[The anesthesiologist facing terminality: a survey-based observational study].
CONCLUSIONS: Anesthesiologists claim to have knowledge on dysthanasia and orthothanasia, but prefer, in the face of a terminally ill patient, to practice orthothanasia, although dysthanasia is usual, and results in frustration and indignation. The medical school curriculum is unsatisfactory in addressing death-related issues. PMID: 32605825 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - July 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Pituitary tumor resection in a patient with SARS-CoV-2 (COVID-19) infection. A case report and suggested airway management guidelines].
Authors: Santos CDSE, Filho LMDCL, Santos CAT, Neill JS, Vale HF, Kurnutala LN Abstract The 2020 pandemic caused by the novel coronavirus, COVID-19, had its headquarters in China. It causes Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and presents a broad spectrum of clinical manifestations, ranging from entirely asymptomatic through severe acute respiratory failure and death. Presuming a significant quantity of ventilator-dependent patients, several institutions strategically delayed elective surgeries. Particularly procedures performed involving the nasal mucosa, such as a transsphenoidal approach...
Source: Revista Brasileira de Anestesiologia - July 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Recommendations for local-regional anesthesia during the COVID-19 pandemic].
Authors: Lima RME, Reis LA, Lara FST, Dias LC, Matsumoto M, Mizubuti G, Hamaji A, Cabral LW, Mathias LADST, Lima LHNE Abstract Since the beginning of the COVID-19 pandemic, many questions have come up regarding safe anesthesia management of patients with the disease. Regional anesthesia, whether peripheral nerve or neuraxial, is a safe alternative for managing patients with COVID-19, by choosing modalities that mitigate pulmonary function involvement. Adopting regional anesthesia mitigates adverse effects in the postoperative period and provides safety to pati ents and teams, as long as there is compliance with ind...
Source: Revista Brasileira de Anestesiologia - July 2, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[The effect of thoracic paravertebral block on seroma reduction in breast surgery - a randomized controlled trial].
CONCLUSIONS: Mean seroma formation at postoperative 24th hour was 112.5±53.3 mL in the control group and 74.5±47.4 mL in the TPVB group (p=0.022). NRS scores were similar between two groups (p=0.367) at postoperative 24th hour but mean morphine consumption at postoperative 24th hour was 5.6±4 mg in the TPBV group, and 16.6±6.9 mg in the control group (p
Source: Revista Brasileira de Anestesiologia - June 17, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Pulse pressure variation guided fluid therapy during kidney transplantation: a randomized controlled trial].
CONCLUSION: PPV-guided fluid therapy during kidney transplantation significantly improves urea and creatinine levels in the first week after kidney transplantation surgery. PMID: 32534731 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 16, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Incidence of epidural spread after Chayen's approach to lumbar plexus block: a retrospective study].
Authors: Rosanò E, Tavoletti D, Luccarelli G, Cerutti E, Pecora L Abstract BACKGROUND AND OBJECTIVES: The lumbar plexus block (LPB) is a key technique for lower limb surgery. All approaches to the LPB involve a number of complications. We hypothesized that Chayen's approach, which involves a more caudal and more lateral needle entry point than the major techniques described in the literature, would be associated with a lower rate of epidural spread. METHOD: We reviewed the electronic medical records and chart of all adult patients who underwent orthopedic surgery for total hip arthroplasty (THA) and hip ...
Source: Revista Brasileira de Anestesiologia - June 14, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Influence of methylprednisolone on the reversal time of sugammadex: a randomized clinical trial].
The objective of this study was to compare the recovery times of sugammadex for reversing rocuronium-induced moderate neuromuscular blockade in those who received intraoperative 1 mg.kg-1 methylprednisolone or saline. METHOD: This single-centered, randomized, controlled, prospective study included 162 adult patients undergoing elective ear-nose-throat procedures (aged from 18-65, an ASA physical status I-II, a BMI less than 30 kg.m-2, and not taking steroid drug medication) with propofol, remifentanyl, rocuronium and sevoflurane. Neuromuscular monitoring was performed using calibrated acceleromyography. The Control Gro...
