1,930 results match your criteria Revista brasileira de anestesiologia[Journal]


[Tutorial for performing systematic review and meta-analyzes with interventional anesthesia studies].

Rev Bras Anestesiol 2019 Feb 1. Epub 2019 Feb 1.

Universidade Federal de Alagoas, Maceío, AL, Brasil.

Background And Objective: The systematic review of randomized clinical trials is crucial to assess the safety and effectiveness of intermediate procedures. The objective of this article is to present a tutorial for the planning and execution of systematic review and meta-analysis of randomized clinical trial studies.

Content: The systematic literature review is the type of research that organizes, criticizes, and integrates available evidence published in the health field. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.11.007DOI Listing
February 2019

[Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study].

Rev Bras Anestesiol 2019 Jan 23. Epub 2019 Jan 23.

Universidade de Brasília (UnB), Departamento de Anestesiologia, Brasília, DF, Brasil.

Background: Hypothermia occurs in up to 20% of perioperative patients. Systematic postoperative temperature monitoring is not a standard of care in Brazil and there are few publications about temperature recovery in the postoperative care unit.

Design And Setting: Multicenter, observational, cross-sectional study, at Hospital de Base do Distrito Federal and Hospital Materno Infantil de Brasília. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.10.001DOI Listing
January 2019
4 Reads

[Knowledge retention after focused cardiac ultrasound training: a prospective cohort pilot study].

Rev Bras Anestesiol 2019 Jan 18. Epub 2019 Jan 18.

Queen's University, Kingston General Hospital, Department of Anesthesiology and Perioperative Medicine, Kingston, Canadá. Electronic address:

Background And Objectives: Focused Cardiac Ultrasound (FoCUS) has proven instrumental in guiding anesthesiologists' clinical decision-making process. Training residents to perform and interpret FoCUS is both feasible and effective. However, the degree of knowledge retention after FoCUS training remains a subject of debate. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183006
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http://dx.doi.org/10.1016/j.bjan.2018.10.002DOI Listing
January 2019
4 Reads

[Addition of dexmedetomidine to bupivacaine in ultrasonography-guided paravertebral blockade potentiates postoperative pain relief among patients undergoing thoracotomy].

Rev Bras Anestesiol 2019 Jan 18. Epub 2019 Jan 18.

Erciyes University, Medical Faculty, Anesthesiology and Reanimation Department, Kayseri, Turquia.

Background And Objective: Thoracic paravertebral blockade is an alternative regional technique for comforting post-thoracotomy pain, thereby decreasing opioid consumption, postoperative nausea and vomiting, dizziness, respiratory depression and health care costs. The objective of this study was to investigate the effects of bupivacaine and bupivacaine plus dexmedetomidine on postoperative pain score and analgesic consumption in thoracotomy patients who had undergone ultrasonography-guided paravertebral blockade.

Material And Method: 93 ASA I-II patients aged 18-65 years were included in the study and scheduled for thoracic surgery. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.11.002DOI Listing
January 2019
5 Reads

[Delayed trigeminocardiac reflex after maxillofacial surgery: case report].

Rev Bras Anestesiol 2019 Jan 18. Epub 2019 Jan 18.

Universidade Federal de Juiz de Fora (UFJF), CET-SBA do Hospital Universitário, Juiz de Fora, MG, Brasil; Hospital Monte Sinai, Juiz de Fora, MG, Brasil. Electronic address:

Background: Trigeminocardiac reflex is a physiological phenomenon that may occur in head and neck surgery, and is usually benign. However, it may present with exaggerated responses with severe morbidity.

Case Report: Male patient, 26 years old, candidate for surgical treatment of zygomatic-orbital complex fracture. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.11.003DOI Listing
January 2019
5 Reads

[Effect of intravenous acetaminophen versus fentanyl on postoperative pain after transurethral lithotripsy].

Rev Bras Anestesiol 2019 Jan 15. Epub 2019 Jan 15.

Hamadan University of Medical Sciences, Clinical Research Development Unit of Besat Hospital, Hamadan, Iran.

Background: Postoperative pain is the most common postoperative complication. This study was conducted to assess the effect of acetaminophen versus fentanyl on postoperative pain relief in patients who underwent urologic surgeries.

Methods: This clinical trial was conducted on patients aged 18-65 years. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.009DOI Listing
January 2019
3 Reads
0.415 Impact Factor

[Dexmedetomidine preconditioning protects against lung injury in hemorrhagic shock rats].

Rev Bras Anestesiol 2019 Jan 14. Epub 2019 Jan 14.

