Base de dados : MEDLINE
Pesquisa : E03.155.086 [Categoria DeCS]
Referências encontradas : 5655 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 566 ir para página                         

  1 / 5655 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29268645
[Au] Autor:Kaviani R; Eichenberger U
[Ad] Endereço:1 Departement für Anästhesiologie, operative Intensivbehandlung, präklinische Notfallmedizin und Schmerztherapie, Universitätsspital Basel, Universität Basel, Basel.
[Ti] Título:Periphere Regionalanästhesie zur perioperativen Analgesie..
[So] Source:Ther Umsch;74(7):377-383, 2017.
[Is] ISSN:0040-5930
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Anestesia por Condução/métodos
Anestésicos Locais/administração & dosagem
Bloqueio Nervoso/métodos
Dor Pós-Operatória/prevenção & controle
Satisfação do Paciente
Assistência Perioperatória/métodos
Ultrassonografia de Intervenção/métodos
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anesthetics, Local)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1024/0040-5930/a000929


  2 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28857802
[Au] Autor:Lee EK; Ahn HJ; Zo JI; Kim K; Jung DM; Park JH
[Ad] Endereço:From the *Department of Anesthesiology and Pain Medicine and †Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea; and ‡Statistics and Data Center, Research Institute for Future Medicine, Samsung Medical Center, Seoul, Korea.
[Ti] Título:Paravertebral Block Does Not Reduce Cancer Recurrence, but Is Related to Higher Overall Survival in Lung Cancer Surgery: A Retrospective Cohort Study.
[So] Source:Anesth Analg;125(4):1322-1328, 2017 Oct.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Postoperative analgesic methods are suggested to have an impact on long-term prognosis after cancer surgery through opioid-induced immune suppression. We hypothesized that regional analgesia that reduces the systemic opioid requirement would be related to lower cancer recurrence and higher overall survival compared to intravenous patient-controlled analgesia (PCA) for lung cancer surgery. METHODS: Records for all patients who underwent open thoracotomy for curative resection of primary lung cancer between 2009 and 2013 in a tertiary care hospital were retrospectively analyzed. Patients were divided by postoperative analgesic methods: PCA (n = 574), thoracic epidural analgesia (TEA, n = 619), or paravertebral block (PVB, n = 536). Overall and recurrence-free survivals were compared among 3 analgesic methods via a multivariable Cox proportional hazard model and a log-rank test after adjusting confounding factors using propensity score matching (PSM). RESULTS: Analgesic method was associated with overall survival (P= .0015; hazard ratio against TEA [95% confidence intervals]: 0.58 [0.39-0.87] for PCA, 0.60 [0.45-0.79] for PVB). After confounder adjustment using PSM, PVB showed higher overall survival than PCA (log-rank P= .0229) and TEA (log-rank P= .0063) while PCA and TEA showed no difference (log-rank P= .6). Hazard ratio for PVB was 0.66 [0.46-0.94] against PCA and 0.65 [0.48-0.89] against TEA after PSM. However, there was no significant association between the analgesic methods and recurrence-free survival (P= .5; log-rank P with PSM = .5 between PCA and TEA, .5 between PCA and PVB, .1 between TEA and PVB). CONCLUSIONS: Pain-control methods are not related to cancer recurrence. However, PVB may have a beneficial effect on overall survival of patients with lung cancer.
[Mh] Termos MeSH primário: Analgesia Controlada pelo Paciente/tendências
Anestesia por Condução/tendências
Neoplasias Pulmonares/cirurgia
Recidiva Local de Neoplasia/prevenção & controle
Bloqueio Nervoso/tendências
[Mh] Termos MeSH secundário: Idoso
Analgesia Controlada pelo Paciente/mortalidade
Anestesia por Condução/mortalidade
Estudos de Coortes
Feminino
Seguimentos
Seres Humanos
Neoplasias Pulmonares/diagnóstico
Neoplasias Pulmonares/mortalidade
Masculino
Meia-Idade
Recidiva Local de Neoplasia/diagnóstico
Recidiva Local de Neoplasia/mortalidade
Bloqueio Nervoso/mortalidade
Estudos Retrospectivos
Taxa de Sobrevida/tendências
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002342


