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Update on the treatment of acute infections in knee prostheses: Is it possible to retain the components? An in-depth look at the DAIR procedure.

Rev Esp Cir Ortop Traumatol

December 2024

Residente programa Ortopedia y Traumatología, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.

Introduction: Periprosthetic knee infections are serious complications after knee arthroplasty, affecting 1 to 2% of patients with primary surgery and up to 20% of revisions. The DAIR strategy (debridement, antibiotics, and implant retention) has emerged as a treatment for acute infections, allowing component retention in certain cases, with a high success rate.

Objectives: This review discusses its application, success factors, techniques such as the «double DAIR» and postoperative management, highlighting the importance of correct patient selection and the combination of a thorough and meticulous surgical technique with appropriate antibiotic therapy to optimize results.

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  • The study evaluates the effectiveness of the depth-predicting score (DPS) and simplified depth-predicting score (S-DPS) in predicting the invasion depth of early gastric cancer by nonexpert endoscopists using conventional endoscopic images.
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A partir de entrevistas y conversaciones a profundidad con cinco enfermeros técnicos de los pueblos Yine y Shipibo-Konibo que laboran en establecimientos de salud en la Amazonía de Ucayali en Perú, este estudio muestra que las prácticas desplegadas para atender a los enfermos con síntomas de Covid-19 hicieron uso de terapias y nociones biomédicas e indígenas. Dichas prácticas reflejaron su formación en salud intercultural y su capacidad para adecuar las normas establecidas por el Ministerio de Salud. En función de los síntomas observados en los pacientes, los enfermeros indígenas usaron una variedad de prácticas: vaporaciones, masajes, baños, infusiones y remedios.

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National survey on perioperative cognitive dysfunction.

Rev Esp Anestesiol Reanim (Engl Ed)

November 2024

Anestesiología y Reanimación, Hospital del Mar, Barcelona, Spain.

Background: Perioperative cognitive dysfunction (PCD) is a very prevalent clinical syndrome due to the progressive aging of the surgical population.The aim of our study is to evaluate the clinical practice of Spanish anesthesiologists surveyed regarding this entity.

Material And Methods: Prospective online survey conducted by the Neurosciences Section and distributed by SEDAR.

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