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Directory of Open Access Journals Sweden. No necesitaron analgesia de rescate. Veinte pacientes en el primer grupo A no. Medicina Preventiva. Parodiando a W. Mastoplastia reductora con analgesia acupuntural A mamaplastic reduction using acupunctural analgesia. A reductive mastoplasia using acupunctural analgesia was carried out C1, IG4, VC17, VG20 points and special one assessing the quality of transoperative acupunctural analgesia , transoperative hemodynamic behaviour and the occurrence of postoperative complications.
De cada una se describen los destinatarios, Pro con debate: the use of regional vs systemic analgesia for neonatal surgery. In recent years the inclusion of regional techniques to pediatric anesthesia has transformed practice. Simple procedures such as caudal anesthesia with local anaesthetics can reduce the amounts of general anesthesia required and provide complete analgesia in the postoperative period while avoiding large amounts of opioid analgesia with potential side effects that can impair recovery.
However, the application of central blocks epidural and spinal local anesthesia via catheters in the younger infant, neonate and even preterm neonate remains more controversial.
The potential for such invasive maneuvers themselves to augment risk, can be argued to outweigh the benefits, others would argue that epidural analgesia can reduce the need for postoperative ventilation and that this not only facilitates surgery when intensive care facilities are limited, but also reduces cost in terms of PICU stay and recovery profile.
Currently, opinions are divided and strongly held with some major units adopting this approach widely and others maintaining a more conservative stance to anesthesia for major neonatal surgery. In this pro- con debate the evidence base is examined, supplemented with expert opinion to try to provide a balanced overall view.
De cada una se describen los destinatarios, acciones y principales resultados. O estudo foi realizado com 87 enfermeiros de um hospital-escola do interior paulista em El estudio fue realizado con 87 enfermeros de un hospital escuela del interior de Sao Paulo, en el Parte II.
Internou em trabalho de parto. La conducta. Hubo falla del bloqueo de uno de los 3 nervios en 3 pacientes. A las 20 y 24 horas no hubo diferencia significante entre los grupos. This study aimed at comparing postoperative analgesia of 3-in-1 block and spinal morphine in patients submitted to lower limb orthopedic surgeries LL. Preventive analgesia. This paper will discuss the concepts of pre-emptive and preventive analgesia in acute and persistent postsurgical pain, based on the most recent experimental and clinical literature, with a special focus on injury-induced central sensitization and the development from acute to chronic pain.
However, clinicians must be aware of the demands for improved design of their clinical studies in order to get more conclusive answers regarding the different avenues for intervention. Summary: The concept of preventive analgesia is still An intervention in venues for interaction used by men who have sex with men in Valencia Spain was performed to prevent human immunodeficiency virus HIV infection or avoid delay in diagnosis and to facilitate contact with the health circuit.
Information was provided on prevention and a rapid test for HIV and syphilis was performed. The prevalence of HIV was 1. The intervention revealed the existence of highly exposed population groups with low compliance and facilitated access to the health system in these groups.
El dolor pos-operatorio es intenso y puede atrasar el retorno para el hogar. Rabbit analgesia. With the increasing popularity of rabbits as household pets, the complexity of diagnostic and surgical procedures performed on rabbits is increasing, along with the frequency of routine surgical procedures. More practitioners are faced with the need to provide adequate analgesia for this species.
Preemptive analgesia prior to planned surgical interventions may reduce nervous system changes in response to noxious input, as well as reduce postoperative pain levels and analgesic drug requirements.
Concurrent administration of analgesic drugs to anesthetized rabbits undergoing painful procedures is warranted both pre- and intraoperatively as well as postoperatively. This article discusses the neuropharmacologic and pharmacologic aspects of pain in rabbits, and reviews current protocols for the use of analgesic drugs.
Published by Elsevier Inc. Em seguida, realizada anestesia geral. Consumo de morfina foi significativamente maior na primeira hora no GS. Bloqueio motor foi significativamente menor no GS. Ocorreu uma falha no GI e duas no GS. No entanto, o sufentanil apresentou efeitos colaterais mais intensos que o fentanil. Fomentar la cultura preventiva entre trabajadores y empresarios.
