Brazilian Journal of Anesthesiology (Edicion en Espanol)最新文献

{"title":"Prostatectomía robótica: análisis anestesiológico de cirugías urológicas robóticas, un estudio prospectivo","authors":"Menekse Oksar ,&nbsp;Ziya Akbulut ,&nbsp;Hakan Ocal ,&nbsp;Mevlana Derya Balbay ,&nbsp;Orhan Kanbak","doi":"10.1016/j.bjanes.2013.10.009","DOIUrl":"10.1016/j.bjanes.2013.10.009","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Although many features of robotic prostatectomy are similar to those of conventional laparoscopic urological procedures (such as laparoscopic prostatectomy), the procedure is associated with some drawbacks, which include limited intravenous access, relatively long operating time, deep Trendelenburg position, and high intra-abdominal pressure. The primary aim was to describe respiratory and hemodynamic challenges and the complications related to high intra-abdominal pressure and the deep Trendelenburg position in robotic prostatectomy patients. The secondary aim was to reveal safe discharge criteria from the operating room.</p></div><div><h3>Methods</h3><p>Fifty-three patients who underwent robotic prostatectomy between December 2009 and January 2011 were prospectively enrolled. Main outcome measures were non-invasive monitoring, invasive monitoring and blood gas analysis performed at supine (<em>T</em>₀), Trendelenburg (<em>T</em>₁), Trendelenburg + pneumoperitoneum (<em>T</em>₂), Trendelenburg-before desufflation (<em>T</em>₃), Trendelenburg (after desufflation) (<em>T</em>₄), and supine (<em>T</em>₅) positions.</p></div><div><h3>Results</h3><p>Fifty-three robotic prostatectomy patients were included in the study. The main clinical challenge in our study group was the choice of ventilation strategy to manage respiratory acidosis, which is detected through end-tidal carbon dioxide pressure and blood gas analysis. Furthermore, the mean arterial pressure remained unchanged, the heart rate decreased significantly and required intervention. The central venous pressure values were also above the normal limits.</p></div><div><h3>Conclusion</h3><p>Respiratory acidosis and “upper airway obstruction-like” clinical symptoms were the main challenges associated with robotic prostatectomy procedures during this study.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 307-313"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.10.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54226155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparación entre los efectos de la dexmedetomidina, el fentanilo y el esmolol en la prevención de la respuesta hemodinámica a la intubación","authors":"Nermin Gogus,&nbsp;Belgin Akan,&nbsp;Nurten Serger,&nbsp;Mustafa Baydar","doi":"10.1016/j.bjanes.2013.10.011","DOIUrl":"10.1016/j.bjanes.2013.10.011","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Laryngoscopy and intubation can cause hemodynamic response. Various medications may be employed to control that response. In this study, we aimed to compare the effects of dexmedetomidine, fentanyl and esmolol on hemodynamic response.</p></div><div><h3>Methods</h3><p>Ninety elective surgery patients who needed endotracheal intubation who were in American Society of Anesthesiology I–II group and ages between 21 and 65 years were included in that prospective, randomized, double-blind study. Systolic, diastolic, mean arterial pressures, heart rates at the time of admittance at operation room were recorded as basal measurements. The patients were randomized into three groups: Group I (<em>n</em> = 30) received 1 μg/kg dexmedetomidine with infusion in 10 min, Group II (<em>n</em> = 30) received 2 μg/kg fentanyl, Group III received 2 mg/kg esmolol 2 min before induction. The patients were intubated in 3 min. Systolic, diastolic, mean arterial pressures and heart rates were measured before induction, before intubation and 1, 3, 5, 10 min after intubation.</p></div><div><h3>Results</h3><p>When basal levels were compared with the measurements of the groups, it was found that 5 and 10 min after intubation heart rate in Group I and systolic, diastolic, mean arterial pressures in Group III were lower than other measurements (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>Dexmedetomidine was superior in the prevention of tachycardia. Esmolol prevented sytolic, diastolic, mean arterial pressure increases following intubation. We concluded that further studies are needed in order to find a strategy that prevents the increase in systemic blood pressure and heart rate both.