[Neuromuscular blockade monitoring. Part 1]. / Monitorización del bloqueo neuromuscular. 1a parte.

Many recent studies have underlined the importance of quantitative neuromuscular monitoring and the high incidence of residual block in clinical practice in spite of the use of nondepolarizing neuromuscular blockers of intermediate duration. Neuromuscular monitoring facilitates the tailoring of the muscular paralysis and appropriate patient recovery at the end of surgery. Monitoring also controls or prevents residual block and serves to guide the use of reversing agents. This review describes the physiology of neuromuscular junctions as well as the principles and patterns of nerve stimulation and clinical monitoring. In addition to drawing on their own experience, the authors have reviewed the literature available through evidence-based indexes and other databases up to December 2008. Most references found were case series and reviews. Quantitative monitoring is an evidence-based practice that should be applied in all situations in which a neuromuscular block is established.

Tumores glómicos: nuestra experiencia en 14 casos / Glomus tumors: our experience in 14 cases

Se presentan 14 casos de tumores glómicos (angioneuromioma), cuya localización más frecuente fue la subungeal (ocho casos). El tratamiento de todos ellos, previa anestesia locorregional, fue la extirpación quirúrgica completa del tumor, desapareciendo de esta forma el importance componente doloroso que motivó la ilegada de estos enfermos a nuestra consulta