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Brazilian Journal of Anesthesiology

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https://www.readbyqxmd.com/read/28017178/anesthesia-for-pulmonary-trunk-aneurysmorrhaphy
#1
Benedito Barbosa João, Ronaldo Machado Bueno, Guilherme D'Addazio Marques, Felippe Batista Soares
BACKGROUND AND OBJECTIVES: The aneurysm in the pulmonary trunk is a rare disease. Because of its location, a rupture can lead to right ventricular failure and sudden death. Aneurysmorraphy is the most widely used surgical treatment in these cases. The aim of this study is to report a successful balanced general anesthesia for aneurysmorraphy of pulmonary trunk. CASE REPORT: Male patient, 28 years, asymptomatic, diagnosed with an aneurysm in the pulmonary trunk. According to the location of the aneurysm and the consequent failure of the pulmonary valve, an aneurysmorraphy was indicated, with implantation of vascular-valvular prosthesis (valved tube)...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017177/maintenance-of-balance-between-airway-pressure-and-intracranial-pressure-in-a-patient-with-tracheal-stenosis-undergoing-craniotomy-a-case-report
#2
Çiğdem Yıldırım Güçlü, Başak Ceyda Meço, Meltem Karamustafa, Yüksel Keçik
BACKGROUND AND OBJECTIVES: Tracheal stenosis is a rare but a life-threatening condition and anesthesia of a patient with tracheal stenosis is challenging for anesthesiologists. Maintaining stable hemodynamics and ventilation parameters are important issues in neuroanesthesia. Any increase in airway peak pressure and ETCO2 will result in increase in intracranial pressure which must be avoided during craniotomies. Tracheal stenosis could be a reason for increased airway pressure. CASE REPORT: We described a patient undergoing craniotomy with tracheal stenosis...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017176/levosimendan-as-a-treatment-for-acute-renal-failure-associated-with-cardiogenic-shock-after-hip-fracture
#3
Fabiola Quinteros Hinojosa, Margarita Revelo, Alexander Salazar, Genaro Maggi, Renato Schiraldi, Nicolas Brogly, Fernando Gilsanz
Inotropic drugs are part of the treatment of heart failure; however, inotropic treatment has been largely debated due to the increased incidence of adverse effects and increased mortality. Recently levosimendan, an inotropic positive agent, has been proved to be effective in acute heart failure, reducing the mortality and improving cardiac and renal performance. We report the case of a 75-year-old woman with history of heart and renal failure and hip fracture. Levosimendan was used in preoperative preparation as an adjuvant therapy, to improve cardiac and renal function and to allow surgery...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017175/anesthesia-for-cesarean-section-in-a-patient-with-isolated-unilateral-absence-of-a-pulmonary-artery
#4
Tomonori Furuya, Ryoji Iida, Jyumpei Konishi, Jitsu Kato, Takahiro Suzuki
BACKGROUND AND OBJECTIVES: Congenital unilateral absence of a pulmonary artery (UAPA) is a rare anomaly. Although there are several reports regarding pregnancy in patients with unilateral absence of a pulmonary artery, there are no case reports describing anesthesia for Cesarean section in a patient with unilateral absence of a pulmonary artery. CASE REPORT: We present a patient with unilateral absence of a pulmonary artery who underwent Cesarean sections twice at the ages of 24 and 26 years under spinal anesthesia for surgery and epidural analgesia for postoperative pain relief...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017174/benefit-of-general-anesthesia-monitored-by-bispectral-index-compared-with-monitoring-guided-only-by-clinical-parameters-systematic-review-and-meta-analysis
#5
Carlos Rogério Degrandi Oliveira, Wanderley Marques Bernardo, Victor Moisés Nunes
BACKGROUND: The bispectral index parameter is used to guide the titration of general anesthesia; however, many studies have shown conflicting results regarding the benefits of bispectral index monitoring. The objective of this systematic review with meta-analysis is to evaluate the clinical impact of monitoring with the bispectral index parameter. METHODS: The search for evidence in scientific information sources was conducted during December 2013 to January 2015, the following primary databases: Medline/PubMed, LILACS, Cochrane, CINAHL, Ovid, SCOPUS and TESES...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017173/femoral-nerve-block-versus-intravenous-fentanyl-in-adult-patients-with-hip-fractures-a-systematic-review
#6
Flávia Vieira Guimarães Hartmann, Maria Rita Carvalho Garbi Novaes, Marta Rodrigues de Carvalho
BACKGROUND: Hip fractures configure an important public health issue and are associated with high mortality taxes and lose of functionality. Hip fractures refer to a fracture occurring between the edge of the femoral head and 5cm below the lesser trochanter. They are common in orthopedic emergencies. The number of proximal femoral fractures is likely to increase as the population ages. The average cost of care during the initial hospitalization for hip fracture can be estimated about US$ 7,000 per patient...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017172/design-and-validation-of-an-oral-health-questionnaire-for-preoperative-anaesthetic-evaluation
