Cost/effectiveness evaluation of three fixed combinations of acetaminophen and opioids in the management of acute pain in Colombia
Conclusion The analysis, from the payer and patient perspectives, demonstrates that the AC formulation has a lower cost and is more effective in reducing pain within the first 4–6h after administration, compared with the AH and AT formulations in their specific indications. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Cerebral oximetry: Three questions to ask
Publication date: Available online 1 August 2014 Source:Colombian Journal of Anesthesiology Author(s): Lingzhong Meng , Adrian W. Gelb Cerebral oximetry based on near-infrared spectroscopy can non-invasively measure hemoglobin oxygen saturation in mixed arterial, venous and capillary blood in the brain. In order to determine if this is a clinically desirable monitor, we need to answer three questions in order. The first question is if cerebral oximetry monitors an important aspect of physiology. The second question is if the physiology can be optimized based on this monitor. The third question is if the outcome can be im...
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Monitoring brain activity: Where are we now and in which direction should we move in the future?
Publication date: Available online 20 August 2014 Source:Colombian Journal of Anesthesiology Author(s): Pedro L. Gambús , José F. Valencia (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Anesthesia for awake craniotomy: An update
Publication date: Available online 3 September 2014 Source:Colombian Journal of Anesthesiology Author(s): Jason Chui Awake craniotomy has become a common procedure and its application has been continually evolving. Anesthesia for awake craniotomy poses a unique challenge to anesthesiologists. The aims of this article are to review under a critical perspective of the author, the current evidence and application of awake craniotomy and to briefly describe the principles of anesthetic management during this procedure. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Erratum to “Questions and answers” [Rev. Colomb. Anestesiol. 2014;42(3):243–244]
Publication date: October–December 2014 Source:Colombian Journal of Anesthesiology, Volume 42, Issue 4 Author(s): Fernando Raffan Sanabria (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Questions and answers
Publication date: October–December 2014 Source:Colombian Journal of Anesthesiology, Volume 42, Issue 4 Author(s): Fernando Raffan Sanabria (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Algorithm for difficult airway management in pediatrics
Conclusion This review summarizes the management of the difficult airway in pediatrics and is the first proposal ever submitted in Latin America. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Impact of the use of neurostimulation for the management of a patient with complex pain syndrome and severe trophic changes. Case report
Conclusion Neurostimulation has a noticeable impact on the course of the complex regional pain syndrome accompanied by trophic changes in patients with a poor response to the recommended pharmacological management. Early initiation of this intervention facilitates functional and psychological recovery of the patients, who are usually in the productive stage of their lives. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Therapeutic hypothermia after prolonged cardiopulmonary resuscitation due to pulmonary thromboembolism. Case report
This article discusses a review of the current literature on TH, in addition to describing each of the stages in TH and how to approach these stages. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

A rare cause of severe metabolic acidosis: Presurgical fasting
Conclusions The anesthesiologist must be aware of this possibility in patients with fasting-induced metabolic acidosis with normal lactate values and hemodynamic impairment that are either too young or too old, non-diabetic and with no history of alcohol abuse. The anion gap calculation tool is a simple diagnostic approach. The incidence of the condition increases during pregnancy. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

About simulation and airway safety
This article comments on the effect of simulation on several outcomes, including those related to patient-safety during airway management. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

An overview of thrombelastography research
Conclusion The application of TEG as a diagnostic tool and as a guide in transfusion therapy is increasing. Its use is still in development in different clinical fields and the advantages and limitations of this technique still have to be defined. It is evident that thrombelastography should be used with caution, and its strengths and weaknesses as well as new applications must continue to be explored. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Extubation of the perioperative patient with a difficult airway
Publication date: October–December 2014 Source:Colombian Journal of Anesthesiology, Volume 42, Issue 4 Author(s): Carin A. Hagberg , Carlos A. Artime A considerable amount of literature has been dedicated to the topic of difficult airway management and a number of algorithms and recommendations have been established to safely manage patients at risk for difficult intubation. Only recently, however, has extubation of the difficult airway gained more awareness since this procedure, although elective, is often fraught with complications. The importance of developing pre-planned strategies for extubation of the difficu...
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Remifentanil vs. epidural analgesia for the management of acute pain associated with labour. Systematic review and meta-analysis
Conclusions Remifentanil is not equivalent to epidural analgesia but could certainly decrease the intensity of pain. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Validation to Spanish of the Iowa Satisfaction with Anesthesia Scale (ISAS) for monitored anesthesia care in ophthalmic surgery
Conclusions The validation of the ISAS in Spanish allows for the use of a valid and reliable instrument to objectively measure the satisfaction of the patient in ophthalmic surgery under MAC. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Based on a survey relative to the practice of simultaneous anaesthesia in Latin-America
Conclusion There are places where simultaneous anaesthesia is still practiced and where the checklist is not used. A vast majority of the respondents agree that this breach must be penalized in order to improve patient safety. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Predictive and clinical performance of a TCI device for sevoflurane at a conventional workstation: Pharmacokinetic correlation of the model used
Conclusions The TCI sevoflurane© showed good performance, and the target concentration was rapidly reached and remained stable, with few interactions with the device needed during the first hour. There were neither overdosing nor clinically significant alterations. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Is visual estimation useful in determining the extent of perioperative haemorrhage? A study of correlation among anaesthetists of intermediate and high complexity hospitals in Cartagena, Colombia
Conclusions Visual estimation is suboptimal as a method for determining perioperative bleeding. The objective measurement must be the method of choice in this clinical setting. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Does Colombia need more anesthetists?
Publication date: October–December 2014 Source:Colombian Journal of Anesthesiology, Volume 42, Issue 4 Author(s): José Ricardo Navarro-Vargas , Javier Hernando Eslava-Schmalbach (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Anesthesia for patients with traumatic brain injury
Publication date: Available online 3 October 2014 Source:Colombian Journal of Anesthesiology Author(s): Jorge Humberto Mejia Mantilla , Luis Fernando Gonzalez Arboleda Traumatic Brain Injury (TBI) is a complex disease with a high social burden because of its high mortality and high rate of sequelae. Outcome after TBI is related to early management, including anesthetic management. In this article we review up to date concepts for anesthetic management of TBI patients; from pre-anesthetic evaluation to different aspects of surgical management: induction of anesthesia, airway control, mechanical ventilation, intravenous fl...
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research

Venous air embolism in neurosurgery
This article reviews the literature on air embolism in terms of its incidence, etiology, diagnosis and therapy. (Source: Colombian Journal of Anesthesiology)
Source: Colombian Journal of Anesthesiology - October 12, 2014 Category: Anesthesiology Source Type: research