SciELO - Scientific Electronic Library Online

 
vol.31 número6¿Cómo seleccionar una prótesis para un reemplazo primario de cadera? Mínima supervivencia aceptable: resultados de un consenso de expertosMigración intraarticular del bloqueo óseo tibial tras la reconstrucción del ligamento cruzado anterior con injerto hueso-tendón-hueso índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • No hay artículos similaresSimilares en SciELO

Compartir


Acta ortopédica mexicana

versión impresa ISSN 2306-4102

Resumen

MEJIA-TERRAZAS, GE et al. Total shoulder arthroplasty under monitoring of cerebral perfusion. Report of the first case in Mexico. Acta ortop. mex [online]. 2017, vol.31, n.6, pp.300-303. ISSN 2306-4102.

Introduction:

The maintenance of cerebral perfusion during shoulder surgery performed in the beach chair position is controversial. The aim of this report is to present the first case in Mexico of a total shoulder arthroplasty performed with interscalene block and monitoring of the cerebral oxygen saturation. This monitoring was described in 1977, but only until the last decade has it reached relevance from the clinical point of view.

Clinical case:

We present an 84-year-old patient scheduled for total shoulder arthroplasty in beach chair position under regional anesthesia (ultrasound-guided interscalene block) in which the regional oxygen saturation (CrSO2) was monitored.

Discussion:

Monitoring of cerebral oximetry is a suitable tool that allows us to have a continuous assessment throughout the transanesthetic, so we can make decisions more expeditiously. On this basis, we believe that this type of monitoring should be fundamental in patients placed in a beach chair position, as well as predominantly use regional anesthesia. In cases where it cannot be used, this monitor is absolutely essential.

Palabras llave : Interscalene block; regional anesthesia; regional oxygen saturation; total shoulder arthroplasty.

        · resumen en Español     · texto en Español     · Español ( pdf )