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Brazilian Journal of Anesthesiology

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https://www.readbyqxmd.com/read/27793246/corrected-qt-interval-and-corrected-qt-interval-dispersion-is-worthwhile-when-interpreted-with-other-repolarization-measurements
#1
LETTER
Mehmet Dogan, Omer Yiginer, Mehmet Tezcan, Ibrahim Cetindagli
No abstract text is available yet for this article.
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793245/ultrasound-guided-facet-block
#2
LETTER
Sukru Tekindur, Memduh Yetim, Oguz Kilickaya
No abstract text is available yet for this article.
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793244/bilateral-parotitis-in-a-patient-under-continuous-positive-airway-pressure-treatment
#3
Ruslan Abdullayev, Filiz Cosku Saral, Omer Burak Kucukebe, Hakan Sezgin Sayiner, Cem Bayraktar, Sadik Akgun
BACKGROUND AND OBJECTIVES: Many conditions such as bacterial and viral infectious diseases, mechanical obstruction due to air and calculi and drugs can cause parotitis. We present a case of unusual bilateral parotitis in a patient under non-invasive continuous positive airway pressure (CPAP) therapy for chronic obstructive pulmonary disease exacerbation in intensive care unit. CASE REPORT: A 36-year-old patient was admitted to intensive care unit with the diagnosis of chronic obstructive pulmonary disease exacerbation...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793243/anesthesia-in-pregnant-women-with-hellp-syndrome-case-report
#4
Eduardo Barbin Zuccolotto, Eugenio Pagnussatt Neto, Glínia Cavalcante Nogueira, José Roberto Nociti
BACKGROUND AND OBJECTIVES: HELLP syndrome, characterized by hemolysis, high levels of liver enzyme, and low platelet count, is an advanced clinical stage of pre-eclampsia, progressing to high maternal (24%) and perinatal (up 40%) mortality, despite childbirth care in a timely manner. The goal is to describe the anesthetic management of a case with indication to emergency cesarean. CASE REPORT: Female patient, 36 years old, gestational age of 24 weeks, with hypertensive crisis (BP 180/100mmHg) and severe headache, was admitted to the operating room for a cesarean section after diagnosis of HELLP syndrome...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793242/spinal-injection-of-local-anesthetic-during-cervical-facet-joint-injection
#5
Juan A Ramos
INTRODUCTION: Facet joint pain is a common source of non-radicular back pain worldwide. Non-surgical interventional modalities remain the mainstay in the treatment of facetogenic back pain and comprise the second most commonly performed interventional pain procedures in the USA. CASE: A 36 year-old man with chronic cervical pain secondary to C6-C7 facet arthrosis radiographically, underwent diagnostic local anesthetic bilateral facet joint injection under fluoroscopic guidance...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793241/seizure-due-to-multiple-drugs-intoxication-a-case-report
#6
Handan Gulec, Munire Babayigit, Aysun Kurtay, Mehmet Sahap, Fatma Ulus, Zehra Tutal, Eyup Horasanli
The mechanism of the antidepressant effect of bupropion is not fully understood. Besides, using it in the treatment of depression, it is found to be effective in reducing withdrawal symptoms due to smoking cessation. A 28-year-old female patient with a history of depression was admitted to emergency department an hour after ingestion of bupropion, quetiapine, and levothyroxine in high doses to commit suicide. While accepting her into the Intensive Care Unit, she was awake, alert, disoriented and agitated. After 2h, the patient had a generalized tonic-clonic seizure...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793240/quality-of-recovery-from-anesthesia-in-patients-undergoing-orthopedic-surgery-of-the-lower-limbs
#7
Eduardo Toshiyuki Moro, Manoel Arthur Nóbrega da Silva, Marcelo Gouvêa Couri, Danielle da Silva Issa, Julia Morais Barbieri
BACKGROUND AND OBJECTIVES: For patients undergoing regional anesthesia for orthopedic surgery, a common situation in our work environment, the quality of recovery may be influenced in different ways, which justifies studies to identify possible predictive factors of dissatisfaction. The aim of this study was to assess the opinion of patients on recovery from anesthesia for lower limb orthopedic surgeries. We also identified potential predictive factors for poor quality of recovery. METHODS: We evaluated patients undergoing lower limb orthopedic surgeries and able to participate in the study...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793239/ethical-and-legal-duty-of-anesthesiologists-regarding-jehovah-s-witness-patient-care-protocol
#8
