Brazilian journal of anesthesiology (Elsevier)
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Randomized Controlled Trial
Prospective, randomized clinical trial of laryngeal mask airway Supreme(®) used in patients undergoing general anesthesia.
Supraglottic airway devices are increasingly used as an option to tracheal intubation for elective procedures of varying complexity. The aim of this study was to prospectively evaluate the clinical use of the laryngeal mask airway Supreme(®) (LMAS) in patients undergoing elective breast surgery and compare it with endotracheal tube (ETT). ⋯ The use of the LMAS technique to access airway during general anesthesia for elective breast surgery is as safe and effective as tracheal intubation, with the advantage of promoting smaller hemodynamic response during its management and lower incidence of sore throat and dysphagia in the first hours after surgery.
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Case Reports
Life-threatening airway obstruction due to upper airway edema and marked neck swelling after labor and delivery.
Airway changes generally occur in normal gravidas; however, these changes could cause critical situations in specific populations. ⋯ We believe that concomitant attacks of labor and delivery and fluid resuscitation probably worsened upper airway and neck edema enough to cause acute airway obstruction and difficult laryngoscopy.
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Contamination risks of propofol 2%, remifentanil, and pantoprazole; and in vitro effects of these drugs on the growth of common infective agents in intensive care units were evaluated. ⋯ Propofol strongly supports the growth of the microorganisms tested, although remifentanil and pantoprazole do not. Therefore, it is important to follow the strict aseptic techniques for the preparation of propofol.
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Randomized Controlled Trial
Impact of preanesthetic information on anxiety of parents and children.
Preoperative Anxiety is a negative factor in anesthetic and surgical experience. Among the strategies for reducing children's anxiety, non-pharmacological strategies are as important as the pharmacological ones, but its validity is still controversial. ⋯ Regardless of the quality of information provided to the guardians, the level and prevalence of anxiety in children were low at WR time and significantly increased at OR time.
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Randomized Controlled Trial Comparative Study
Comparative study between doses of intrathecal morphine for analgesia after caesarean.
Analgesia after caesarean section is important because postpartum women with pain have difficulty in mobility, which undermines breastfeeding. Intrathecal morphine provides adequate and prolonged analgesia after cesarean. The aim of this study was to compare the quality of analgesia provided by two doses of intrathecal morphine and its side effects in patients undergoing cesarean section. ⋯ Intrathecal morphine 50 μg provides the same quality of analgesia as 100 μg, with a lower incidence of side effects.