Publications by authors named "Franklin S da Silva Braga"

Background And Objectives: The temporary fetal tracheal occlusion performed by fetoscopy accelerates lung development and reduces neonatal mortality. The aim of this paper is to present an anesthetic experience in pregnant women, whose fetuses have diaphragmatic hernia, undergoing fetoscopic tracheal occlusion (FETO).

Method: Retrospective, descriptive study, approved by the Institutional Ethics Committee.

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Background And Aims: Local anaesthetics are drugs that are widely used in clinical practice. However, the effects of these drugs on the neuromuscular junction and their influence on the blockade produced by non-depolarising neuromuscular blocking drugs are still under investigation. The aim of this study was to evaluate, in vitro, the influence of a 50% enantiomeric excess bupivacaine mixture on neuromuscular transmission and neuromuscular block produced by pancuronium.

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Article Synopsis
  • The study aimed to investigate how the drugs propofol and etomidate affect the neuromuscular blocking effects of cisatracurium in patients undergoing elective surgery.
  • A total of 60 patients were randomly assigned to receive either propofol or etomidate during their anesthesia, with neuromuscular function tracked to assess the onset of cisatracurium's effects.
  • Results showed that patients who received propofol had a faster onset of neuromuscular blockade and better intubation conditions compared to those who received etomidate, with no negative effects on their hemodynamics.
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Background And Objectives: Ex utero intrapartum treatment (EXIT) is a procedure performed during Cesarean section with preservation of fetal-placental circulation, which allows the safe handling of fetal airways with risk of airways obstruction. This report aimed at describing a case of anesthesia for EXIT in a fetus with cervical cystic hygroma.

Case Report: Female patient, 22 years old, 37 weeks gestation without anesthetic background, physical status ASA I, submitted to EXIT for airway handling and tracheal intubation of fetus at risk for airway obstruction.

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Background And Objectives: The action mechanism of local anesthetics (LA) on neuromuscular junction motivated several studies. When administered at low doses, they do not interfere on neuromuscular transmission. But high doses may compromise neuromuscular transmission and increase the effects of neuromuscular blockers.

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