当前位置： SCI文献检索 > Revista Brasileira de Anestesiologia期刊下所有文献 > [Time and obstetric anesthesia: from chaotic cosmology to chronobiology].

[Time and obstetric anesthesia: from chaotic cosmology to chronobiology].

Abstract：

BACKGROUND AND OBJECTIVES:Temporal cycles (dark/light; birth/death; etc.), along with environmental conditions (synchronizers), influence labor physiology because of the presence of endogenous clocks (oscillators) that interact with social diuturnal clues. In this review, the most important cyclic anesthetic-obstetric parameters in parturient care are listed. CONTENTS:Chronobiological analysis of the main events in the obstetric pathophysiology of Mulier sapiens: I) Embryogenesis - risk of teratogenesis; II) From prematurity to post-didacticism: from eutocic labor to cervical cerclage; III) Night and labor: higher incidence of nocturnal labor (physiological facilitation) and daylight cesarean section (choice of the obstetrician); IV) The moon and labor - non-conclusive results; V) The night shift in obstetric anesthesia: riskier professional contingency; VI) Phases of cesarean section: removal of the fetus: UD stage (uterotomy - delivery) as brief as possible; effective correction of hypotension and valorize pre-anesthetic fasting; VII) circadian variation of dystocia: pain; uterine contraction; blood loss; hypertension (HTN); risk of allergy and asthma. In the nocturnal phase, the intensity of contraction and risk of hemorrhage, allergy, and asthma are greater. On the other hand, HTN in eclampsia does not show circadian variation; VIII) Obstetric chronopharmacology: local anesthetics, analgesics, hypnotics, general anesthetics, and neuromuscular blockers. Chronoenergy explains the matinal peak of opioid analgesia, vespertine of local anesthetic, and nocturnal of inhalational anesthetics. CONCLUSIONS:The chronobiological approach of labor anesthesia emphasizes the obstetric importance of circadian rhythmicity in labor humanization and safety.

journal_name

Rev Bras Anestesiol

journal_title

Revista brasileira de anestesiologia

authors

Vale NB,Vale LF,Cruz JR

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

624-47

issue

5

eissn

0034-7094

issn

1806-907X

pii

S0034-70942009000500013

journal_volume

59

pub_type

杂志文章,评审

相关文献

Revista Brasileira de Anestesiologia文献大全
  • Applications of magnesium sulfate in obstetrics and anesthesia.

    abstract：BACKGROUND AND OBJECTIVES:Magnesium is predominantly an intracellular ion. Its blocking effects on NMDA receptors are responsible for the analgesic and sedative characteristics of this ion. The objective of this study was to review the physiology, pharmacology, and decreased plasma levels of magnesium, as well as its a...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章,评审

    doi：10.1016/s0034-7094(10)70013-1

    authors： Barbosa FT,Barbosa LT,Jucá MJ,Cunha RM

    更新日期：2010-01-01 00:00:00

  • [Acquiring skills in malignant hyperthermia crisis management: comparison of high-fidelity simulation versus computer-based case study].

    abstract：INTRODUCTION:The primary purpose of this study was to compare the effect of high fidelity simulation versus a computer-based case solving self-study, in skills acquisition about malignant hyperthermia on first year anesthesiology residents. METHODS:After institutional ethical committee approval, 31 first year anesthes...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2018.01.005

    authors： Mejía V,Gonzalez C,Delfino AE,Altermatt FR,Corvetto MA

    更新日期：2018-01-01 00:00:00

  • Prevalence and predictive factors of urinary retention assessed by ultrasound in the immediate post-anesthetic period.