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 314-319"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.10.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54226253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacto de diferentes medicamentos antiepilépticos en la sedación de niños durante la resonancia magnética","authors":"Isil Davarci ,&nbsp;Murat Karcioglu ,&nbsp;Kasim Tuzcu ,&nbsp;Fatmagul Basarslan ,&nbsp;Ramazan Davran ,&nbsp;Erhan Yengil ,&nbsp;Cahide Yilmaz ,&nbsp;Selim Turhanoglu","doi":"10.1016/j.bjanes.2013.10.012","DOIUrl":"10.1016/j.bjanes.2013.10.012","url":null,"abstract":"<div><h3>Background and objectives</h3><p>The induction and inhibition of cytochrome P450 isoenzymes by antiepileptic drugs lead to changes in the clearance of anesthetic drugs eliminated via hepatic metabolism. We investigated the duration of the sedation and additional anesthetic needs during magnetic resonance imaging in epileptic children receiving antiepileptic drugs that cause either enzyme induction or inhibition.</p></div><div><h3>Methods</h3><p>In American Society of Anesthesiology I–II, 120 children aged 3–10 years were included. Group 1: children using antiepileptic drugs that cause cytochrome P450 enzyme induction; Group 2: those using antiepileptic drugs that cause inhibition; and Group 3: those that did not use antiepileptic drugs. Sedation was induced with the use of 0.05 mg kg⁻¹ midazolam and 1 mg kg⁻¹ propofol. An additional 0.05 mg kg⁻¹ of midazolam and rescue propofol (0.5 mg kg⁻¹) were administered and repeated to maintain sedation. The duration of sedation and the additional sedation needed were compared.</p></div><div><h3>Results</h3><p>The duration of the initial dose was significantly shorter in Group I compared with groups II and III (<em>p</em> = 0.001, <em>p</em> = 0.003, respectively). It was significantly longer in Group II compared with groups I and III (<em>p</em> = 0.001, <em>p</em> = 0.029, respectively). The additional midazolam needed for adequate sedation was increased in Group I when compared with groups II and III (<em>p</em> = 0.010, <em>p</em> = 0.001, respectively). In addition, the rescue propofol dose was significantly higher only in Group I when compared with Group III (<em>p</em> = 0.002).</p></div><div><h3>Conclusion</h3><p>In epileptic children, the response variability to the initial sedative agents during the magnetic resonance imaging procedure resulting from the inhibition or induction of the cytochrome P450 isoenzymes by the antiepileptic drugs mandated the titration of anesthetic agents.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 320-325"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.10.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54226284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La infusión intraoperatoria de esmolol reduce el consumo postoperatorio de analgésicos y el uso de anestésico durante la septorrinoplastia: estudio aleatorizado","authors":"Nalan Celebi,&nbsp;Elif A. Cizmeci,&nbsp;Ozgur Canbay","doi":"10.1016/j.bjanes.2013.10.014","DOIUrl":"10.1016/j.bjanes.2013.10.014","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Esmolol is known to have no analgesic activity and no anaesthetic properties; however, it could potentiate the reduction in anaesthetic requirements and reduce postoperative analgesic use. The objective of this study is to evaluate the effect of intravenous esmolol infusion on intraoperative and postoperative analgesic consumptions as well as its effect on depth of anaesthesia.</p></div><div><h3>Methods</h3><p>This randomized-controlled double blind study was conducted in a tertiary care hospital between March and June 2010. Sixty patients undergoing septorhinoplasty were randomized into two groups. History of allergy to drugs used in the study, ischaemic heart disease, heart block, bronchial asthma, hepatic or renal dysfunction, obesity and a history of chronic use of analgesic or β-blockers were considered cause for exclusion from the study. Thirty patients received esmolol and remifentanil (esmolol group) and 30 patients received normal saline and remifentanil (control group) as an intravenous infusion during the procedure. Mean arterial pressure, heart rate, and bispectral index values were recorded every 10 min. Total remifentanil consumption, visual analogue scale scores, time to first analgesia and total postoperative morphine consumption were recorded.