groups Register # NCT02145975 clinicaltrials.gov, prospective. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 28, 2017 Category: Anesthesiology Source Type: research

Identification of a thromboelastographic pattern in children undergoing cardiac surgery with prolonged exposure to cardiopulmonary bypass
This study suggests the existence of a thromboelastographic pattern independent of age or weight in patients undergoing paediatric cardiac surgery with prolonged cardiopulmonary bypass exposure, characterised by a reduction of angle and maximum amplitude values, with no change in reaction time. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 27, 2017 Category: Anesthesiology Source Type: research

Jet ventilation for the extraction of endobronchial foreing body in a patient with drained pneumothorax: A case report
Conclusion In the case described, rigid bronchoscopy minimized the risk of aspiration of blood and detritus due to continuous flow of gas upward, and avoided the increase of the air leak through the pneumothorax thank to limited airway pressures, making it a clear indication. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 26, 2017 Category: Anesthesiology Source Type: research

3 or 4 years for Anesthesia Residency Program? How to approach the discussion in terms of competency-based education
Publication date: Available online 24 February 2017 Source:Colombian Journal of Anesthesiology Author(s): Francisco Manuel Olmos-Vega, Antonio José Bonilla-Ramirez Faced with the dilemma of extending the anesthesiology residency from 3 to 4 years, there have been several arguments for and against. However, the starting point of the discussion must be redesigning the national program curricula to move away from a fixed-time training and variable competencies, to a competency-based model; i.e., fixed competencies and variable time frames. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 24, 2017 Category: Anesthesiology Source Type: research

Letter to the Editor “Historia del Cuidado Intensivo en Colombia”
Publication date: Available online 24 February 2017 Source:Colombian Journal of Anesthesiology Author(s): Juan Martin González-León (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 24, 2017 Category: Anesthesiology Source Type: research

What to do with foreign physicians?
Publication date: Available online 23 February 2017 Source:Colombian Journal of Anesthesiology Author(s): Manuel Galindo-Arias (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - February 23, 2017 Category: Anesthesiology Source Type: research

The fiscal cliff and opportunities for change
Publication date: January–March 2017 Source:Colombian Journal of Anesthesiology, Volume 45, Issue 1 Author(s): Catalina Ceballos-Stendall, David Walker (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - January 4, 2017 Category: Anesthesiology Source Type: research

Safe behaviours and acceptance of the use of checklists in urban obstetric units in Colombia
Conclusions Healthcare professionals working in the obstetric units assessed had, at the time, knowledge and experience with the use of checklists and relatively good attitudes towards them; moreover, the level of compliance with safe behaviours was medium to high. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 20, 2016 Category: Anesthesiology Source Type: research

Assessing the completeness of reporting of observational studies in Colombian Journal of Anesthesiology. Cross sectional study
Conclusion The completeness of reporting of observational studies in the Colombian Journal of Anaesthesiology is close to 60%, according to results worldwide. No change was found as a result of the publication of the STROBE Statement in 2007. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 17, 2016 Category: Anesthesiology Source Type: research

Limbic encephalitis with phenotypic NMDA receptor antibodies in patients with de novo diagnosis of Systemic Lupus Erythematosus. Case report
Publication date: Available online 14 December 2016 Source:Colombian Journal of Anesthesiology Author(s): Diego Muñoz, Dora L. Hernández, Nelson Giraldo Malignancy-associated limbic encephalitis was first described in 1968. Since then, cases have been reported in association with the Herpes Simplex virus, Hashimoto's encephalopathy, lupus, Sjögren's syndrome and paraneoplasias. A syndrome with prominent psychiatric symptoms was described in 2005: consisting of memory loss, reduced level of consciousness and central hypoventilation in four young women with ovarian teratoma and antibodies against an antig...
Source: Colombian Journal of Anesthesiology - December 13, 2016 Category: Anesthesiology Source Type: research

Are we meeting current recommendations for the initial management of penetrating trauma? A preliminary analysis from a Colombian institutional registry
Conclusions A considerable proportion of patients with TAPT does not meet the current recommendations at the end of damage control surgery. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 8, 2016 Category: Anesthesiology Source Type: research

What is the value of continuing to publish case reports?
Publication date: Available online 8 December 2016 Source:Colombian Journal of Anesthesiology Author(s): Martha Beatriz Delgado-Ramírez (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 8, 2016 Category: Anesthesiology Source Type: research

Flow phenomenon, a differential diagnosis in refractory hypoxaemia in patients with anterior mediastinal mass. Case report
Conclusions Flow phenomenon-related refractory hypoxaemia must be suspected as an exclusion diagnosis in patients with a mediastinal mass. Prone ventilation is proposed as a bridging therapy in order to revert a life-threatening condition. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 8, 2016 Category: Anesthesiology Source Type: research