Wuhan University, Renmin Hospital, Department of Anesthesiology, Wuhan, Hubei, China; Wuhan University, Renmin Hospital, Laboratory of Anesthesiology and Critical Care Medicine, Wuhan, Hubei, China. Electronic address:

Background And Objectives: Dexmedetomidine has demonstrated protective effects against lung injury in vitro. Here, we investigated whether dexmedetomidine preconditioning protected against lung injury in hemorrhagic shock rats.

Methods: Male Sprague-Dawley rats were randomly divided into four groups (n=8): control group, hemorrhagic shock group, 5ug. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.011DOI Listing
January 2019
2 Reads
0.415 Impact Factor

[Looking for the reason of hemodynamic instability: the role of intraoperative ultrasound - Case report].

Rev Bras Anestesiol 2019 Jan 13. Epub 2019 Jan 13.

Hospital Universitario de Gran Canaria Dr. Negrín, Department of Anesthesiology, Las Palmas de Gran Canaria, Spain; Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.

Background And Objectives: A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained.

Case Report: A 41 year-old woman suffered a car accident. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.012DOI Listing
January 2019
2 Reads

[Should maternal anesthesia delay breastfeeding? A systematic review of the literature].

Rev Bras Anestesiol 2019 Jan 13. Epub 2019 Jan 13.

Universidade Estadual Paulista (Unesp), Faculdade de Medicina de Botucatu, Departamento de Anestesiologia, Botucatu, SP, Brasil.

Introduction: The importance and benefits of breastfeeding for the babies and mothers are well established and documented in the literature. However, it is frequent that lactating mothers need to undergo general or spinal anesthesia and, due to the lack of information, many of them interrupt breastfeeding after anesthesia. There are limited data available regarding anesthetics transfer to breast milk. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183027
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http://dx.doi.org/10.1016/j.bjan.2018.11.006DOI Listing
January 2019
4 Reads

[YouTube as an informational source for brachial plexus blocks: evaluation of content and educational value].

Rev Bras Anestesiol 2019 Jan 8. Epub 2019 Jan 8.

Maltepe University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Istanbul, Turquia.

Background And Objectives: YouTube, the most popular video-sharing website, contains a significant number of medical videos including brachial plexus nerve blocks. Despite the widespread use of this platform as a medical information source, there is no regulation for the quality or content of the videos. The goals of this study are to evaluate the content of material on YouTube relevant to performance of brachial plexus nerve blocks and its quality as a visual digital information source. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183015
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http://dx.doi.org/10.1016/j.bjan.2018.11.004DOI Listing
January 2019
2 Reads

[Negative pressure pulmonary edema: report of four cases and review of the literature].

Rev Bras Anestesiol 2018 Dec 24. Epub 2018 Dec 24.

Universidade Federal de Juiz de Fora (UFJF), CET-SBA do Hospital Universitário, Juiz de Fora, MG, Brasil; Universidade Federal Fluminense (UFF), Niterói, RJ, Brasil; Hospital e Maternidade Monte Sinai em Juiz de Fora, Juiz de Fora, MG, Brasil. Electronic address:

Background And Objectives: Negative pressure pulmonary edema occurs by increased intrathoracic negative pressure following inspiration against obstructed upper airway. The pressure generated is transmitted to the pulmonary capillaries and exceeds the pressure of hydrostatic equilibrium, causing fluid extravasation into the pulmonary parenchyma and alveoli. In anesthesiology, common situations such as laryngospasm and upper airway obstruction can trigger this complication, which presents considerable morbidity and requires immediate diagnosis and propaedeutics. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.11.005DOI Listing
December 2018
2 Reads

[Comparative ultrasound study of gastric emptying between an isotonic solution and a nutritional supplement].

Rev Bras Anestesiol 2018 Oct 24. Epub 2018 Oct 24.

Universidade Federal do Triângulo Mineiro (UFTM), Faculdade de Medicina, Uberaba, MG, Brasil.

Background And Objectives: Preoperative fasting may lead to undesirable effects in the surgical patient in whom there is a stimulus to ingesting liquids clear liquids until 2hours before anesthesia. The aim of this study was to evaluate the gastric emptying of two different solutions using ultrasound.

Methods: In a prospective, randomized, blind study, 34 healthy volunteers ingested 200mL of two solutions without residues in two steps: an isotonic solution with carbohydrates, electrolytes, osmolarity of 292 mOsm. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.006DOI Listing
October 2018
2 Reads

[Combination of clonidine-bupivacaine in caudal epidural anesthesia for hypospadias surgery in children: prospective, randomized, blind study].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):27-34. Epub 2018 Oct 25.

Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Belo Horizonte, MG, Brasil; Faculdade de Minas (Faminas), Belo Horizonte, MG, Brasil. Electronic address:

Background And Objectives: The combination of clonidine with local anesthetic administered for epidural anesthesia via caudal route seems to improve the quality of postoperative analgesia, but with conflicting results. This study compared the postoperative analgesia of three different doses of clonidine combined with bupivacaine in caudal epidural anesthesia in children undergoing hypospadias repair.

Methods: Eighty children aged 1 to 10 years, candidates for surgical repair of hypospadias, were randomly divided into four groups of 20 patients to receive general anesthesia combined with caudal epidural anesthesia with bupivacaine 0. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.008DOI Listing
October 2018
2 Reads

[Anesthesia for surgical repair of the pentatology of Cantrell: case report].

Rev Bras Anestesiol 2018 Nov 20. Epub 2018 Nov 20.

Hospital São Domingos, São Luís, MA, Brasil; Universidade Federal do Maranhão (UFMA), São Luís, MA, Brasil; Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil. Electronic address:

Pentalogy of Cantrell is a congenital anomaly associated with defects in the abdominal wall, sternum, diaphragm, and diaphragmatic pericardium formation, in addition to the development of cardiac abnormalities. It is a rare disease with an estimated incidence of one case for every 65,000 births, being more common in males (60% of cases). It has a reserved prognosis with mortality around 63%, and a maximum of 9 months survival after surgery. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.002DOI Listing
November 2018
16 Reads

[Erector spinae plane block as a multiple catheter technique for open esophagectomy: a case report].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):95-98. Epub 2018 Nov 17.

University of Padova, Section of Anesthesiology and Intensive Care, Department of Medicine (Dimed), Padova, Itália.

Background And Objective: Erector spinae plane block is a valid technique to provide simultaneously analgesia for combined thoracic and abdominal surgery.

Case Report: A patient underwent open esophagectomy followed by reconstructive esophagogastroplasty but refused thoracic epidural analgesia; a multi-modal analgesia with a multiple erector spinae plane block was then planned. Three erector spinae plane catheters (T5 and T10 on the right side and T9 on the left side) for continuous analgesia were placed before surgery. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.001DOI Listing
November 2018
2 Reads

[The effect of anesthetic preconditioning with sevoflurane on intracellular signal-transduction pathways and apoptosis, in a lung autotransplant experimental model].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):48-57. Epub 2018 Nov 17.

Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Bioquímica, Madri, Espanha.

Background: Anesthetic pre-conditioning attenuates inflammatory response during ischemia-reperfusion lung injury. The molecular mechanisms to explain it are not fully understood. The aim of our investigation was to analyze the molecular mechanism that explain the anti-inflammatory effects of anesthetic pre-conditioning with sevoflurane focusing on its effects on MAPKs (mitogen-activated protein kinases), NF-κB (nuclear factor kappa beta) pathways, and apoptosis in an experimental lung autotransplant model. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.07.002DOI Listing
November 2018
2 Reads

[Effect of melatonin on the daytime sleepiness side-effect of gabapentin in adults patients with neuropathic pain].

Rev Bras Anestesiol 2018 Nov 16. Epub 2018 Nov 16.

Hacettepe University, Department of Anesthesiology and Reanimation, Ankara, Turquia.

Background And Objectives: Gabapentin is an antiepileptic drug. Widely used for the management of neuropathic pain. Although it is known to be well tolerated, somnolence and dizziness are the most frequent adverse effects. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.08.003DOI Listing
November 2018
1 Read

[The effects of crystalloid warming on maternal body temperature and fetal outcomes: a randomized controlled trial].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):13-19. Epub 2018 Nov 15.

Ahi Evran University Training and Research Hospital, Department of Anesthesiology and Reanimation, Kırsehir, Turquia.

Background And Objectives: Hypothermia occurs in about 60% of patients under anesthesia and is generally not managed properly during short lasting surgical procedures. Hypothermia is associated with adverse clinical outcomes. The current study is designed to assess the effects of crystalloid warming on maternal and fetal outcomes in patients undergoing elective cesarean section with spinal anesthesia. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.009DOI Listing
November 2018
3 Reads

[Anesthetic management for patient with severe cyanosis following bioprosthetic valve stenosis].

Authors:
Jun Zeng Wei Wei

Rev Bras Anestesiol 2018 Nov 13. Epub 2018 Nov 13.

Sichuan University, West China Hospital, Department of Anesthesiology, Chengdu, China. Electronic address:

We presented a 39-year-old female patient with life-threatening hypoxemia after tricuspid valve replacement because of Ebstein's anomaly. And the severe cyanosis is due to bioprosthetic valve stenosis and atrial septal defect. Anesthetic management of a patient with severe obstructive prosthetic valve dysfunction can be challenging. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183003
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http://dx.doi.org/10.1016/j.bjan.2018.06.010DOI Listing
November 2018
13 Reads

[Effects of repeated exposure to different concentrations of sevoflurane on the neonatal mouse hippocampus].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):58-63. Epub 2018 Nov 13.

