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Id: biblio-990062
Autor: Salcedo, Andrés; Araya, Claudia; Silva, Juan; Barraza, Nicolas; Latín, Alexis.
Título: Contribución al Estudio Descriptivo del Foramen y Canal Palatino Mayor / Contribution to the Descriptive Study of the Foramen and Greater Palatine Canal
Fonte: Int. j. odontostomatol. (Print);13(1):40-45, mar. 2019. tab, graf.
Idioma: es.
Resumo: RESUMEN: El foramen y canal palatino mayor (FPM y CPM) comunican boca con fosa pterigopalatina. El conocimiento adecuado de su morfología, permite el abordaje anestésico del nervio maxilar. En el vivo, el FPM está recubierto por una mucosa gruesa, debido a esto los puntos de referencia óseos y dentarios son importantes para ubicar el sitio de punción. Se ha descrito gran variabilidad en cuanto a la etnia, posición, forma, diámetros, longitudes y permeabilidad. Este estudio tuvo como objetivo describir éstas características en cráneos de adultos chilenos. Se utilizaron 31 cráneos de ambos sexos. En los paladares se determinó; forma, largo, profundidad y ancho. En los FPM se consideró su forma, diámetros y localización. En los CPM se registró su permeabilidad y su coincidencia con la forma del FPM. Los registros se realizaron con cámara digital, compás de precisión, caliper digital, compas tridimensional de Korkhaus y sonda metálica. Los resultados muestran un predominio de la forma cuadrada del paladar por sobre las formas triangular y redondeada. Las mediciones de su largo, ancho y profundidad indican diferencias por sexo y por etnia. La forma del FPM no muestra diferencia por sexo, primando la forma ovalada por sobre la fusiforme y la redondeada. La posición de este mismo foramen tampoco muestra diferencias sexuales, primando la posición frente al tercer molar superior, seguida por la posición frente al espacio entre segundo y tercer molar superior y por último frente al 2do molar superior. Las dimensiones del FPM son mayores en individuos masculinos. Los CPM se observaron en su totalidad permeables y los FPM no siempre coincidieron en forma con la sección transversal del CPM. Estos resultados y su comparación con la literatura indican variaciones importantes, lo que impide establecer directrices objetivas a la técnica anestésica que utiliza esta vía anatómica.

ABSTRACT: The greater palatine foramen and canal (GPF and GPC) communicate with the pterygopalatine fossa. The adequate knowledge of its morphology allows the anesthetic approach of the maxillary nerve. In vivo, the GPF is covered by a thick mucosa, therefore, the bone and dental reference points are important to locate the puncture site. Great variability has been described in terms of ethnicity, position, shape, diameters, lengths and permeability. The objective of this study was to describe these characteristics in skulls of Chilean adults. 31 skulls of both sexes were used. In the palates shape, length, depth and width were determined. In the GPF its shape, diameters and location were considered. In the GPC, their permeability and their coincidence with the shape of the GPF were recorded. The records were made with digital camera, precision compass, digital caliper, Korkhaus three-dimensional compass and metallic probe. The results show a predominance of the square shape of the palate over the triangular and rounded forms. The measurements of its length, width and depth indicate differences by sex and ethnicity. The shape of the GPF shows no difference by sex, with the oval shape prevailing over the fusiform and the rounded. The position of this same foramen also shows no sexual differences, with the position prevailing against the upper third molar, followed by the position in front of the space between the upper second and third molars and finally against the upper 2-molar. The dimensions of GPF are greater in male individuals. The GPC were found to be entirely permeable and the GPF did not always coincide in form with the cross section of the GPC. These results and their comparison with the literature indicate important variations, which prevents establishing objective guidelines for the anesthetic technique used in these cases.
Descritores: Palato Duro/anatomia & histologia
Palato Duro/diagnóstico por imagem
Fossa Pterigopalatina/anatomia & histologia
Fossa Pterigopalatina/diagnóstico por imagem
Maxila/anatomia & histologia
Maxila/diagnóstico por imagem
-Chile
Epidemiologia Descritiva
Tomografia Computadorizada de Feixe Cônico Espiral
Bloqueio Nervoso
Limites: Humanos
Masculino
Feminino
Adulto
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1147578
Autor: Lavi, Jasson; Espinoza, Alessandri; Hernández, María Gabriela; León, Randick; Espinoza, Alvaro; León, Antonio.
