Implicación en Cataluña de los Servicios de Anestesiología y Reanimación en la pandemia por SARS-CoV-2. Una solución real coste-efectiva para una crisis sanitaria sin precedentes / Involvement in Catalonia of the Anaesthesiology and Resuscitation Services in the SARS-CoV-2 pandemic. A real, cost-effective solution to an unprecedented health crisis

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Réplica a «Algoritmos de seguridad para bloqueos guiados por ecografía: el próximo reto» / Reply to 'Safety algorithm for ultrasound-guided blocks: the next challenge'

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Respuesta a los comentarios del artículo "Analgesia postoperatoria mediante infusión continua de anestésico local en la incisión quirúrgica tras cirugía abdominal. Revisión sistemática de la bibliografía" / No disponible

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Analgesia postoperatoria mediante infusión continua de anestésico local en la incisión quirúrgica tras cirugía abdominal. Revisión sistemática de la bibliografía / Continuous infusion of local anesthetic at the site of the abdominal surgical

Objetivos: Presentamos una revisión sistemática de los ensayos clínicos que tuvieron como objetivo valorar la eficacia de la administración de anestésico local con catéter en la incisión quirúrgica, en pacientes sometidos a cirugía abdominal. Método: Selección de los estudios siguiendo los criterios de Jadad. Las variables evaluadas en cada estudio fueron: tipo de intervención y de incisión, tipo, dosis y concentración del anestésico local, sitio de ubicación o localización del catéter, analgesia de rescate, consumo de opioides y la aparición de efectos adversos. Resultados: Se han incluido 15 ensayos con puntuación media de Jadad de 4,6 que incluyen 1.139 pacientes agrupados según la ubicación del catéter: subfascial (6 estudios), subcutánea (8 estudios) y en ambas (1 estudio), y 6 estudios adicionales que están en fase de realización registrados en ClinicalTrials.gov. Discusión: La analgesia incisional es una técnica segura, cuya eficacia se ha observado en cesáreas e histerectomías realizadas mediante incisiones de Pfannenstiel. Los resultados son contradictorios en otras técnicas quirúrgicas. Faltan estudios para conocer la localización óptima del catéter así como la concentración y volumen adecuado (AU)

Objectives: We present a systematic review of clinical trials to evaluate the efficacy of infusing local anesthetic through a catheter placed in the abdominal surgical wound. Methods: The Jadad (Oxford) scoring system was used to select trials. The variables considered in relation to each trial selected were as follows: type of intervention and incision; type, dose, and concentration of local anesthetic; site where the catheter was placed; rescue analgesia required; opioid use; and incidence of adverse events. Results: Fifteen clinical trials with a mean Jadad score of 4.6 were selected. The 1139 patients enrolled in the trials were grouped according to catheter placement: subfascial (6 trials), subcutaneous (8 trials), and both (1 trial). Six additional unpublished trials registered at ClinicalTrials.gov were also located. Conclusions: Surgical wound analgesia is a safe technique whose effectiveness has been observed in cesarean sections and hysterectomies performed with Pfannenstiel incisions. Outcomes for other types of surgery are inconsistent. There is a lack of studies of the optimal site for catheter placement as well as of adequate anesthetic concentration and volume (AU)

[Continuous infusion of local anesthetic at the site of the abdominal surgical wound for postoperative analgesia: a systematic review]. / Analgesia postoperatoria mediante infusión continua de anestésico local en la incisión quirúrgica tras cirugiá abdominal. Revisión sistemática de la bibliografía.

OBJECTIVES: We present a systematic review of clinical trials to evaluate the efficacy of infusing local anesthetic through a catheter placed in the abdominal surgical wound. METHODS: The Jadad (Oxford) scoring system was used to select trials. The variables considered in relation to each trial selected were as follows: type of intervention and incision; type, dose, and concentration of local anesthetic; site where the catheter was placed; rescue analgesia required; opioid use; and incidence of adverse events. RESULTS: Fifteen clinical trials with a mean Jadad score of 4.6 were selected. The 1139 patients enrolled in the trials were grouped according to catheter placement: subfascial (6 trials), subcutaneous (8 trials), and both (1 trial). Six additional unpublished trials registered at ClinicalTrials.gov were also located. CONCLUSIONS: Surgical wound analgesia is a safe technique whose effectiveness has been observed in cesarean sections and hysterectomies performed with Pfannenstiel incisions. Outcomes for other types of surgery are inconsistent. There is a lack of studies of the optimal site for catheter placement as well as of adequate anesthetic concentration and volume.