  3 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28819480
[Au] Autor:Bote HE; Hage E; Fares R
[Ad] Endereço:Service d'Urologie A, CHU Ibn Sina, Rabat, Maroc.
[Ti] Título:[An unusual intraurethral foreign body: a case report].
[Ti] Título:Corps étranger inhabituel intra-urétral : à propos d'un cas..
[So] Source:Pan Afr Med J;27:58, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:In medical literature there are several case reports of foreign bodies introduced into the urethra. Foreign bodies are usually inserted as result of erotic activities, psychiatric disorders and, rarely, in an attempt to evacuate the urine. Diagnosis is based on clinical examination and imaging tests. Endoscopic management is the treatment of choice but, in some cases, open surgery may be necessary. The therapeutic approach should be systematically complemented by a psychiatric assessment of the patient. We report the case a 64-year old man with a personal history of behavioral disorders who introduced an electric wire in his urethra. The patient underwent endoscopic extraction under regional anesthesia. The patient at the time of discharge was referred to a psychiatrist.
[Mh] Termos MeSH primário: Endoscopia/métodos
Corpos Estranhos/diagnóstico
Transtornos Mentais/psicologia
Uretra/patologia
[Mh] Termos MeSH secundário: Anestesia por Condução/métodos
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.58.12644


  4 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28784225
[Au] Autor:Herborn J; Parulkar S
[Ad] Endereço:Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address: Jherborn@nm.org.
[Ti] Título:Anesthetic Considerations in Transplant Recipients for Nontransplant Surgery.
[So] Source:Anesthesiol Clin;35(3):539-553, 2017 Sep.
[Is] ISSN:1932-2275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As solid organ transplantation increases and patient survival improves, it will become more common for these patients to present for nontransplant surgery. Recipients may present with medical problems unique to the transplant, and important considerations are necessary to keep the transplanted organ functioning. A comprehensive preoperative examination with specific focus on graft functioning is required, and the anesthesiologist needs pay close attention to considerations of immunosuppressive regimens, blood product administration, and the risk benefits of invasive monitoring in these immunosuppressed patients. This article reviews the posttransplant physiology and anesthetic considerations for patients after solid organ transplantation.
[Mh] Termos MeSH primário: Anestesia/métodos
Transplantados
[Mh] Termos MeSH secundário: Anestesia por Condução/métodos
Coagulação Sanguínea
Seres Humanos
Imunossupressores
Cuidados Intraoperatórios
Transplante de Órgãos
Medição de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Immunosuppressive Agents)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170809
[St] Status:MEDLINE