Título: Comparación del bloqueo periprostático con lidocaina y supositorio de diclofenac y placebo en la biopsia prostática / Comparison of periprostatic block with lidocaine and diclofenac suppository and placebo in prostate biopsy
Fonte: Revista Digital de Postgrado;10(1):262, abr. 2021. tab.
Idioma: es.
Resumo: El bloqueo del nervio peri prostático con lidocaína, proporciona un buen alivio del dolor en la realización de la biopsia prostática guiada por ultrasonido, pero el dolor post-procedimiento, puede llegar a ser significativo, la adición del supositorio de diclofenac, podría proporcionar alivio adicional. Se asignaron al azar pacientes en 2 grupos el grupo 1 bloqueo con lidocaína del plexo peri prostático + supositorio de diclofenac sódico y el grupo 2 bloqueo con lidocaína del plexo peri prostático + supositorio de placebo, realizando biopsia doble sextante, el dolor a varios intervalos después del procedimiento se registró en una escala visual análoga (EVA) de 0 a 10. Los 2 grupos fueron similares en cuanto a edad, volumen de próstata, antígeno prostático específico, diagnóstico histopatológico. Los pacientes que recibieron diclofenac tuvieron puntajes de dolor significativamente más bajos que los que recibieron placebo (2 frente a 3,35) p 0,02. La administración rectal de diclofenac antes de la realización de la biopsia de próstata es un procedimiento simple que alivia significativamente el dolor experimentado sin aumento en la morbilidad(AU)

The peri-prostatic nerve block with lidocaine, provides good pain relief in performing ultrasoundguided prostate biopsy, but the postprocedure pain can be significant, the addition of diclofenac suppository, could provide additional relief. Patients were randomly assigned in 2 groups to group 1 blockade with lidocaine of the prostatic peri plexus + suppository of diclofenac sodium and group 2 blockade with lidocaine of the prostatic peri plexus + placebo suppository, performing double sextant biopsy, pain at several intervals after the procedure was recorded on a visual analog scale (EVA) from 0 to 10. Thee 2 groups were similar in terms of age, prostate volume, prostate-specific antigen, histopathological diagnosis. Patients who received diclofenac had pain scores significantly lower than those who received placebo (2 vs. 3.35) p 0.02. Rectal administration of diclofenac before performing a prostate biopsy is a simple procedure that relieves significantly pain experienced without increased morbidity(AU)
Descritores: Próstata/patologia
Anti-Inflamatórios não Esteroides/uso terapêutico
Diclofenaco/uso terapêutico
Anestésicos Locais/uso terapêutico
Lidocaína/uso terapêutico
Bloqueio Nervoso/métodos
-Placebos/uso terapêutico
Próstata/diagnóstico por imagem
Administração Retal
Estudos Prospectivos
Manejo da Dor/métodos
Biópsia Guiada por Imagem
Anestesia Local
Limites: Humanos
Masculino
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: VE1.1 - Biblioteca Humberto Garcia Arocha


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Id: biblio-1119716
Autor: Mejía-Terrazas, Gabriel Enrique; López-Muñoz, Eunice.
Título: Implicaciones del COVID-19 (SARS-CoV-2) para la práctica anestesiológica / Implications of COVID-19 (SARS-CoV-2) for the anesthesiological practice
Fonte: Medwave;20(6):e7950, 31-07-2020.
Idioma: en; es.
