Mobile phones of anesthesiologists as reservoirs of nosocomial bacteria in a quaternary teaching hospital: an observational study.

Background: Mobile phones in hospital settings have been identified as an important source of cross-contamination because of the low frequency with which mobile phones are cleaned by health workers and cyclical contamination of the hands and face. The aim of this study was to investigate whether the mobile phones of the anesthesia team at a teaching hospital are potential reservoirs of nosocomial bacteria. In addition, differences in device sanitization and hand hygiene habits between attending and resident anesthesiologists were correlated with mobile phone colonization.

The impact of introducing a videolaryngoscope in the initial training of laryngoscopy for undergraduate medical students: a simulation randomized trial.

Introduction: Adequate and continuous airway management by health professionals is fundamental to ensure patient safety and protection. Among several techniques, laryngoscopy for orotracheal intubation is considered a basic skill, so it is taught and learned in medical school and used during the future years of professional practice. However, in some clinical scenarios, physical and anatomical characteristics can make laryngoscopy exceedingly difficult.

Recommendations for local-regional anesthesia during the COVID-19 pandemic.

Since the beginning of the COVID-19 pandemic, many questions have come up regarding safe anesthesia management of patients with the disease. Regional anesthesia, whether peripheral nerve or neuraxial, is a safe alternative for managing patients with COVID-19, by choosing modalities that mitigate pulmonary function involvement. Adopting regional anesthesia mitigates adverse effects in the post-operative period and provides safety to patients and teams, as long as there is compliance with individual protection and interpersonal transmission care measures.

[Recommendations for local-regional anesthesia during the COVID-19 pandemic].

Since the beginning of the COVID-19 pandemic, many questions have come up regarding safe anesthesia management of patients with the disease. Regional anesthesia, whether peripheral nerve or neuraxial, is a safe alternative for managing patients with COVID-19, by choosing modalities that mitigate pulmonary function involvement. Adopting regional anesthesia mitigates adverse effects in the postoperative period and provides safety to pati ents and teams, as long as there is compliance with individual protection and interpersonal transmission care measures.

Addiction to work and factors relating to this: a cross-sectional study on doctors in the state of Paraíba.

Context And Objective: Addiction to work is one of the new behavioral phenomena present in organizations and it is characterized by excess work and compulsion to work. This phenomenon may give rise to different sicknesses and may affect different professionals, including doctors. Thus, the aims of this study were to analyze the factorial validity and internal consistency of the Dutch Work Addiction Scale (DUWAS); to evaluate the prevalence of addiction to work among doctors in the state of Paraíba; and to investigate factors relating to addiction to work among these doctors.

Work addiction and quality of life: a study with physicians.

Objective: To evaluate the quality of life of physicians and investigate to what extent it is affected by work addiction.

Methods: This is an exploratory, descriptive and cross-sectional study, conducted with 1,110 physicians. For data collection, we used a questionnaire with sociodemographic information, the World Health Organization Quality of Life BREF, and the Work Addiction Scale.

Comparative evaluation of propofol in nanoemulsion with solutol and soy lecithin for general anesthesia.

Introduction: The vehicle for propofol in 1 and 2% solutions is soybean oil emulsion 10%, which may cause pain on injection, instability of the solution and bacterial contamination. Formulations have been proposed aiming to change the vehicle and reduce these adverse reactions.

Objectives: To compare the incidence of pain caused by the injection of propofol, with a hypothesis of reduction associated with nanoemulsion and the occurrence of local and systemic adverse effects with both formulations.

In vitro evaluation of the method effectiveness to limit inflation pressure cuffs of endotracheal tubes.

Background And Objective: Cuffs of tracheal tubes protect the lower airway from aspiration of gastric contents and facilitate ventilation, but may cause many complications, especially when the cuff pressure exceeds 30cm H2O. This occurs in over 30% of conventional insufflations, so it is recommended to limit this pressure. In this study we evaluated the in vitro effectiveness of a method of limiting the cuff pressure to a range between 20 and 30cm H2O.

[In vitro evaluation of the method effectiveness to limit inflation pressure cuffs of endotracheal tubes].

Background And Objective: Cuffs of tracheal tubes protect the lower airway from aspiration of gastric contents and facilitate ventilation, but may cause many complications, especially when the cuff pressure exceeds 30cm H2O. This occurs in over 30% of conventional insufflations, so it is recommended to limit this pressure. In this study we evaluated the in vitro effectiveness of a method of limiting the cuff pressure to a range between 20 and 30cm H2O.

Impact of preanesthetic information on anxiety of parents and children.

Background And Objectives: Preoperative Anxiety is a negative factor in anesthetic and surgical experience. Among the strategies for reducing children's anxiety, non-pharmacological strategies are as important as the pharmacological ones, but its validity is still controversial.

Objectives: The aim of this study was to verify if the information provided to guardians interferes with child anxiety.

A comparative study of non-lipid nanoemulsion of propofol with solutol and propofol emulsion with lecithin.

Background And Objectives: Some formulations have been proposed to reduce the adverse reactions due to the lipid emulsion containing soybean oil used as propofol carrier. This study for endoscopy sedation was aimed at evaluating and comparing the safety, effectiveness and adverse effects of the use of propofol nanoemulsion compared to propofol currently commercialized.