Tehran University of Medical Sciences, Dr. Shariati Hospital, Department of Anesthesiology and Critical Care Medicine, Teerã, Irã. Electronic address:

Background And Objectives: Developing brain is more vulnerable to environmental risk than is the developed brain. We evaluated the effects of repeated exposure to different concentrations of sevoflurane on the neonatal mouse hippocampus using stereological methods.

Methods: Eighteen neonatal male mice were randomly divided into three groups. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.001DOI Listing
November 2018
1 Read
0.420 Impact Factor

[Cerebellar infarct following orchidopexy under spinal anesthesia].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):109-112. Epub 2018 Nov 13.

King George's Medical University, Lucknow, Índia.

The report describes a case of peri-operative stroke that presented as diplopia and gait difficulty on 2nd post-operative day after routine orchidopexy under spinal anesthesia in an otherwise healthy young boy. Magnetic resonance imaging of the brain revealed acute infarct in bilateral cerebellar hemispheres, left half of medulla and left thalamus. A diagnosis of acute stroke (infarct) was made and patient was started on oral aspirin 75mg. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173065
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http://dx.doi.org/10.1016/j.bjan.2018.06.012DOI Listing
November 2018
6 Reads
0.415 Impact Factor

[Transthoracic echocardiographic assessment of cardiac output in mechanically ventilated critically ill patients by intensive care unit physicians].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):20-26. Epub 2018 Nov 6.

Universita' degli Studi Magna Graecia di Catanzaro, Catanzaro, Itália.

Background And Objectives: Transthoracic echocardiography may potentially be useful to obtain a prompt, accurate and non-invasive estimation of cardiac output. We evaluated whether non-cardiologist intensivists may obtain accurate and reproducible cardiac output determination in hemodynamically unstable mechanically ventilated patients.

Methods: We studied 25 hemodynamically unstable mechanically ventilated intensive care unit patients with a pulmonary artery catheter in place. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173064
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http://dx.doi.org/10.1016/j.bjan.2018.09.004DOI Listing
November 2018
13 Reads
0.415 Impact Factor

[Lung isolation for emergent thoracotomy in the bleeding airway patient: the choice of bronchial blocker may make a difference].

Authors:
Hilary P Grocott

Rev Bras Anestesiol 2019 Jan - Feb;69(1):113. Epub 2018 Nov 5.

University of Manitoba, Department of Anesthesia, Perioperative and Pain Medicine, Winnipeg, Canada. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183033
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http://dx.doi.org/10.1016/j.bjan.2018.07.005DOI Listing
November 2018
9 Reads

[Effect of magnesium sulphate and milrinone on cerebral vasospasm after aneurysmal subarachnoid hemorrhage: a randomized study].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):64-71. Epub 2018 Nov 6.

Cairo University, Department of Anesthesia, Cairo, Egito.

Background: Aneurysmal subarachnoid hemorrhage is an important cause of premature death and disability worldwide. Magnesium sulphate is shown to have a neuroprotective effect and it reverses cerebral vasospasm. Milrinone is also used in the treatment of cerebral vasospasm. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183000
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http://dx.doi.org/10.1016/j.bjan.2018.09.005DOI Listing
November 2018
13 Reads

[Effects of intraarticular tramadol, magnesium and ketamine on postoperative pain in arthroscopic meniscectomy].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):35-41. Epub 2018 Nov 6.

Saglik Bilimleri Universitesi, Yuksek Ihtisas Ankara Training and Education Hospital, Department of Anesthesiology and Reanimation, Ankara, Turquia.

Objective: Postoperative pain control is important in terms of early recovery and rehabilitation in arthroscopic meniscectomy. For this purpose, we aimed to compare the effects of intraarticular tramadol, magnesium, and ketamine with combinations of pericapsular bupivacaine on postoperative pain and recovery in arthroscopic meniscectomy.

Methods: Ninety patients who underwent arthroscopic meniscectomy were enrolled in the study. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.003DOI Listing
November 2018
6 Reads

[Preoperative education reduces preoperative anxiety in cancer patients undergoing surgery: Usefulness of the self-reported Beck anxiety inventory].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):1-6. Epub 2018 Nov 3.

Instituto Nacional de Cardiologia, Rio de Janeiro, RJ, Brasil. Electronic address:

Background And Objectives: Preoperative instruction is known to significantly reduce patient anxiety before surgery. The present study aimed to investigate the effects of preoperative education on the level of anxiety of cancer patients undergoing surgery using the self-reported Beck anxiety inventory.