Resumo: El objetivo de este artículo es revisar las características del SARS-CoV-2, los aspectos clínico-epidemiológicos de COVID-19 y las implicaciones que tienen para los anestesiólogos al realizar procedimientos generadores de aerosoles. Se realizó una búsqueda en las bases de datos PubMed, Scopus, SciELO y Web of Science hasta el 9 de abril de 2020, utilizando las palabras: "COVID-19 or COVID19 or SARS-CoV-2 and anesthesiology or anesthesia". Se incluyeron 48 artículos con información sobre el manejo del paciente en el perioperatorio o en la unidad de cuidados intensivos ante la sospecha o confirmación de infección por SARS-CoV-2. En general, se recomienda el aplazamiento de las cirugías electivas por no más de seis a ocho semanas, de acuerdo a las condiciones clínicas de los pacientes. En el caso de cirugías de urgencia o emergencia, se revisan tópicos del sistema de protección personal así como las estrategias recomendadas para la realización de los procedimientos.

The purpose of this article is to review the characteristics of SARS-CoV-2, the clinical-epidemiological aspects of COVID-19, and the implications anesthesiologists when performing aerosol-generating procedures. A search of PubMed/MEDLINE, Scopus, SciELO, and Web of Science databases was performed until April 9, 2020, using the words: "COVID-19 or COVID19 or SARS-CoV-2 and anesthesiology or anesthesia". Forty-eight articles with information on the management of the patient in the perioperative period or the intensive care unit when suspected or confirmed SARS-CoV-2 infection were included. In general, the postponement of elective surgeries for no more than 6 to 8 weeks, depending on the clinical condition of the patients is recommended. In the case of urgent or emergency surgeries, we review the use of personal protection gear, as well as the recommended strategies for carrying out the procedure.
Descritores: SARS-CoV-2/genética
COVID-19/complicações
COVID-19/epidemiologia
Anestesiologia/normas
Doenças Profissionais/prevenção & controle
-Respiração Artificial/métodos
Respiração Artificial/normas
Procedimentos Cirúrgicos Operatórios/métodos
Procedimentos Cirúrgicos Eletivos
Aerossóis
Pandemias
Avaliação de Sintomas/métodos
Equipamento de Proteção Individual
COVID-19/diagnóstico
COVID-19/transmissão
Unidades de Terapia Intensiva
Intubação Intratraqueal/métodos
Intubação Intratraqueal/normas
Anestesia por Condução/métodos
Anestesia Epidural/métodos
Anestesia Geral/métodos
Raquianestesia/métodos
Anestesiologia/organização & administração
Bloqueio Nervoso/métodos
Limites: Humanos
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-990027
Autor: Choudhary, Om Prakash; Kalita, Pranab Chandra; Konwar, Bedanga; Doley, Probal Jyoti; Kalita, Girin; Kalita, Arup.
Título: Morphological and Applied Anatomical Studies on the Head Region of Local Mizo Pig (Zovawk) of Mizoram / Estudios Morfológicos y Anatómicos Aplicados en la Cabeza de Cerdo Local Mizo (Zovawk) de Mizoram
Fonte: Int. j. morphol;37(1):196-204, 2019. graf.
Idioma: en.
Resumo: SUMMARY: Zovawk is newly identified breed of pig of Mizoram approved by breed registration committee of Indian Council of Agricultural Research (ICAR), New Delhi. This study was designed to provide maximum number of morphometrical parameters of skull and some valuable information on clinically important parameters of Zovawk. The skull of the Zovawk was dolichocephalic according to the cephalic index (53.56±0.11). The supraorbital foramina distance, infraorbital foramina distance, skull length, skull width, cranial length and nasal length of the Zovawk were 3.49±0.01 cm, 6.55±0.01 cm, 28.26±0.03 cm, 15.11±0.26 cm, 13.17±0.04 cm and 13.79±0.02 cm, respectively. The orbital margins were found to be incomplete with bilateral variation among the orbits of both the sides. The distance from the process of alveolar socket of canine tooth to the infraorbital canal and from the latter to the root of the fourth upper premolar alveolar tooth directly ventral to it was 4.77±0.04 cm and 1.20±0.01 cm, respectively in Zovawk. The data are of clinical importance as a guide for tracking the infra-orbital nerve, and necessary for its desensitization during the manipulations in the skin of the upper lip, nostril and face at the level of the foramen. The distance between the lateral end of the alveolus of the third incisor tooth to the mental foramen was 3.57±0.04 cm in Zovawk, which is an important landmark for achieving the location of the mental nerve for the regional nerve block Zovawk. The length and height of the mandible were 25.02±0.09 cm and 10.54±0.07 cm, respectively in Zovawk. The morphometric measurements of the skull and applied anatomy of the head region of the Zovawk provide an important baseline data for further research in the field of applied anatomy.