Source: Revista Brasileira de Anestesiologia - June 14, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Our clinical experience and follow-up results in hydatid cyst cases: a review of 393 patients from a single center].
CONCLUSIONS: Anesthesiologists have an important role in the management of hydatid cyst patients. Patients should be evaluated exhaustively in terms of multi-organ involvement and the presence of more than one cyst in the same organ. The type of treatment procedure and the localization of the cysts determine the anesthetic management. PMID: 32532549 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 14, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Effect of ultrasound-guided right stellate ganglion block on perioperative atrial fibrillation in patients undergoing lung lobectomy: a randomized controlled trial].
CONCLUSIONS: The results of the study indicated that preoperative right stellate ganglion block can effectively reduce the incidence of intraoperative and postoperative atrial fibrillation. PMID: 32532550 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 14, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Influence of different local anesthetics on atracurium neuromuscular blockade on rats].
CONCLUSIONS: Lidocaine and racemic bupivacaine had a presynaptic effect expressed by alterations in MEPPs, which may explain the interaction and potentiation of NMB produced by atracurium. PMID: 32522376 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 13, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Impact of post-thoracotomy analgesia with dexmedetomidine and morphine on immunocytes: a randomized clinical trial].
This study aimed to investigate the impact of post-thoracotomy analgesia with dexmedetomidine and morphine on immunocytes. METHODS: A total of 118 patients with post-thoracotomy Patient-Controlled Intravenous Analgesia (PCIA) in our hospital from March 2016 to July 2018 were randomly selected and divided into the Composite (COM) Group (57 patients administered with dexmedetomidine [1.0 μg.kg-1 body weight] and morphine [0.48 mg.kg-1 body weight]) and the Morphine (MOR) Group (61 patients administered with morphine [0.48 mg.kg-1]). The values of lymphocyte subsets (CD3+, CD4+, ...
Source: Revista Brasileira de Anestesiologia - June 10, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Comparison of two supraglottic airway devices on postoperative sore throat in children: a prospective randomized controlled trial].
CONCLUSION: The severity and frequency of postoperative sore throat in children is not statistically significant in the I-gel Group compared to Ambu Group. PMID: 32507285 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 10, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[A bibliometric analysis of the field of anesthesia during 2009-2018].
Authors: Doğan G, Karaca O Abstract OBJECTIVE: The limited number of bibliometric studies in the literature have generally focused on the top-cited studies in the field of anesthesia, however, there is a lack of studies that made a holistic bibliometric evaluation of these works. The purpose of this study is to make a contemporary summary of the articles published in the field of anesthesia within the last 10 years through detailed bibliometric methods. METHODS: The articles published between the years 2009 and 2018 were downloaded from the Web of Science (WoS) database and analyzed using bibliometri...
Source: Revista Brasileira de Anestesiologia - June 7, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[General anesthesia for Crisponi syndrome: case report].
Authors: Allary C, Caruselli M, Fabre A, Audic F, Michel F Abstract Crisponi syndrome is a rare and severe heritable disorder characterised by muscle contractions, trismus, apnea, feeding troubles, and unexplained high fever spikes with multiple organ failure. Here we report perioperative care for endoscopic gastrostomy of a 17 month-old female child with Crisponi syndrome. Temperature in the surgery room was strictly monitored and maintained at 19°C. The patient was exposed to both inhaled and intravenous anesthetic agents. Surgical and perioperative periods were uneventful. Episodes of fever in...
Source: Revista Brasileira de Anestesiologia - June 6, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Role of acute hemodilution in blood transfusion rate in patients submmited to scoliosis surgery: observational retrospective study].
