Revista brasileira de anestesiologia
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This is an exploratory, descriptive and transversal study aiming to determine the prevalence, characterization, location, and measurement and discuss pharmacological analgesic measures for acute pain management in five inpatient wards of a university hospital. ⋯ We conclude that pain is highly prevalent, poorly evaluated, undertreated, with inappropriate use of analgesics.
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Rev Bras Anestesiol · Sep 2012
Transesophageal echocardiography in anesthesiology: characterization of use profile in a tertiary hospital.
Since its introduction in the 80s, transesophageal echocardiography (TEE) not only gained popularity but also experienced great advances in technology and currently it is an extremely valuable tool in the intraoperative period. In Brazil, there are no published data on the profile of its use in the intraoperative period by anesthesiologists. The objective of this study was to describe the use of intraoperative TEE in an Anesthesiology Service in a tertiary private hospital. ⋯ Despite this small sample size compared to the literature, and the limitations of this study, there was agreement with other reports related to changes in anesthetic-surgical approach based on intraoperative TEE. Our data also strongly suggest that transesophageal echocardiography is an extremely useful tool for monitoring patients at high cardiovascular risk, even when undergoing noncardiac surgery. Larger studies conducted in our country are needed, as there are no other studies in literature defining the use profile of TEE or even clearly setting out how it has been used in our field.
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Rev Bras Anestesiol · Sep 2012
Lipid therapy with two agents in ropivacaine-induced toxicity: experimental study in Swine.
Compare hemodynamic changes after ropivacaine-induced toxicity followed by treatment with two lipid emulsions in swine. ⋯ In groups receiving lipid emulsions, hemodynamic results were better than in control group. There were no differences in systemic arterial pressure and cardiac index between animals receiving lipid emulsion with long-chain triglycerides and mixed long- and medium-chain triglycerides.
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Rev Bras Anestesiol · Jul 2012
Postoperative delirium in intensive care patients: risk factors and outcome.
Postoperative delirium (POD) in Surgical Intensive Care patients is an important independent outcome determinant. The purpose of our study was to evaluate the incidence and determinants of POD. ⋯ There was a high incidence of delirium had a high incidence in intensive care surgical patients. POD was associated with worse severity of disease scores, longer LOS in hospital, and in PACU and higher mortality rates. The independent risk factors for POD were age, ASAPS, emergency surgery and the amount of plasma administered during surgery.