Brazilian Journal of Anesthesiology最新文献

{"title":"Sizing double-lumen tubes by direct measurement of the mainstem bronchus","authors":"Anthony M.-H. Ho , Gregory Klar , Andrew D. Chung , Glenio B. Mizubuti","doi":"10.1016/j.bjane.2024.844481","DOIUrl":"10.1016/j.bjane.2024.844481","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 2","pages":"Article 844481"},"PeriodicalIF":1.3,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000034/pdfft?md5=7a97ef05752223b705593443b45e71d7&pid=1-s2.0-S0104001424000034-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative organ dysfunction: a burden to be countered","authors":"Ricardo Esper Treml , Henrique Tadashi Katayama , Tulio Caldonazo , Talison Silas Pereira , Luiz M. Sá Malbouisson , Maria José C. Carmona , Pedro Tanaka , João Manoel Silva Jr.","doi":"10.1016/j.bjane.2024.844480","DOIUrl":"10.1016/j.bjane.2024.844480","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 2","pages":"Article 844480"},"PeriodicalIF":1.3,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001424000022/pdfft?md5=474024aaedf2cb579397ca3e617d6719&pid=1-s2.0-S0104001424000022-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How would a completely homogeneous malignant hyperthermia susceptible sample be?","authors":"Pamela Vieira de Andrade, Lívia Maria Valim, Joilson Moura Santos, Isac de Castro, José Luiz Gomes do Amaral, Helga Cristina Almeida da Silva","doi":"10.1016/j.bjane.2023.10.001","DOIUrl":"10.1016/j.bjane.2023.10.001","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744468"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001423001136/pdfft?md5=f04858218ed28fa94c01b250ec3e16a4&pid=1-s2.0-S0104001423001136-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound-guided pulsed radiofrequency for chronic shoulder pain: a prospective study","authors":"Rita Diogo Torgal Pinto ,&nbsp;Joana Manuela Tenreiro Pinto ,&nbsp;Maria C..u Loureiro ,&nbsp;Cristina Cardoso ,&nbsp;Jos.. Pedro Assun...·o","doi":"10.1016/j.bjane.2021.08.006","DOIUrl":"10.1016/j.bjane.2021.08.006","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Chronic shoulder pain is a frequent cause of suffering and impaired quality of life. Treatment includes non-pharmacological and pharmacological therapies, and interventional procedures such as suprascapular nerve blocks and radiofrequency. This prospective study aims to evaluate the efficacy of ultrasound-guided pulsed radiofrequency of suprascapular nerve for chronic shoulder pain in a clinical setting.</p></div><div><h3>Methods</h3><p>Therapeutic efficacy was evaluated through pain intensity using numeric pain rating scale at baseline, immediately, 3, and 6 months after, and patient...s motor function improvement. The secondary outcome was patient satisfaction.</p></div><div><h3>Results</h3><p>A total of 34 patients were enrolled and all patients presented a reduction in the numeric pain rating scale immediately after treatment. Pain reduction from baseline to 6 months after the procedure was 34.4% and 36.9% static and dynamic, respectively. The median percentage reduction was statistically significant immediately, 3 and 6 months after. There was also an improvement in range of motion, 39.6% in abduction, 24.1% in flexion, and 29.5% in extension. Ninety percent of patients reported patient...s global impression of change superior to six.</p></div><div><h3>Conclusion</h3><p>This study concludes that ultrasound-guided pulsed radiofrequency of suprascapular nerve reduces pain intensity for at least 6 months, accompanied by improvement of motor function and higher levels of patients... satisfaction. Therefore, this technique represents a valid analgesic approach to chronic shoulder pain.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744268"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001421003341/pdfft?md5=3f0e154166b9ba77377cdc5033e89771&pid=1-s2.0-S0104001421003341-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39455170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatigue in anesthesia workers","authors":"Nancy Redfern ,&nbsp;Federico Bilotta","doi":"10.1016/j.bjane.2023.09.001","DOIUrl":"10.1016/j.bjane.2023.09.001","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744462"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001423000969/pdfft?md5=0230aeade7d1c37bb5fd5fa5433109ae&pid=1-s2.0-S0104001423000969-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of exogenous opioids on the acute inflammatory response in the perioperative period of oncological surgery: a clinical study","authors":"Odirlei Jo.