CONCLUSIONS: Acute normovolemic hemodilution, in scoliosis correction surgeries reduces blood transfusion rates, meeting patient needs without increasing adverse events or infection rates. PMID: 32493689 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 6, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Prone positioning in management of COVID-19 hospitalized patients].
Authors: Moghadam VD, Shafiee H, Ghorbani M, Heidarifar R PMID: 32475697 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Ultrasound-guided multiple peripheral nerve blocks, a way out for anesthesia in morbidly obese patients for bone marrow aspiration].
We present a 59-year-old adult morbidly obese, hypertensive, diabetic female with hypothyroidism operated for proximal humerus fracture and now presented with non-union of fracture, requiring percutaneous injection of bone marrow aspirate from the iliac crest to the site of non-union. The patient was extremely anxious and refused to undergo the procedure under local anesthesia or sedation and demanded anesthesia. Given her comorbidities general anesthesia (GA) was avoided and the procedure was accomplished using Ultrasound (USG) guided Transversus abdominis plane (TAP) block and Lateral Femoral Cutaneous Nerve (LFCN) block...
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Paraspinous Sagittal Shift (PSSS): a novel approach for transmuscular quadratus lumborum block for hip surgery analgesia - four case reports].
CONCLUSIONS: The PSSS technique for TQL block may be beneficial as a part of multimodal analgesia for hip surgeries. This technique may be a safe alternative to psoas compartment block; however, future comparative studies are recommended. The PSSS technique for TQL block also may provide an easy access for catheter insertion. PMID: 32475699 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Epidemiology of perioperative cardiac arrest and mortality in Brazil: systematic review].
CONCLUSIONS: The epidemiology of both perioperative CA and mortality events reported in Brazilian studies does not show important differences and, in general, is similar to studies in developed countries. However, sepsis represents one of the major causes of perioperative CA and mortality in Brazilian studies, contrasting with studies in developed countries in which sepsis is a secondary cause. PMID: 32475700 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[The effect of low dose ionizing radiation exposure on dynamic thiol-disulfide homeostasis and ischemia modified albumin levels: an observational study].
CONCLUSION: Awareness of being in danger of oxidative stress should be established in personnel exposed to radiation in the anesthesia application area following low dose ionizing radiation exposure, and the necessary measures should be taken. PMID: 32482354 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Effects of remifentanil on awakening of propofol sedated patients submitted to upper gastrointestinal endoscopy: a randomized clinical trial].
CONCLUSIONS: The combination of propofol with remifentanil at a dose of 0.2 μg.kg-1 was effective in improving the quality of sedation, and at doses of 0.2 μg.kg-1 and 0.3 μg.kg-1 reduced the time to spontaneous eye opening and post-anesthetic recovery in comparison to sedation with propofol administered alone. PMID: 32482355 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series].
CONCLUSIONS: TEE exams under sedation aided by the double-lumen oropharyngeal cannula presented a low incidence of desaturation in patients assessed, and allowed analysis of expired CO2 during the exams. PMID: 32482356 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Lung exclusion in neonates - techniques and the role of ultrasound].
Authors: Rodrigues A, Salgado H PMID: 32482357 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Evaluation of bedside tests and proposal of a model for predicting difficult laryngoscopy: an observational prospective study].
Authors: Liaskou C, Vouzounerakis E, Trikoupi A, Staikou C Abstract BACKGROUND AND OBJECTIVES: The prediction of difficult laryngoscopy is based on tests that assess anatomic characteristics of face and neck. We aimed to identify the most accurate tests and propose a multivariate predictive model. METHODS: This prospective observational study included 1134 patients. Thyromental Distance (TMD), Sternomental Distance (STMD), Ratio of Height-to-Thyromental Distance (R-H/TMD), Neck Circumference (NC), Ratio of Neck Circumference-to-Thyromental Distance (R-NC/TMD), Hyomental Distance with head in Neutral Position (H...
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[A probable fatal argon gas embolism during resection of a cutaneous biliary fistula - a case report].
