Abstract:
BACKGROUND AND OBJECTIVES:The use of volatile anesthetics in cardiac surgery is not recent. Since the introduction of halothane in clinical practice, several cardiac surgery centers started to use these anesthetics constantly. CONTENT:In the last years a great number of studies have shown that the volatile anesthetics have a protecting effect against myocardial ischemic dysfunction. Experimental evidences have shown that the halogenated anesthetics have cardioprotective effects that cannot be only explained by coronary flow alterations or by the balance between myocardium available and consumed oxygen. In addition to that, the use of volatile anesthetics during extracorporeal circulation (ECC) in cardiac surgery plays an important role. Recent studies have proven that these agents have cardioprotective properties and produce better results when the volatile anesthetic is used during the whole surgery procedure, including ECC. The use of halogenated anesthetics through calibrated vaporizers adapted to the ECC circuit via oxygenator membranes has become popular. Therefore, the professionals involved such as anesthesiologists and perfusionists should learn specifics in order to solve possible doubts.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Nigro Neto C,Tardelli MA,Paulista PHdoi
10.1016/S0034-7094(12)70135-6subject
Has Abstractpub_date
2012-05-01 00:00:00pages
346-55issue
3eissn
0034-7094issn
1806-907Xpii
S0034-7094(12)70135-6journal_volume
62pub_type
杂志文章abstract:BACKGROUND AND OBJECTIVES:Alveolar recruitment maneuver (ARM) with pressures of 40 cmH2O in the airways is effective in the reversal of atelectasis after myocardial revascularization (MR); however, there is a lack of studies evaluating the hemodynamic impact of this maneuver in patients who evolve with cardiogenic shoc...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000200004
更新日期:2008-03-01 00:00:00
abstract: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 postoperati...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2018.02.009
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Pain is an aggravating factor in postoperative morbidity and mortality especially in large size surgeries. Methods to effectively fend pain collide with elevated costs and for this reason they are not accessible in every service. The option would be the use of an opioid with long half-life, su...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
doi:10.1016/S0034-7094(11)70078-2
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Urinary retention is a common condition in the post-anesthetic care unit (PACU). Vesical overdistension and consequent damage of the detrusor muscle of the urinary bladder represent situations that can be prevented. The ultrasound allows the reliable measurement of the urinary volume, determin...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/S0034-7094(10)70047-7
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:It has already been proved that procainamide potentiates the neuromuscular blockade of d-tubocurarine; however, the mechanism of this potentiation is controversial. The aim of this study was to assess the influence of procainamide on the neuromuscular blockade produced by rocuronium and invest...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942007000100008
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Ludwig's angina (LA) is an infection of the submandibular space, first described by Wilhelm Frederick von Ludwig in 1836. It represents an entity difficult to manage due to the rapid progression and difficulty in maintaining airway patency, a major challenge in medical practice, resulting in asphyxia and dea...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.10.004
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Several studies were performed with bupivacaine isomers in the attempt to find a safer drug than racemic bupivacaine. This study aimed at evaluating the efficacy of 0.5% bupivacaine enantiomeric mixture (MEE50%) as compared to 0.5% racemic bupivacaine in brachial plexus block for upper limb or...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942005000200003
更新日期:2005-04-01 00:00:00
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 inv...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1016/j.bjan.2020.05.002
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Inhalation anesthetics are used in human, as well as veterinary medical practice. In the present study we investigated the effect of isoflurane and sevoflurane on rat hepatocytes. METHODS:A total of 40 Wistar female rats were used in this study. Animals were divided in groups of 5 rats. Group...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2015.09.007
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The discontinuation of drugs such as angiotensin-converting enzyme inhibitors (ACE inhibitors) has been suggested based on reports of hypotension during anesthesia. This may imply on a higher risk of intraoperative hypertensive peaks with deleterious consequences for the patient. The objective...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract::Dexmedetomidine is a highly selective α-2 agonist which has recently revolutionized our anesthesia and intensive care practice. An obstetric patient presented for emergency cesarean delivery under general anesthesia, with pre-eclampsia and postpartum hemorrhage. In carefully selected cases with refractory hypertension...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2015.09.001
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Low back pain syndromes are major causes of morbidity and disability. Their therapeutic management is often based on conservative measures, such as rest, analgesia, physical therapy, and even surgical and rehabilitation procedures. This study aimed at describing the use of epidural steroids to...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000100017
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Residual postoperative paralysis impairs airway patency increasing the risk for postoperative complications. Anti-cholinesterase agents improve neuromuscular transmission by acetylcholine build up in the endplate. However, when there is no longer neostigmine effect, 'recurarization' is theoret...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000400008
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Posterior lumbar plexus block promotes effective postoperative analgesia in total knee arthroplasty. Ropivacaine and bupivacaine do not show differences in analgesic efficacy when used in different peripheral nerve blocks. The objective of this study was to compare the efficacy of postoperativ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
