Sanid. mil. 2020; 76 (4) 209
Sanidad Militar
Revista de Sanidad de las Fuerzas Armadas de España
Sanid. Mil. Volumen 76, número 4. ISSN: 1887-8571 Octubre-Diciembre 2020
CONTENTS
EDITORIAL
211 2020 Nobel Price in Medicine for the scientistics who discovered the hepatitis C virus
Puerro-Vicente MF
ORIGINAL ARTICLE
213 Implementation of an intravenous anesthetic protocol during the validation of a prototype respirator in a pig model
Arias-Sanz P., Del-Pozo-Carabias A., Parra-Martínez JG., Ayuso-Sacido A.
SUMMARY: Objectives: The results obtained through the application of an intravenous anesthetic protocol are reviewed, in the
development of the procedures carried out on two pigs in the framework of an authorized project for the validation of a prototype
mechanical ventilator (respirator). All done according to the exceptional protocols enabled during the COVID-19 health crisis.
Material and methods: The animals were subjected to an anesthetic procedure, in which , an infusion of propofol was used and in de-mand
additioned fentanyl. Maintenance was achieved by means of continuous pressure-controlled mandatory ventilation, with an
approved anesthetic ventilator. The baseline values with anesthetic monitorization and blood gas are compared with those obtained
during connection to the respirator prototype under normal conditions, also with the same prototype under conditions of respira-tory
stress induced with a preparation of 0,9% saline solution wash. Results: The stability of the anesthetic state achieved with the
proposed anesthetic protocol is revealed, without identifying significant statistical differences between the monitoring parameters
obtained during the three anesthetic periods. Conclusions: This work shows how said intravenous anesthetic protocol allowed the
completion of the prototype validation project, maintaining at all times the conditios that led to the authorization of the project.
KEYWORDS: Intravenous anesthetic, Ventilator, Anesthesia monitoring, Bronchoalveolar Lavage, Porcine.
221 Descriptive anlysis of the medical care in the Spanish Role 1 medical facility deployed in Yibuti (Operation ‘Atalanta’) 2017-2018
Gil-Díaz S., Navarro-Suay R., López-Soberón E.
SUMMARY: Operation ‘Atalanta’ was approved by the Council of the European Union in December 2008 with the main objective
of protecting from the attacks of the pirates the maritim traffic of the occidental Indian ocean. The aim of this study is to analyse
the medical care provided in the Spanish Role 1 deployed medical treatment facility during Operation ‘Atalanta’ in Yibuti. Material
and methods. A cross-sectional, descriptive and retrospective study was conducted between 1 January 2017 and 30 September 2018.
The study population compromised all personnel treated at the Spanish Role 1 medical treatment facility in Yibuti. Results. During
the study period, a total of 1689 consultations included in the study were performed, 1390 of wich were first consultation. The
predominant type of medical care was categorised as ‘preventive medicine’ (n=274; 16.22%), followed by ‘traumatology’ (n=263;
15.57%), ‘gastroenterology’ (n=201; 11.9%), ‘dermatology’ (n=189; 11.19%) and ‘infectious diseases’ (n=171; 10.12%). Nineteen
patients (1.19%) required care in the upper medical echelon of care. ‘Odontology’ was the main reason for evacuation to the next
medical echelon. Two patients were repatriated to the national territory for medical reasons. There were no deaths during the period
of study. Conclusions. The results of our study reinforce those found in similar recent international missions in which the Spanish
Armed Forces and other allied armies have deployed a Role 1 medical treatment facility. Relationships with the superior medical
echelon and telemedicine are important to help military physicians deployed on Role 1 medical facilities.
KEY WORDS: Military Medical Corp, Yibuti, Atalanta, Role 1, Medical assistance, Medical specialty.
SYSTEMATIC REVIEW
229 The investigation of Spanish periodontal Military Health in national territory
Bárcena-García M., Cobo-Plana JM., García-Rebollar R, Arcos-González P.
SUMMARY: Objectives: To identify and analyze the methodological characteristics of periodontal health research of the
Spanish military personnel in national territory through a bibliographic review. Data sources: PRISMA methodology using
bibliographic search sources: PubMed, Web of Science, Google Scholar and Dialnet Plus. MeSH terms and keywords were
used in the search strategy. Selection of studies: Studies of Spanish military populations that evaluated their periodontal
health were reviewed, excluding those carried out in the area of operations, periodontal emergencies, oral health studies that
did not include periodontal examinations, and those with reduced scientific relevance or unpublished. Data collection: 1974
studies were initially identified. To proceed with the selection, the abstracts were reviewed, and if necessary the complete
papers, rejecting those that did not meet the inclusion criteria, finally choosing 13 publications. Data synthesis: The studies
found were published between 1987 and 2020, mostly in the Spanish Army, in Andalusia and with a descriptive, cross-section-al
design. The samples ranged between 170 and 1530 subjects, mainly from male undertaking the mandatory military service
whose age was around 20 years. Most used the WHO periodontal indices and manual probes. Conclusions: The investigation
of periodontal health in the Spanish military population is limited despite its clinical relevance and repercussion on the op-eration
of the units. The research carried out in Spain on this specific professional group is mainly descriptive and through
observational design studies.
KEYWORDS: Periodontal diseases, Periodontal index, Oral hygiene index, Dental plaque, Military personnel, Armed Forces.
SHORT COMMUNICATION
235 Geographic tongue: One case report
García-Torres J.
SUMMARY: Lingual pathology appears in the dental office very frequently. There are a lot of different lingual pathologies, includ-ing
geographic tongue. This inflammatory condition appears as an ulcer-like, multifocal, irregular region with its borders elevated. It
is usually located on the dorsum of the tongue. It is usually asymptomatic and no treatment is needed in most cases. Its prevalence is