RESUMEN: Zovawk es una raza de cerdo de Mizoram recientemente identificada, aprobada por el comité de registro de razas del Consejo Indio de Investigación Agrícola (ICAR), Nueva Delhi. Este estudio fue diseñado para proporcionar el número máximo de parámetros morfométricos del cráneo y cierta información valiosa sobre parámetros clínicamente importantes de Zovawk. El cráneo de Zovawk es dolicocefálico según el índice cefálico (53,56 ± 0,11). La distancia de foramina supraorbital, la distancia de foramina infraorbital, la longitud del cráneo, el ancho del cráneo, la longitud craneal y la longitud nasal del Zovawk fueron 3.49 ± 0.01 cm, 6.55 ± 0.01 cm, 28.26 ± 0.03 cm, 15.11 ± 0.26 cm, 13.17 ± 0.04 cm y 13.79 ± 0,02 cm, respectivamente. Se encontró que los márgenes orbitales estaban incompletos con una variación bilateral entre las órbitas de ambos lados. La distancia desde el proceso de la cavidad alveolar del diente canino al canal infraorbitario y desde este último a la raíz del cuarto diente alveolar premolar superior directamente ventral fue de 4.77 ± 0.04 cm y 1.20 ± 0.01 cm, respectivamente, en Zovawk. Los datos son de importancia clínica como guía para el seguimiento del nervio infra-orbital y necesarios para su desensibilización durante las manipulaciones en la piel del labio superior, fosa nasal y cara a nivel del foramen. La distancia entre el extremo lateral del alvéolo del tercer diente incisivo y el foramen mental fue de 3.57 ± 0.04 cm en Zovawk, que es un hito importante para lograr la ubicación del nervio mental para el bloqueo nervioso regional Zovawk. La longitud y la altura de la mandíbula fueron 25.02 ± 0.09 cm y 10.54 ± 0.07 cm, respectivamente, en Zovawk. Las mediciones morfométricas del cráneo y la anatomía aplicada de la región de la cabeza de Zovawk proporcionan datos de referencia importantes para futuras investigaciones en el campo de la anatomía aplicada.
Descritores: Cabeça/anatomia & histologia
-Crânio/anatomia & histologia
Suínos
Parâmetros de Referência
Índia
Bloqueio Nervoso
Limites: Animais
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1253023
Autor: Cristiani Halty, Federico; Castro, Gabriela; Castelli, Sofía; Hernández, Alejandra; López, Gabriela.
Título: Manual básico de bloqueos regionales ecoguiados en anestesia pediátrica / Basic manual of ultrasound-guided regional blocks in pediatric anesthesia.
Fonte: Montevideo; Centro Hospitalario Pereira Rossell (CHPR). Servicio de Anestesia Pediátrica. Unidad de Dolor; impresión 2014. 45 p. ilus.
Idioma: es.
Descritores: Pediatria
Ultrassonografia
Anestesia Local/métodos
Bloqueio Nervoso/métodos
-Dor Pós-Operatória
Limites: Humanos
Responsável: UY1.1 - BINAME - Biblioteca Nacional de Medicina
UY1.1; 23G, CRI; UY1.1; WO179, CRI


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Id: biblio-1055883
Autor: Kang, Jiyu; Liu, Yang; Niu, Li; Wang, Mengli; Meng, Chao; Zhou, Huacheng.
Título: Anesthesia upstream of the alcoholic lesion point alleviates the pain of alcohol neurolysis for intercostal neuralgia: a prospective randomized clinical trial
Fonte: Clinics;75:e1296, 2020. tab, graf.
Idioma: en.