Methods: This study is a short-term observational study, including 72 female patients with a diagnosis of endometrial cancer who were scheduled to undergo surgical treatment under general anesthesia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173060
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http://dx.doi.org/10.1016/j.bjan.2018.07.003DOI Listing
November 2018
13 Reads

[The relationship between neutrophil to lymphocyte ratio and postoperative pain in total knee and hip arthroplasty].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):42-47. Epub 2018 Nov 3.

Istanbul University, Istanbul Medical Faculty, Department of Anesthesiology, Istanbul, Turquia.

Background And Objectives: Neutrophil to lymphocyte ratio is a simple, cost-effective and easily applicable inflammation indicator that is being used frequently in mortality, morbidity and prognosis studies in the recent years. We evaluated the relationship between neutrophil to lymphocyte ratio and postoperative pain in patients undergoing total hip arthroplasty and total knee arthroplasty.

Material And Methods: We included 101 patients who preferred spinal anesthesia and intravenous patient-controlled analgesia in accordance and divided them into two groups, total hip arthroplasty and total knee arthroplasty. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.07.004DOI Listing
November 2018
1 Read

[Continuous erector spinae plane block for postoperative analgesia of multiple rib fracture surgery: case report].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):91-94. Epub 2018 Nov 2.

Regional Training Hospital, Department of Thoracic Surgery, Erzurum, Turquia.

Introduction: The erector spinae plane block is a newly described and effective interfascial plane block for thoracic and abdominal surgery. This case report describes a patient with multiple rib fractures undergoing ultrasound-guided continuous erector spinae plane block for analgesia.

Case Report: A 37-year-old male patient was taken for surgical fixation of multiple rib fractures. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.08.001DOI Listing
November 2018
15 Reads

[Severe bradycardia and asystole associated with sugammadex: clinical case report].

Rev Bras Anestesiol 2018 Oct 19. Epub 2018 Oct 19.

Centro Hospitalar Lisboa Central, EPE, Lisboa, Portugal.

Background And Objectives: Sugamadex is a modified gamma-cyclodextrin, the first selective agent for reversal of neuromuscular blockade induced by steroidal non-depolarizing muscle relaxants, with greater affinity for rocuronium. In this article we present a case of severe bradycardia and asystole following sugammadex administration.

Case Report: A 54-year-old male patient, ASA II, with a history of hypertension, dyslipidemia and obesity, who underwent an emergency umbilical herniorrhaphy under balanced general anesthesia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094183011
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http://dx.doi.org/10.1016/j.bjan.2018.09.010DOI Listing
October 2018
30 Reads

[Supraclavicular nerve and superior trunk block for surgical treatment of clavicle fracture in a patient with Steinert's disease - Case report].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):99-103. Epub 2018 Oct 6.

Hospital Unimed BH, Unidade Contorno, Belo Horizonte, MG, Brasil; Hospital Semper, Belo Horizonte, MG, Brasil; Hospital Alberto Cavalcanti (Rede Fhemig), Belo Horizonte, MG, Brasil.

Background And Objectives: Ultrasound-guided upper limb blocks may provide great benefits to patients with serious diseases. Patients with Steinert's disease have muscle weakness and risk of triggering myotony or malignant hyperthermia due to the use of anesthetic agents and surgical stress. The objective of this report was to demonstrate a viable alternative for clavicle fracture surgery with upper trunk and supraclavicular nerve block, thus reducing the spread of local anesthetic to the phrenic nerve in a patient with muscular dystrophy. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.006DOI Listing
October 2018
8 Reads

[Ultrasound-guided selective nerve blocks for trigger finger surgeries to maintain flexion/extension of fingers - Case series].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):104-108. Epub 2018 Oct 6.

Universidade Federal de São Paulo (Unifesp), Escola Paulista de Medicina (EPM), Grupo de Anestesia Regional da Disciplina de Anestesiologia, Dor e Medicina Intensiva, São Paulo, SP, Brasil.

Background: A patient's ability to move his/her fingers during hand surgery may be helpful to surgeons because it allows the effectiveness of the intervention evaluation and prediction of hand function in the postoperative period. The purpose of this case series is to demonstrate the efficacy of an ultrasound-guided peripheral nerve block technique to maintain the hand flexor and extensor muscles motor function and discuss the benefits of the technique for trigger finger surgery.

Case Report: Ten patients scheduled to undergo trigger finger surgery were selected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173049
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http://dx.doi.org/10.1016/j.bjan.2018.06.011DOI Listing
October 2018
4 Reads

[Ultrasound guided airway access].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):624-632. Epub 2018 Sep 20.