·o Titon,&nbsp;Joana Perotta Titon,&nbsp;Jana.ína Carla da Silva,&nbsp;Mariane Okamoto Ferreira,&nbsp;Matheus Ricrado Garbim,&nbsp;Daniel Rech,&nbsp;Jano..rio Athanazio de Souza,&nbsp;Carolina Panis","doi":"10.1016/j.bjane.2021.09.011","DOIUrl":"10.1016/j.bjane.2021.09.011","url":null,"abstract":"<div><h3>Background</h3><p>Recently, opioids have been related to trigger changes in cytokine release and tumor angiogenesis processes, influencing tumor growth, metastasis, and recurrence.</p></div><div><h3>Methods</h3><p>This is a prospective randomized clinical study to test whether if exogenous opioids used in the anesthesia during cancer surgery can affect the systemic inflammatory and immunological patterns. Patients were randomly allocated to the OP (opioid...inclusive) or OF (opioid-free) anesthesia group. A total of 45 patients were selected, being carriers of prostate, stomach, pancreas, bile ducts, breast, colon, lung, uterus, kidneys, or retroperitoneum tumors. Plasma levels of IL-4, IL-12, IL-17A, and TNF-.., and their oxidative stress profile before and after surgery were evaluated in both groups. In vitro tests were performed by using healthy donor blood incubated with each isolated drug used in patients... anesthesia for 1...hour, the same cytokines were measured in plasma.</p></div><div><h3>Results</h3><p>There was a significant reduction in lipid peroxidation in both groups. Patients from OF group had a significant consumption of IL-12 in the perioperative period. The other cytokines evaluated did not vary. It was also observed a significant correlation between IL-12 and TNF-.. levels in the OF-post group. Except for atracurium, all tested drugs led to a reduction in IL-12 levels.</p></div><div><h3>Conclusions</h3><p>This study demonstrated that there is a reduction of IL-12 in the OF-post patients, suggesting acute consumption and that this seems to be a general mechanism of anesthetic drugs, as demonstrated <em>in vitro</em>. Also, these findings bring us to reflect if IL-12 changes may influence the disease progression and recurrence.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744290"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001421003626/pdfft?md5=4ee6dde15c9767400f4c7e47f9ccc6e2&pid=1-s2.0-S0104001421003626-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39500473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the analgesic effects of pregabalin for post-chikungunya arthralgia: a comparative double-blind study","authors":"Rodrigo Souza Rodrigues ,&nbsp;Rioko Kimiko Sakata ,&nbsp;William Vinicius da Silva ,&nbsp;Camila Roberta Raimundo ,&nbsp;Camila Fecury Cerqueira ,&nbsp;Plinio da Cunha Leal","doi":"10.1016/j.bjane.2023.09.002","DOIUrl":"10.1016/j.bjane.2023.09.002","url":null,"abstract":"","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744463"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001423000970/pdfft?md5=8e42808e48e09897aaaa3669da6887d5&pid=1-s2.0-S0104001423000970-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10286450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous erector spinae plane block for analgesia and better pulmonary functions in patients with multiple rib fractures: a prospective descriptive study","authors":"Rashmi Syal,&nbsp;Sadik Mohammed,&nbsp;Rakesh Kumar,&nbsp;Nidhi Jain,&nbsp;Pradeep Bhatia","doi":"10.1016/j.bjane.2021.09.010","DOIUrl":"10.1016/j.bjane.2021.09.010","url":null,"abstract":"<div><h3>Background</h3><p>The present study explored the role of continuous erector spinae plane (ESP) block for analgesia as well as its impact on pulmonary functions in patients with multiple rib fractures.</p></div><div><h3>Methods</h3><p>Ten patients with multiple rib fractures were enrolled after getting informed and written consent. Ultrasound-guided ESP block was performed at the level midway between the fractured ribs followed by the insertion of the catheter. Pre- and post-block VAS score, hemodynamics, respiratory rate (RR), peripheral oxygen saturation (SpO₂), inspiratory capacity (IC), blood gases (PaO₂ and PCO₂), and complications were compared.</p></div><div><h3>Results</h3><p>Pain scores at rest as well as on movement showed a significant reduction from 5.9 and 7.5 pre block to 1.6 and 2.5 respectively at 96.ßhours (<em>p</em>.ß&lt;.