Revista brasileira de anestesiologia
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Rev Bras Anestesiol · Sep 2012
Case ReportsPneumothorax post brachial plexus block guided by ultrasound: a case report.
Brachial plexus block is used for upper limbs anesthesia. The use of ultrasound-guided (USG) technique for blockade has become popular in recent years, facilitating its execution by providing real-time images of the plexus and surrounding structures while minimizing complications. The purpose of this report is to describe a case of pneumothorax following ultrasound-guided interscalene block. ⋯ Despite the dynamic visualization of cervical structures with USG, interscalene block may result in pneumothorax. An unusual higher pleural dome due to the hyperinflated lung (smoking) probably facilitated the accidental pleural puncture.
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Rev Bras Anestesiol · Sep 2012
Case ReportsAirtraq® optical laryngoscope for tracheal intubation in a patient with giant lipoma at the nape: a case report.
Lipoma is a progressively increasing disease which may appear anywhere in the body. Its appearance at the back of the neck, especially when it is large enough to cause restriction of neck extension, poses challenges to anesthesiologists in airway management whenever needed. This paper evaluates the role of Airtraq® in restricted neck movement. ⋯ Airtraq® can be used for elective intubation in patients with restricted neck movements.
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Rev Bras Anestesiol · Sep 2012
Randomized Controlled TrialIncidence of shivering after cesarean section under spinal anesthesia with or without intrathecal sufentanil: a randomized study.
Shivering is a cause of discomfort and dissatisfaction in patients undergoing cesarean section. The objective of this study paper was to assess the impact of intrathecal administration of sufentanil on the incidence of shivering after cesarean section. ⋯ It has been suggested that the addition of sufentanil to hyperbaric bupivacaine and morphine during spinal anesthesia for cesarean section provides a decrease in the incidence of shivering in the immediate postoperative period.