Abstract:
BACKGROUND AND OBJECTIVES:Tremors can be an adverse effect of the surgical intervention and anesthesia. The incidence of postoperative tremors varies from 6.3% to 66%. Young age, male gender, the use of halogenated anesthetics, and prolonged anesthesia or surgical procedure are related with tremors. Tremors are involuntary and present as oscillating muscular activity aiming at increasing heat production. Postoperative tremors are a disagreeable complication related with increased morbidity. Tremors increase the metabolism, resulting in a 200% to 500% increase in oxygen consumption. CONTENTS:The objective of this paper was to discuss the causes, prevention, and treatment of intra- and postoperative tremors in adults and children undergoing general anesthesia or neuroaxis anesthesia for surgical interventions. CONCLUSIONS:Tremors, along with nausea and vomiting, cause severe discomfort in the recovery room, besides being highly prejudicial because they generate an increase in the metabolism. Although the presence of tremors has not been directly related with cardiac morbidity, its prevention has become the subject of discussion and several scientific reports. Prevention and treatment of tremors should be implemented. Patients with limited cardiovascular reserve could develop lactic acidosis, mixed venous desaturation, and hypoxemia.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Albergaria VF,Lorentz MN,Lima FAdoi
10.1590/s0034-70942007000400012subject
Has Abstractpub_date
2007-08-01 00:00:00pages
431-44issue
4eissn
0034-7094issn
1806-907Xpii
S0034-70942007000400012journal_volume
57pub_type
杂志文章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 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:BACKGROUND AND OBJECTIVES:Dexmedetomidine is a highly selective alpha2-adrenoceptor agonist used in anesthesia for its hypnoanalgesic and cardiovascular effects. Stimulation of alpha2-adrenoceptors may determine pro and anti-platelet aggregation effects through direct and indirect mechanisms. This study aimed at determ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000600002
更新日期:2003-12-01 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:During an awake craniotomy in which the Aachen Aphasia test is performed, it is necessary to use the 'asleep-awake-asleep' anesthetic technique. The objective of this case report was to describe the anesthetic technique used in a patient with signs of difficult airway. CASE REPORT:The case of...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942006000600010
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Since the beginning, soda lime use has presented some complications which resulted in its difficult application. However major advantages such as decreasing fresh gas flow, anesthetic consumption and operating room pollution, and improving breathing system and airway humidity, have pushed rese...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000300015
更新日期:2004-06-01 00:00:00
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
更新日期:2016-05-01 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:Proficiency in ultrasound-guided blocks demands four skills: recognition of the ultrasound anatomy, capacity to generate images, aligning the needle with the ultrasound beam, and recognizing the dispersion of the local anesthetic. The objective of this study was to construct and evaluate learn...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942009000200006
更新日期:2009-03-01 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:OBJECTIVES:The purpose of this study is to compare the efficacy of iliohypogastric/ilioinguinal nerve blocks performed with the ultrasound guided and the anatomical landmark techniques for postoperative pain management in cases of adult inguinal herniorrhaphy. METHODS:40 patients, ASA I-II status were randomized into ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.01.001
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:There are no statistical data on the use of neuromuscular blockers in Brazil. This study aimed at statistically analyzing this topic. METHODS:Our study has compiled 831 answers to a questionnaire filled by anesthesiologists attending the 48th Brazilian Congress of Anesthesiology in Recife, 20...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942004000600016
更新日期:2004-12-01 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: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:History, unlike one may imagine, is not something unchangeable and limited to the past. It is adapted according to conveniences of one or other ruling social class. Deliberately or accidentally hidden information, when unveiled may change current concepts, so far taken for granted. So, history...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942002000600015
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The quadratus lumborum blockade was described by R. Blanco in its two approaches (I and II). The local anesthetic deposition in this location can provide blockade to T6-L1 dermatomes. We performed this fascia blockade guided by ultrasound for treating a chronic neuropathic pain in the abdomina...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.08.001
更新日期:2017-01-01 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: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: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: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
更新日期:2017-01-01 00:00:00
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
更新日期:2004-02-01 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:Univentricular heart is a complex, rare, and severe cardiopathy, with no possibility of curative surgical treatment, associated with a high mortality in the first years of life. The objective of this article was to describe a rare case of an adult patient with uncorrected single ventricle who ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000300007
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:In Brazil, the use of information systems that allows filling out anesthesia reports automatically is still in its initial stages. The objective of this study was to validate an automated anesthesia record. METHODS:This study was approved by the Ethics Commission of the institution; an indust...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/S0034-7094(10)70036-2
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:We aimed to evaluate the effect of bupivacaine and dexmedetomidine added to bupivacaine used in tranversus abdominis plane (TAP) block on postoperative pain and patient satisfaction in patients undergoing lower abdominal surgery. METHODS:Patients submitted to lower abdominal surgery were enro...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.bjan.2017.04.021
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Tracheobronchial tree injuries are uncommon however severe complications after intubation or bronchoscopy. This report aimed at calling the attention to the difficult selective intubation, which has led to bronchial rupture associated to pneumomediastinum and hypertensive pneumothorax, with ai...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942005000600009
更新日期:2005-12-01 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: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 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: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
更新日期:2018-01-01 00:00:00