| Journal: | Anestesia en México |
| Database: | PERIÓDICA |
| System number: | 000414088 |
| ISSN: | 1405-0056 |
| Authors: | Hernández, Israel1 Castellanos, Edgar1 Luna, Cintya1 Alvarez, Lucy1 |
| Institutions: | 1Hospital Juárez de México, Servicio de Anestesiología, Ciudad de México. México |
| Year: | 2016 |
| Season: | May-Ago |
| Volumen: | 28 |
| Number: | 2 |
| Pages: | 44-47 |
| Country: | México |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Caso clínico |
| Spanish abstract | Se presenta el caso de una paciente femenina de 51 años de edad, con diagnóstico de deformidad abdominal programada para abdominoplastía. Después de la administración de midazolam endovenoso presento inmediatamente rash generalizado, acompañado de disnea, pérdida del estado de alerta, electrocardiograma arrítmico, frecuencia cardiaca de 70 a 110 latidos por minuto. Caída de la presión arterial en forma rápida de 90/60 a 80/40 mm Hg, SaO2 86%. No presento broncoespasmo. Se inicia apoyo ventilatorio con mascarilla facial. Se administró vía intravenosa: hidrocortisona 200 mg, difenhidramina 10 mg, ranitidina 50 mg, dexametasona 8 mg, además de líquidos abundantes y finalmente se administró de epinefrina 0.5 mg endovenosa dosis única. La respuesta fue favorable |
| English abstract | The com bination of general anesthesia with central or peripheral regional anesthesia is called combined anesthesia. The combined anesthesia technique was very popular in the years 80 ́s and 90 ́s. It has been used with satisfactory results in prolonged and painful procedures such as chest surgery and major abdominal surgery, providing a sum of benefits with a suitable profile is security. It has some advantages in relation to general anesthesia, mainly reduced anesthetic requirements and enables a proper postoperative analgesic strategy implementation. Lower rate of post operative pain and lower morbid ity and mortality is observed, the neuroendocrine response to stress less and improves immune response |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Farmacología, Anafilaxia, Midazolam, Anestesia |
| Keyword: | Medicine, Chemistry, Surgery, Pharmacology, Anaphylaxis, Midazolam, Anesthesia |
| Full text: | Texto completo (Ver PDF) |
