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Journals Brazilian Journal of Anesthesi...

Brazilian Journal of Anesthesiology

https://read.qxmd.com/read/37690608/fatigue-in-anesthesia-workers
#21
EDITORIAL
Nancy Redfern, Federico Bilotta
No abstract text is available yet for this article.
September 8, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37657517/minimum-effective-concentration-of-ropivacaine-for-ultrasound-guided-transmuscular-quadratus-lumborum-block-in-total-hip-arthroplasty-a-randomized-clinical-trial
#22
JOURNAL ARTICLE
Jian Hu, Xingcheng Li, Qiuru Wang, Jing Yang
OBJECTIVE: This trial aimed to identify the Minimum Effective Concentration (MEC90 , defined as the concentration which can provide successful block in 90% of patients) of 30 mL ropivacaine for single-shot ultrasound-guided transmuscular Quadratus Lumborum Block (QLB) in patients undergoing Total Hip Arthroplasty (THA). METHODS: A double-blind, randomized dose-finding study using the biased coin design up-and-down sequential method, where the concentration of local anesthetic administered to each patient depended on the response from the previous one...
August 30, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37648078/improving-perioperative-care-in-low-resource-settings-with-goal-directed-therapy-a-narrative-review
#23
REVIEW
Suzana Margareth Lobo, João Manoel da Silva Junior, Luiz Marcelo Malbouisson
Perioperative Goal-Directed Therapy (PGDT) has significantly showed to decrease complications and risk of death in high-risk patients according to numerous meta-analyses. The main goal of PGDT is to individualize the therapy with fluids, inotropes, and vasopressors, during and after surgery, according to patients' needs in order to prevent organic dysfunction development. In this opinion paper we aimed to focus a discussion on possible alternatives to invasive hemodynamic monitoring in low resource settings...
August 28, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37574112/opioid-administration-and-rescue-dose-exploring-the-effects-of-opioid-combinations
#24
EDITORIAL
Durval C Kraychete, André P Schmidt, Anna Karla N Souza, Guilherme A M de Barros
No abstract text is available yet for this article.
August 12, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37562650/decreasing-inconsistent-alarms-notifications-a-pragmatic-clinical-trial-in-a-post-anesthesia-care-unit
#25
JOURNAL ARTICLE
Saullo Queiroz Silveira, Rafael Sousa Fava Nersessian, Arthur de Campos Vieira Abib, Leonardo Barbosa Santos, Fernando Nardy Bellicieri, Karen Kato Botelho, Helidea de Oliveira Lima, Renata Mazzoni de Queiroz, GabrielSilva Dos Anjos, Hermann Dos Santos Fernandes, Glenio B Mizubuti, Joaquim Edson Vieira, Leopoldo Muniz da Silva
BACKGROUND: Alarms alert healthcare professionals of deviations from normal/physiologic status. However, alarm fatigue may occur when their high pitch and diversity overwhelm clinicians, possibly leading to alarms being disabled, paused, and/or ignored. We aimed to determine whether a staff educational program on customizing alarm settings of bedside monitors may decrease inconsistent alarms in the Postanesthesia Care Unit (PACU). METHODS: This is a prospective, analytic, quantitative, pragmatic, open-label, single-arm study...
August 8, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37562649/chronic-pain-after-hospital-discharge-on-patients-hospitalized-for-covid-19-an-observational-study
#26
JOURNAL ARTICLE
Guilherme Antonio Moreira de Barros, Douglas Inomata Cardoso da Silva, Mariana Lopes Amaral Barbosa, Rafael Abbud Soares, Rodrigo Leal Alves, Claudio Lucas Miranda, Paula Danieli Lopes da Costa, Paulo do Nascimento Júnior, Norma Sueli Pinheiro Módolo
BACKGROUND: There are few studies related to Coronavirus Disease 2019 (COVID-19) on the prevalence and nature of pain symptoms after hospital discharge, especially in individuals who develop moderate to severe disease forms. Therefore, this study aimed to evaluate the presence of chronic pain in patients discharged after hospitalization for COVID-19, and the relationship between the presence of chronic pain and intensive care stay, demographics, and risk factors for the worst Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outcome...