CONCLUSION: Although argon embolisms have been described more commonly during laparoscopies, this patient most likely experienced an argon gas embolism during an open resection of a cutaneous biliary fistula via the biliary tract or vein with possible transpulmonary passage of the embolism. Consequently, a high degree of suspicion should be maintained for an argon gas embolism during ABC use in laparoscopic, open, and cutaneous surgeries. PMID: 32482359 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[The role of point-of-care ultrasound and issues related to one-lung ventilation in neonates].
Authors: Mizubuti GB, Ho AMH PMID: 32482360 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Comparison of channelled videolaryngoscope and intubating laryngeal mask airway for tracheal intubation in obese patients: a randomised clinical trial].
Authors: Turna CK, Arslan ZI, Alparslan V, Okyay K, Solak M Abstract BACKGROUND: Obesity causes various difficulties in intubation and ventilation, which are confronted due to increased fat tissue in the upper airway and diminished compliance in the chest wall. Videolaryngoscopes and Intubating Laryngeal Mask Airway (ILMA) are good options as recommended by the American Society of Anesthesologists (ASA) difficult airway guidelines. We aimed to compare ILMA and Airtraq (a channeled videolaryngoscope) in obese patients. METHODS: Eighty patients with ASA physical status I-III, aged between 18 and 65 years and with...
Source: Revista Brasileira de Anestesiologia - June 3, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Anesthetic management in a patient with arrhythmogenic right ventricular cardiomyopathy and an implantable cardioverter defibrillator: a case report].
CONCLUSION: We report the successful management of anesthesia without lethal arrhythmia in a patient with ARVC and an ICD. An adequate amount of analgesia should be administered during general anesthesia to maintain adequate anesthetic depth and to avoid stress and pain. PMID: 32473832 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - June 2, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

Uso do dec úbito ventral para o manejo de pacientes com COVID-19 hospitalizados em enfermaria.
Uso do decúbito ventral para o manejo de pacientes com COVID-19 hospitalizados em enfermaria. Rev Bras Anestesiol. 2020 May 14;: Authors: Moghadam VD, Shafiee H, Ghorbani M, Heidarifar R PMID: 32419704 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - May 20, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Patient 4.0 - The challenge of care for elderly patients].
Authors: Carmona MJC, Simões CM PMID: 32402268 [PubMed - in process] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - May 15, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[The paradox of COVID-19 and pediatric anesthesiology: opinion of the Pediatric Anesthesia Committee of the Brazilian Society of Anesthesiology].
Authors: Neville MFL, Vanzillotta PP, Quintão VC PMID: 32405100 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - May 15, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Spinal anesthesia in COVID-19 patients, more research is needed].
Authors: Hashemi M, Taheri M, Aminnejad R PMID: 32386687 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - May 11, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Management of CO2 absorbent while using the anesthesia machine as a mechanical ventilator on patients with COVID-19].
Authors: Torres MLA, Canhisares FAT, Quintão VC PMID: 32376057 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - May 8, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[The Anesthesiologist and COVID-19].
Authors: Quintão VC, Simões CM, Lima LHNE, Barros GAM, Salgado-Filho MF, Guimarães GMN, Alves RL, Caetano AMM, Schmidt AP, Carmona MJC PMID: 32349868 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - May 1, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[General anesthesia combined with erector spinae plane block for ductus arteriosus closure: two case reports].
We present two cases of general anesthesia combined with erector spinae plane block as part of multimodal anesthesia in premature twins undergoing patent ductus arteriosus closure. DISCUSSION: In these cases, the use of erector spinae plane block combined with general anesthesia was efficient to minimize the negative impact of surgery and allowed a reduction in the amount of intraoperative opioid use for patent ductus arteriosus closure. PMID: 32200995 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 25, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Effects of caudal block in pediatric surgical patients: a randomized clinical trial].