Centro Hospitalar Trás Montes e Alto Douro, Vila Real, Portugal.

Ultrasound has increasingly growing applications in anesthesia. This procedure has proven to be a novel, non-invasive and simple technique for the upper airway management, proving to be a useful tool, not only in the operating room but also in the intensive care unit and emergency department. Indeed, over the years mounting evidence has showed an increasing role of ultrasound in airway management. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173015
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http://dx.doi.org/10.1016/j.bjan.2018.06.014DOI Listing
September 2018
9 Reads

[Combined spinal-epidural block for labor analgesia. Comparative study with continuous epidural block].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):7-12. Epub 2018 Sep 13.

Universidade Estadual de Campinas (Unicamp), Faculdade de Ciências Médicas, Departamento de Anestesiologia, Campinas, SP, Brasil.

Introduction: Lumbar epidural block is an effective and routinely used technique for labor pain relief, and the combined spinal-epidural block has the benefit of using lower doses of local anesthetics and rapid onset of analgesia. The objective of this study was to evaluate the effectiveness and safety of two anesthetic techniques: combined spinal-epidural block and continuous epidural block in pregnant women for labor analgesia.

Methods: Eighty patients, ASA II and III, with cephalic presentation and cervical dilation between 5 and 6 centimeters, undergoing labor analgesia, allocated in two groups according to the anesthetic technique: combined spinal-epidural (GI) and continuous epidural (GII). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173003
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http://dx.doi.org/10.1016/j.bjan.2018.08.002DOI Listing
September 2018
9 Reads

[Remifentanil-ketamine vs. propofol-ketamine for sedation in pediatric patients undergoing colonoscopy: A randomized clinical trial].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):597-604. Epub 2018 Sep 8.

Çukurova University Medical Faculty, Pediatric Gastroenterology Department, Adana, Turquia.

Background And Objectives: Pediatric patients frequently require deep sedation or general anesthesia for colonoscopy. This study was designed to compare the sedative efficacy of remifentanil-ketamine combination with propofol-ketamine combination in children undergoing colonoscopy.

Methods: Seventy patients, between 2 and 16 years of age, scheduled for diagnostic colonoscopy were randomly allocated into two groups. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173038
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http://dx.doi.org/10.1016/j.bjan.2018.06.015DOI Listing
September 2018
14 Reads

[Effect of two different doses of dexmedetomidine on the incidence of emergence agitation after strabismus surgery: a randomized clinical trial].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):571-576. Epub 2018 Sep 7.

Assiut University, College of Medicine, Assiut, Egito.

Background And Objective: Emergence agitation is a postoperative negative behavior that affects mainly children. We studied the effect of two different doses of dexmedetomidine on the incidence and degree of EA in children undergoing strabismus surgery.

Methods: 90 patients were allocated into three equal groups; patients received 0. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.05.002DOI Listing
September 2018
2 Reads

[The chondrotoxic and apoptotic effects of levobupivacaine and bupivacaine on the rabbit knee joint].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):605-612. Epub 2018 Sep 7.

Cukurova University, Faculty of Medicine, Department of Histology and Embryology, Adana, Turquia.

Background: A single dose injection or continuous infusion of local anesthetics into the joint space is considered to be a well-defined analgesia technique. The aim of this study was to investigate the chondrotoxic and apoptotic effects of single-dose intra-articular injection of levobupivacaine and bupivacaine on rabbit knee joint tissues.

Materials And Methods: The animals were allocated into two groups each containing 20 rabbits. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.013DOI Listing
September 2018
2 Reads

[Evaluation of the quality of recovery and the postoperative health status after elective surgery].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):577-583. Epub 2018 Sep 7.

Centro Hospitalar de São João, Departamento de Anestesiologia, Porto, Portugal; Universidade do Porto, Faculdade de Medicina, Departamento de Cirurgia e Fisiologia, Porto, Portugal. Electronic address:

Purpose: Postoperative recovery is a complex process with physiologic, functional, and psychologic dimensions. Postoperative quality of recovery is considered as a crucial outcome following surgery and anesthesia. The objective of this study was to assess and compare the quality of postoperative recovery and health status before and after surgery, in patients undergoing elective surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173065
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http://dx.doi.org/10.1016/j.bjan.2018.06.002DOI Listing
September 2018
17 Reads

[Continuous quadratus lumborum type 3 block provides effective postoperative analgesia for hip surgery].

Rev Bras Anestesiol 2018 Sep 5. Epub 2018 Sep 5.

Regional Training and Research Hospital, Department of Anesthesiology and Reanimation, Erzurum, Turkey.