    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

    authors： Dal Mago AJ,Helayel PE,Bianchini E,Kozuki H,de Oliveira Filho GR

    更新日期：2010-07-01 00:00:00

  • Correlation between CSF concentration and side effects after spinal morphine injection in rats.

    abstract：BACKGROUND AND OBJECTIVES:Spinal morphine promotes good pain relief, but is not free from side effects. This study aimed at verifying the correlation between CSF morphine concentration and side effects. METHODS:This study involved 4 groups of 7 rats, which were studied 24 hours after spinal catheter insertion via cist...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1590/s0034-70942004000100007

    authors： Silva Nde S,Sakata RK,Issy AM

    更新日期：2004-02-01 00:00:00

  • Anesthetic blocks to treat cancer pain.

    abstract：BACKGROUND AND OBJECTIVES:Anesthesiologists have traditionally developed and mastered regional anesthetic techniques over the years. To help treating chronic pain, they need to transfer acquired know-how in addition to surgical indications, recommending procedures at the right time in a multidisciplinary approach. This...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1590/s0034-70942003000500013

    authors： Oliveira AS,Torres Hde P

    更新日期：2003-09-01 00:00:00

  • [Anesthesia for EXIT procedure (ex utero intrapartum treatment) in congenital cervical malformation - a challenge to the anesthesiologist].

    abstract：:The ex utero intrapartum treatment (EXIT) procedure consists of partial externalization of the fetus from the uterine cavity during delivery, allowing the maintenance of placental circulation. It is indicated in the presence of congenital malformation when difficulty in fetal airway access is anticipated, allowing it ...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2015.08.001

    authors： Oliveira E,Pereira P,Retroz C,Mártires E

    更新日期：2015-11-01 00:00:00

  • [The effect of pheniramine on fentanyl-induced cough: a randomized, double blinded, placebo controlled clinical study].

    abstract：BACKGROUND AND OBJECTIVES:There are many studies conducted on reducing the frequency and severity of fentayl-induced cough during anesthesia induction. We propose that pheniramine maleate, an antihistaminic, may suppress this cough. We aim to observe the effect of pheniramine on fentanyl-induced cough during anesthesia...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2015.10.005

    authors： Arslan Z,Çalık ES,Kaplan B,Ahiskalioglu EO

    更新日期：2016-07-01 00:00:00

  • [Simplified method to maintain propofol blood concentration in an approximately constant level associated to nitrous oxide in pediatric patients].

    abstract：BACKGROUND AND OBJECTIVES:Maintaining target-controlled propofol blood concentrations in approximately constant levels is a technique that can be used in a simple way in the operating room. The aim of this study was to compare in clinical and laboratorial terms propofol infusion in children, using Shorts and Marshs pha...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1590/s0034-70942002000300002

    authors： Vianna PT,Vilela EP,Cordon FC,Carvalho LR

    更新日期：2002-06-01 00:00:00

  • [Burns related to electrosurgery - Report of two cases].

    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

    authors： Bisinotto FMB,Dezena RA,Martins LB,Galvão MC,Sobrinho JM,Calçado MS

    更新日期：2017-01-01 00:00:00

  • [Combined spinal-epidural analgesia in labour: its effects on delivery outcome].

    abstract：BACKGROUND AND OBJECTIVES:Combined spinal-epidural (CSE) has become an increasingly popular alternative to traditional labour epidural due to its rapid onset and reliable analgesia provided. This was a prospective, convenient sampling study to determine the effects of CSE analgesia on labour outcome. METHODS:One hundr...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2014.09.009

    authors： Singh SK,Yahya N,Misiran K,Masdar A,Nor NM,Yee LC

    更新日期：2016-05-01 00:00:00

  • [Comparative study between 0.5% bupivacaine, 0.5% enantiomeric mixture of bupivacaine (S75-R25) and 0.75% ropivacaine, all associated to fentanyl, for epidural cesarean section anesthesia.].

    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

    authors： Côrtes CA,Oliveira AS,Castro LF,Cavalcanti FS,Serafim MM,Taia C,Taia Filho S

    更新日期：2003-04-01 00:00:00

  • [Comparison of King Vision video laryngoscope and Macintosh laryngoscope: a prospective randomized controlled clinical trial].

    abstract：BACKGROUND AND OBJECTIVES:We compared the efficiency of the King Vision video laryngoscope and the Macintosh laryngoscope, when used by experienced anesthesiologists on adult patients with varying intubating conditions, in a prospective randomized controlled clinical trial. METHODS:A total of 388 patients with an Amer...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2018.04.003

    authors： Erdivanli B,Sen A,Batcik S,Koyuncu T,Kazdal H

    更新日期：2018-01-01 00:00:00

  • [Smoking and anesthetic implications].

    abstract：BACKGROUND AND OBJECTIVES:Smoking is becoming very important for anesthetic morbidity. In spite of its widespread noxious effects on health, developing countries have increasing statistics on smoking population. This review aimed at showing action mechanisms and effects of cigarettes on different organs and systems, an...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：

    authors： Furtado RD

    更新日期：2002-06-01 00:00:00

  • [Risk factors for intraoperative hypoxemia during monopulmonary ventilation: an observational study].

    abstract：BACKGROUND:Left double-lumen endotracheal tubes have been widely used in thoracic, esophageal, vascular, and mediastinal procedures to provide lung separation. Lacking clear objective guidelines, anesthesiologists usually select appropriately sized double-lumen endotracheal tubes based on their experience with 35 and 3...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2019.03.012

    authors： Yao HY,Liu TJ,Lai HC

    更新日期：2019-01-01 00:00:00

  • [Neuraxial labor analgesia: a literature review].

    abstract：:The use of analgesia techniques for labor has become increasingly frequent, with neuraxial techniques being the most commonly used and most effective. Labor pain entails a number of physiological consequences that may be negative for the mother and fetus, and therefore must be treated. This literature review was perfo...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章,评审

    doi：10.1016/j.bjan.2018.12.001

    authors： Aragão FF,Aragão PW,Martins CA,Leal KFCS,Ferraz Tobias A

    更新日期：2019-01-01 00:00:00

  • [Foot drop: an iatrogenic complication of spinal anesthesia].

    abstract：BACKGROUND AND OBJECTIVES:Foot drop in postoperative period is very rare after spinal anesthesia. Early clinical assessment and diagnostic interventions is of prime importance to establish the etiology and to start appropriate management. Close follow-up is warranted in early postoperative period in cases when patient ...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2017.09.007

    authors： Goyal VK,Mathur V

    更新日期：2018-01-01 00:00:00

  • Intracranial subdural hematoma: a rare complication following spinal anesthesia: case report.

    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

    authors： Bisinotto FM,Dezena RA,Fabri DC,Abud TM,Canno LH

    更新日期：2012-01-01 00:00:00

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

    abstract：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 stat...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2018.06.002

    authors： Ferraz SM,Moreira JP,Mendes LC,Amaral TM,Andrade AR,Santos AR,Abelha FJ

    更新日期：2018-01-01 00:00:00

  • [Correlation between end-tidal carbon dioxide levels and cardiac output during cardiac surgery with cardiopulmonary bypass.].

    abstract：BACKGROUND AND OBJECTIVES:End-tidal carbon dioxide (P ET CO2) not only reflects pulmonary ventilation but also carbon dioxide production (metabolism) and pulmonary blood supply (circulation). During constant metabolism and ventilation, P ET CO2 reflects pulmonary blood perfusion, thus cardiac output (CO). This study ai...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1590/s0034-70942004000500002

    authors： Miyaji KT,Buscati RI,Rodriguez AJ,Machado LB,Malbouisson LM,Carmona MJ

    更新日期：2004-10-01 00:00:00

  • [Anesthesia breathing systems with CO2 absorption, circle valve circuit: comparison of thermal behavior of coaxial system and conventional system with different fresh gas flows.].

    abstract：BACKGROUND AND OBJECTIVES:The adequate maintenance of inhaled gases temperature during anesthetic procedures is critical to prevent perioperative respiratory complications. This study aimed at comparing the ability to warm up inhaled gases of coaxial breathing system and conventional system, by varying fresh gas flows ...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1590/s0034-70942005000100008

    authors： Torres ML,Yamaguchi ET,Fonseca US

    更新日期：2005-02-01 00:00:00

  • Use of sugammadex after neostigmine incomplete reversal of rocuronium-induced neuromuscular blockade.