Analgesia postoperatoria mediante infusión continua de anestésico local en la incisión quirúrgica tras cirugía abdominal. Revisión sistemática de la bibliografía / Continuous infusion of local anesthetic at the site of the abdominal surgical wound for postoperative analgesia: a systematic review

Objetivos: Presentamos una revisión sistemática de los ensayos clínicos que tuvieron como objetivo valorar la eficacia de la administración de anestésico local con catéter en la incisión quirúrgica, en pacientes sometidos a cirugía abdominal. Método: Selección de los estudios siguiendo los criterios de Jadad. Las variables evaluadas en cada estudio fueron: tipo de intervención y de incisión, tipo, dosis y concentración del anestésico local, sitio de ubicación o localización del catéter, analgesia de rescate, consumo de opioides y la aparición de efectos adversos. Resultados: Se han incluido 15 ensayos con puntuación media de Jadad de 4,6 que incluyen 1.139 pacientes agrupados según la ubicación del catéter: subfascial (6 estudios), subcutánea (8 estudios) y en ambas (1 estudio), y 6 estudios adicionales que están en fase de realización registrados en ClinicalTrials.gov. Discusión: La analgesia incisional es una técnica segura, cuya eficacia se ha observado en cesáreas e histerectomías realizadas mediante incisiones de Pfannenstiel. Los resultados son contradictorios en otras técnicas quirúrgicas. Faltan estudios para conocer la localización óptima del catéter así como la concentración y volumen adecuado(AU)

Objectives: We present a systematic review of clinical trials to evaluate the efficacy of infusing local anesthetic through a catheter placed in the abdominal surgical wound. Methods: The Jadad (Oxford) scoring system was used to select trials. The variables considered in relation to each trial selected were as follows: type of intervention and incision; type, dose, and concentration of local anesthetic; site where the catheter was placed; rescue analgesia required; opioid use; and incidence of adverse events. Results: Fifteen clinical trials with a mean Jadad score of 4.6 were selected. The 1139 patients enrolled in the trials were grouped according to catheter placement: subfascial (6 trials), subcutaneous (8 trials), and both (1 trial). Six additional unpublished trials registered at ClinicalTrials.gov were also located. Conclusions: Surgical wound analgesia is a safe technique whose effectiveness has been observed in cesarean sections and hysterectomies performed with Pfannenstiel incisions. Outcomes for other types of surgery are inconsistent. There is a lack of studies of the optimal site for catheter placement as well as of adequate anesthetic concentration and volume(AU)

Propuesta sobre las competencias en Anestesiología, Reanimación y Terapéutica del Dolor de un graduado de Medicina. Consenso del profesorado de las universidades de Cataluña / No disponible

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Punción ecodirigida de la vena yugular interna por abordaje posterior / No disponible

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[Use of axillary perivascular blockage of the brachial plexus with a catheter as treatment in accidental intra-arterial injection of drugs]. / Utilización del bloqueo perivascular axilar del plexo braquial mediante catéter como tratamiento de la inyección accidental intraarterial de fármacos.

We report the intraarterial injection of a flunitrazepam tablet dissolved in water in a patient with intravenous drugs addiction. Several ecchymotic lesions were present at different sites of the arm. In order to achieve analgesia and the sympathetic blockade of the arm, we performed an axillary perivascular block of the brachial plexus by means of the intermittent injection through a catheter of 0.25% bupivacaine with a 1:200,000 epinephrine solution. In addition, an anticoagulant treatment with heparin was started as prophylaxis of the thrombosis of the vessel. There was a satisfactory clinical course even though a distal phalange had to be amputated on the 18th day. We propose the continuous perivascular block as the method of choice of this type of medical problem.