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Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis
Published on: May 16, 2025
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Medicinas herbales y cuidados perioperatorios
M K Ang-Lee1, J Moss, C S Yuan
1Department of Anesthesia and Critical Care, University of Chicago, 5841 S Maryland Ave, MC 4028, Chicago, IL 60637, USA. cyuan@midway.uchicago.edu
JAMA
|July 13, 2001
Resumen
Los medicamentos herbales comunes como la equinácea y el ginkgo pueden tener un impacto negativo en la atención al paciente durante la cirugía. Los médicos deben preguntar sobre el uso de hierbas para administrar de manera efectiva los posibles riesgos perioperatorios.
Área de la Ciencia:
- Anestesiología Anestesiología.
- Farmacología Farmacología.
- La Medicina Integrativa es una Medicina Integral.
Sus antecedentes:
- El uso generalizado de medicamentos a base de hierbas presenta riesgos potenciales para la atención perioperatoria del paciente.
- Comprender estos riesgos es crucial para mantener la seguridad del paciente en entornos quirúrgicos.
Objetivo del estudio:
- Revisar la literatura sobre medicamentos herbales de uso común en el período perioperatorio.
- Proporcionar estrategias de manejo para el uso preoperatorio de medicamentos a base de hierbas.
Principales métodos:
- Buscado en las bases de datos MEDLINE y Cochrane (1966-2000) para la medicina herbal, la fitoterapia y la medicina alternativa.
- Incluye estudios, informes de casos y revisiones de 8 hierbas comunes con datos de seguridad perioperatoria disponibles.
- Se extrae y sintetiza información de seguridad, farmacodinámica y farmacocinética.
Principales resultados:
- Ocho hierbas comunes (Echinacea, efedra, ajo, ginkgo, ginseng, kava, hierba de San Juan, valeriana) plantean preocupaciones perioperatorias. en el caso de las personas que se someten a cirugía, la valeriana es una de las más comunes.
- Las complicaciones potenciales incluyen sangrado (ajo, ginkgo, ginseng), inestabilidad cardiovascular (efedra), hipoglucemia (ginseng), sedación mejorada (kava, valeriana) y metabolismo alterado de los medicamentos (hierba de San Juan).
Conclusiones:
- Los médicos deben documentar activamente la historia de medicamentos a base de hierbas de los pacientes durante las evaluaciones preoperatorias.
- La familiaridad con las posibles interacciones y efectos de hierbas medicinales es esencial para prevenir y manejar las complicaciones perioperatorias.
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