Resumo: OBJECTIVES: Alcohol for intercostal neuralgia may induce severe injection pain. Although nerve block provided partial pain relief, alcohol might be diluted, and the curative effect decreased when the local anesthetic and alcohol were given at the same point. Therefore, we observed the modified method for intercostal neuralgia, a Two-point method, in which the local anesthetic and alcohol were given at different sites. METHOD: Thirty patients diagnosed with intercostal neuralgia were divided into 2 groups: Single-point group and Two-point group. In the Single-point group, alcohol and local anesthetic were injected at the same point, named the "lesion point", which was the lower edge of ribs and 5 cm away from the midline of the spinous process. In the Two-point group, alcohol was injected at the lesion point, whereas the local anesthetic was administered at the "anesthesia point", which was 3 cm away from the midline of spinous process. RESULTS: After alcohol injection, visual analog scale (VAS) in the Two-point group was lower than the Single-point group, and the satisfaction ratio of patients in the Two-point group was higher (p<0.05). The degree of numbness in the Two-point group was greater than the Single-point group at 1 month and 3 months after operation (p<0.05). However, the long-term effects did not differ. CONCLUSIONS: Local anesthetic was given upstream of the point where alcohol was administered, was a feasible and safe method to relieve pain during the operation, and improved the satisfaction of the patients and curative effect.
Descritores: Anestesia Local/métodos
Anestésicos Locais
Bloqueio Nervoso/métodos
Neuralgia/terapia
-Estudos Prospectivos
Limites: Humanos
Masculino
Feminino
Tipo de Publ: Ensaio Clínico Controlado Aleatório
Responsável: BR1.1 - BIREME


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Id: biblio-1249035
Autor: Diwan, Sandeep; Blanch, Xavier Sala; Nair, Abhijit; Shah, Dipal.
Título: Anatomic and radiological correlation of injectate spread from first thoracic costotransverse junction in cervical erector spinae plane
Fonte: Autops. Case Rep;11:e2021275, 2021. tab, graf.
Idioma: en.
Resumo: Introduction Cervical erector spinae plane block (ESPB) provides postoperative pain relief when administered at the level of first thoracic costotransverse junction (CTJ) for surgeries on the proximal shoulder and cervical spine. We propose to describe the spread of 20 ml radiocontrast - dye solution administered at this level from caudad to cephalad direction in a fresh frozen cadaveric model through imaging and cross-sections. Methods An observational study with four thoracic to cervical ESP blocks at the level of first thoracic CTJ level on two fresh cadavers (total 4 specimens) was conducted using 20 ml of radiocontrast- methylene blue combination (10 ml through the needle and 10 ml through the catheter). Both cadavers were subjected to computed tomography (CT) scan. An anatomist and radiologist, respectively, analyzed cross-sections of cadavers and CT contrasted images. Results The spread was assessed in axial, sagittal, and coronal at the levels of C4, C5, C6, C7and T1. The medial limit was articular processes in both cadavers. The lateral limits were the outer border of the middle scalene muscle in cadaver 1 and posterior to the sternocleidomastoid muscle in cadaver 2. Contrast spread was visualized on the superior and anterior aspect of anterior scalene muscle in cadaver 2. An epidural spread was observed at the level of C5-6 and C6-7 in axial and coronal planes in cadaver 1. Conclusions The cervical ESPB administered at the first thoracic CTJ with injections directed cephalad has a consistent action on the dorsal spinal nerves of thoracic and cervical area, and spreads in the paravertebral space dorsal to the ventral cervical roots.
Descritores: Anestesia por Condução/métodos
Bloqueio Nervoso
-Cadáver
Ultrassonografia
Dissecação
Limites: Humanos
Tipo de Publ: Artigo Clássico
Responsável: BR26.7 - Serviço de Biblioteca e Documentação Científica


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Id: biblio-1153959
Autor: Fernandes, Hermann dos Santos; Azevedo, Artur Salgado de; Ferreira, Thiago Camargo; Santos, Shirley Andrade; Rocha-Filho, Joel Avancini; Vieira, Joaquim Edson.