  5 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28720187
[Au] Autor:Carness JM; Wilson MA; Lenart MJ; Smith DE; Dukes SF
[Ti] Título:Experiences with Regional Anesthesia for Analgesia During Prolonged Aeromedical Evacuation.
[So] Source:Aerosp Med Hum Perform;88(8):768-772, 2017 Aug 01.
[Is] ISSN:2375-6314
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: There is much debate regarding the appropriate analgesic management of patients undergoing medical evacuation following combat trauma. Our primary objective was to review the utility of regional anesthetic techniques in patients undergoing aeromedical evacuation following surgical limb amputation as treatment for combat trauma. METHODS: This study was conducted as an observational retrospective cohort whereby acutely injured amputee patients were identified via the U.S. Transportation Command's patient movement database. The Theater Medical Data Store was cross-referenced for additional patient care data including opioid consumption, duration of regional technique, pain scores, and rates of intubation. RESULTS: Eighty-four records were retrieved from the Theater Medical Data Store. All 84 patients were victims of improvised explosive device detonation requiring limb amputation and subsequent transport from Kandahar Airfield or Camp Bastion, Afghanistan, to the United States. The majority of interventions remained in place throughout the evacuation process. A significant decrease in opioid consumption in patients receiving regional anesthesia was identified at each leg of the medical evacuation process. Pain scores were sporadically reported and not statistically different. Higher rates of intubation were identified in the nonregional anesthetic group. DISCUSSION: Our analysis demonstrates the feasibility and effectiveness of applying regional anesthetic techniques for pain management to our combat wounded trauma patients throughout multiple stages of aeromedical evacuation. Benefits include the potential for less sedation and less opioid consumption while potentially foregoing the requirement for intubation during transport.Carness JM, Wilson MA, Lenart MJ, Smith DE, Dukes SF. Experiences with regional anesthesia for analgesia during prolonged aeromedical evacuation. Aerosp Med Hum Perform. 2017; 88(8):768-772.
[Mh] Termos MeSH primário: Dor Aguda/tratamento farmacológico
Amputação Traumática/terapia
Analgésicos Opioides/uso terapêutico
Anestesia por Condução/métodos
Anestésicos Locais/uso terapêutico
Militares
Manejo da Dor/métodos
Lesões Relacionadas à Guerra/terapia
[Mh] Termos MeSH secundário: Adulto
Medicina Aeroespacial
Resgate Aéreo
Anestesia Epidural/métodos
Estudos de Viabilidade
Seres Humanos
Masculino
Medicina Militar
Bloqueio Nervoso/métodos
Estudos Retrospectivos
Transporte de Pacientes
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Analgesics, Opioid); 0 (Anesthetics, Local)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.3357/AMHP.4760.2017


  6 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28690756
[Au] Autor:Boubacar Ba EH; Leye PA; Traoré MM; Ndiaye PI; Gaye I; Bah MD; Fall ML; Diouf E
[Ad] Endereço:Service d'Anesthésie-Réanimation CHU le Dantec, Faculté de Médecine UCAD, Dakar, Sénégal.
[Ti] Título:[Intra-anesthetic arterial hypotension in elderly patients during emergency surgery: what are the risk factors?]
[Ti] Título:Hypotension artérielle per-anesthésique du sujet âgé lors d'une chirurgie urgente: quels facteurs de risque?.
[So] Source:Pan Afr Med J;26:242, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Emergency anesthesia in elderly patients aged 65 years and older is complex. The occurrence of intraoperative incidents and arterial hypotension is conditioned by patients' initial health status and by the quality of intraoperative management. This study aimed to determine the incidence of intra-anesthetic arterial hypotension in elderly patients during emergency surgery and to assess the involvement of certain factors in its occurrence: age, sex, patient's history, ASA class, anesthetic technique. We conducted a retrospective descriptive and analytical study in the Emergency Surgery Department at the Aristide Le Dantec University Hospital from 1 March 2014 to 28 February 2015. We collected data from 210 patients out of 224 elderly patients aged 65 years and older undergoing emergency anesthesias (10.93%). Data of 101 men and 109 women were included in the analysis, of whom 64.3% had at least one defect. Patients' preoperative status was assessed using American Society of Anesthesiology (ASA) classification: 71% of patients were ASA class 1 and 2 and 29% were ASA class 3 and 4. Locoregional anesthesia was the most practiced anesthetic technique (56.7%). 28 patients (13.33%) had intra-anesthetic arterial hypotension, of whom 16 under general anesthesia and 12 under locoregional anesthesia. It was more frequent in patients with high ASA class and a little less frequent in patients with PAH and underlying heart disease. Arterial hypotension in elderly patients during emergency surgery exposes the subject to the risk of not negligible intraoperative hypotension, especially in patients with high ASA class. Prevention is based on adequate preoperative assessment and anesthetic management.
[Mh] Termos MeSH primário: Anestesia por Condução/efeitos adversos
Anestesia Geral/efeitos adversos
Anestesia Local/efeitos adversos
Hipotensão/etiologia
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Anestesia por Condução/métodos
Anestesia Geral/métodos
Anestesia Local/métodos
Anestésicos/administração & dosagem
Anestésicos/efeitos adversos
Emergências
Feminino
Hospitais Universitários
Seres Humanos
Hipotensão/epidemiologia
Masculino
Estudos Retrospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anesthetics)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170711
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.242.9886


