Revista brasileira de anestesiologia
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Rev Bras Anestesiol · Aug 2003
[Maxillary nerve block for zygoma and orbital floor fractures reduction].
There are few reports of zygomatic orbital floor or zygomatic arch fractures reduction under regional anesthesia. This study aimed at evaluating extraoral maxillary nerve block for zygoma and orbital floor fractures reduction. ⋯ Zygomatic fractures reduction is feasible under maxillary nerve block when performed in pterygopalatine fossa inducing anesthesia in its two distal branches: zygomaticotemporal and zygomaticofacial nerves.
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Rev Bras Anestesiol · Aug 2003
[Hemodynamic and metabolic evaluation of dexmedetomidine and remifentanil continuous infusion in videolaparoscopic cholecystectomy: comparative study].
Dexmedetomidine has been used for sedation and as coadjuvant drug in general anesthesia. This study aimed at evaluating cardiovascular and sympathetic-adrenal responses to tracheal intubation and pneumoperitoneum inflation with dexmedetomidine, as compared to remifentanil during anesthesia with sevoflurane for videolaparoscopic cholecystectomy. ⋯ In the conditions of our study, dexmedetomidine has inhibited catecholamine release during tracheal intubation and pneumoperitoneum, however, has not prevented blood pressure increase in response to peritoneal inflation.
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There are no data on Postanesthetic Care Units (PACU) equipment, monitoring routines and discharge criteria adopted by Brazilian anesthesiologists. This study aimed at obtaining such data. ⋯ This study suggests that Brazilian anesthesiologists are concerned about patients safety during postanesthetic recovery, as shown by high equipment availability in the PACU and expressive routine monitoring ratios of isolated parameters. Some monitoring routines should be implemented to comply with new guidelines on postanesthetic care and new discharge criteria for outpatient procedures.
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Rev Bras Anestesiol · Jun 2003
[Effects of spinal administration of large volumes of 2% lidocaine and 1% ropivacaine on spinal cord and meninges: experimental study in dogs].
Spinal injection of large local anesthetic volumes after accidental dural puncture is an epidural anesthesia complication. This study aimed at investigating potential clinical and histological changes triggered by large volumes of 2% lidocaine or 1% ropivacaine in a simulated accidental spinal injection in dogs. ⋯ Large volumes of 2% lidocaine have determined more intensive clinical and histological changes as compared to 1% ropivacaine.
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Duchennes Muscular Dystrophy is an X-linked recessive disorder, generally diagnosed in childhood, which progressively worsens to degenerate respiratory function. This report aimed at presenting the case of a patient with Duchennes Muscular Dystrophy diagnosed 2 years before, submitted to postectomy under general anesthesia with ketamine S. ⋯ Very careful pre-anesthetic evaluation, adequate monitoring and drugs not predisposing to complications make surgery and postoperative period safe for Duchennes Muscular Dystrophy patients.