Título: Ultrasound-guided peripheral abdominal wall blocks
Fonte: Clinics;76:e2170, 2021. graf.
Idioma: en.
Resumo: The practice of regional anesthesia is in a state of progressive evolution, mainly due to the advent of ultrasound as an anesthesiologist's instrument. Alternative techniques for postoperative analgesia of abdominal surgeries, such as transversus abdominis plane block, oblique subcostal transversus abdominis plane block, rectus abdominis muscle sheath block, ilioinguinal and iliohypogastric nerve block, and quadratus lumborum plane block, have proven useful, with good analgesic efficacy, especially when neuroaxial techniques (spinal anesthesia or epidural anesthesia) are not possible. This review discusses such blockades in detail, including the anatomical principles, indications, techniques, and potential complications.
Descritores: Parede Abdominal/cirurgia
Parede Abdominal/diagnóstico por imagem
Bloqueio Nervoso
-Dor Pós-Operatória
Músculos Abdominais/diagnóstico por imagem
Ultrassonografia de Intervenção
Limites: Humanos
Tipo de Publ: Revisão
Responsável: BR1.1 - BIREME


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Id: biblio-1134476
Autor: Mansilla, Alejandra; Mansilla, Sofía; Calisto, Joaquín; Pereira, Crihstian J; García, Joaquín; Olivera, Eduardo.
Título: Anatomical basis for the selective block of the nerve to quadratus femoris by way of percutaneous techniques / Bases anatómicas para el bloque selectivo del nervio del músculo cuadrado femoral a través de técnicas percutáneas
Fonte: Int. j. morphol;38(6):1549-1554, Dec. 2020. graf.
Idioma: en.
Resumo: SUMMARY: Hip joint chronic pain can severely compromise patients' life quality. Peripheral nerve blocks play an important role as diagnostic and therapeutic procedures. The aim of this work is to study the anatomy of the nerve to quadratus femoris (NQF) in view of the possibility of its percutaneous selective block. Forty-three gluteal cadaveric regions fixed in formaldehyde solution were dissected. The quadratus femoris, the obturator internus and superior and inferior gemellus were freed from their lateral insertion, exposing thus the posterior aspect of the hip joint. The NQF was identified, and the horizontal distance to the posterior edge of the greater trochanter at its upper, middle and lower thirds was registered. The number of the articular branches of the NQF was identified. Likewise, the horizontal distance to the posterior edge of the greater trochanter and the longitudinal distance to the line through the distal end of the posterior edge of the greater trochanter were measured. The distance between the NQF and the greater trochanter posterior edge at upper, middle and lower thirds was 46 mm, 41 mm and 35 mm, respectively. In most cases (85 %) the NQF presented one or two articular branches. The longitudinal distances between the line through the distal end of the posterior edge of the greater trochanter and the origin of the first, second and third articular branches of the NQF were 14.7 mm (-19.4 - 40), 16.4 mm (-9.3-42) and 27 mm (0-46), respectively. The distances to the posterior edge of the greater trochanter were 43.1 mm (16.3-66), 37.7 mm (6.5-53) and 39.8 mm (26-52), for the first, second and third articular branches, respectively. In conclusion, the articular branches of the nerve to quadratus femoris have a constant and predictable distribution. Our findings allow for generating a coordinate system for the selective block of the NQF by way of percutaneous techniques.