  7 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28632527
[Au] Autor:Andersen LPK; Gögenur I; Torup H; Rosenberg J; Werner MU
[Ad] Endereço:From the Departments of *Anesthesiology and †Surgery, Roskilde and Køge Hospital, University of Copenhagen, Roskilde, Denmark; Departments of ‡Anesthesiology and §Surgery D, Herlev Hospital, University of Copenhagen, Herlev, Denmark; and ‖Multidisciplinary Pain Center 7612, Neuroscience Center, Rigshospitalet, Copenhagen, Denmark.
[Ti] Título:Assessment of Postoperative Analgesic Drug Efficacy: Method of Data Analysis Is Critical.
[So] Source:Anesth Analg;125(3):1008-1013, 2017 Sep.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pain intensity ratings and opioid consumption (OC) are ubiquitous indicators of pain in postoperative trials of the efficacy of interventional procedures. Unfortunately, consensus on the appropriate statistical handling of these outcomes has not been reached. The aim of this article was, therefore, to reexamine original data obtained from a postoperative analgesic drug trial, applying a collection of standard statistical methods in analgesic outcome assessments. Furthermore, a modified integrated assessment method of these outcomes was evaluated. METHODS: Data from a randomized, double-blind, placebo-controlled study investigating the analgesic efficacy of a regional anesthetic block following a major elective surgical procedure were analyzed. The original data included measurements of pain intensity (visual analog scale [VAS]) at rest and during coughing (VAS0/2/4/6/12/18/24 h) and OC0-6/0-24 h administered by patient-controlled analgesia. The statistical analyses included comparisons of discrete pain intensity scores (VAS0/2/4/6/12/18/24 h), summary measures of pain intensity ratings (area under the curve [AUC]-VAS0-6/0-24 h; mean VAS0-6/0-24 h), and OC0-6/0-24 h. Finally, the analyses also included an integrated assessment of longitudinally measured pain intensity and opioid consumption (PIOC0-6/0-24 h). Also, estimation of effect size, generalized odds ratio of the individual analgesic outcome variables was performed. RESULTS: Sixty-one patients were included in the final data analysis. Discrete pain intensity ratings differed significantly between the treatment groups at specific postoperative time points, but appropriate correction for multiple comparisons eliminated some of these differences. AUC-VAS0-6 h differed significantly at rest and during coughing, while no difference was found for AUC-VAS0-24 h. In contrast, mean VAS0-6 h and VAS0-24 h differed significantly between treatment groups at rest and during coughing. OC0-6/0-24 h differed significantly between the treatment groups. Finally, also PIOC0-6/0-24 h differed significantly at rest and during coughing. CONCLUSIONS: Our analyses demonstrate that the applied statistical method may alter the statistical significance and estimates of effect size of analgesic outcome variables in postoperative pain trials. Our findings underline the importance of defining valid statistical methods for future analgesic drug trials. We propose an integrated assessment of longitudinally measured pain intensity and opioid consumption (PIOC). The method combines two interdependent analgesic outcomes, lowers the risk of mass significance, and provides more accurate representation of the dynamic nature of postoperative pain and analgesic drug efficacy.
[Mh] Termos MeSH primário: Analgésicos/administração & dosagem
Anestesia por Condução/métodos
Bloqueio Nervoso/métodos
Medição da Dor/métodos
Dor Pós-Operatória/prevenção & controle
Estatística como Assunto/métodos
[Mh] Termos MeSH secundário: Anestesia por Condução/estatística & dados numéricos
Método Duplo-Cego
Seres Humanos
Bloqueio Nervoso/estatística & dados numéricos
Medição da Dor/estatística & dados numéricos
Dor Pós-Operatória/diagnóstico
Dor Pós-Operatória/epidemiologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Analgesics)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002007