August 8, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37541487/association-of-antimicrobial-use-and-incidence-of-hospital-acquired-pneumonia-in-critically-ill-trauma-patients-with-pulmonary-contusion-an-observational-study
#27
JOURNAL ARTICLE
Estevão Bassi, Camila Trevizani Merighi, Carlos Issamu Tomizuka, Thais Guimarães, Fernando da Costa Ferreira Novo, Sergio Henrique Bastos Damous, Edivaldo Massazo Utiyama, Luiz Marcelo Sá Malbouisson
BACKGROUND: Pneumonia occurs in about 20% of trauma patients with pulmonary contusions. This study aims to evaluate the association between empirical antibiotic therapy and nosocomial pneumonia in this population. METHODS: Retrospective cohort of adult patients admitted to a trauma-surgical ICU. The Antibiotic Therapy Group (ATG) was defined by intravenous antibiotic use for more than 48h starting on hospital admission, while the Conservative Group (CG) was determined by antibiotic use no longer than 48h...
August 2, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37541486/metoprolol-for-prevention-of-bucking-at-orotracheal-extubation-a-double-blind-placebo-controlled-randomised-trial
#28
JOURNAL ARTICLE
Murilo Neves de Queiroz, Fabrício Tavares Mendonça, Maurício Vargas de Matos, Rafael Santos Lino, Luiz Sérgio Fernandes de Carvalho
BACKGROUND: Respiratory responses to extubation can cause serious postoperative complications. Beta-blockers, such as metoprolol, can interfere with the cough pathway. However, whether metoprolol can effectively control respiratory reflexes during extubation remains unclear. The objective of this study is to evaluate the efficacy of intravenous metoprolol in attenuating respiratory responses to tracheal extubation. METHODS: Randomized, double-blinded, placebo-controlled trial...
August 2, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37532110/genetic-specification-of-malignant-hyperthermia-susceptibility-is-warranted-for-assessing-fatigue-depression-and-exercise-intolerance
#29
LETTER
Josef Finsterer, Fulvio A Scorza, Carla A Scorza
No abstract text is available yet for this article.
July 31, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37517587/evaluation-of-the-relationship-between-the-stop-bang-score-with-oxygen-reserve-index-and-difficult-airway-a-prospective-observational-study
#30
JOURNAL ARTICLE
Ilka D Alp, Bengü G Köksal, Keziban Bollucuoğlu, Gamze Küçükosman, Özcan Pişkin, Çağdaş Baytar, Rahşan D Okyay, Hilal Ayoğlu
BACKGROUND: Patients diagnosed with Obstructive Sleep Apnea (OSA) syndrome have a tendency towards hypoventilation, hypoxia, and hypercarbia in the perioperative period. This study hypothesized that the Oxygen Reserve Index (ORi) could predict possible hypoxia and determine difficult airways in patients at risk for OSA, as determined by the STOP-Bang questionnaire. METHODS: This prospective study included adult patients undergoing elective surgery under general anesthesia with endotracheal intubation, divided into two groups: low risk (0-2 points) and high risk (3-8 points) based on their STOP-Bang questionnaire results...
July 28, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37517586/tension-pneumocephalus
#31
JOURNAL ARTICLE
Sandeep Khann, Carlos Trombetta, Kurt Ruetzler, Maged Argaliou
No abstract text is available yet for this article.
July 28, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37517585/prevention-of-drug-diversion-and-substance-use-disorders-among-anesthesiologists-a-narrative-review
#32
REVIEW
Michael G Fitzsimons, Gabriel Soares de Sousa, Arpine Galstyan, Vinícius Caldeira Quintão, Cláudia Marquez Simões
Diversion of substances from the care of the intended patient is a significant problem in healthcare. Patients are harmed by the undertreatment of pain and suffering, transmission of disease, as well as the risk associated with impaired vigilance. Healthcare providers may be harmed by the physical and mental impact of their addictions. Healthcare systems are placed in jeopardy by the legal impact associated with illegal routes of drug release including sanction and financial liability and loss of public trust...