A diagnostic dilemma in an alert patient with pulmonary oedema following craniotomy: A case report
Conclusion In this case, we merely might have followed the restoration process from neurologic pulmonary oedema developing during the operation. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 6, 2016 Category: Anesthesiology Source Type: research

Adverse events in paediatric patients taken to magnetic resonance imaging under sedation or anaesthesia
Conclusion Performing magnetic resonance imaging studies under sedation or anaesthesia given by an anaesthetist in patients under 15 years of age is safe. However a risk-benefit analysis is required in hospitalized or decompensated patients, in order to assess the best option. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 6, 2016 Category: Anesthesiology Source Type: research

The new challenges in pediatric anesthesia in Colombia
Publication date: Available online 6 December 2016 Source:Colombian Journal of Anesthesiology Author(s): Piedad Cecilia Echeverry Marín (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 6, 2016 Category: Anesthesiology Source Type: research

Hypothermia in elective surgery: The hidden enemy
Conclusions There are effective measures easy to set up, economical and effective to prevent hypothermia; the most important is the patient warm with hot air under pressure for 1h and maintenance of air conditioning in the room above 22°C. We just need to understand these measures and start to implement them. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 6, 2016 Category: Anesthesiology Source Type: research

The basic principles of anesthesia for the neonate
Conclusion In spite of the persistence of large gaps in our knowledge in this physiology and pharmacology, common modern anesthetic management principles for neonatal surgery have significantly improved clinical outcomes. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 6, 2016 Category: Anesthesiology Source Type: research

Anesthetic management in two infants with cystic adenomatoid malformation – Case report
Publication date: Available online 5 December 2016 Source:Colombian Journal of Anesthesiology Author(s): Angélica Paola Fajardo-Escolar, Lorena Díaz-Bohada This case describes the anesthetic technique used in two symptomatic neonates with a prenatal diagnosis of cystic adenomatoid malformation that underwent surgery under general anesthesia at the San Ignacio University Hospital. One was under one-lung ventilation and ultrasound-guided caudal catheter analgesia and the second one with general anesthesia and two-lung ventilation. A cystic adenomatoid malformation is a rare pathology with improved outcomes wit...
Source: Colombian Journal of Anesthesiology - December 5, 2016 Category: Anesthesiology Source Type: research

Developmental pharmacokinetics and pharmacodynamics of parenteral opioids and nonsteroidal anti-nflammatory drugs in neonates and infants
Conclusions Pharmacology in neonates and infants is unique and must be considered in this vulnerable population. Recommendations for administration of these analgesics are presented based on their unique pharmacokinetic properties. Individual patient variation and clinical response must also be taken into account. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - December 5, 2016 Category: Anesthesiology Source Type: research

Commentary on “Reflections about euthanasia in Colombia”
Publication date: Available online 25 November 2016 Source:Colombian Journal of Anesthesiology Author(s): Álvaro Sanz-Rubiales, María Luisa del Valle (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - November 25, 2016 Category: Anesthesiology Source Type: research

Postoperative residual curarization at the post-anesthetic care unit of a university hospital: A cross-sectional study
Conclusions A high prevalence of postoperative residual curarization persists in university hospitals, despite a reduced use of “long-lasting” neuromuscular blockers. Strategies to assure neuromuscular monitoring practice and access to therapeutic alternatives in this setting must be considered. Intraoperative neuromuscular blockers using algorithms and continued education in this field must be priorities within anesthesia services. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - November 25, 2016 Category: Anesthesiology Source Type: research

Sedation for transcatheter replacement of Melody ® pulmonary valve: Case report
Conclusion The ideal anesthetic technique for transcatheter pulmonary valve replacement is controversial. There is a debate over the merits of general anesthesia and deep sedation. Each case must be decided on after a careful preoperative evaluation, considering the risk/benefit and patient cooperation. The experience at our center using deep sedation is promising, but we have an alternative plan to convert to general anesthesia if necessary. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - November 25, 2016 Category: Anesthesiology Source Type: research

Airway management in patients with cervical spine trauma and neurological symptoms. Case reports
We present three patients with traumatic injuries associated neurological symptoms and cervical spine. All intubations were assisted with fiber bronchoscope, without removing the cervical collar and patients remained awake. All patients were examined again after intubation with no evidence of worsening of their neurological symptoms. We can conclude that the fiberoptic assisted intubation has several advantages in the care of these patients. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - November 17, 2016 Category: Anesthesiology Source Type: research

Trauma severity scores
Conclusion There is a wide range of severity scores used in trauma patients for anticipating clinically significant outcomes with varying degrees of accuracy. Creating and validating a single, universally valid score is a huge challenge; consequently, the selection of the scoring tool is based, to a large extent, on experience, the context and the available evidence. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 29, 2016 Category: Anesthesiology Source Type: research

