Revista brasileira de anestesiologia
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Rev Bras Anestesiol · Mar 2017
Meta Analysis[Effect of dexmedetomidine in children undergoing general anesthesia with sevoflurane: a meta-analysis].
Sevoflurane is often used in pediatric anesthesia and is associated with high incidence of psychomotor agitation. In such cases, dexmedetomidine (DEX) has been used, but its benefit and implications remain uncertain. We assessed the effects of DEX on agitation in children undergoing general anesthesia with sevoflurane. ⋯ Dexmedetomidine reduces psychomotor agitation during wake-up time of children undergoing general anesthesia with sevoflurane.
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Rev Bras Anestesiol · Mar 2017
Randomized Controlled Trial Comparative Study[A comparison of various supraglottic airway devices for fiberoptical guided tracheal intubation].
Fiberoptical assisted intubation via placed supraglottic airway devices has been described as safe and easy procedure to manage difficult airways. However visualization of the glottis aperture is essential for fiberoptical assisted intubation. Various different supraglottic airway devices are commercially available and might offer different conditions for fiberoptical assisted intubation. The aim of this study was to compare the best obtainable view of the glottic aperture using different supraglottic airway devices. ⋯ None of the used supraglottic airway devices offered a full or partial glottic view in all cases. However the Laryngeal Mask Airway Unique and the Laryngeal Mask Airway Aura-once seem to be more suitable for fiberoptical assisted intubation compared to other devices.
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Rev Bras Anestesiol · Mar 2017
Randomized Controlled Trial Comparative Study[Comparison of the effects of sugammadex and neostigmine on postoperative nausea and vomiting].
The aim of our study is to compare the effects of sugammadex and neostigmine, used for neuromuscular blockage antagonism, on postoperative nausea and vomiting (PONV). ⋯ At the end of our study comparing neostigmine with sugammadex for neuromuscular blockage antagonism, we found use of sugammadex had lower incidence of PONV in the postoperative 1st hour and less anti-emetic use in 24hours of monitoring.
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Rev Bras Anestesiol · Mar 2017
Case Reports[Successful use of sugammadex for caesarean section in a patient with myasthenia gravis].
Myasthenia gravis is an autoimmune disorder that is characterized by muscle weakness that fluctuates, worsening with exertion, and improving with rest. Diagnosis of myasthenia gravis is made following clinical and physical examination and is confirmed by serum immunoassays to measure autoantibody levels. Myasthenia gravis especially when associated with pregnancy is a high-risk disease, and its course is unpredictable. We described the second report about use of sugammadex after rocuronium for a caesarean delivery with myasthenia gravis, but, unlike our case that formerly was diagnosed with myasthenia gravis, the patient was extubated on postoperative successfully and we did not encounter any respiratory problems.
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Rev Bras Anestesiol · Mar 2017
Observational Study[Correlation between weekly working time and burnout syndrome among anesthesiologists of Maceió-AL].
The current reports are insufficient to determine the causative agent, as well as to identify high risk profiles for BS, leaving a clear need for more studies to this end. This study aimed to evaluate the correlation between weekly workload and BS dimensions. ⋯ This study showed no correlation between the weekly working time and the BS dimensions in this population.