#7
Gema Ruíz-López Del Prado, Vendula Blaya-Nováková, Zuleika Saz-Parkinson, Óscar Luis Álvarez-Montero, Alba Ayala, Maria Fe Muñoz-Moreno, Maria João Forjaz
BACKGROUND AND OBJECTIVES: Dental injuries incurred during endotracheal intubation are more frequent in patients with previous oral pathology. The study objectives were to develop an oral health questionnaire for preanaesthesia evaluation, easy to apply for personnel without special dental training; and establish a cut-off value for detecting persons with poor oral health. METHODS: Validation study of a self-administered questionnaire, designed according to a literature review and an expert group's recommendations...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017171/perineural-dexmedetomidine-effects-on-sciatic-nerve-in-rat
#8
Abdulkadir Yektaş, Murat Çabalar, Mehmet Sar, Ayşin Alagöl, Duygu Sultan Çelik, Vildan Yayla, Deniz Tolga
The present study was designed to test the hypothesis that high dose dexmedetomidine would increase the duration of antinociception to a thermal stimulus in a rat model of sciatic nerve blockade without causing nerve damage. The rats were anesthetized with isoflurane. After electromyography (EMG) recordings, right sciatic nerves were explored and perineural injections were delivered: Group D (n=7), 40μgμgkg(-1) dexmedetomidine administration, Group II (n=6), (0.2mL) saline administration, Group III (n=2), only surgically exploration of the right sciatic nevre...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017170/effects-of-lidocaine-and-magnesium-sulfate-in-attenuating-hemodynamic-response-to-tracheal-intubation-single-center-prospective-double-blind-randomized-study
#9
Fabricio Tavares Mendonça, Lucas Macedo da Graça Medeiros de Queiroz, Cristina Carvalho Rolim Guimarães, Alexandre Cordeiro Duarte Xavier
BACKGROUND AND OBJECTIVES: Hemodynamic response to airway stimuli is a common phenomenon and its management is important to reduce the systemic repercussions. The objective of this study is to compare the efficacy of intravenous magnesium sulfate versus lidocaine on this reflex hemodynamics after laryngoscopy and tracheal intubation. METHODS: This single-center, prospective, double-blind, randomized study evaluated 56 patients ASA 1 or 2, aged 18-65 years, scheduled for elective surgeries under general anesthesia with intubation...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017169/the-effect-of-intra-articular-levobupivacaine-on-shoulder-cartilage-at-different-doses-experimental-study
#10
Mustafa Soner Özcan, Mahmut Kalem, Menekşe Özçelik, Ercan Şahin, Sanem Çakar, Nazlı Hayırlı, Oya Evirgen, Feyhan Ökten
BACKGROUND AND OBJECTIVES: In this study it was aimed to examine the histological and morphometric effects on cartilage structure of intra-articular application of levobupivacaine to the shoulder joint. METHODS: In twenty New Zealand adult male rabbits, 35 shoulders were used for the study and prepared in 5 groups of 7. These groups were defined as Groups L1, L2, L3 and L4 which were right shoulders administered with 0.25% and 0.5% levobupivacaine, Group C which were left shoulders as the control group and Groups S1 and S2 which were left shoulders administered with 0...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017168/comparisons-of-the-effects-of-the-sevoflurane-and-propofol-on-acute-ischemia-reperfusion-and-dna-damages-in-rabbits
#11
Sema Oncul, Lale Karabiyik, Erdem Coskun, Ela Kadioglu, Ozlem Gulbahar
BACKGROUND AND OBJECTIVES: The aim of this study was to compare the effects of sevoflurane and propofol anesthesia on oxidative DNA damage that occurs in low-extremity ischemia and is caused by tourniquet application. METHODS: Fourteen New Zealand rabbits were randomly allocated into two equal groups. Group S (n=7) received sevoflurane (2.5-4 percent) inhalation and Group P (n=7) received a propofol infusion (1-2mg·kg(-1)·min(-1)), after which a pneumatic tourniquet was placed on the right lower extremity...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017167/effects-of-different-levels-of-end-expiratory-pressure-on-hemodynamic-respiratory-mechanics-and-systemic-stress-response-during-laparoscopic-cholecystectomy
#12
Oznur Sen, Yasemin Erdogan Doventas
OBJECTIVE: General anesthesia causes reduction of functional residual capacity. And this decrease can lead to atelectasis and intrapulmonary shunting in the lung. In this study we want to evaluate the effects of 5 and 10cmH2O PEEP levels on gas exchange, hemodynamic, respiratory mechanics and systemic stress response in laparoscopic cholecystectomy. METHODS: American Society of Anesthesiologist I-II physical status 43 patients scheduled for laparoscopic cholecystectomy were randomly selected to receive external PEEP of 5cmH2O (PEEP 5 group) or 10cmH2O PEEP (PEEP 10 group) during pneumoperitoneum...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017166/comparison-of-transforaminal-and-interlaminar-epidural-steroid-injections-for-the-treatment-of-chronic-lumbar-pain
