Publications by authors named "Karla Itzel Gutierrez-Riveroll"

Background: The use of local anesthetics as part of multimodal analgesia is an attractive concept in pediatric patients, since the evaluation and management of pain is a challenge in children under 7 years of age. Despite having guidelines and multiple studies on volume calculation, no safe and effective recommendation has been issued.

Objective: To demonstrate that ultrasound-guided caudal block with a dose of 0.

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Article Synopsis
  • Hyperthyroidism, while rare in children, peaks in adolescence, particularly in females, and can lead to severe complications like thyroid storm in poorly managed cases.
  • A clinical case details a 17-year-old with uncontrolled Graves' disease undergoing radical thyroidectomy, where a high score on the Burch and Wartofsky Scale indicated significant risk.
  • The use of multimodal anesthesia during surgery effectively prevented a thyroid storm and minimized postoperative pain and complications.
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Background: Tetralogy of Fallot is one of the most frequent cyanotic heart diseases in our country, occupying the second place reported by the national health program 2007- 2012 and its prevalence is around 11%. Patients undergoing correction for tetralogy of Fallot are considered patients with a prolonged ischemic time and a high risk of presenting low cardiac output syndrome.

Objective: To compare levosimendan with milrinone to prevent low cardiac output syndrome in patients undergoing tetralogy of Fallot correction.

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