    abstract：BACKGROUND AND OBJECTIVES:Neuromuscular blockers (NMB) have been used for more than half of a century in anesthesia and have always been a challenge for anesthesiologists. Until recently, the reversal of nondepolarizing neuromuscular blockers had only one option: the use of anticholinesterase agents. However, in some s...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/S0034-7094(12)70153-8

    authors： de Menezes CC,Peceguini LA,Silva ED,Simões CM

    更新日期：2012-07-01 00:00:00

  • [Mucoadhesive buccal films of tramadol for effective pain management].

    abstract：BACKGROUND AND OBJECTIVES:Tramadol hydrochloride is a centrally-acting synthetic opioid analgesic binding to specific opioid receptors. It is used in the management of chronic pain and is recommended as first line drug in the treatment of postoperative or orthopedic injury induced acute pain. The present work is design...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2016.10.006

    authors： Li XQ,Ye ZM,Wang JB,Fan CR,Pan AW,Li C,Zhang RB

    更新日期：2017-01-01 00:00:00

  • [Anesthesia for renal transplantation in patients with dilated cardiomyopathy: a retrospective study of 31 cases].

    abstract：BACKGROUND AND OBJECTIVES:Dilated cardiomyopathy is a state of progressive enlargement of cardiac chambers mainly left ventricle which leads to decreased cardiac output and ultimately cardiac failure. Although it has multifactorial etiology, it is quite common in patients with end stage renal disease who require renal ...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2019.06.002

    authors： Goyal VK,Gupta P,Baj B

    更新日期：2019-01-01 00:00:00

  • [Evaluation of residual neuromuscular block and late recurarization in the post-anesthetic care unit.].

    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

    authors： Almeida MC,Camargo DR,Linhares SF,Pederneiras SG

    更新日期：2004-08-01 00:00:00

  • Thyrotoxic crisis associated with gestational trophoblastic disease.

    abstract：BACKGROUND AND OBJECTIVES:Human chorionic gonadotropin (HCG) and thyrotrophic hormone (TSH) have analogies in their structures, as well as in their receptors. The high levels of HCG seen in gestational trophoblastic diseases may induce secondary hyperthyroidism. The objective of this report was to present a case in whi...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/S0034-7094(11)70071-X

    authors： de Almeida CE,Curi EF,de Almeida CR,Vieira DF

    更新日期：2011-09-01 00:00:00

  • [Anesthesia in patient with moyamoya disease: case report].

    abstract：BACKGROUND AND OBJECTIVES:Moyamoya disease is an uncommon progressive cerebral vasculopathy, more frequently diagnosed among Asian individuals, but which has also been described in Brazil. Moyamoya patients may be submitted to different surgical procedures throughout their lives. Anesthesiologists must understand the p...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1590/s0034-70942005000300012

    authors： Hobaika AB,Teixeira VC,Cruvinel MG,Ulhoa AC

    更新日期：2005-06-01 00:00:00

  • [Systemic hypertension and anesthesia.].

    abstract：BACKGROUND AND OBJECTIVES:Due to the high incidence of systemic hypertension and the lack of consensus on pressure levels to be accepted before inducing anesthesia for elective procedures, literature associated to hypertension and anesthesia was reviewed. Considering that canceling a surgery implies expenses making Med...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1590/s0034-70942005000500014

    authors： Lorentz MN,Santos AX

    更新日期：2005-10-01 00:00:00

  • [Incidence of epidural spread after Chayen's approach to lumbar plexus block: a retrospective study].

    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, ...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/j.bjan.2020.03.003

    authors： Rosanò E,Tavoletti D,Luccarelli G,Cerutti E,Pecora L

    更新日期：2020-01-01 00:00:00

  • Use of volatile anesthetics in extracorporeal circulation.

    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...

    journal_title：Revista brasileira de anestesiologia

    pub_type： 杂志文章

    doi：10.1016/S0034-7094(12)70135-6

    authors： Nigro Neto C,Tardelli MA,Paulista PH

    更新日期：2012-05-01 00:00:00

  • [Comparison of the i-gel™ and the Laryngeal Mask Airway Classic™ in terms of clinical performance].

    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

    authors： Polat R,Aydin GB,Ergil J,Sayin M,Kokulu T,Öztürk İ

    更新日期：2015-09-01 00:00:00