ABSTRACT
BACKGROUND: Orthopedic surgery is commonly performed in elderly patients with higher cardiovascular surgical risk. Hemodynamic monitoring in these patients may prevent perioperative complications. AIM: To assess the usefulness of transesophageal echocardiography (TEE) for intraoperative cardiovascular monitoring during orthopedic surgery. MATERIAL AND METHODS: Patients older than 65 years subjected to orthopedic surgery using general anesthesia and with a high cardiovascular risk were studied. Intraoperative TEE was performed to assess intravascular volume, myocardial contractility and the presence of myocardial ischemia. RESULTS: Fifty three patients aged 72+/-5 years were studied. Hemodynamic stability was detected in 68% of patients, mainly reflected as episodes of hypovolemia. Myocardial ischemia was detected in two patients and embolic episodes in six (11%). CONCLUSIONS: Intraoperative TEE was useful for the hemodynamic evaluation of patients with high cardiovascular risk.
Subject(s)
Cardiovascular Diseases/physiopathology , Echocardiography, Transesophageal , Hemodynamics/physiology , Monitoring, Intraoperative , Orthopedic Procedures/methods , Aged , Blood Pressure/physiology , Blood Volume/physiology , Cardiovascular Diseases/diagnostic imaging , Female , Humans , Male , Prospective Studies , Risk FactorsABSTRACT
Background: Orthopedic surgery is commonly performed in elderly patients with higher cardiovascular surgical risk. Hemodynamic monitoring in these patients may prevent perioperative complications. Aim: To assess the usefulness of transesophageal echocargiography (TEE) for intraoperative cardiovascular monitoring during orthopedic surgery. Material and methods: Patients older than 65 years subjected to orthopedic surgery using general anesthesia and with a high cardiovascular risk were studied. Intraoperative TEE was performed to assess intravascular volume, myocardial contractility and the presence of myocardial ischemia. Results: Fifty three patients aged 72±5 years were studied. Hemodynamic stability was detected in 68 percent of patients, mainly reflected as episodes of hypovolemia. Myocardial ischemia was detected in two patients and embolic episodes in six (11 percent). Conclusions: Intraoperative TEE was useful for the hemodynamic evaluation of patients with high cardiovascular risk.
Subject(s)
Aged , Female , Humans , Male , Cardiovascular Diseases/physiopathology , Echocardiography, Transesophageal , Hemodynamics/physiology , Monitoring, Intraoperative , Orthopedic Procedures/methods , Blood Pressure/physiology , Blood Volume/physiology , Cardiovascular Diseases , Prospective Studies , Risk FactorsABSTRACT
En 10 pacientes portadoras de artritis reumatoide se evaluó la fuerza global de la musculatura inspiratoria a través de la presón inspiratoria máxima (PIM). Seis sujetos presentaron alteraciones radiológicas pulmonares, 6 manifestaciones de tos y 2 de disnea. La PIM resultó significativamente disminuida (p< 0,05) con respecto al grupo control normal. En 8 pacientes se encontró que a mayor duración de la terapia esteroidal, la PIM era significativamente menor (p< 0,05). Se concluye que en el grupo estudiado, existe una disfunción de la musculatura inspiratoria probablemente en relación a la terapia esteroidal, la que se explicaría en parte por la presencia de una miositis esteroidal y/o reumática de acuerdo a lo publicado recientemente
Subject(s)
Humans , Female , Adult , Arthritis, Rheumatoid/physiopathology , Inspiratory Capacity/physiology , Anti-Inflammatory Agents/therapeutic use , Case-Control Studies , Functional Residual Capacity , Myositis , SpirometryABSTRACT
Se presenta el primer caso de rinosporidiosis diagnosticado en la provincia Ciego de Avila, Cuba, analizándose las características clinico epidemiológicas del caso. Paciente de 13 años de edad, de sexo masculino, proveniente de un área rural que presentaba localización nasal de las lesiones. Se revisa la literatura al respecto