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Anestesia

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https://www.readbyqxmd.com/read/27759816/randomized-double-blind-clinical-trial-comparing-two-anesthetic-techniques-for-ultrasound-guided-transvaginal-follicular-puncture
#1
Gilvandro Lins de Oliveira, Fernando Cesar Serralheiro, Fernando Luiz Affonso Fonseca, Onésimo Duarte Ribeiro, Fernando Adami, Denise Maria Christofolini, Bianca Bianco, Caio Parente Barbosa
Objective: To compare the anesthetic techniques using propofol and fentanyl versus midazolam and remifentanil associated with a paracervical block with lidocaine in performing ultrasound-guided transvaginal oocyte aspiration. Methods: A randomized double-blind clinical trial (#RBR-8kqqxh) performed in 61 women submitted to assisted reproductive treatment. The patients were divided into two groups: anesthetic induction with 1mcg/kg of fentanyl associated with 1.5mg/kg of propofol (FP Group, n=32), in comparison with anesthetic induction using 0...
July 2016: Einstein
https://www.readbyqxmd.com/read/27692692/recommendations-on-the-use-of-deep-neuromuscular-blockade-by-anaesthesiologists-and-surgeons-aquiles-anestesia-quir%C3%A3%C2%BArgica-para-lograr-eficiencia-y-seguridad-consensus
#2
C L Errando-Oyonarte, C Moreno-Sanz, P Vila-Caral, J C Ruiz de Adana-Belbel, E Vázquez-Alonso, J M Ramírez-Rodríguez, G Veiga-Ruiz, E Guasch-Arévalo, J I Lora-Tamayo D'Ocón
INTRODUCTION: Neuromuscular blockade enables airway management, ventilation and surgical procedures. However there is no national consensus on its routine clinical use. The objective was to establish the degree of agreement among anaesthesiologists and general surgeons on the clinical use of neuromuscular blockade in order to make recommendations to improve its use during surgical procedures. METHODS: Multidisciplinary consensus study in Spain. Anaesthesiologists experts in neuromuscular blockade management (n=65) and general surgeons (n=36) were included...
September 28, 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/27679949/gastric-wall-changes-after-intragastric-balloon-placement-a-preliminary-experience
#3
Luís Gustavo Santos Périssé, Paulo Cézar Marques Périssé Ecbc-Rj, Kelson Ferreira Ribeiro
OBJECTIVE: : to evaluate the thickness of the gastric wall at the time of intra gastric balloon (IGB) placement, at the time of its withdrawal and one month after withdrawal. METHODS: : fifteen morbidly obese patients underwent the introduction of IGB under general anesthesia. In all patients, there was infusion of 500ml of distilled water in the balloon for the test. Measurements of the thickness of the gastric wall were made in the antrum, body and proximal body, using a radial echoendoscope with a frequency of 12MHz and maximum zoom, and its own balloon inflated with 5ml of distilled water...
July 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27609675/nasogastric-feeding-tube-located-in-the-lung-sensar-case-of-the-trimester
#4
(no author information available yet)
A clinical case is presented that was communicated to Spanish Notification System on Safety in Anaesthesia and Recovery (SENSAR). Using this communication and its analysis, a strategy is obtained in order to reduce the risks associated with the insertion of a nasogastric tube (NST) for enteral nutrition in adult patients in the post-surgical recovery unit. A description of the incident is presented, an analysis of its causes, and the measures that were introduced in order to avoid similar incidents in the future, as well as to promote a safety culture in the organisation...
September 5, 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/27591466/intraoperative-goal-directed-hemodynamic-therapy-in-noncardiac-surgery-a-systematic-review-and-meta-analysis
#5
Javier Ripollés, Angel Espinosa, Eugenio Martínez-Hurtado, Alfredo Abad-Gurumeta, Rubén Casans-Francés, Cristina Fernández-Pérez, Francisco López-Timoneda, José María Calvo-Vecino
BACKGROUND: The goal directed hemodynamic therapy is an approach focused on the use of cardiac output and related parameters as end-points for fluids and drugs to optimize tissue perfusion and oxygen delivery. Primary aim: To determine the effects of intraoperative goal directed hemodynamic therapy on postoperative complications rates. METHODS: A meta-analysis was carried out of the effects of goal directed hemodynamic therapy in adult noncardiac surgery on postoperative complications and mortality using Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology...
September 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27556540/comparative-evaluation-of-ventilatory-function-through-pre-and-postoperative-peak-expiratory-flow-in-patients-submitted-to-elective-upper-abdominal-surgery
#6
Caio Fernando Cavanus Scheeren, José Júlio Saraiva Gonçalves
OBJECTIVE: to evaluate the ventilatory function by Peak Expiratory Flow (PEF) in the immediate pre and postoperative periods of patients undergoing elective surgical procedures in the upper abdomen. METHODS: we conducted a prospective cohort study including 47 patients admitted to the Hospital Regional de Mato Grosso do Sul from July to December 2014, who underwent elective surgeries of the upper abdomen, and submiited to spirometric evaluation and measurement of PEF immediately before and after surgery...