  8 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28628578
[Au] Autor:Leffert LR; Dubois HM; Butwick AJ; Carvalho B; Houle TT; Landau R
[Ad] Endereço:From the *Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts; †Department of Anesthesia, Stanford University School of Medicine, Stanford, California; and ‡Department of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, New York.
[Ti] Título:Neuraxial Anesthesia in Obstetric Patients Receiving Thromboprophylaxis With Unfractionated or Low-Molecular-Weight Heparin: A Systematic Review of Spinal Epidural Hematoma.
[So] Source:Anesth Analg;125(1):223-231, 2017 Jul.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Venous thromboembolism remains a major source of morbidity and mortality in obstetrics with an incidence of 29.8/100,000 vaginal delivery hospitalizations; cesarean delivery confers a 4-fold increased risk of thromboembolism when compared with vaginal delivery. Revised national guidelines now stipulate that the majority of women delivering via cesarean and women at risk for ante- or postpartum venous thromboembolism receive mechanical or pharmacological thromboprophylaxis. This practice change has important implications for obstetric anesthesiologists concerned about the risk of spinal epidural hematoma (SEH) among anticoagulated women receiving neuraxial anesthesia. We conducted a systematic review of published English language studies (1952-2016) and of the US Anesthesia Closed Claims Project Database (1990-2013) to identify cases of SEH associated with neuraxial anesthesia and thromboprophylaxis. We also report on SEH in obstetric patients receiving thromboprophylaxis and neuraxial anesthesia without adherence to the American Society of Regional Anesthesia (ASRA) recommendations. In our review, we initially identified 736 publications of which 10 met inclusion criteria; these were combined with the 5 cases of SEH identified in 546 obstetric Anesthesia Closed Claims reviews. None of these publications revealed SEH associated with neuraxial anesthesia and thromboprophylaxis with unfractionated heparin or low-molecular-weight heparin in obstetric patients. Based on data from 6 reports, 28 parturients had their neuraxial blockade before the minimum ASRA recommended time interval between the last anticoagulant dose and the neuraxial procedure. Based on data from 2 reports, 52 parturients received neuraxial anesthesia without their low-molecular-weight heparin dose being discontinued during the intrapartum period. Although the very low level of evidence and high heterogeneity in these reports make it difficult to draw quantitative conclusions from this systematic review, it is encouraging that this comprehensive search did not identify a single case of SEH in an obstetric patient receiving thromboprophylaxis and neuraxial anesthesia. Analysis of large-scale registries (eg, the Anesthesia Incident Reporting System of the Anesthesia Quality Institute) with more granular clinical and pharmacological data is needed to assess the impact of these practice changes on obstetric SEH incidence. In the interim, optimal care of obstetric patients depends on multidisciplinary planning of anticoagulation dosing to facilitate neuraxial anesthesia and thoughtful weighing of the relative risks and benefits of providing versus withholding neuraxial in favor of general anesthesia.
[Mh] Termos MeSH primário: Anestesia Obstétrica/efeitos adversos
Hematoma Epidural Espinal/etiologia
Heparina/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Anestesia por Condução/efeitos adversos
Anestesiologia
Anestésicos
Anticoagulantes/administração & dosagem
Anticoagulantes/efeitos adversos
Cesárea
Parto Obstétrico
Feminino
Heparina/uso terapêutico
Heparina de Baixo Peso Molecular/efeitos adversos
Seres Humanos
Meia-Idade
Bloqueio Nervoso
Gravidez
Complicações Cardiovasculares na Gravidez/etiologia
Trombose/prevenção & controle
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anesthetics); 0 (Anticoagulants); 0 (Heparin, Low-Molecular-Weight); 9005-49-6 (Heparin)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170620
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000002173