RESUMEN: El dolor crónico de la articulación coxal puede comprometer severamente la calidad de vida de los pacientes. Los bloqueos nerviosos periféricos juegan un papel importante como procedimientos diagnósticos y terapéuticos. El objetivo de este trabajo es estudiar la anatomía del nervio del músculo cuadrado femoral (NCF) en vista de la posibilidad de su bloqueo selectivo percutáneo. Se utilizaron 22 cadáveres fijados en solución de formaldehído. Fueron disecadas en total 43 regiones glúteas. Los músculos cuadrado femoral, obturador interno y los gemelos superior e inferior fueron liberados de su inserción lateral, exponiendo así la cara posterior de la articulación coxal. Se identificó el NCF y se registró la distancia horizontal al margen posterior del trocánter mayor en sus tercios superior, medio e inferior. Se identificó el número de ramas articulares del NQF. Asimismo, se midió la distancia horizontal al margen posterior del trocánter mayor y la distancia longitudinal a la línea que pasa por el extremo distal del margen posterior del trocánter mayor. La distancia entre el NCF y el margen posterior del trocánter mayor en los tercios superior, medio e inferior fue de 46 mm, 41 mm y 35 mm, respectivamente. En la mayoría de los casos (85 %) el NCF presentó una o dos ramas articulares. Las distancias longitudinales entre la línea que pasa por el extremo distal del margen posterior del trocánter mayor y el origen de la primera, segunda y tercera ramas articulares del NQF fueron 14,7 mm (-19,4 - 40), 16,4 mm (-9,3-42) y 27 mm (0-46), respectivamente. Las distancias al margen posterior del trocánter mayor fueron 43,1 mm (16,3-66), 37,7 mm (6,5-53) y 39,8 mm (26-52), para la primera, segunda y tercera ramas articulares, respectivamente. En conclusión, las ramas articulares del nervio al cuadrado femoral tienen una distribución constante y predecible. Nuestros hallazgos permiten generar un sistema de coordenadas para el bloqueo selectivo del NCF por medio de técnicas percutáneas.
Descritores: Nervos Periféricos/anatomia & histologia
Músculo Esquelético/inervação
Articulação do Quadril/inervação
Bloqueio Nervoso/métodos
-Cadáver
Limites: Humanos
Adulto
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1015690
Autor: Sguiglia Schutz, Sebastián Andrés.
Título: Evidencia orientada al paciente: uso de pregabalina en el tratamiento de la lumbociatalgia / Pregabalin for treatment of low back pain
Fonte: Evid. actual. práct. ambul;21(4):124-126, 2018.
Idioma: es.
Resumo: La lumbociatalgia es un problema clínico común, que en la mayoría de los casos se autolimita y se puede tratar en forma conservadora, usando medidas no farmacológicas y analgésicos como paracetamol o los antiinflamatorios no esteroi-deos. Otro medicamento muy utilizado en nuestro medio es la pregabalina, a pesar de que no se encuentra aprobada para dicha indicación. En este trabajo, el autor se pregunta acerca de la utilidad clínica de la pregabalina y luego de hacer una búsqueda bibliográfica sobre la evidencia más actualizada y de mejor calidad acerca del tema, concluye que no es efectiva para lumbociatalgia y que se acompaña de efectos adversos significativos. Esto coincide con las recomenda-ciones de las guías internacionales, que en su mayoría desaconsejan el uso de anticonvulsivantes para la lumbalgia. (AU)

Sciatica is a common clinical situation, in most cases self-limited and which can be managed conservatively with nonpharmaco-logic treatment and analgesics, such as paracetamol or nonsteroidal anti-inflammatory drugs. Pregabalin is also commonly used, despite not being approved for this indication. In this article, the author queries about the clinical usefulness of pregabalin, and after carrying out a bibliographic search of the most recent and best-quality evidence, concludes that it is not effective in sciatica while it causes significant adverse effects. This is in line with the recommendations of most international guidelines,that do not recommend the use of anticonvulsivants drugs for the treatment of lumbalgia. (AU)
Descritores: Ciática/tratamento farmacológico
Dor Lombar/tratamento farmacológico
Prática Clínica Baseada em Evidências/tendências
Pregabalina/efeitos adversos
Anticonvulsivantes/efeitos adversos
-Ciática/cirurgia
Ciática/terapia
Anti-Inflamatórios não Esteroides/uso terapêutico
Dor Lombar/cirurgia
Dor Lombar/terapia
Pregabalina/administração & dosagem
Pregabalina/uso terapêutico
Analgésicos/uso terapêutico
Bloqueio Nervoso/tendências
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Adulto Jovem
Tipo de Publ: Revisão
Responsável: AR2.1 - Biblioteca Central



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