doi:10.1590/s0034-70942009000300002
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Breast cancer is the most frequent neoplastic tumor in women, and surgical treatment is indicated in most patients. Complications related to this treatment, such as post-mastectomy pain syndrome (PMPS), a persistent pain that develops after surgery, have been reported. Although the genesis of ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1590/s0034-70942009000300012
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Several locoregional techniques have been described for the management of acute and chronic pain after breast surgery. The optimal technique should be easy to perform, reproducible, with little discomfort to the patient, little complications, allowing good control of acute pain and a decreased incidence of c...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2015.12.002
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Clinical trials with local anesthetic levo-enantiomers have shown higher safety due to lower cardiotoxicity. This study aimed at evaluating quality of anesthesia and maternal/fetal repercussions of 0.5% bupivacaine, enantiomeric 0.5% bupivacaine (S75-R25) and 0.75% ropivacaine, all associated ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000200005
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Different oxygenation techniques aim at promoting denitrogenation before apnea during induction. The main reason why CIO2 = 100% cannot be reached is the lack of adequate face mask coupling, allowing the entry of room air. Although anesthesiologists know this principle, not all of them apply i...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942005000500004
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Microspheres can be used as a controlled delivery system to prolong the duration of action of local anesthetics. The objective of this study was the preparation, characterization and analysis of the in vitro release of 50% enantiomeric excess bupivacaine (S75-R25)-loaded microspheres. METHODS...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000100003
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Difficult airway management in thoracic surgeries is a peculiar subject due to the demands of monopulmonary ventilation with double-lumen tubes. Flexible bronchoscopy guidance is extremely important, but it is not always available. The objective of this report was to describe a case of retrogr...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/S0034-7094(11)70055-1
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Histamine receptors mediate nociceptive pathways, especially in the central nervous system. Some studies have demonstrated the analgesic effects of histamine receptor antagonists in the peripheral nervous system. It is not clear whether the local analgesic effect is class-specific or drug-spec...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942009000400008
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Physicians in general, and anesthesiologists in particular, have long working hours. Residents of Anesthesiology may present significant fatigue and stress. This study aimed at investigating first and second year residents sleep latency after a period on duty. METHODS:Participated in this stu...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
abstract:CONTENT:Malignant hyperthermia (MH) is a potentially lethal pharmacogenetic disorder that affects genetically predisposed individuals. It manifests in susceptible individuals in response to exposure to Inhalant anesthetics, depolarizing muscle relaxants or extreme physical activity in hot environments. During exposure ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1016/S0034-7094(12)70182-4
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Intracranial subdural hematoma is a rare complication following spinal anesthesia. The diagnosis is usually difficult because initial symptoms are the same of post-dural puncture headache. The objective was to report a case of early diagnosed subdural hematoma after spinal anesthesia performed...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/S0034-7094(12)70107-1
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The revascularization of the graft remains as a crucial instant of the orthotopic liver transplantation (OLT) surgical procedure. About a third of the recipients suffer the postreperfusion syndrome (PRS), a combination of hypothermia, metabolic disorders and cardiovascular instability potentia...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:The i-gel™ is one of the second generation supraglottic airway devices. Our study was designed to compare the i-gel and the Laryngeal Mask Airway Classic™ with respect to the clinical performance. METHODS:We compared the performance of the i-gel with that of the Laryngeal Mask Airway Classic in 120 patients un...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.02.009
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:The aim of this study was to investigate the effects of spinal anesthesia using two different doses of fentanyl combined with low-dose levobupivacaine in anorectal surgery. METHODS:In this prospective, double-blind study, 52 American Society of Anaesthesiologists I-II patients scheduled for elective anorect...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.01.007
更新日期:2015-11-01 00:00:00
abstract:INTRODUCTION:Morbidity and mortality associated with urgent or emergency surgeries are high compared to elective procedures. Perioperative risk scores identify the non-elective character as an independent factor of complications and death. The present study aims to characterize the population undergoing non-elective su...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2018.04.001
更新日期:2018-01-01 00:00:00
abstract::Electrosurgery is a technology developed over the last few years and has become a very important tool in modern surgery. Most of the equipment is considered safe, although there are risks related to its use. Several lesions may be caused by electrocautery, and burns are the most common and feared. We report two cases ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2016.03.003
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The perioperative cardiac arrest (CA) and mortality rates in Brazil, a developing country, are higher than in developed countries. The hypothesis of this review was that knowledge of the epidemiology of perioperative CA and mortality in Brazil enables the comparison with developed countries. T...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1016/j.bjan.2020.02.004
更新日期:2020-01-01 00:00:00