Abstract：
BACKGROUND AND OBJECTIVES:Von Willebrand's disease is the most common hereditary coagulation disorder in young women. The incidence of HIV infection among women has been progressively increasing, and vertical transmission may account for 25% of cases. This report aimed at describing the case of an HIV-positive patient with von Willebrand's disease scheduled for cesarean section. CASE REPORT:Female HIV-positive patient, 24 years old, with microcytic anemia and von Willebrand's disease, admitted to the emergency room in early labor. She had no pre-natal care. Cesarean section was indicated to lower vertical transmission risks since HIV viral count was unknown. Patient had hematomas on both arms and legs and history of abdominal wall hematoma in previous cesarean section. Coagulation tests were mildly changed. General anesthesia was induced after factor VIII concentrate infusion. Both mother and newborn had satisfactory outcomes. CONCLUSIONS:Clinical evaluation of patients with coagulopathies is critical for determining the anesthetic technique. Evaluation should be individualized, considering risks and benefits of the technique. Cesarean section for these patients should be avoided whenever possible and replaced by less invasive methods. Factor VIII concentrate therapy is the best treatment option for correcting specific deficiency and lowering viral transmission risks.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Balle VR,Machado SB,Gomes ME,Mendes FFdoi
10.1590/s0034-70942004000600006subject
Has Abstractpub_date
2004-12-01 00:00:00pages
788-93issue
6eissn
0034-7094issn
1806-907Xpii
S0034-70942004000600006journal_volume
54pub_type
杂志文章abstract：BACKGROUND AND OBJECTIVES:To evaluate the thermographic predictive value of local anesthetic poisoning in rats that indicates the early recognition of thermal signs of intoxication and enable the immediate start of advanced life support. METHODS:Wistar rats underwent intraperitoneal injection of saline and ropivacaine...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2016.02.004
更新日期：2016-01-01 00:00:00
abstract：:Through the Life Cycle of Intraoperative Transesophageal Echocardiography (ETTI/SBA) the Brazilian Society of Anesthesiology, together with the Department of Cardiovascular Image of the Brazilian Society of Cardiology (DIC/SBC), createded a task force to standardize the use of intraoperative transesophageal echocardio...
journal_title：Revista brasileira de anestesiologia
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/j.bjan.2017.07.004
更新日期：2018-01-01 00:00:00
abstract：:Female, 85 y.o., weighting 60kg, multiple trauma patient. After an initial laparotomy, an emergent thoracotomy was performed using a bronchial blocker for lung isolation (initial active suction was applied). During surgery, bronchial cuff was deflated, causing a self-limited tracheal blood flooding. A second lung isol...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2017.09.004
更新日期：2018-01-01 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:Sedative and analgesic treatment administered to critically ill patients need to be regularly assessed to ensure that previously stated goals are well achieved as the risk of complications of oversedation is minimized. We revised and prospectively tested the Ramsay Sedation Scale (RSS) for int...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2017.03.006
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Perioperative myocardial ischemia is commonly observed, and it can increase significantly postoperative morbidity and mortality. The cardioprotective properties of volatile anesthetics and opioids have been studied during several decades and currently constitute powerful tools in the managemen...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,评审
doi：10.1590/s0034-70942008000500009
更新日期：2008-09-01 00:00:00
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
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:It is known that acute postoperative pain has a major influence on surgical patients recovery. Early movements, shorter hospital stay, lower costs and higher satisfaction are results of adequate pain management. There is a world trend toward specialized postoperative pain management services. ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942003000600012
更新日期：2003-12-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Bupivacaine preparations, plain or with glucose, are frequently used in the clinical practice. Blockade upper level is determined by local anesthetic spread in the CSF. This study aimed at comparing isobaric and hyperbaric bupivacaine in patients submitted to spinal anesthesia for Cesarean sec...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：
更新日期：2003-09-01 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：BACKGROUND AND OBJECTIVES:The SAPS 3 (Simplified Acute Physiology Score 3) prognostic system is composed of 20 parameters, represented by an acute physiology score and assessment of the previous status, aimed at establishing a predictive mortality index for patients admitted to intensive care units (ICU). The objective...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：
更新日期：2010-01-01 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:Problems with pediatric airways are among the greatest challenges an anesthesiologist can face. Laryngeal spasm, which is twice or three times more frequent in the pediatric population, is paramount. The objective of this work was to report the treatment of laryngeal spasm applying digital pre...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942008000600008
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:Sevoflurane is an inhalational agent of choice in paediatric anaesthesia. For management of airways in children a suitable alternative to ETT is a paediatric proseal laryngeal mask airway (benchmark second generation SAD). Various studies have shown that less sevoflurane concentration is required for LMA ins...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2014.07.012
更新日期：2016-01-01 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: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：: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...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2018.05.001
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:High doses of opioids decrease the hemodynamic response to tracheal intubation. However, the slow recovery profile of traditional opioids may limit the use of high doses. Remifentanil has a fast time of onset and is short acting, which differentiates it from the other drugs in this class. The ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942007000300003
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Dural arteriovenous fistulas are anomalous shunts between dural arterial and venous channels whose nidus is located between the dural leaflets. For those circumstances when invasive treatment is mandatory, endovascular techniques have grown to become the mainstay of practice, choice attributab...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2016.09.002
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Preoperative evaluation is the key for a good preoperative preparation and intraoperative handling. When done in the outpatient clinic, it allows for better analysis and further investigation, improving the quality of the preparation and decreasing hospital costs. The aim of this study was to ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942007000200005
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Minimum anesthetic volume (MAV) of local anesthetics corresponds to the effective volume for regional anesthesia in 50% of patients. In this study, MAV of 0.5% racemic bupivacaine, 0.5% levobupivacaine and enantiomeric S75/R25 bupivacaine were calculated and compared. METHODS:This study invol...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942005000300002
更新日期：2005-06-01 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:Job's syndrome (JS), one of the presentations of the Hyper IgE Syndrome, is a rare immunodeficiency. It includes cutaneous abscesses, recurring pneumonias, pneumatoceles, eosinophilia, hyperimmunoglobulinemia E (> 2,000 IU.mL(-1)), and craniofacial and bone growth changes. This report describe...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/S0034-7094(11)70009-5
更新日期：2011-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Local anesthetics (LA) are safe drugs when the proper dose and localization are used. The rate of absorption of the local anesthetic depends on its mass and blood flow at the site of the injection. The objective of this study was to analyze the plasma concentration of 50% enantiomeric excess (...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,随机对照试验
doi：10.1590/s0034-70942008000400001
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:Hemicorporectomy progresses with hemodynamic and ventilatory repercussions that make anesthesia management definitive to patient outcome. OBJECTIVE:Report anesthesia approach for a patient with squamous cell carcinoma submitted to urgent hemicorporectomy after an episode of hypovolemic shock. CASE REPORT...
journal_title：Revista brasileira de anestesiologia
pub_type：
doi：10.1016/j.bjan.2019.12.011
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The inadequate use of basic statistics is the main responsible for scientific article misinterpretation. The purpose of this review article was to review some basic statistical topics to alert authors and readers about the importance of basic statistics proper reporting. CONTENT:A bibliographi...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,评审
doi：10.1016/j.bjan.2017.01.003
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Postanesthetic Delirium (PAD) is a common acute mental disorder most commonly developed in elderly patients. Its pathophysiology is poorly understood and PAD is often confused with others psychiatric disorders. This study aimed at reviewing important features of this anesthetic complication in...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942002000200013
更新日期：2002-04-01 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:Anesthesia and surgery often promote significant temperature changes. Hypothermia during anesthesia is the most common perioperative thermal disorder. This report describes an unusual body heat balance change associated to spinal morphine. CASE REPORT:Female patient, 44 years old, physical st...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942006000100007
更新日期：2006-02-01 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