Augusto Key Karazawa Takaschima, Thiago Mamôru Sakae, Alexandre Karazawa Takaschima, Renata Dos Santos Teodoro Takaschima, Breno José Santiago Bezerra de Lima, Roberto Henrique Benedetti
BACKGROUND AND OBJECTIVES: Jehovah's Witnesses patients refuse blood transfusions for religious reasons. Anesthesiologists must master specific legal knowledge to provide care to these patients. Understanding how the Law and the Federal Council of Medicine treat this issue is critical to know how to act in this context. The aim of this paper was to establish a treatment protocol for the Jehovah's Witness patient with emphasis on ethical and legal duty of the anesthesiologist. CONTENT: The article analyzes the Constitution, Criminal Code, resolutions of the Federal Council of Medicine, opinions, and jurisprudence to understand the limits of the conflict between the autonomy of will of Jehovah's Witnesses to refuse transfusion and the physician's duty to provide the transfusion...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793238/pain-after-major-elective-orthopedic-surgery-of-the-lower-limb-and-type-of-anesthesia-does-it-matter
#9
Diogo Luís Pereira, Hugo Lourenço Meleiro, Inês Araújo Correia, Sara Fonseca
BACKGROUND AND OBJECTIVES: Total knee arthroplasty and total hip arthroplasty are associated with chronic pain development. Of the studies focusing on perioperative factors for chronic pain, few have focused on the differences that might arise from the anesthesia type performed during surgery. METHODS: This was a prospective observational study performed between July 2014 and March 2015 with patients undergoing unilateral elective total knee arthroplasty (TKA) or total hip arthroplasty (THA) for osteoarthritis...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793237/sufentanil-in-combination-with-low-dose-hyperbaric-bupivacaine-in-spinal-anesthesia-for-cesarean-section-a-randomized-clinical-trial
#10
Alexandre Dubeux Dourado, Ruy Leite de Melo Lins Filho, Raphaella Amanda Maria Leite Fernandes, Marcelo Cavalcanti de Sá Gondim, Emmanuel Victor Magalhães Nogueira
A double blind randomized clinical trial of sufentanil as an adjunct in spinal anesthesia for cesarean section and, thereby, be able to reduce the dose of bupivacaine, a local anesthetic, with the same result of an anesthetic block with higher doses but with fewer perioperative side effects, such as hypotension.
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793236/isoflurane-provides-neuroprotection-in-neonatal-hypoxic-ischemic-brain-injury-by-suppressing-apoptosis
#11
De-An Zhao, Ling-Yun Bi, Qian Huang, Fang-Min Zhang, Zi-Ming Han
BACKGROUND AND OBJECTIVES: Isoflurane is halogenated volatile ether used for inhalational anesthesia. It is widely used in clinics as an inhalational anesthetic. Neonatal hypoxic ischemia injury ensues in the immature brain that results in delayed cell death via excitotoxicity and oxidative stress. Isoflurane has shown neuroprotective properties that make a beneficial basis of using isoflurane in both cell culture and animal models, including various models of brain injury. We aimed to determine the neuroprotective effect of isoflurane on hypoxic brain injury and elucidated the underlying mechanism...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793235/infrared-image-monitoring-of-local-anesthetic-poisoning-in-rats
#12
Angelo Manoel G Carstens, Elizabeth Milla Tambara, Daniel Colman, Márcio G Carstens, Jorge Eduardo Fouto Matias
BACKGROUND AND OBJECTIVES: To evaluate the thermographic predictive value of local anesthetic poisoning in rats that indicates the early recognition of thermal signs of intoxication and enable the immediate start of advanced life support. METHODS: Wistar rats underwent intraperitoneal injection of saline and ropivacaine; they were allocated into pairs, and experiments performed at baseline and experimental times. For thermography, central and peripheral compartment were analyzed, checking the maximum and average differences of temperatures between groups...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793234/cytotoxic-effects-of-local-anesthesia-through-lidocaine-ropivacaine-on-human-melanoma-cell-lines
#13
Ding-Kun Kang, Li-Yan Zhao, Hong-Li Wang
BACKGROUND: Local anesthetics (LAs) are generally considered as safe, but cytotoxicity has been reported for several local anesthetics used in humans, which is not well investigated. In the present study, the cytotoxicity of lidocaine, ropivacaine and the combination of lidocaine and ropivacaine were evaluated on human melanoma cell lines. Melphalan, a nitrogen mustard alkylating agent, was used as a control agent for comparison of cytotoxic activity. METHODS: Melanoma cell lines, A375 and Hs294T, were exposed to 1h to different concentrations of above agents...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793233/histopathologic-comparison-of-dexmedetomidine-s-and-thiopental-s-cerebral-protective-effects-on-focal-cerebral-ischemia-in-rats