Method: In this prospective study, 150 patients were submitted to upper digestive endoscopy.

[Use of forced-air to prevent intraoperative hypothermia].

Objective: Hypothermia is a life-threatening event during the perioperative period. No consensus has been reached about the best active warming approach for such cases. Furthermore there is no consensus on the most appropriate time to warm a hypothermic patient.

[Oxygen concentrators: evolution of inspired concentration of oxygen and repercussions in an anesthetized patient with CO2 absorber system. Pilot study.].

Background And Objectives: Resolution 1355/92 of the Conselho Federal de Medicina approved minimal standards for the installation and operation of oxygen concentrators (PSA) and recommended University Hospitals to undertake a prospective analysis in order to improve the system. It motivated this pilot study whose objective was to determine the clinical viability of using PSA oxygen by analyzing the variation in oxygen concentration in the fresh gas flow (FGF) outlet and in the inspired concentration of oxygen.

Methods: An observational study with 30 patients, ASA I, undergoing upper abdominal surgeries using a CO2 absorber system and fresh gas flow (FGF) O(2)93 at 500 mL.

[Association between fasting blood glucose levels and perioperative morbimortality: retrospective study in surgical elderly patients.].

Background And Objectives: The relationship between altered blood glucose levels and perioperative complications in elderly patients undergoing surgeries are not known. The objective of this study was to evaluate the association between fasting blood glucose levels and perioperative morbimortality in elderly surgical patients.

Methods: Medical records of patients older than 60 years undergoing several surgical procedures during a 6-month period were analyzed and divided, according to fasting blood glucose levels, in three groups: < 100 mg.

[Measurement of anxiety and depression in preoperative patients. Comparative study.].

Background And Objectives: Patients scheduled for surgeries experience anxiety. Anxiety and depression are the disorders most commonly associated with organic diseases. The Hospital Anxiety and Depression Scale (HADS) does not include items that could be present in organic diseases and in anxiety and depression.

[Preoperative anxiety in surgeries of the breast: a comparative study between patients with suspected breast cancer and that undergoing cosmetic surgery.].

Background And Objectives: Evaluation of anxiety is not part of the routine pre-anesthetic evaluation (APA). Therefore, special situations in which patients might present altered mood will go unnoticed by the anesthesiologist. The objective of this study was to compare, at the moment of the outpatient basis APA, the risk factors, severity, and prevalence of anxiety in patients with suspected breast cancer and those undergoing cosmetic surgery of the breast.

Hospital Anxiety and Depression Scale: a study on the validation of the criteria and reliability on preoperative patients.

Background And Objectives: A few studies have shown that patients are frequently under strong distress in the preoperative period. The Hospital Anxiety and Depression Scale (HADS) is an instrument used to evaluate anxiety and depression. The aim of this study was to evaluate the validity of the criteria and reliability of the Hospital Anxiety and Depression Scale (HADS) in preoperative patients.

[Preoperative exams: a critical analysis.].

Background And Objectives: Preoperative evaluation can benefit from laboratory exams in specific patients. The habit of requesting a set of standardized exams has been questioned. The objective of this review was to analyze recent reports on the subject and compare their results.

[A transversal study on preoperative anxiety in children: use of the modified Yale scale.].

Background And Objectives: Scales can be useful to recognize anxiety states and to indicate ways to prevent complications due to elevated levels of anxiety. The modified Yale Preoperative Anxiety Scale (YPAS-m) was developed to evaluate anxiety in preschool children at the time of the anesthetic induction. It is an observational scale, being applied and completed in a short period of time.

[Prevalence of signs/symptoms suggestive of latex sensitization in health care workers.].

Background And Objectives: In the literature, the references on adverse reactions to latex products have been significantly increasing for the last few years. However, it lacks Brazilian data regarding the prevalence of latex-related sensitization in health care workers. The objective of this study was to evaluate the prevalence of signs and symptoms suggestive of latex-related sensitization in health care workers.

[Impact of preanesthetic evaluation on anxiety and depression in cancer patients undergoing surgery.].

Background And Objectives: In the course of a cancer disease, anxiety (ANX) and depression (DEPR) manifest during the several moments of diagnosis and continue during and after treatment. The surgical treatment may bring severe physical and psychological consequences to the cancer patient. However, the present studies do not discuss the cancer patients' emotional status when they are close to be hospitalized to undergo an anesthetic-surgical procedure.

[Dexmedetomidine in morbid obese patients undergoing gastroplasty: cardiovascular stability and consumption of intravenous anesthetics. A retrospective study.].

Background And Objectives: The administration of powerful and short duration anesthetic agents is essential for patients undergoing bariatric surgical procedure. The dexmedetomidine, an alpha 2-adrenergic agonist, has appeared as an adjuvant option of the venous anesthesia technique. This study aimed at assessing the efficacy of dexmedetomidine associated with the venous anesthesia in morbid obese patients undergoing gastroplasty procedures.

[Oxygenation: the impact of face mask coupling.].

Background And Objectives: Different oxygenation techniques aim at promoting denitrogenation before apnea during induction. The main reason why CIO2 = 100% cannot be reached is the lack of adequate face mask coupling, allowing the entry of room air. Although anesthesiologists know this principle, not all of them apply it correctly, facilitating the entry of air in fresh gases flow and consequently diluting CIO2.