</p></div><div><h3>Results</h3><p>The total remifentanil consumption, visual analogue scale scores at 0, 20 and 60 min, total morphine consumption, time to first analgesia and the number of patients who needed an intravenous morphine were lower in the esmolol group.</p></div><div><h3>Conclusions</h3><p>Intravenous infusion of esmolol reduced the intraoperative and postoperative analgesic consumption, reduced visual analogue scale scores in the early postoperative period and prolonged the time to first analgesia; however it did not influence the depth of anaesthesia.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 343-349"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.10.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54226501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anestesia para cesárea en gestante con síndrome de Guillain Barré: relato de caso","authors":"Thiago Nobre Queiroz ,&nbsp;Flora Margarida Barra Bisinotto ,&nbsp;Thaisa Mara da Mota Silva ,&nbsp;Laura Bisinotto Martins","doi":"10.1016/j.bjanes.2013.02.006","DOIUrl":"10.1016/j.bjanes.2013.02.006","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Guillain Barré syndrome (GBS) is an autoimmune neurological disease characterized by an acute or subacute demyelinating polyradiculoneuritis. It is an unusual event during pregnancy and a challenge for the anesthesiologist, due to the possibility of impairment of neuromuscular function and occurrence of respiratory complications in the postoperative period. The objective of this paper is to discuss the anesthetic management of a pregnant patient affected by the disease.</p></div><div><h3>Case report</h3><p>Female patient, 30 years old, 38 weeks’ pregnant, diagnosed with fetal death that occurred about a day, and with SGB. Cesarean section was performed under general anesthesia, progressing without complications perioperatively.</p></div><div><h3>Conclusions</h3><p>Although it is uncommon, GBS can affect pregnant women and the anesthesiologist may encounter such patients in his (her) daily practice. It is important to understand the peculiarities of GBS to adequately address the patient in the perioperative period, contributing to its better evolution.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 369-372"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54221645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complicación anestésica en un hospital de rehabilitación. ¿La incidencia tiene relación con la consulta preanestésica?","authors":"Ulises Prieto Schwartzman ,&nbsp;Kátia Torres Batista ,&nbsp;Leonardo Teixeira D. Duarte ,&nbsp;Renato Ângelo Saraiva ,&nbsp;Maria do Carmo Barreto de C. Fernandes ,&nbsp;Verônica Vieira da Costa ,&nbsp;Luciana Souto Ferreira","doi":"10.1016/j.bjanes.2013.03.022","DOIUrl":"10.1016/j.bjanes.2013.03.022","url":null,"abstract":"<div><h3>Introduction</h3><p>Approximately 234 million surgeries are done annually worldwide. There is a growing concern for the safety of the anesthetic act, and the pre-anesthetic consultation emerges as an important and widely recommended activity, used as a preventive measure for the emergence of a complication.</p></div><div><h3>Objectives</h3><p>To describe the complications related to anesthesia, to identify the factors that contribute to its appearance and to reflect on ways to improve clinical practice.</p></div><div><h3>Methods</h3><p>700 patients, 175 cases and 525 controls, were evaluated over a period of 21 months. The data obtained through the pre-anesthetic consultation were evaluated descriptively and then tested with conditional univariate and multivariate logistic regression analysis.