#14
Ebru Çanakçı, Sevilay Akalp Özmen, Mustafa Ferhat Çolak, Hüsnü Kürşad
This study was designed to investigate whether dexmedetomidine and thiopental have cerebral protective effects after focal cerebral ischemia in rats. Thirty male Sprague Dawley rats were randomly assigned to three groups: control group (Group C, n=10), dexmedetomidine group (Group D, n=10), thiopental group (Group T, n=10). After all rats were anesthetized, they were intubated, then mechanically ventilated. A catheter was inserted into the right femoral artery for continuous mean arterial pressure, physiological parameters and blood sampling at baseline, 5min after occlusion and 20min after reperfusion...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793232/analysis-of-the-prevalence-of-atelectasis-in-patients-undergoing-bariatric-surgery
#15
Letícia Baltieri, Fabiana Sobral Peixoto-Souza, Irineu Rasera-Junior, Maria Imaculada de Lima Montebelo, Dirceu Costa, Eli Maria Pazzianotto-Forti
BACKGROUND AND OBJECTIVE: To observe the prevalence of atelectasis in patients undergoing bariatric surgery and the influence of the body mass index (BMI), gender and age on the prevalence of atelectasis. METHOD: Retrospective study of 407 patients and reports on chest X-rays carried out before and after bariatric surgery over a period of 14 months. Only patients who underwent bariatric surgery by laparotomy were included. RESULTS: There was an overall prevalence of 37...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793231/non-invasive-mechanical-ventilation-after-the-successful-weaning-a-comparison-with-the-venturi-mask
#16
Esra Adıyeke, Asu Ozgultekin, Guldem Turan, Altay Iskender, Gamze Canpolat, Abdullah Pektaş, Osman Ekinci
BACKGROUND AND OBJECTIVES: This study compared the rates of acute respiratory failure, reintubation, length of intensive care stay and mortality in patients in whom the non-invasive mechanical ventilation (NIMV) was applied instead of the routine venturi face mask (VM) application after a successful weaning. METHODS: Following the approval of the hospital ethics committee, 62 patients who were under mechanical ventilation for at least 48hours were scheduled for this study...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27793230/brazilian-consensus-on-perioperative-hemodynamic-therapy-goal-guided-in-patients-undergoing-noncardiac-surgery-fluid-management-strategy-produced-by-the-s%C3%A3-o-paulo-state-society-of-anesthesiology-sociedade-de-anestesiologia-do-estado-de-s%C3%A3-o-paulo-saesp
#17
Enis Donizetti Silva, Albert Carl Perrino, Alexandre Teruya, Bobbie Jean Sweitzer, Chiara Scaglioni Tessmer Gatto, Claudia Marquez Simões, Ederlon Alves Carvalho Rezende, Filomena Regina Barbosa Gomes Galas, Francisco Ricardo Lobo, João Manoel da Silva Junior, Leandro Ultino Taniguchi, Luciano Cesar Pontes de Azevedo, Ludhmila Abrahão Hajjar, Luiz Antônio Mondadori, Marcelo Gama de Abreu, Marcelo Vaz Perez, Regina El Dib, Paulo do Nascimento, Roseny Dos Reis Rodrigues, Suzana Margareth Lobo, Rogean Rodrigues Nunes, Murillo Santucci Cesar de Assunção
No abstract text is available yet for this article.
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27591476/our-anesthesia-experience-during-electroconvulsive-therapy-in-pregnant-patients
#18
LETTER
Elif Doğan Bakı, Özlem Çetin Akıcı, Halil İbrahim Güzel, Serdar Kokulu, Yüksel Ela, Remziye Gül Sıvacı
No abstract text is available yet for this article.
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27591475/answer-to-the-question-of-dr-da-qiang-zhao-about-hypobaric-ropivacaine
#19
LETTER
Mehmet Cantürk
No abstract text is available yet for this article.
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27591474/airway-management-in-newborn-with-klippel-feil-syndrome
#20
Nuray Altay, Hasan H Yüce, Harun Aydoğan, Mustafa E Dörterler
Klippel-Feil syndrome (KFS) has a classical triad that includes short neck, low hair line and restriction in neck motion and is among one of the congenital causes of difficult airway. Herein, we present a 26-day, 3300g newborn with KFS who was planned to be operated for correction of an intestinal obstruction. She had features of severe KFS. Anesthesia was induced by inhalation of sevoflurane 2-3% in percentage 100 oxygen. Sevoflurane inhalation was stopped after 2min. Her Cornmack Lehane score was 2 and oral intubation was performed with 3...
September 2016: Brazilian Journal of Anesthesiology
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