Publications by authors named "Alexandre Goulart"

Background And Objectives: The "shortness of breath" or "breathing interruption" crisis can be considered a cause of hypoxia in childhood. It is characterized by the presence of a triggering factor followed by weeping and apnea in expiration accompanied by cyanosis or pallor. The sequence of events may include bradycardia, loss of consciousness, abnormal postural toneand even asystole.

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Article Synopsis
  • The "shortness of breath" crisis can lead to significant hypoxia in children, characterized by triggers like weeping and apnea during expiration, often resulting in symptoms like cyanosis and bradycardia.
  • A case study highlights a child with undiagnosed "shortness of breath" who experienced hypoxemia and bradycardia after adenotonsillectomy.
  • The findings suggest that "shortness of breath" should be recognized as a potential cause of postoperative hypoxia, warranting careful monitoring in a hospital setting.
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Background And Objectives: 'Minor' events have a fundamental role in the determination of the quality of the Anesthesiology service. The objective of the present study was to evaluate the main concerns of patients regarding the post-anesthetic period and to test the hypothesis that the most undesirable effects can be influenced by demographic characteristics.

Methods: Four hundred and forty patients answered a questionnaire immediately before the pre-anesthetic evaluation.

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Background And Objectives: Patients with ventriculoperitoneal shunt (VPS) represent an additional concern when neuroaxis block is indicated, especially in obstetrics. Currently, a consensus on the anesthetic technique of choice in those cases does not exist in the literature. The objective of this report was to describe the case of a cesarean section under subarachnoid blockade in a patient with VPS.

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Background And Objectives: Hereditary hemorrhagic telangiectasia (HHT), also known as Rendu-Osler-Weber syndrome, is an autosomal dominant disorder characterized by mucocutaneous and visceral vascular dysplasia associated with frequent episodes of epistaxis and gastrointestinal bleeding. The objective of this report was to describe the anesthesia of a patient with this syndrome.

Case Report: A 25 years old male patient underwent surgical correction of an orbital fracture.

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Background And Objectives: Sellick described the importance of applying pressure in the cricoid cartilage during anesthesia induction to prevent regurgitation of gastric contents. Since then, the maneuver has been widely accepted by anesthesiologists as a fundamental step during induction with the rapid sequence technique. The objective of the present report was to discuss the indications, technique, complications, and reasons why some authors have refuted the efficacy of this technique.

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