  9 / 5655 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28625300
[Au] Autor:Hofmeyr R; Matjila M; Dyer R
[Ad] Endereço:Department of Anaesthesia & Perioperative Medicine, University of Cape Town, South Africa. Electronic address: ross.hofmeyr@uct.ac.za.
[Ti] Título:Preeclampsia in 2017: Obstetric and Anaesthesia Management.
[So] Source:Best Pract Res Clin Anaesthesiol;31(1):125-138, 2017 Mar.
[Is] ISSN:1878-1608
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:In many centres, anaesthesia now incorporates perioperative medicine. Preeclampsia is a perioperative medical challenge requiring a multi-disciplinary team. New definitions stress the rapid progression of the disease and highlight the importance of early detection. Anaesthesiologists should understand the pathophysiology of the disease and develop the ultrasound skills required to assist in the assessment of disease severity. This facilitates the choice of anaesthesia method and perioperative management in complicated cases. Regional anaesthesia remains central, but there are important developments in the practice of general anaesthesia, if indicated. Appropriate haemodynamic monitoring should be established. Anaesthesiologists should also lead the resuscitation team in the management of cardiorespiratory failure and coagulopathy.
[Mh] Termos MeSH primário: Anestesia por Condução
Anestesia Geral
Anestesia Obstétrica
Pré-Eclâmpsia/terapia
[Mh] Termos MeSH secundário: Anestesiologistas
Feminino
Seres Humanos
Pré-Eclâmpsia/diagnóstico por imagem
Pré-Eclâmpsia/fisiopatologia
Gravidez
Ressuscitação
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170620
[St] Status:MEDLINE


  10 / 5655 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28617723
[Au] Autor:Kurtay A; Ozayar E; Gulec H; Yildiz G; Turkyilmaz E; Yildiz Z; Horasanli E
[Ad] Endereço:*Anesthesiology and Reanimation Department, Kecioren Training and Research Hospital †Anesthesiology and Reanimation Department, Yildirim Beyazid University ‡Zekai Tahir Burak Training and Research Hospital §Department of Opthalmology, Kecioren Training and Research Hospital, Ankara, Turkey.
[Ti] Título:Effect of Uterine Fundal Pressure on Maternal Intraocular Pressure in Cesarean Delivery: Comparison of Regional and General Anesthesia.
[So] Source:J Glaucoma;26(8):708-711, 2017 Aug.
[Is] ISSN:1536-481X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To evaluate the intraocular pressure (IOP) changes accompanying fundal pressure during a cesarean-section procedure under both regional and general anesthesia. METHODS: In total, 60 women scheduled for elective cesarean section, none of them diagnosed with ocular problems, were enrolled in the study. Patients underwent cesarean section under either general (group G, n=30) or regional anesthesia (group S, n=30) according to their choice. IOP was measured with a Tono-Pen before (T1) and after (T2) application of anesthesia, during fundal pressure (T3), and after the birth of the baby (T4). Heart rate as well as systolic, diastolic, and mean arterial pressure were recorded during the procedure. RESULTS: There was no significant difference in IOP between the groups (P>0.05). In group S, IOP at T3 was significantly higher than at all other timepoints (P<0.001). In group G, IOP at T3 was significantly higher than at T2 and T4. Mean arterial pressure was significantly lower in group S at all timepoints except T1. CONCLUSIONS: In conclusion, fundal pressure may significantly increase the IOP, but the choice of anesthetic technique may not have any effect on IOP.
[Mh] Termos MeSH primário: Anestesia por Condução
Anestesia Geral
Cesárea
Parto Obstétrico/métodos
Pressão Intraocular/fisiologia
Pressão
Útero/fisiologia
[Mh] Termos MeSH secundário: Adulto
Pressão Arterial/fisiologia
Feminino
Frequência Cardíaca
Seres Humanos
Saúde Materna
Hipertensão Ocular/diagnóstico
Gravidez
Tonometria Ocular
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE
[do] DOI:10.1097/IJG.0000000000000687



página 1 de 566 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde