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Revista Brasileira de Anestesiologia

Fábio Farias de Aragão, Pedro Wanderley de Aragão, Carlos Alberto Martins, Karlla Fernanda Custódia Silva Leal, Alexandro Ferraz Tobias
The use of analgesia techniques for labor has become increasingly frequent, with neuraxial techniques being the most commonly used and most effective. Labor pain entails a number of physiological consequences that may be negative for the mother and fetus, and therefore must be treated. This literature review was performed through a search in the PubMed database, from July to November 2016, and included articles in English or Portuguese, published between 2011 and 2016 or anteriorly, if relevant to the topic...
February 15, 2019: Revista Brasileira de Anestesiologia
Fabiano Timbó Barbosa, Amanda Bastos Lira, Olavo Barbosa de Oliveira Neto, Leyna Leite Santos, Isabelle Oliveira Santos, Luciano Timbó Barbosa, Marina Viegas Moura Rezende Ribeiro, Célio Fernando de Sousa-Rodrigues
BACKGROUND AND OBJECTIVE: The systematic review of randomized clinical trials is crucial to assess the safety and effectiveness of intermediate procedures. The objective of this article is to present a tutorial for the planning and execution of systematic review and meta-analysis of randomized clinical trial studies. CONTENT: The systematic literature review is the type of research that organizes, criticizes, and integrates available evidence published in the health field...
February 1, 2019: Revista Brasileira de Anestesiologia
Fabrício Tavares Mendonça, Marcelo Cabral de Lucena, Raul Silva Quirino, Catia Sousa Govêia, Gabriel Magalhaes Nunes Guimarães
BACKGROUND: Hypothermia occurs in up to 20% of perioperative patients. Systematic postoperative temperature monitoring is not a standard of care in Brazil and there are few publications about temperature recovery in the postoperative care unit. DESIGN AND SETTING: Multicenter, observational, cross-sectional study, at Hospital de Base do Distrito Federal and Hospital Materno Infantil de Brasília. METHODS: At admission and discharge from postoperative care unit, patients undergoing elective or urgent surgical procedures were evaluated according to tympanic temperature, vital signs, perioperative adverse events, and length of stay in postoperative care unit and length of hospital stay...
January 23, 2019: Revista Brasileira de Anestesiologia
Glenio B Mizubuti, Rene V Allard, Anthony M-H Ho, Louie Wang, Theresa Beesley, Wilma M Hopman, Rylan Egan, Devin Sydor, Dale Engen, Tarit Saha, Robert C Tanzola
BACKGROUND AND OBJECTIVES: Focused Cardiac Ultrasound (FoCUS) has proven instrumental in guiding anesthesiologists' clinical decision-making process. Training residents to perform and interpret FoCUS is both feasible and effective. However, the degree of knowledge retention after FoCUS training remains a subject of debate. We sought to provide a description of our 4-week FoCUS curriculum, and to assess the knowledge retention among anesthesia residents at 6 months after FoCUS rotation...
January 18, 2019: Revista Brasileira de Anestesiologia
Cihangir Biçer, Esra Nur Ünalan, Recep Aksu, Ömer Önal, Işın Güneş
BACKGROUND AND OBJECTIVE: Thoracic paravertebral blockade is an alternative regional technique for comforting post-thoracotomy pain, thereby decreasing opioid consumption, postoperative nausea and vomiting, dizziness, respiratory depression and health care costs. The objective of this study was to investigate the effects of bupivacaine and bupivacaine plus dexmedetomidine on postoperative pain score and analgesic consumption in thoracotomy patients who had undergone ultrasonography-guided paravertebral blockade...
January 18, 2019: Revista Brasileira de Anestesiologia
Alexandre Almeida Guedes, Felipe Ladeira Pereira, Eric Guimarães Machado, Marcello Fonseca Salgado Filho, Leandro Fellet Miranda Chaves, Fernando de Paiva Araújo
BACKGROUND: Trigeminocardiac reflex is a physiological phenomenon that may occur in head and neck surgery, and is usually benign. However, it may present with exaggerated responses with severe morbidity. CASE REPORT: Male patient, 26 years old, candidate for surgical treatment of zygomatic-orbital complex fracture. The surgery with bilateral nasal packing placed at the end of the procedure was uneventful. After being admitted to the post-anesthesia care unity, the patient complained of shortness of breath and nausea...
January 18, 2019: Revista Brasileira de Anestesiologia
Seyed Mohammad Zolhavarieh, Seyed Habibollah Mousavi-Bahar, Maede Mohseni, Amir Hossein Emam, Jalal Poorolajal, Faeze Majzoubi
BACKGROUND: Postoperative pain is the most common postoperative complication. This study was conducted to assess the effect of acetaminophen versus fentanyl on postoperative pain relief in patients who underwent urologic surgeries. METHODS: This clinical trial was conducted on patients aged 18-65 years. Patients were randomly assigned to receive either 2000mg acetaminophen (propacetamol) or fentanyl intravenously, 15min before the end of surgery. The postoperative pain was evaluated every 6h for 24h using the Visual Analog Scale...
January 15, 2019: Revista Brasileira de Anestesiologia
Lei Zhang, Wei Wang, Qian-Qian Qiao, Xue-Shan Bu, Ling-Hua Tang, Yi-Fan Jia, Zhong-Yuan Xia, Qing-Tao Meng
BACKGROUND AND OBJECTIVES: Dexmedetomidine has demonstrated protective effects against lung injury in vitro. Here, we investigated whether dexmedetomidine preconditioning protected against lung injury in hemorrhagic shock rats. METHODS: Male Sprague-Dawley rats were randomly divided into four groups (n=8): control group, hemorrhagic shock group, dexmedetomidine (DEX1) group, and dexmedetomidine (DEX2) group. Saline or dexmedetomidine were administered over 20min...
January 14, 2019: Revista Brasileira de Anestesiologia
Ángel Becerra, Héctor Trujillo, Lucía Valencia, Aurelio Rodríguez-Pérez
BACKGROUND AND OBJECTIVES: A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained. CASE REPORT: A 41 year-old woman suffered a car accident. At the emergency department, no abnormalities were found in ECG or chest X-ray. Abdominal ultrasound revealed the presence of abdominal free liquid and the patient was submitted to urgent exploratory laparotomy...
January 13, 2019: Revista Brasileira de Anestesiologia
Morenna Ramos E Oliveira, Murillo Gonçalves Santos, Débora Alves Aude, Rodrigo Moreira E Lima, Norma Sueli Pinheiro Módolo, Lais Helena Navarro E Lima
INTRODUCTION: The importance and benefits of breastfeeding for the babies and mothers are well established and documented in the literature. However, it is frequent that lactating mothers need to undergo general or spinal anesthesia and, due to the lack of information, many of them interrupt breastfeeding after anesthesia. There are limited data available regarding anesthetics transfer to breast milk. This review aims to develop some considerations and recommendations based on available literature...
January 13, 2019: Revista Brasileira de Anestesiologia
Onur Selvi, Serkan Tulgar, Ozgur Senturk, Deniz I Topcu, Zeliha Ozer
BACKGROUND AND OBJECTIVES: YouTube, the most popular video-sharing website, contains a significant number of medical videos including brachial plexus nerve blocks. Despite the widespread use of this platform as a medical information source, there is no regulation for the quality or content of the videos. The goals of this study are to evaluate the content of material on YouTube relevant to performance of brachial plexus nerve blocks and its quality as a visual digital information source...
January 8, 2019: Revista Brasileira de Anestesiologia
Luisa Almeida Rodrigues Silva, Alexandre Almeida Guedes, Marcello Fonseca Salgado Filho, Leandro Fellet Miranda Chaves, Fernando de Paiva Araújo
BACKGROUND AND OBJECTIVES: Negative pressure pulmonary edema occurs by increased intrathoracic negative pressure following inspiration against obstructed upper airway. The pressure generated is transmitted to the pulmonary capillaries and exceeds the pressure of hydrostatic equilibrium, causing fluid extravasation into the pulmonary parenchyma and alveoli. In anesthesiology, common situations such as laryngospasm and upper airway obstruction can trigger this complication, which presents considerable morbidity and requires immediate diagnosis and propaedeutics...
December 24, 2018: Revista Brasileira de Anestesiologia
Alessandro De Cassai, Tommaso Tonetti, Helmut Galligioni, Carlo Ori
BACKGROUND AND OBJECTIVE: Erector spinae plane block is a valid technique to provide simultaneously analgesia for combined thoracic and abdominal surgery. CASE REPORT: A patient underwent open esophagectomy followed by reconstructive esophagogastroplasty but refused thoracic epidural analgesia; a multi-modal analgesia with a multiple erector spinae plane block was then planned. Three erector spinae plane catheters (T5 and T10 on the right side and T9 on the left side) for continuous analgesia were placed before surgery...
January 2019: Revista Brasileira de Anestesiologia
Jorge Victor da Silva Costa, Carlos Eduardo Coimbra Melonio, Ciro Bezerra Vieira, Caio Marcio Barros de Oliveira, Plínio da Cunha Leal, Elizabeth Teixeira Noguera Servín, Lyvia Maria Rodrigues de Sousa Gomes, Ed Carlos Rey Moura
Pentalogy of Cantrell is a congenital anomaly associated with defects in the abdominal wall, sternum, diaphragm, and diaphragmatic pericardium formation, in addition to the development of cardiac abnormalities. It is a rare disease with an estimated incidence of one case for every 65,000 births, being more common in males (60% of cases). It has a reserved prognosis with mortality around 63%, and a maximum of 9 months survival after surgery. There are few case reports addressing the pentalogy of Cantrell, which is justified by the rarity of this pathology...
November 20, 2018: Revista Brasileira de Anestesiologia
Ignacio Garutti, Francisco Gonzalez-Moraga, Guillermo Sanchez-Pedrosa, Javier Casanova, Beatriz Martin-Piñeiro, Lisa Rancan, Carlos Simón, Elena Vara
BACKGROUND: Anesthetic pre-conditioning attenuates inflammatory response during ischemia-reperfusion lung injury. The molecular mechanisms to explain it are not fully understood. The aim of our investigation was to analyze the molecular mechanism that explain the anti-inflammatory effects of anesthetic pre-conditioning with sevoflurane focusing on its effects on MAPKs (mitogen-activated protein kinases), NF-κB (nuclear factor kappa beta) pathways, and apoptosis in an experimental lung autotransplant model...
November 17, 2018: Revista Brasileira de Anestesiologia
Basak Altiparmak, Hemra Cil, Nalan Celebi
BACKGROUND AND OBJECTIVES: Gabapentin is an antiepileptic drug. Widely used for the management of neuropathic pain. Although it is known to be well tolerated, somnolence and dizziness are the most frequent adverse effects. In this study, we aimed to evaluate the effect of melatonin on daytime sleepiness side effect of gabapentin, sleep quality and pain intensity of patients with neuropathic pain. METHODS: Patients suffering from "neuropathic pain" and planed to receive gabapentin therapy were randomly divided into two groups...
November 16, 2018: Revista Brasileira de Anestesiologia
Mehmet Cantürk, Fusun Karbancioglu Cantürk, Nazan Kocaoğlu, Meltem Hakki
BACKGROUND AND OBJECTIVES: Hypothermia occurs in about 60% of patients under anesthesia and is generally not managed properly during short lasting surgical procedures. Hypothermia is associated with adverse clinical outcomes. The current study is designed to assess the effects of crystalloid warming on maternal and fetal outcomes in patients undergoing elective cesarean section with spinal anesthesia. METHODS: In this prospective randomized controlled trial, sixty parturients scheduled for elective cesarean section with spinal anesthesia were randomly allocated to receive crystalloid at room temperature or warmed at 37°C...
November 15, 2018: Revista Brasileira de Anestesiologia
Jun Zeng, Wei Wei
We presented a 39-year-old female patient with life-threatening hypoxemia after tricuspid valve replacement because of Ebstein's anomaly. And the severe cyanosis is due to bioprosthetic valve stenosis and atrial septal defect. Anesthetic management of a patient with severe obstructive prosthetic valve dysfunction can be challenging. Similar considerations should be given to patients with Ebstein's anomaly to maintain the pressure equalized between the right and left atrial. Transesophageal echocardiography and cerebral oxygen saturation provided real time information in perioperative care...
November 13, 2018: Revista Brasileira de Anestesiologia
Omid Azimaraghi, Maryam Nezhad Sistani, Mohammad-Amin Abdollahifar, Ali Movafegh, Anahid Maleki, Ebrahim Soltani, Alireza Shahbazkhani, Reza Atef-Yekta
BACKGROUND AND OBJECTIVES: Developing brain is more vulnerable to environmental risk than is the developed brain. We evaluated the effects of repeated exposure to different concentrations of sevoflurane on the neonatal mouse hippocampus using stereological methods. METHODS: Eighteen neonatal male mice were randomly divided into three groups. Group A, inhaled sevoflurane at a concentration of 1.5%; Group B, inhaled sevoflurane at a concentration of 3%; and Group C (control group), inhaled only 100% oxygen...
November 13, 2018: Revista Brasileira de Anestesiologia
Sunny Goel, Gaurav Garg, Manoj Kumar, Ruchir Aeron
The report describes a case of peri-operative stroke that presented as diplopia and gait difficulty on 2nd post-operative day after routine orchidopexy under spinal anesthesia in an otherwise healthy young boy. Magnetic resonance imaging of the brain revealed acute infarct in bilateral cerebellar hemispheres, left half of medulla and left thalamus. A diagnosis of acute stroke (infarct) was made and patient was started on oral aspirin , following which his vision started improving after 2 weeks. Possible mechanisms of development of stroke in the peri-operative period are discussed, but, even after extensive investigations, the etiology of infarct may be difficult to determine...
November 13, 2018: Revista Brasileira de Anestesiologia
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