</p></div><div><h3>Results</h3><p>175 cases of anesthesia-related complications (2.74%) out of 6365 anesthetic acts were evaluated. Hypotension was the most common complication (40 patients, 22.8%), followed by vomiting (24 patients, 13.7%) and arrhythmia (24 patients, 13.7%). Among the complications, 55% were due to patient conditions, 26% accidental, 10% predictable and 9% iatrogenic. The complications were classified as mild in 106 (61%), moderate in 63 (36%) and severe in six (3%) patients.</p></div><div><h3>Conclusion</h3><p>Patients with more impaired physical status (American Society of Anaesthesiology 3 and 4), with airway disease, tumor or parenchymal disease, diabetes or disorder of lipid metabolism, thyroid disease, former smokers and very prolonged anesthetic acts present a higher risk of anesthesia-related complications. Therefore, they should be actively investigated in the pre-anesthetic evaluation consultation.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 357-364"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.03.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54223579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desarrollo de fibrilación ventricular debido al etomidato para la inducción anestésica: un efecto colateral muy raro, relato de caso","authors":"Murat Karcioglu ,&nbsp;Isil Davarci ,&nbsp;Nuray Kirecci ,&nbsp;Adnan Burak Akcay ,&nbsp;Selim Turhanoglu ,&nbsp;Kasim Tuzcu ,&nbsp;Sedat Hakimoglu ,&nbsp;Seckin Akkucuk ,&nbsp;Akin Aydogan","doi":"10.1016/j.bjanes.2013.06.010","DOIUrl":"10.1016/j.bjanes.2013.06.010","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Ventricular fibrillation occurring in a patient can result in unexpected complications. Here, our aim is to present a case of ventricular fibrillation occurring immediately after anesthesia induction with etomidate administration.</p></div><div><h3>Case report</h3><p>A fifty-six-year-old female patient with a pre-diagnosis of gallstones was admitted to the operating room for laparoscopic cholecystectomy. The induction was performed by etomidate with a bolus dose of 0.3 mg/kg. Severe and fast adduction appeared in the patient's arms immediately after induction. A tachycardia with wide QRS and ventricular rate 188 beat/min was detected on the monitor. The rhythm turned to VF during the preparation of cardioversion. Immediately we performed defibrillation to the patient. Sinus rhythm was obtained. It was decided to postpone the operation due to the patient's unstable condition.</p></div><div><h3>Conclusion</h3><p>In addition to other known side effects of etomidate, very rarely, ventricular tachycardia and fibrillation can be also seen. To the best of our knowledge, this is the first case regarding etomidate causing VF in the literature.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 365-368"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.06.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54224644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación comparativa entre el metaraminol, la fenilefrina y la efedrina en la profilaxis y en el tratamiento de la hipotensión en cesáreas bajo anestesia espinal","authors":"Fábio Farias de Aragão ,&nbsp;Pedro Wanderley de Aragão ,&nbsp;Carlos Alberto de Souza Martins ,&nbsp;Natalino Salgado Filho ,&nbsp;Elizabeth de Souza Barcelos Barroqueiro","doi":"10.1016/j.bjanes.2013.07.015","DOIUrl":"10.1016/j.bjanes.2013.07.015","url":null,"abstract":"<div><p>Maternal hypotension is a common complication after spinal anesthesia for cesarean section, with deleterious effects on the fetus and mother. Among the strategies aimed at minimizing the effects of hypotension, vasopressor administration is the most efficient. The aim of this study was to compare the efficacy of phenylephrine, metaraminol, and ephedrine in the prevention and treatment of hypotension after spinal anesthesia for cesarean section. Ninety pregnant women, not in labor, undergoing cesarean section were randomized into three groups to receive a bolus followed by continuous infusion of vasopressor as follows: phenylephrine group (50 μg + 50 μg/min); metaraminol group (0.25 mg + 0.25 mg/min); ephedrine group (4 mg + 4 mg/min). Infusion dose was doubled when systolic blood pressure decreased to 80% of baseline and a bolus was given when systolic blood pressure decreased below 80%. The infusion dose was divided in half when systolic blood pressure increased to 120% and was stopped when it became higher. The incidence of hypotension, nausea and vomiting, reactive hypertension, bradycardia, tachycardia, Apgar scores, and arterial cord blood gases were assessed at the 1st and 5th minutes.