ß0.0001). Similarly, RR, SpO₂, IC, and PaO₂ were significantly better after the block placement (<em>p</em>.ß&lt;.ß0.001).</p></div><div><h3>Conclusion</h3><p>Continuous ESP block provide adequate analgesia with better respiratory functions in patients with multiple rib fractures.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744289"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001421003614/pdfft?md5=ff56d4a2702ff9f21753b9add677f53a&pid=1-s2.0-S0104001421003614-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39500475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Platypnea-orthodeoxia syndrome: an intriguing perioperative hypoxemia case report","authors":"Eunice Mendes,&nbsp;Mariana Vaz Gomes,&nbsp;Cl..udia Carreira,&nbsp;N.ídia Gon..alves,&nbsp;Ana Filipa Ribeiro","doi":"10.1016/j.bjane.2021.05.015","DOIUrl":"10.1016/j.bjane.2021.05.015","url":null,"abstract":"<div><p>Platypnea-orthodeoxia syndrome (POS) is a rare condition of positional hypoxemia and dyspnea. The following is a case of hypoxemia for no obvious reason in the perioperative scenario. A 70-year-old male patient was submitted to a radical prostatectomy. On several occasions after anesthetic induction, peripheral oxygen saturation decreased without any understandable cause. In the postanesthesia care unit, severe hypoxemia occurred in the upright position, oddly correcting with recumbency. An echocardiography showed a right-to-left intracardiac shunt through a patent <em>foramen ovale</em> with no pulmonary hypertension, establishing POS. Achieving this diagnosis required a broad workup with a high degree of suspicion.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744192"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001421002384/pdfft?md5=ede0b66d10cec1272a138b01617de2ec&pid=1-s2.0-S0104001421002384-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39018514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the effect of adding midazolam versus fentanyl to intrathecal levobupivacaine in patients undergoing cesarean section: double-blind, randomized clinical trial","authors":"Marwa Mahmoud Abdelrady,&nbsp;Golnar Mohammed Fathy,&nbsp;Mohamed Abdelrady Mohamed Abdallah,&nbsp;Wesam Nashat Ali","doi":"10.1016/j.bjane.2022.06.001","DOIUrl":"10.1016/j.bjane.2022.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Many adjuvants are added to prolong the effects of spinal analgesia. We investigated the postoperative analgesic efficacy of the addition of midazolam or fentanyl to intrathecal levobupivacaine in women undergoing cesarean delivery.</p></div><div><h3>Methods</h3><p>Eighty patients were randomly assigned to two groups (n = 40). Group M received 10 mg of 0.5% levobupivacaine plus 2 mg of midazolam. Group F received 10 mg of 0.5% levobupivacaine plus 25 μg of fentanyl. Assessments included motor and sensory block, APGAR score, time to first request for analgesia, postoperative pain score, total consumption of rescue analgesics, and adverse effects.</p></div><div><h3>Results</h3><p>Sensory blockade was prolonged in Group M compared with Group F (215.58 ± 27.94 vs. 199.43 ± 19.77 min; <em>p</em> = 0.004), with no differences in other characteristics of the spinal block in intraoperative hemodynamics or APGAR score. The mean time to first request for rescue analgesia was longer in Group M (351.45 ± 11.05 min) than in Group F (268.83 ± 10.35 min; <em>p</em> = 0.000). The median total consumption of rescue analgesics in the first 24 hours postoperatively was 30 mg in Group M vs. 60 mg in Group F (<em>p</em> = 0.003). The median Visual Analog Scale (VAS) scores were lower in Group Ethan in Group F from the 8^th to the 12^th hour postoperatively, with no differences between the groups at other time points. The incidence of adverse effects was higher in Group F than in Group M.</p></div><div><h3>Conclusion</h3><p>Intrathecal midazolam (2 mg) was superior to intrathecal fentanyl (25 μg) in increasing the duration of the sensory blockade and postoperative analgesia with lower postoperative pain scores and decreasing the incidence of adverse effects.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":"74 1","pages":"Article 744385"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001422000720/pdfft?md5=2a9ed24d91881925c7c1ec70234bc40d&pid=1-s2.0-S0104001422000720-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48537335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}