Quality of recovery in patients under low- or standard-pressure pneumoperitoneum. A randomised controlled trial.

Background: The use of low-pressure pneumoperitoneum seems to be capable of reducing complications such as post-operative pain. However, the quality of evidence supporting this conclusion is low. Both the lack of investigator blinding to both intra-abdominal pressure and to method of neuromuscular blockade represent key sources of bias.

The Quality of Recovery after Dexamethasone, Ondansetron, or Placebo Administration in Patients Undergoing Lower Limbs Orthopedic Surgery under Spinal Anesthesia Using Intrathecal Morphine. A Randomized Controlled Trial.

Intrathecal morphine is widely and successfully used to prevent postoperative pain after orthopedic surgery, but it is frequently associated with side effects. The aim of this study was to evaluate the effect of dexamethasone or ondansetron when compared to placebo to reduce the occurrence of these undesirable effects and, consequently, to improve the quality of recovery based on patient's perspective. .

The effect of methadone on postoperative quality of recovery in patients undergoing laparoscopic cholecystectomy: A prospective, randomized, double blinded, controlled clinical trial.

Study Objectives: The aim of the present study was to assess the quality of recovery from anesthesia in patients undergoing laparoscopic cholecystectomy (LC) under total intravenous anesthesia, who received either methadone or morphine for post-surgical analgesia by means of questionnaire Quality of Recovery-40 (QoR-40).

Design: Prospective Randomized Clinical Trial.

Setting: The setting was at an operating room, postoperative recovery area and hospital ward.

Quality of recovery from anesthesia of patients undergoing balanced or total intravenous general anesthesia. Prospective randomized clinical trial.

Study Objectives: The aim of the present study was to assess the quality of recovery from anesthesia of patients subjected to otorhinolaryngological (ORL) surgery under balanced or total intravenous general anesthesia by means of Quality of Recovery-40 (QoR-40) questionnaire.

Design: Prospective randomized clinical trial.

Setting: The setting is at an operating room, a postoperative recovery area, and a hospital ward.

Quality of recovery from anesthesia in patients undergoing orthopedic surgery of the lower limbs.

Background And Objectives: For patients undergoing regional anesthesia for orthopedic surgery, a common situation in our work environment, the quality of recovery may be influenced in different ways, which justifies studies to identify possible predictive factors of dissatisfaction. The aim of this study was to assess the opinion of patients on recovery from anesthesia for lower limb orthopedic surgeries. We also identified potential predictive factors for poor quality of recovery.

[Amaurosis and contralateral cranial nerve pairs III and VI paralysis after peribulbar block - case report].

Background And Objectives: Peribulbar anesthesia has emerged as a safer option compared with intraconal retrobulbar block. Still, peribulbar anesthesia may not be considered without risk. Numerous complications have been described when performing this technique.

["Loss of breath" as a cause of postoperative hypoxia and bradycardia in children submitted to tonsillectomy].

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.

Main concerns of patients regarding the most common complications in the post-anesthetic care unit.

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.

[Rhinoscope-guided nasotracheal intubation in a one-year old child with Osteogenesis imperfecta: case report].

Background And Objectives: Osteogenesis imperfecta (OI) is a rare, autosomal dominant disease. Anesthesia for patients with OI has several challenges; among them, management of the airways and the choice of anesthetic technique should be mentioned. The objective of this report was to describe the case of a child with this disorder associated with hydrocephalus who underwent total intravenous anesthesia and rhinoscope-guided nasotracheal intubation for a ventriculoperitoneal shunt.

[Subarachnoid blockade for cesarean section in a patient with ventriculoperitoneal shunt: case report].

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.

Anesthetic management of a patient with hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber syndrome). Case report.

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.

Compression of the cricoid cartilage. Current aspects.

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.

[Effect of propofol in combination with ephedrine upon the onset time of cisatracurium].

Objective: The onset time of neuromuscular blocking drugs is partially determined by circulatory factors, including muscle blood flow and cardiac output. The aim of the present paper was to: 1) compare the haemodynamic effects of adding different doses of ephedrine to an induction dose of propofol and remifentanil. 2) onset time of cisatracurium.

[Anesthesia and the Ecstasy user.].

Background And Objectives: The number of new users of illicit substances has been growing steadily all over the world over the last few years. Marijuana and cocaine have been mentioned most often, but the last few years saw a marked increase in the number of users of other psychostimulants or hallucinogens, taken with the aim of intensifying social experiences. The aim of this article is to discuss the clinical presentation, the damaging effects and the potential interactions with anesthesia of the surgical patient who is a user of these illicit substances.

[Pulmonary edema after topic phenylephrine absorption during pediatric eye surgery: case report.].

Background And Objectives: Topic phenylephrine solutions are commonly used in eye procedures to promote capillary decongestion or pupil dilation. This article describes a case of severe hypertension followed by pulmonary edema during strabismus correction procedure. Possible cause of this complication might have been systemic absorption of phenylephrine eyedrops.

[Children, parents and anxiety.].

Background And Objectives: Preoperative pediatric anxiety is characterized by stress, worry, nervosism and concern and may be expressed in different ways. Postoperative behavior changes, such as nocturnal enuresis, dietary problems, apathy, insomnia, nightmares and agitated sleep may be results of this anxiety. In some children, these changes persist for one year.

[Rapid sequence induction of anesthesia.].

Background And Objectives: Rapid sequence induction anesthesia is primarily used to protect airways when there is gastric content aspiration risk. This study aimed at reviewing the technique and different protocols looking for the rational use of available drugs, in the search for ideal tracheal intubation conditions without increasing the risk of gastric content aspiration or other complications.

Contents: A technical review of rapid sequence induction of anesthesia is presented, emphasizing the rational use of hypnotics, opioids and neuromuscular blockers (NMB) to shorten the period between loss of consciousness and correct tracheal tube positioning, that is, shorten the period of highest risk for aspiration while maintaining excellent intubation conditions.

[Prevention of pulmonary gastric contents aspiration.].

Background And Objectives: Despite its low incidence, aspiration of pulmonary gastric contents may have devastating consequences. Esophageal sphincter function and protective airway reflexes decrease caused by conscience depression, predisposes patients to this severe complication. This article is a review of physiological aspects associated to gastroesophageal reflux, as well as of the methods to prevent it.