Revista brasileira de anestesiologia
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Rev Bras Anestesiol · Mar 2016
[Accidental catheterization of epidural venous plexus: tomographic analysis].
Inadvertent venous catheterizations occur in approximately 9% of lumbar epidural anesthetic procedures with catheter placement and, if not promptly recognized, can result in fatal consequences. The objective of this report is to describe a case of accidental catheterization of epidural venous plexus and its recording by computed tomography with contrast injection through the catheter. ⋯ It is possible to identify the actual placement of the epidural catheter, as well as to register an accidental catheterization of the epidural venous plexus, using computed tomography with contrast injection through the epidural catheter.
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Rev Bras Anestesiol · Mar 2016
[Effectiveness of combined regional-general anesthesia for reducing mortality in coronary artery bypass: meta-analysis.]
Neuraxial anesthesia (NA) has been used in association with general anesthesia (GA) for coronary artery bypass; however, anticoagulation during surgery makes us question the viability of benefits by the risk of epidural hematoma. The aim of this study was to perform a meta-analyzes examining the efficacy of NA associated with GA compared to GA alone for coronary artery bypass on mortality reduction. ⋯ There was no significant difference in mortality. Combined NA and GA showed lower incidence of arrhythmias and lower ICUS.
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Rev Bras Anestesiol · Mar 2016
[Use of a homemade introducer guide (bougie) for intubation in emergency situation in patients who present with difficult airway: a case series].
The incidence of difficult airway reaches 10% of emergency intubations. Although few studies address the use of handmade introducer guides in emergency and intensive care environment, there are descriptions of handmade guides available on the Internet. We describe a case series on the use of a handmade introducer guide (bougie) for emergency intubation in patients with difficult airway. ⋯ The use of the handmade introducer guide can be a useful option for the management of difficult airways.
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Rev Bras Anestesiol · Mar 2016
[Prophylactic use of pregabalin for prevention of succinylcholine-induced fasciculation and myalgia: a randomized, double-blinded, placebo-controlled study].
Succinylcholine is commonly used to achieve profound neuromuscular blockade of rapid onset and short duration. ⋯ Pregabalin 150mg prevents succinylcholine-induced fasciculations and myalgia and also decreases the fentanyl consumption in elective sine surgery.
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Rev Bras Anestesiol · Jan 2016
[Effectiveness of dexmedetomidine for emergence agitation in infants undergoing palatoplasty: a randomized controlled trial].
In infants, there is a high incidence of emergence agitation (EA) after sevoflurane (Sev) anesthesia. This study aimed to test the hypothesis that dexmedetomidine (Dex) administration would reduce the incidence and severity of EA after Sev-based anesthesia in infants undergoing palatoplasty. ⋯ Dex administration has the advantage of a reduced EA and PS without any adverse effects. Dex provided satisfactory recovery in infants undergoing palatoplasty.