Submental intubation: A useful alternative for orthognathic surgery in patients with craniofacial malformations. Case report
Conclusion The submental intubation technique is an excellent choice for orthognathic surgery in patients with facial malformations and airway problems. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 15, 2016 Category: Anesthesiology Source Type: research

Insufflation –exsufflation devices in post-operative respiratory failure: Case report
Conclusion The application of insufflations–exsufflation devices in the immediate post-operative period of patients with neuromuscular diseases promotes the proper respiratory evolution of a patient considered impossible to extubate. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 13, 2016 Category: Anesthesiology Source Type: research

Adherence to the guidelines for the management of severe sepsis and septic shock in patients over 65 years of age admitted to the ICU
Conclusions There was a lower adherence to resuscitation guidelines in the group of patients over 65 with severe sepsis and septic shock when compared with the group of patients under 65. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 11, 2016 Category: Anesthesiology Source Type: research

Simulation in health care
Publication date: Available online 6 September 2016 Source:Colombian Journal of Anesthesiology Author(s): Edgar J. Figueredo (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 6, 2016 Category: Anesthesiology Source Type: research

Critical appraisal of “Prescription of long-acting opioids and mortality in patients with chronic nonmalignant pain”
Publication date: Available online 5 September 2016 Source:Colombian Journal of Anesthesiology Author(s): Maira Vera-Montoya, Lina Marín-Gaviria, José Andrés Calvache (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 5, 2016 Category: Anesthesiology Source Type: research

Reflections on euthanasia in Colombia
Publication date: Available online 5 September 2016 Source:Colombian Journal of Anesthesiology Author(s): Juliana María Mendoza-Villa, Luis Andrés Herrera-Morales This reflection article provides an overview of the historical development of the term “euthanasia”. It is postulated that the distortion of the term “euthanasia” has hindered the debate around it, so it is imperative to establish the distinction between and other aspects of end of life. Issues associated with palliative care and euthanasia in Colombia are analysed, and some opinions and proposals are presented. (Source: Col...
Source: Colombian Journal of Anesthesiology - September 5, 2016 Category: Anesthesiology Source Type: research

Factors associated with failed brachial plexus regional anesthesia for upper limb surgery
Conclusions There were no factors determined by patient, anesthetic procedure, surgical procedure and operator that could be independently associated with brachial plexus block failure. The suggestion is to fine-tune the definition of failures, not just in the research environment, but in the current clinical practice; to improve the anesthesia records to rise the numbers and the quality of data bases for a quantitative determination of the risk of peripheral regional anesthesia failure and design prevention strategies focused on risk groups. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 5, 2016 Category: Anesthesiology Source Type: research

Survey about attitudes on perioperative temperature monitoring and thermal protection in Colombia
Conclusions Temperature monitoring and perioperative thermal protection is insufficient in the sample studied. The reasons are: limited availability of devices for monitoring and protection and lack of interest toward the subject. There is no acceptance of minimum safety standards of the Colombian Society of Anesthesiology (S.C.A.R.E.) because of the limited availability of thermometers, poor monitoring of intraoperative temperature and misuse of heating strategies. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 5, 2016 Category: Anesthesiology Source Type: research

Perioperative Ultrasound: The challenge of applying an old technology in new clinical settings
Publication date: Available online 5 September 2016 Source:Colombian Journal of Anesthesiology Author(s): María Fernanda Rojas-Gómez, Antonio José Bonilla-R (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 5, 2016 Category: Anesthesiology Source Type: research

Predictors of mortality and early detection strategies for hepatopulmonary syndrome in liver transplant patients
Conclusions The level of pre-LT hypoxemia is an important predictor for immediate postoperative mortality. Early detection of the condition is critical to reduce the post LT morbidity and mortality so that the indication for transplant is made at the right time, regardless of the stage of liver disease. The most efficient clinical strategy could be the use of appropriate early detection protocols for HPS through screening of hypoxemia in patients with portal hypertension. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - September 2, 2016 Category: Anesthesiology Source Type: research

Patients with tracheostomy indication in an intensive care cohort
Conclusions Elective tracheostomy is a commonly used technique in the ICU and the procedure is performed according to the protocol. The percutaneous approach is the most frequently used, with few complications. In neurological critical patients with extended weaning, an early approach reduces the number of days with ventilation and the length of stay, with no positive impact on mortality. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - August 25, 2016 Category: Anesthesiology Source Type: research

Pain management assessment in children with limb fractures in an emergency service
Conclusion Fracture immobilization is the mainstay for analgesia but it does not suffice as a form of pain management. Monotherapy with dipyrone or tramadol resulted in the best pain reduction, whereas the combined use of dipyrone plus tramadol was not better than the use of either medication alone. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - August 25, 2016 Category: Anesthesiology Source Type: research