Authors: Benka AU, Pandurov M, Galambos IF, Rakić G, Vrsajkov V, Drašković B Abstract BACKGROUND: Surgery generates a neuroendocrine stress response, resulting in undesirable hemodynamic instability, alterations in metabolic response and malfunctioning of the immune system. OBJECTIVES: The aim of this research was to determine the effectiveness of caudal blocks in intra- and postoperative pain management and in reducing the stress response in children during the same periods. METHODS: This prospective, randomized clinical trial included 60 patients scheduled for elective herniorrhaphy. One group (n...
Source: Revista Brasileira de Anestesiologia - March 25, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Subjective method for tracheal tube cuff inflation: performance of anesthesiology residents and staff anesthesiologists. Prospective observational study].
CONCLUSION: The subjective method for inflating the tracheal tube cuff resulted in a high rate of inadequate cuff pressures, with no difference in performance between anesthesiology specialists and residents. PMID: 32199655 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 24, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Effectiveness of magnesium sulfate compared to rocuronium for rapid sequence tracheal intubation in adults: clinical randomized trial].
Authors: Barbosa FT, Neto OBO, Barbosa LT, Andrade RR, Ribeiro ÊAN, Rodrigues CFS Abstract INTRODUCTION AND OBJECTIVES: Magnesium sulfate has been used in anesthesia because it has relevant clinical features such as: analgesia, autonomic response control and muscle relaxation. Using the agent to establish adequate conditions for tracheal intubation remains controversial. The aim of the study was to compare the effectiveness of magnesium sulfate and rocuronium for rapid sequence tracheal intubation in adults. METHODS: Double blind, randomized, unicentric, prospective study assessed 68 patients, A...
Source: Revista Brasileira de Anestesiologia - March 24, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[The need for supplemental blocks in single versus triple injections in infraclavicular brachial plexus blocks with a medial approach: a clinical and anatomic study].
This study comprised 139 patients who were scheduled for elective or emergency upper-limb surgery. Patients who received an infraclavicular blocks with a triple-injection technique were included in Group T (n=68). Patients who received an infraclavicular blocks with a single-injection technique were included in Group S (n=71). The number of patients who required supplementary blocks or had complete failure, the recovery time of sensory blocks and early and late complications were noted. RESULTS: The block success rate was 84.5% in Group S, and 94.1% in Group T without any need for supplementary nerve blocks. The blocks...
Source: Revista Brasileira de Anestesiologia - March 19, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Inadvertent epidural ampicillin administration during labor: case report].
CONCLUSIONS: The majority of errors are due to syringe and drug exchanges, and inadvertent route administration. Erroneous administration into the epidural space can have immediate and late effects and there is no definitive and effective treatment. There are several preventive measures to reduce the potential complications; some opt for watchful waiting, others opt for administering other drugs as a dilution attempted. PMID: 32178892 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 19, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Peri-operative management of a pregnant patient with hereditary angioedema submitted to a cesarean-section: case report].
We describe a successful case of a pregnant patient with type I hereditary angioedema submitted to a C-section. PMID: 32178893 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 19, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Efficacy of ultrasound guided suprascapular block in patients with chronic shoulder pain: retrospective observational study].
Authors: Sá Malheiro N, Afonso NR, Pereira D, Oliveira B, Ferreira C, Cunha AC Abstract INTRODUCTION: Painful shoulder syndrome is a frequent condition among the elderly and an important cause of functional disability. As the conservative is not always effective, ultrasound guided suprascapular nerve blockade presents as an important alternative treatment. OBJECTIVE: To evaluate the efficacy and safety of the use of 0.25% levobupivacaine and 40 mg of triamcinolone in the suprascapular nerve blockade in patients with chronic pain in the shoulder. METHODS: A retrospective, descriptive and analytical st...
Source: Revista Brasileira de Anestesiologia - March 19, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Impact of Grade I obesity on respiratory mechanics during video laparoscopic surgery: prospective longitudinal study].