July 28, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37516355/medication-adherence-in-treating-non-oncologic-chronic-pain-a-problem-to-solve
#33
LETTER
Emilie de Magalhães Pedreira, Viviane Borges Passos Mineiro, Luciana Maria Pondé Bastianelli Knop, Liliane Elze Falcão Lins-Kusterer, Durval Campos Kraychete
No abstract text is available yet for this article.
July 27, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37507071/pericapsular-nerve-group-peng-block-versus-fascia-iliaca-compartment-fi-block-for-hip-surgery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#34
REVIEW
Priscila P Andrade, Rafael A Lombardi, Isabela R Marques, Anna Carla Di Napoli Andrade E Braga, Beatrice R S Isaias, Nicholas E Heiser
BACKGROUND: This study compares Fascia Iliaca compartment (FI) block and Pericapsular Nerve Group (PENG) block for hip surgery. METHODS: Pubmed, Embase and Cochrane were systematically searched in April 2022. Inclusion criteria were: Randomized Controlled Trials (RCTs); comparing PENG block versus FI block for hip surgery; patients over 18 years of age; and reporting outcomes immediately postoperative. We excluded studies with overlapped populations and without a head-to-head comparison of the PENG block vs...
July 26, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37453497/does-dexmedetomidine-reduce-the-risk-of-acute-kidney-injury-after-cardiac-surgery-a-meta-analysis-of-randomized-controlled-trials
#35
JOURNAL ARTICLE
Chunxiao Zhao, Shuo Liu, Huiquan Zhang, Mengqi Gao
BACKGROUND: Acute Kidney Injury (AKI) is a common complication after cardiac surgery and has been associated with poor outcomes. Dexmedetomidine (DEX) has been shown to confer direct renoprotection based on some animal and clinical studies, but data from other trials came to the opposite conclusion following cardiac surgery. This meta-analysis was conducted to evaluate the effects of perioperative DEX administration on the occurrence of AKI and the outcomes after cardiac surgery. METHODS: We searched databases including EMBASE, PubMed, and Cochrane CENTRAL for Randomized Controlled Trials (RCTs) focused on DEX for AKI in adult patients after cardiac surgery...
July 14, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37442432/brazilian-version-of-the-heidelberg-peri-anesthetic-questionnaire
#36
LETTER
Luana Caroline Miantti Ghellere Bonfim, Nicole Morem Pilau Moritz, Luiza Daux Buffon, Eliane Traebert, Jefferson Traebert
No abstract text is available yet for this article.
July 11, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37442431/hydroxyethyl-starch-for-perioperative-fluid-management-a-critical-appraisal
#37
EDITORIAL
André P Schmidt, Federico Bilotta
No abstract text is available yet for this article.
July 11, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37433403/separate-circuit-nasal-cannulae-for-end-tidal-co-2-monitoring-may-lead-to-hypoxia-in-patients-with-unilateral-nasal-airway-obstruction
#38
LETTER
Jared C Cohen, Anthony M-H Ho, Heather D O'Reilly, Glenio B Mizubuti
No abstract text is available yet for this article.
July 9, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37429376/posterior-transversus-abdominis-plane-block-versus-lateral-quadratus-lumborum-block-in-children-undergoing-open-orchiopexy-a-randomized-clinical-trial%C3%A2
#39
JOURNAL ARTICLE
Özgecan P Zanbak Mutlu, Ayşe Ç Tütüncü, Pınar Kendigelen, Beril Kara Esen
BACKGROUND: Due to the complex innervation of the testicle and spermatic cord, analgesic management can be challenging in orchiopexy. We aimed to compare the effects of posterior Transversus Abdominis Plane (TAP) and lateral Quadratus Lumborum Block (QLB) on analgesic use, pain, and parent satisfaction in unilateral orchiopexy. METHODS: ASA I-III, aged 6 months - 12 years children undergoing unilateral orchiopexy were included to this double-blinded randomized trial...
July 8, 2023: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/37419446/erector-spinae-plane-block-for-urgent-pleuroscopy-a-possible-change-in-anesthetic-approach-for-high-risk-patients
#40
LETTER
Ruggero Massimo Corso, Claudia Ravaglia, Nicoletta Fossati, Dusica Stamenkovic
No abstract text is available yet for this article.
July 5, 2023: Brazilian Journal of Anesthesiology
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