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

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 situations, such as deep neuromuscular blockade after high doses of relaxant, the use of anticholinesterase agents does not allow adequate reversal of neuromuscular blockade.

Evaluation of transoperatory ventilation modalities by a questionnaire.

Background And Objectives: Anesthesia devices have been making it possible to reduce the physiological repercussions and problems caused by mechanical ventilation. The objective of this study was to evaluate, retrospectively, ventilatory methods and support resources used by a group of anesthesiologists in patients without prior lung damage in the intraoperative period.

Methods: A non-identifiable questionnaire composed of 27 questions was applied to a group of anesthesiologists and anesthesiology residents who work at different private hospitals in the city of São Paulo.

Transesophageal echocardiography and intraoperative diagnosis of persistent left superior vena cava.

Background And Objectives: Isolated persistent left superior vena cava has an incidence of 0.5% in the normal population, but in patients with congenital cardiopathy its incidence ranges from 3% to 10%. The objective of this report was to present a case of intraoperative diagnosis with transesophageal echocardiography and to emphasize the importance of its routine use in surgical procedures for correction of congenital cardiopathies.

Simulation of ultrasound-guided peripheral nerve block: learning curve of CET-SMA/HSL Anesthesiology residents.

Background And Objectives: The use of ultrasound imaging in peripheral nerve block has been increasing. However, there are few reports in the literature on the learning curve of the ultrasound technique. The objective of this report was to evaluate the learning curve of CET-SMA/HSL Anesthesiology residents of ultrasound-guided peripheral block using an experimental agar model.