#13
Serbülent Gökhan Beyaz
STUDY DESIGN: A cross-sectional study. OBJECTIVE: We compared the 12 month outcomes of fluoroscopically guided transforaminal epidural steroid injections with interlaminar epidural steroid injections for the treatment of chronic lumbar spinal pain. Chronic lower back pain is a multifactorial disorder with many possible etiologies. The lifetime prevalence of spinal pain is reportedly 65-80% in the neck and lower back. Epidural injection of corticosteroids is a commonly used intervention for managing chronic spinal pain...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017165/simple-method-for-determining-the-size-of-the-proseal-laryngeal-mask-airway-in-children-a-prospective-observational-study
#14
Murat Haliloglu, Sevgi Bilgen, Neslihan Uzture, Ozge Koner
BACKGROUND AND OBJECTIVES: The size of the ProSeal laryngeal mask airway in children is determined by the patient's weight. However, in some instances, an alternative method may be required. This study aimed to compare sizing by the auricle with conventional ProSeal laryngeal mask airway sizing by weight in children. METHODS: After approval by the institutional ethics board and written informed consent from parents, 197 children with American Society of Anesthesiologists physical status I-II who were scheduled for a routine genitourinary operation were included in the study...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017164/preventing-atelectasia-at-robotic-surgery
#15
LETTER
Memduh Yetim, Sukru Tekindur, Oguz Kilickaya
No abstract text is available yet for this article.
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017163/post-spinal-hyperacute-subdural-hematoma
#16
LETTER
Ozkan Onal, Emine Aslanlar, Seza Apiliogullari, Omer Faruk Erkocak, Jale Bengi Celik
No abstract text is available yet for this article.
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017162/quadratus-lumborum-block-in-chronic-pain-after-abdominal-hernia-repair-case-report
#17
Rita Carvalho, Elena Segura, Maria do Céu Loureiro, José Pedro Assunção
BACKGROUND AND OBJECTIVES: The quadratus lumborum blockade was described by R. Blanco in its two approaches (I and II). The local anesthetic deposition in this location can provide blockade to T6-L1 dermatomes. We performed this fascia blockade guided by ultrasound for treating a chronic neuropathic pain in the abdominal wall. CASE REPORT: Male patient, 61 years old, 83kg, with a history of thrombocytopenia due to alcoholic cirrhosis, among others; had chronic pain in the abdominal wall after multiple abdominal hernia repairs in the last year and a half, with poor response to treatment with neuromodulators and opioids...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017161/ultrasound-guided-peripheral-nerve-blocks-in-anticoagulated-patients-case-series
#18
Luis Eduardo Silveira Martins, Leonardo Henrique Cunha Ferraro, Alexandre Takeda, Masashi Munechika, Maria Angela Tardelli
BACKGROUND AND OBJECTIVES: The advent of ultrasound has brought many benefits to peripheral nerve blocks. It includes both safety and effectiveness, given the possibility of visualizing the neurovascular structures and the needle during the procedure. Despite these benefits, there is no consensus in the literature on the use of this technique in anticoagulated patients or with other coagulation disorders. Moreover, peripheral blocks vary in depth, spreadability, and possibility of local compression...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/28017160/the-effects-of-intra-cerebroventricular-administered-rocuronium-on-the-central-nervous-system-of-rats-and-determination-of-its-epileptic-seizure-inducing-dose
#19
Mehmet Baykal, Necati Gökmen, Alper Doğan, Serhat Erbayraktar, Osman Yılmaz, Elvan Ocmen, Hale Aksu Erdost, Atalay Arkan
BACKGROUND: The aim of this study was to investigate the effects of intracerebroventricularly administered rocuronium bromide on the central nervous system, determine the seizure threshold dose of rocuronium bromide in rats, and investigate the effects of rocuronium on the central nervous system at 1/5, 1/10, and 1/100 dilutions of the determined seizure threshold dose. METHODS: A permanent cannula was placed in the lateral cerebral ventricle of the animals. The study was designed in two phases...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793246/corrected-qt-interval-and-corrected-qt-interval-dispersion-is-worthwhile-when-interpreted-with-other-repolarization-measurements
#20
LETTER
Mehmet Dogan, Omer Yiginer, Mehmet Tezcan, Ibrahim Cetindagli
No abstract text is available yet for this article.
November 2016: Brazilian Journal of Anesthesiology
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