</p><p>There was no difference in the incidence of hypotension, bradycardia, reactive hypertension, infusion discontinuation, atropine administration or Apgar scores. Rescue boluses were higher only in the ephedrine group compared to metaraminol group. The incidence of nausea and vomiting and fetal acidosis were greater in the ephedrine group. The three drugs were effective in preventing hypotension; however, fetal effects were more frequent in the ephedrine group, although transient.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 299-306"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2013.07.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54225204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bloqueo de los nervios ileohipogástrico/ilioinguinal en corrección de hernia inguinal para el tratamiento del dolor en el postoperatorio: comparación entre la técnica de marcas anatómicas y la guiada por ultrasonido","authors":"Abdurrahman Demirci,&nbsp;Esra Mercanoglu Efe,&nbsp;Gürkan Türker,&nbsp;Alp Gurbet,&nbsp;Fatma Nur Kaya,&nbsp;Ali Anil,&nbsp;İlker Çimen","doi":"10.1016/j.bjanes.2014.01.001","DOIUrl":"10.1016/j.bjanes.2014.01.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study is to compare the efficacy of iliohypogastric/ilioinguinal nerve blocks performed with the ultrasound guided and the anatomical landmark techniques for postoperative pain management in cases of adult inguinal herniorrhaphy.</p></div><div><h3>Methods</h3><p>40 patients, ASA I–II status were randomized into two groups equally: in Group AN (anatomical landmark technique) and in Group ultrasound (ultrasound guided technique), iliohypogastric/ilioinguinal nerve block was performed with 20 ml of 0.5% levobupivacaine prior to surgery with the specified techniques. Pain score in postoperative assessment, first mobilization time, duration of hospital stay, score of postoperative analgesia satisfaction, opioid induced side effects and complications related to block were assessed for 24 h postoperatively.</p></div><div><h3>Results</h3><p>VAS scores at rest in the recovery room and all the clinical follow-up points were found significantly less in Group ultrasound (<em>p</em> &lt; 0.01 or <em>p</em> &lt; 0.001). VAS scores at movement in the recovery room and all the clinical follow-up points were found significantly less in Group ultrasound (<em>p</em> &lt; 0.001 in all time points). While duration of hospital stay and the first mobilization time were being found significantly shorter, analgesia satisfaction scores were found significantly higher in ultrasound Group (<em>p</em> &lt; 0.05, <em>p</em> &lt; 0.001, <em>p</em> &lt; 0.001 respectively).</p></div><div><h3>Conclusion</h3><p>According to our study, US guided iliohypogastric/ilioinguinal nerve block in adult inguinal herniorrhaphies provides a more effective analgesia and higher satisfaction of analgesia than iliohypogastric/ilioinguinal nerve block with the anatomical landmark technique. Moreover, it may be suggested that the observation of anatomical structures with the US may increase the success of the block, and minimize the block-related complications.</p></div>","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 350-356"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2014.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54233507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparación entre bloqueos epidural y paravertebral torácicos continuos para analgesia postoperatoria en pacientes sometidos a toracotomías: metaanálisis de ensayos clínicos","authors":"Fabiano Timbó Barbosa ,&nbsp;Tatiana Rosa Bezerra Wanderley Barbosa ,&nbsp;Rafael Martins de la Cunha","doi":"10.1016/j.bjanes.2014.03.009","DOIUrl":"10.1016/j.bjanes.2014.03.009","url":null,"abstract":"","PeriodicalId":100199,"journal":{"name":"Brazilian Journal of Anesthesiology (Edicion en Espanol)","volume":"64 5","pages":"Pages 373-374"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.bjanes.2014.03.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54234144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}