New perspectives in the treatment of obstructive sleep apnea –hypopnea syndrome
Conclusions Although a fully effective treatment is not yet available, a combination of strategies from an interdisciplinary perspective can enhance the quality of life of patients. It is expected that in the coming years, the scientific and technological advances will allow for the implementation of a treatment protocol that is able to directly address the etiological processes to reduce their prevalence. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - August 20, 2016 Category: Anesthesiology Source Type: research

Trauma severity scores. Review article
Conclusion There is a wide range of severity scores used in trauma patients for anticipating clinically significant outcomes with varying degrees of accuracy. Creating and validating a single, universally valid score is a huge challenge; consequently, the selection of the scoring tool is based, to a large extent, on experience, the context and the available evidence. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - August 20, 2016 Category: Anesthesiology Source Type: research

Colombian adaptation of guidelines for the use of neurostimulation in the management of chronic pain and ischemia
Conclusions Neurostimulation is a minimally invasive technique useful for the management of persistent pain after back surgery and for complex regional pain syndrome. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - August 16, 2016 Category: Anesthesiology Source Type: research

Manual vs. target-controlled infusion induction with propofol: An observational study
Conclusions Induction with propofol using TCI is similar to manually delivered propofol. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - August 12, 2016 Category: Anesthesiology Source Type: research

Hemicolectomy in a patient with aortic valve disease: Case report
Publication date: Available online 30 June 2016 Source:Colombian Journal of Anesthesiology Author(s): María Ángeles Rodríguez-Navarro, Daniel Rastrollo-Peña, Juan Iranzo-Reverter, José Luis Sánchez-Ortega, Rosario García-Fernández, Clara Díaz-Alejo Patients with valve disease are at a higher risk of perioperative complications in the context of non-cardiac surgery. The active involvement of the anaesthetist from the moment of the pre-anaesthesia assessment to determine the severity of the disease is crucial. The purpose of this report on the management ...
Source: Colombian Journal of Anesthesiology - July 27, 2016 Category: Anesthesiology Source Type: research

The history of intensive care in Colombia
Publication date: July–September 2016 Source:Colombian Journal of Anesthesiology, Volume 44, Issue 3 Author(s): Hernando Matiz Camacho (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - July 27, 2016 Category: Anesthesiology Source Type: research

Anesthesia for bariatric surgery in a patient with Prader –Willi syndrome: Case report
We describe the case of a 31-year-old female patient with Prader–Willi syndrome scheduled for bariatric surgery. Anesthetic considerations are reviewed highlighting perioperative complications associated with this syndrome. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - June 17, 2016 Category: Anesthesiology Source Type: research

Characterizing depth of anesthesia during target-controlled infusions: Not an easy job
Publication date: Available online 16 June 2016 Source:Colombian Journal of Anesthesiology Author(s): Eric B. Rosero (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - June 15, 2016 Category: Anesthesiology Source Type: research

Estimation of the optimum length of endotracheal tube insertion in adults
Conclusion The traditional method of determining the insertion length of the endotracheal tube, 21cm for women and 23cm for men, shows a high incidence of endobronchial intubations in the analyzed population. The optimal insertion depth of the endotracheal tube can be reliably estimated through the use of prediction equations based on patient height, as proposed in this study. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - June 11, 2016 Category: Anesthesiology Source Type: research

Characterization and analysis of adverse events in closed liability cases involving anaesthetists who received legal support from the Colombian Society of Anaesthesia and Resuscitation (S.C.A.R.E.), Colombia, 1993–2012
Conclusions In the cases reviewed, the majority of adverse events happened in low risk patients, in low complexity institutions. The PACU was a sensitive setting for the occurrence of adverse events. It is important to consider environmental factors when analysing adverse events. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - June 10, 2016 Category: Anesthesiology Source Type: research

Interactions between home care and hospital care during pregnancy and postpartum among low-income women in a maternity clinic in Cartagena, Colombia
Conclusion Family-centered care requires acknowledging the role of relatives and other members of the women's social networks as guides in the healthcare process. Likewise, recognizing the socio-economic conditions of women requires adapting health services to the needs of women and their families in order to avoid reproducing social inequalities. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - June 7, 2016 Category: Anesthesiology Source Type: research

Epidural anesthesia for posterior spinal fusion and lumbar surgery in a patient with glanzmann's thrombasthenia – Case report and systematic review
Conclusion The use of epidural anesthesia in spinal surgery of a patient with significant hematological and cardiovascular complications was a successful approach and represents one further step forward in the implementation of protocols and robust clinical trials for the management of complex patients like the one herein described. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - June 6, 2016 Category: Anesthesiology Source Type: research