Acta cirúrgica brasileira
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Acta cirúrgica brasileira · Dec 2011
Randomized Controlled Trial Comparative StudyIntrapleural analgesia after endoscopic thoracic sympathectomy.
To compare analgesia traditionally used for thoracic sympathectomy to intrapleural ropivacaine injection in two different doses. ⋯ Intrapleural analgesia with ropivacaine resulted in less pain in the late postoperative period with better analgesic outcomes in higher doses, providing a better ventilatory pattern.
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Acta cirúrgica brasileira · Dec 2011
The use of perioperative serial blood lactate levels, the APACHE II and the postoperative MELD as predictors of early mortality after liver transplantation.
To evaluate the accuracy of different parameters in predicting early (one-month) mortality of patients submitted to orthotopic liver transplantation (OLT). ⋯ Among the studied parameters, MELD post-OLT was more effective in predicting early mortality after OLT.
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Acta cirúrgica brasileira · Dec 2011
Methylene blue administration in the compound 48/80-induced anaphylactic shock: hemodynamic study in pigs.
To verify if the methylene blue (MB) administration prevents and/or reverses the compound 48/80 (C48/80)-induced anaphylactic shock in pigs. ⋯ Despite our data, the clinical manifestations improvement brings some optimism and does not allow excluding the MB as a possible therapeutic option in the anaphylactic shock.
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Acta cirúrgica brasileira · Oct 2011
Randomized Controlled Trial Comparative StudyElectroacupuncture versus morphine for the postoperative control pain in dogs.
[corrected] To compare the postoperative analgesic effects of electroacupuncture, morphine or sham acupuncture in dogs undergoing mastectomy. ⋯ Electroacupuncture reduces the postoperative analgesic requirement and promotes satisfactory analgesia in dogs undergoing mastectomy.
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Acta cirúrgica brasileira · Oct 2011
Peripherally inserted central catheters in the neonatal period.
Peripherally inserted central catheters (PICC) have been extensively used in neonates. However, insertion of these thinnest catheters is a very delicate procedure associated with a high failure rate. In our Neonatal Surgical Intensive Care Unit, we developed a very easy new PICC insertion and evaluated the neonates treated with PICCs which were inserted by using our technique as well as catheter features such as success rate, number of insertion attempts, reason for removal and complications. ⋯ The new insertion technique of the neonatal peripherally inserted central catheters may be one of the easiest and safest techniques, in comparison to previous techniques reported in the literature.