Authors: Araujo OC, Espada EB, Costa FMA, Vigiato JA, Carmona MJC, Otoch JP, Silva JM, Martins MA Abstract INTRODUCTION AND OBJECTIVES: The association pneumoperitoneum and obesity in video laparoscopy can contribute to pulmonary complications, but has not been well defined in specific groups of obese individuals. We assessed the effects of pneumoperitoneum in respiratory mechanics in Grade I obese compared to non-obese. METHODS: Prospective study including 20 patients submitted to video laparoscopic cholecystectomy, normal spirometry, divided into non-obese (BMI ≤ 25kg.m-2) and obese (BMI> 30kg.mg-2), ex...
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[The multidisciplinary challenge of anesthesia for ex utero intrapartum treatment: a case report].
Authors: Caldeira A, Pacheco J, Fernandes S, Lança F Abstract The Ex- Utero Intrapartum Treatment (EXIT) is a surgical procedure performed in cases of expected postpartum fetal airway obstruction, allowing the establishment of patent airway while maintaining placental circulation. Anesthesia for EXIT procedure has several specific features such as adequate uterine relaxation, maintenance of maternal blood pressure fetal anesthesia and fetal airway establishment. The anesthesiologist should be aware of these particularities in order to contribute to a favorable outcome. This is a case report of an EXIT proced...
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Comparison between erector spinal plane block and epidural block techniques for postoperative analgesia in open cholecystectomies: a randomized clinical trial].
CONCLUSION: ESP block did not prove to be an effective technique for postoperative analgesia of open cholecystectomy, at the doses performed in this study, having required more use of rescue opioid, and without differences in NPS. More comprehensive studies are required to assess the efficacy of ESP block for the visceral and abdominal somatic component, considering the specific blockade level. PMID: 32171499 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Hemicorporectomy anesthesia: case report].
CONCLUSION: Anesthetic management is essential in scenarios such as the one reported to assure patient survival. PMID: 32171500 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Anesthesia for a cesarean section on a pregnant patient with Cockayne syndrome: case report].
We report the case of a pregnant patient diagnosed with Cockayne syndrome, submitted successfully to spinal anesthesia for a cesarean section due to cephalopelvic disproportion. In view of the difficult decision between inducing general anesthesia in a patient with a likely difficult airway, or neuraxial anesthesia in a patient with cardiovascular, respiratory and neurocognitive limitations, we suggest tailored management to reach the best results for the mother and newborn. PMID: 32173062 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Short term olfactory memory and olfactory function after inhalation anesthetic agents: a randomized clinical trial].
Authors: Sari H, Atar Y, Mingir T, Kumral TL, Akgun MF, Ahmed EA, Aydogdu I, Salturk Z, Berkiten G, Uyar Y Abstract BACKGROUND AND OBJECTIVES: This clinical trial aimed to evaluate the effects of two different inhalation anesthetic agents on postoperative olfactory memory and olfactory function in patients who underwent micro laryngeal surgery. METHODS: This randomized prospective controlled study consisted of 102 consecutive patients with a voice disorder. The patients underwent micro laryngeal surgery for voice disorders under general anesthesia. Patients who did not meet inclusion criteria and/or d...
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Neuraxial labor analgesia: a literature review: a letter to the editor].
Authors: Aminnejad R PMID: 32173064 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research

[Ropivacaine withdrawal syndrome: a case report].
We report a case of ropivacaine withdrawal, which to our knowledge has not been previously described in the literature. CASE REPORT: The patient presented to our department with uncontrolled belt-like upper-abdominal pain, self-rated as a 9/10 on the numeric rating scale. We decided to use continuous epidural analgesia with ropivacaine through a multi-port epidural catheter. Pain was well controlled for one month without significant adverse effects. However, ropivacaine unexpectedly ran out and two hours later the patient developed agitation, generalized tremor, tachycardia, and tachypnea. These symptoms resolved ...
Source: Revista Brasileira de Anestesiologia - March 18, 2020 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research