May 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27462885/initial-experience-with-hysteroscopic-tubal-occlusion-essure%C3%A2
#7
Daniella De Batista Depes, Ana Maria Gomes Pereira, Umberto Gazi Lippi, João Alfredo Martins, Reginaldo Guedes Coelho Lopes
OBJECTIVE: To evaluate results of early tubal occlusions performed by hysteroscopy (Essure®). METHODS: This prospective study included 38 patients, 73.7% of them were white, mean age 34.5 years, they have had on average 3 pregnancies and 2.7 of deliveries. A total of 86.8% of patients previously prepared the endometrium. All procedures were carried out at outpatient unit without anesthesia. RESULTS: Insertion rate of the device was 100% at a mean time of 4 minutes and 50 seconds...
April 2016: Einstein
https://www.readbyqxmd.com/read/27445258/-intraoperative-goal-directed-hemodynamic-therapy-in-noncardiac-surgery-a-systematic-review-and-meta-analysis
#8
Javier Ripollés, Angel Espinosa, Eugenio Martínez-Hurtado, Alfredo Abad-Gurumeta, Rubén Casans-Francés, Cristina Fernández-Pérez, Francisco López-Timoneda, José María Calvo-Vecino
BACKGROUND: The goal directed hemodynamic therapy is an approach focused on the use of cardiac output and related parameters as end-points for fluids and drugs to optimize tissue perfusion and oxygen delivery. Primary aim: To determine the effects of intraoperative goal directed hemodynamic therapy on postoperative complications rates. METHODS: A meta-analysis was carried out of the effects of goal directed hemodynamic therapy in adult noncardiac surgery on postoperative complications and mortality using Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology...
September 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27405859/anesthetic-strategy-during-endovascular-therapy-general-anesthesia-or-conscious-sedation-goliath-general-or-local-anesthesia-in-intra-arterial-therapy-a-single-center-randomized-trial
#9
Claus Z Simonsen, Leif H Sørensen, Niels Juul, Søren P Johnsen, Albert J Yoo, Grethe Andersen, Mads Rasmussen
RATIONALE: Endovascular therapy after acute ischemic stroke due to large vessel occlusion is now standard of care. There is equipoise as to what kind of anesthesia patients should receive during the procedure. Observational studies suggest that general anesthesia is associated with worse outcomes compared to conscious sedation. However, the findings may have been biased. Randomized clinical trials are needed to determine whether the choice of anesthesia may influence outcome. AIM AND HYPOTHESIS: The objective of GOLIATH (General or Local Anestesia in Intra Arterial Therapy) is to examine whether the choice of anesthetic regime during endovascular therapy for acute ischemic stroke influence patient outcome...
July 12, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27383931/robotic-pulmonary-lobectomy-for-lung-cancer-treatment-program-implementation-and-initial-experience
#10
Ricardo Mingarini Terra, Pedro Henrique Xavier Nabuco de Araujo, Leticia Leone Lauricella, José Ribas Milanez de Campos, Herbert Felix Costa, Paulo Manuel Pego-Fernandes
OBJECTIVE: To describe the implementation of a robotic thoracic surgery program at a public tertiary teaching hospital and to analyze its initial results. METHODS: This was a planned interim analysis of a randomized clinical trial aimed at comparing video-assisted thoracoscopic surgery and robotic surgery in terms of the results obtained after pulmonary lobectomy. The robotic surgery program developed at the Instituto do Câncer do Estado de São Paulo, in the city of São Paulo, Brazil, is a multidisciplinary initiative involving various surgical specialties, as well as anesthesiology, nursing, and clinical engineering teams...
May 2016: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/27062173/inserting-epidural-patient-controlled-analgesia-into-a-peripheral-venous-line
#11
(no author information available yet)
A case is reported from the Safety Reporting System in Anaesthesia and Resuscitation database. The event occurred in a patient undergoing abdominal surgery in whom an epidural catheter was inserted for analgesia. After the intervention, the patient was transferred to the recovery unit where the patient controlled analgesia (PCA) is programmed. Due to an error, the PCA was connected to a peripheral venous line, which was detected early without harm to the patient. Communication and analysis of this incident served to introduce a new drug delivery protocol through PCA pumps, including the obligation to prescribe the PCA in the electronic system, a dual computerised check immediately before connecting PCA, labelling the medication bag as well as the proximal and distal lines, standardisation of daily visits to patients, and monthly monitoring of results...
August 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/26645244/-concurrent-endoscopic-sinus-surgery-fess-with-septorhinoplasty-indication-risks-and-chances
#12
T Koch, T Lenarz, S Stolle
BACKGROUND: Patients with a chronic rhinosinusitis (CRS) and a concurrent deformity of the outer nose often require a septorhinoplasty (SRP) for functional or aesthetic reasons, combined with functional endoscopic sinus surgery (FESS). Aim of this study was to rule out the benefit of this combined approach. PATIENTS AND METHODS: In a prospective study of 55 patients (30 m, 25 f, age 16-77 years) with a chronic rhinosinusitis with or without polyps combined with a deformity of the outer nose we performed a FESS together with a SRP using a closed or open approach...