Introduction: Hip surgery is a major surgery that causes severe postoperative pain. Although pain during rest is usually considerably reduced mobilization is important in terms of thromboembolic complications. The quadratus lumborum block is a regional analgesic technique that blocks T6-L3 nerve branches. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.007DOI Listing
September 2018
2 Reads

[Effects of propofol pretreatment on myocardial cell apoptosis and SERCA2 expression in rats with hepatic ischemia/reperfusion].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):591-596. Epub 2018 Sep 6.

Shanxi People's Hospital, Department of General Surgery, Taiyuan, China.

Introduction: Hepatic ischemia-reperfusion injury is a common pathophysiological process in liver surgery. Whether Propofol can reduce myocardial ischemia-reperfusion injury induced by hepatic ischemia-reperfusion injury in rats, together with related mechanisms, still needs further studies.

Objective: To investigate if propofol would protect the myocardial cells from apoptosis with hepatic ischemia-reperfusion injury. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.003DOI Listing
September 2018
3 Reads

[Ultrasound dynamics of gastric content volumes after the ingestion of coconut water or a meat sandwich. A randomized controlled crossover study in healthy volunteers].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):584-590. Epub 2018 Sep 6.

Universidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatu, SP, Brasil.

Background: Adequate preoperative fasting is critical in preventing pulmonary aspiration of gastric content. We proposed to study the sonographic gastric content dynamics after the ingestion of liquid or solid food in healthy volunteers and confront it with current guidelines for preoperative fasting times.

Methods: We performed a prospective, crossover, evaluator-blinded study involving 17 healthy volunteers of both sexes. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.008DOI Listing
September 2018
1 Read

[Anesthetic management of endovascular treatment for acute ischemic stroke: Influences on outcome and complications].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):613-623. Epub 2018 Sep 6.

Universidade do Porto, Faculdade de Medicina, Centro Hospitalar de São João, Porto, Portugal.

Background And Objectives: The emerging use of endovascular therapies for acute ischemic stroke, like intra-arterial thrombectomy, compels a better understanding of the anesthetic management required and its impact in global outcomes. This article reviews the available data on the anesthetic management of endovascular treatment, comparing general anesthesia with conscious sedation, the most used modalities, in terms of anesthetic induction and procedure duration, patient mobility, occlusion location, hemodynamic parameters, outcome and safety; it also focuses on the state-of-the-art on physiologic and pharmacologic neuroprotection.

Contents: Most of the evidence on this topic is retrospective and contradictory, with only three small randomized studies to date. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.06.004DOI Listing
September 2018
1 Read

[Influence of propofol dose and blood components on duration of electrical seizures in electroconvulsive therapy].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):564-570. Epub 2018 Aug 22.

Complejo Hospitalario Universitario de Albacete, Departamento de Anestesiología, Albacete, Espanha. Electronic address:

Background And Objectives: Propofol is commonly employed as a hypnotic agent to perform electroconvulsive therapy, but it exhibits also anticonvulsant properties. The main objective was to study the effect of the weight-adjusted dose of propofol on duration of the electrical seizure. Secondary objectives were to study the effect of absolute dose of propofol on duration of electrical seizure, the effect of both absolute and weight-adjusted doses on values of bispectral index, and the influence of blood chemistry on anticonvulsant effect. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173050
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http://dx.doi.org/10.1016/j.bjan.2018.03.005DOI Listing
August 2018
6 Reads

[Continuous serratus anterior plane block provides analgesia in multiple rib fractures: a case report].

Rev Bras Anestesiol 2019 Jan - Feb;69(1):87-90. Epub 2018 Aug 22.

Centro Hospitalar de Tondela e Viseu, Serviço de Anestesiologia, Viseu, Portugal.

Thoracic trauma with rib fractures is a challenging condition due to the severe associated pain. Uncontrolled pain impairs breathing and an adequate pain control is necessary to provide comfort and to avoid further complications. Serratus Anterior Plane block is a procedure safe and easy to accomplish. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173066
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http://dx.doi.org/10.1016/j.bjan.2018.03.007DOI Listing
August 2018
3 Reads

[Changes in the tumor necrosis factor-α level after an ultrasound-guided femoral nerve block in elderly patients with a hip fracture].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):558-563. Epub 2018 Aug 22.

Hallym University, Chuncheon Sacred Heart Hospital, Institute for Skeletal Aging & Orthopedic Surgery, Chuncheon, Korea. Electronic address:

Background And Objectives: An ultrasound guided femoral nerve block is an established analgesic method in patients with a hip fracture. Elevated cytokine levels correlate with poor patient outcomes after surgery. Hence, the aim of the study was to describe the levels of tumor necrosis factor-α after an ultrasound-guided femoral nerve block in elderly patients having a femoral neck fracture. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.03.004DOI Listing
August 2018
8 Reads

[Hypotension associated to a bilateral quadratus lumborum block performed for post-operative analgesia in an open aortic surgery case].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):657-660. Epub 2018 Aug 20.

