[Consensus document on vaccination against influenza in health care workers]. / Consenso sobre la vacunación frente a la gripe en el personal sanitario.

Health care workers (HCW) are included each year among risk groups for vaccination against influenza. However, vaccination coverage among this group in our country is very low, not exceeding 25%. Convinced that one of the best tools to increase this coverage among professionals in our country are the scientific evidence, 19 scientific societies and associations professionals bringing together health professionals more directly related to influenza as an health problem, and the General Nursing Council, met to discuss and develop this consensus document in order to inform HCW about the appropriateness of their vaccination against influenza and the benefits that flow from it for themselves, for their patients and for the rest of the population. This recommendation is based on 3 pillars: argument of necessity, ethics and exemplary.

[Anesthetic management of labor in a pregnant woman with myocardial infarction]. / Manejo anestésico del parto en una gestante con infarto de miocardio.

Given the rarity of acute myocardial infarction (AMI) in parturients, we report the case of a 29-years-old woman who suffered 2 AMIs related to her 2 pregnancies. In our patient, the anesthetic technique chosen for the second birth, which was vaginal, was epidural analgesia with invasive hemodynamic monitoring. No complications occurred during the birth or the perinatal period.

Perirenal subcapsular fluid collection in a patient with membranous nephropathy and renal vein thrombosis.

We report a case of perirenal fluid collection associated with membranous nephropathy and right renal vein thrombosis. Surgical removal of the fluid and instillation of povidone iodine resolved the problem.