June 2016: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/26535555/risk-prediction-model-for-respiratory-complications-after-lung-resection-an-observational-multicentre-study
#13
Maria J Yepes-Temiño, Pablo Monedero, José Ramón Pérez-Valdivieso
BACKGROUND: Patients undergoing lung surgery are at risk of postoperative pulmonary complications (PPCs). Identifying those patients is important to optimise individual perioperative management. The Clinical Prediction Rule for Pulmonary Complications (CPRPCs) after thoracic surgery, developed by the Memorial Sloan-Kettering Cancer Center, might be an ideal predictor. The hypothesis was that CPRPC performs well for the prediction of PPCs. OBJECTIVE: The aim of our study was to provide the external validation of the CPRPC after lung resection for primary tumours, before universal acceptance...
May 2016: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/26387828/-recommendations-for-institutional-response-to-an-adverse-event
#14
(no author information available yet)
INTRODUCTION: The organizational response after an Adverse Event (AE) is critical for the patient recovery and trust restoration in the health system. It is also crucial for the involved caregiver psychological recovery. OBJECTIVE: To design a frame of recommendations to help the healthcare services, institutions and organizations to provide a systematic approach to an AE. METHODS: A reduced group of authors performed a non-systematic review of the literature and developed an initial draft...
January 2016: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/26318756/-recommendations-for-institutional-response-to-an-adverse-event
#15
(no author information available yet)
No abstract text is available yet for this article.
December 2015: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/26036456/laparoscopic-colostomy-for-acute-left-colon-obstruction-caused-by-diverticular-disease-in-high-risk-patient-a-case-report
#16
Elisa Palladino, Antonio Cappiello, Vincenzo Guarino, Nicola Perrotta, Domenico Loffredo
INTRODUCTION: The colostomy is often necessary in complicated divertcular disease. The laparoscopic colostomy is not widely used for the treatment of complicated diverticular disease. Its use in patients with high operative risk is still on debate. The aim of this case report was to present the benefits of laparoscopic colostomy in patients with high peri-and postoperative risk factors. PRESENTATION OF CASE: We present a case of 76-year-old female admitted to emergency unit for left colonic obstruction...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/25855912/alternative-anestesia-method-in-reduction-of-tibiofibular-joint-dislocation-regional-block
#17
LETTER
Ü Kaldirim, Ü Yolcu, S K Tuncer, İ Arziman, Y E Eyi
No abstract text is available yet for this article.
2015: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/25766373/-inadequate-management-of-a-difficult-airway-case-sensar-of-the-trimester
#18
(no author information available yet)
A clinical case reported to SENSAR is presented (www.sensar.org). A patient came to the operating room for surgery for parathyroidectomy. She had several predictors of difficult airway management, including a story of difficulties in previous intubations in other hospitals, as the patient reported. Therefore, after evaluation in preoperative consultation, fibreoptic bronchoscopy intubation was recommended. The day of surgery after induction of general anesthesia direct laryngoscopy was performed, without recognizing any glottic structure (Cormack-Lehane grade iv)...
June 2015: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/25500761/a-web-based-italian-survey-of-current-trends-habits-and-beliefs-in-hemodynamic-monitoring-and-management
#19
Gianni Biancofiore, Maurizio Cecconi, Giorgio Della Rocca
Significant evidence outlines that the management of the high-risk surgical patient with perioperative hemodynamic optimization leads to significant benefits. This study aimed at studying the current practice of hemodynamic monitoring and management of Italian anesthesiologists. An invitation to participate in a web-based survey was published on the web site of the Società Italiana di Anestesia Analgesia Rianimazione Terapia Intensiva. Overall, 478 questionnaires were completed. The most frequently used monitoring techniques was invasive blood pressure (94...
October 2015: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/25307100/use-of-noninvasive-positive-pressure-ventilation-and-spinal-anesthesia-during-hip-replacement-arthroplasty-in-a-patient-with-severe-chronic-obstructive-pulmonary-disease-case-report
#20
Geraldo Ângelo Gonçalves, Eduardo Della Valle Prezzi, Guilherme Marinho Carletti, Giuseppe Chindamo, Tito Henrique Noronha Rocha, Eduardo Varella, Arthur Oswaldo de Abreu Vianna
Anesthetic management of patients with severe chronic obstructive pulmonary disease is extensively discussed, due to the high rates of complications in this subtype of patients submitted to medium and high complexity surgical procedures. The objective of this study is to report use of noninvasive positive pressure mechanical ventilation - bilevel positive airway pressure - and spinal anesthesia in a patient with severe chronic obstructive pulmonary disease during total hip arthroplasty. An 81 year old, male patient with severe chronic obstructive pulmonary disease (GOLD 4) was submitted to total hip arthroplasty due to a femoral bone fracture under spinal anestesia and noninvasive positive pressure mechanical ventilation-bilevel positive airway pressure with expiratory pressure of 7 cmH2O, inspiratory pressure of 15 cmH2O and O2 flow of 3 L/min...
September 2008: Revista Brasileira de Terapia Intensiva
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