Centro Hospitalar Tondela-Viseu, Serviço de Anestesiologia, Viseu, Portugal.

Background And Objectives: Bilateral quadratus lumborum block has been described for major abdominal procedures when sepsis is present, because risks associated to epidural are considered elevated. In an open aortic surgery, a single-shot bilateral quadratus lumborum block type 1 may be an alternative to thoracic epidural block for post-operative analgesia in a patient having an increased cumulative risk for thoracic epidural hematoma.

Case Report: A 56-year-old female patient presenting controlled hypertension, chronic renal disease stage 3b, dyslipidemia and a platelet count of 102,000/μl, and taking aspirin, was scheduled for bilateral aortoiliac endarterectomy. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.05.003DOI Listing
August 2018
3 Reads

[Evaluation of a Brazilian's cardiovascular anesthesia fellowship by its former trainees].

Rev Bras Anestesiol 2018 Nov - Dec;68(6):549-557. Epub 2018 Aug 16.

Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brasil. Electronic address:

Background: After advancement of cardiovascular surgery, there is also exponential development of anesthetic techniques in this field. Patients with increasing clinical complexity challenge cardiac anesthesiologists to keep constantly updated. An evaluation of Brazilian's cardiovascular anesthesia fellowship at Dante Pazzanese Institute of Cardiology has been made and information has been collected to evaluate the fellowship program in cardiovascular anesthesia. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.03.006DOI Listing
August 2018
2 Reads

[Importance of preoperative guided ultrasound in patients with femoral fracture - Case report].

Rev Bras Anestesiol 2018 Aug 13. Epub 2018 Aug 13.

Departamento de Anestesiologia, Hospital Lifecenter, Belo Horizonte, MG, Brasil.

Objective: The aim of this report is to represent the role of the use of bedside ultrasound by the anesthesiologist, offering an individualized approach to the specific condition of the patient, without unnecessary postponement of femur fracture surgical repair in the elderly.

Case Report: Female patient, 86 years old, hypertensive, victim of trochanteric fracture of the femur, taken to the operating room after being released by cardiology service. A bedside ultrasound exam allowed the identification of aortic stenosis, left ventricular hypertrophy, carotid stenosis, and signs of hypovolemia. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.07.001DOI Listing
August 2018
16 Reads

[Anesthesia and perioperative challenges for surgical separation of thoraco-omphalopagus twins: case report].

Rev Bras Anestesiol 2018 Aug 7. Epub 2018 Aug 7.

Universidade Federal de Pernambuco (UFPE), Recife, PE, Brasil; Universidade de Pernambuco (UPE), Recife, PE, Brasil.

Background And Objectives: Conjoined twins are monozygotic twins physically joined at some part of the body. This is a rare phenomenon, estimated between 1:50,000 to 1:200,000 births. The objective of this report is to present the anesthetic management and the perioperative challenges for a separation surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00347094173059
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http://dx.doi.org/10.1016/j.bjan.2018.06.005DOI Listing
August 2018
14 Reads

[Aortic dissection after mitral valve replacement - the role of intraoperative echocardiography in its diagnosis].

Rev Bras Anestesiol 2018 Aug 2. Epub 2018 Aug 2.

Ecocardiografista Incor/Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.

According to the most recent guidelines, the use of intraoperative transesophageal echocardiography in valvular surgeries is well established, as well as its use in the diagnosis, management, and rescue of perioperative complications. The aim of this case report is to illustrate a condition in which its intraoperative use had a positive influence on the outcome. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.05.001DOI Listing
August 2018
2 Reads

[Adverse postoperative cognitive disorders: a national survey of portuguese anesthesiologists].

Rev Bras Anestesiol 2018 Sep - Oct;68(5):472-483. Epub 2018 Jul 24.

Universidade do Porto, Faculdade de Medicina, Centro Hospitalar de São João, Departamento de Anestesiologia e de Cirurgia e Fisiologia, Porto, Portugal.

Background And Objectives: Postoperative delirium and postoperative cognitive dysfunction are some of the most common complications in older surgical patients and are associated with adverse outcomes. The aim of this study was to evaluate portuguese anesthesiologists' perspectives and knowledge about adverse postoperative cognitive disorders, and routine clinical practice when caring for older surgical patients.

Methods: We used a prospective online survey with questions using a Likert scale from 1 to 5 (completely disagree to completely agree), or yes/no/don't know answer types. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.02.009DOI Listing
July 2018
2 Reads
0.420 Impact Factor