Los pacientes fueron distribuidos en dos grupos 82 pacientes en cada grupo por sorteo de forma aleatoria, con y sin fentanil. Analgesia adjuvante e alternativa Analgesia adyuvante y alternativa Adjuvant and alternative analgesia. The preventive actions in the worker's health is a constant search, that needs more investment with the objective of improving the work conditions, providing a healthy atmosphere. Procedural sedation analgesia.
The number of noninvasive and minimally invasive procedures performed outside of the operating room has grown exponentially over the last several decades. Sedation, analgesia , or both may be needed for many of these interventional or diagnostic procedures. Individualized care is important when determining if a patient requires procedural sedation analgesia PSA. The patient might need an anti-anxiety drug, pain medicine, immobilization, simple reassurance, or a combination of these interve No hubo diferencia en el consumo de morfina, en el sangramiento intraoperatorio y en la incidencia de complicaciones y efectos adversos entre los dos grupos.
Ropivacaine and bupivacaine do not show differences in analgesic efficacy when used in different peripheral nerve blocks. The objective of this study was to compare the efficacy of postoperative analgesia resulting from the administration of a single dose of 0.
The practice care reported here aimed to develop the adolescents participating workshops to prevent the use of drugs. This is a practical assistance to the knowledge, analysis of the reality of adolescents, the development of strategies and the synthesis of knowledge built.
The workshops were conducted from December to February with the participation of 10 adolescents living in the suburbs of Florianopolis and considered in a situation of vulnerability and social risk. They were perceived in its. Full Text Available The number of noninvasive and minimally invasive procedures performed outside of the operating room has grown exponentially over the last several decades. The patient might need an anti-anxiety drug, pain medicine, immobilization, simple reassurance, or a combination of these interventions.
The goals of PSA in four different multidisciplinary practices namely; emergency, dentistry, radiology and gastrointestinal endoscopy are discussed in this review article.
Some procedures are painful, others painless. Therefore, goals of PSA vary widely. Sedation management can range from minimal sedation, to the extent of minimal anesthesia.
Procedural sedation in emergency department ED usually requires combinations of multiple agents to reach desired effects of analgesia plus anxiolysis. However, in dental practice, moderate sedation analgesia known to the dentists as conscious sedation is usually what is required. It is usually most effective with the combined use of local anesthesia.
The mainstay of success for painless imaging is absolute immobility. Immobility can be achieved by deep sedation or minimal anesthesia. On the other hand, moderate sedation, deep sedation, minimal anesthesia and conventional general anesthesia can be all utilized for management of gastrointestinal endoscopy.
Comparative study. El acceso a actividades preventivas entre los conductores se relaciona con una mejor salud percibida. Goals: To identify the most prevalent resources and preventive activities in professional long-haul drivers and their peculiarities related to the other Spanish production branches. Methodology: We develop a descriptive analysis of data from the Survey of Health and Working Conditions in professional truck drivers and we compare these results with the other Spanish production branches through the VNational Survey on Working Conditions.
The statistical analysis applied T. Labour analgesia : Recent advances. Advances in the field of labour analgesia have tread a long journey from the days of ether and chloroform in to the present day practice of comprehensive programme of labour pain management using evidence-based medicine. Newer advances include introduction of newer techniques like combined spinal epidurals, low-dose epidurals facilitating ambulation, pharmacological advances like introduction of remifentanil for patient-controlled intravenous analgesia , introduction of newer local anaesthetics and adjuvants like ropivacaine, levobupivacaine, sufentanil, clonidine and neostigmine, use of inhalational agents like sevoflourane for patient-controlled inhalational analgesia using special vaporizers, all have revolutionized the practice of pain management in labouring parturients.
Technological advances like use of ultrasound to localize epidural space in difficult cases minimizes failed epidurals and introduction of novel drug delivery modalities like patient-controlled epidural analgesia PCEA pumps and computer-integrated drug delivery pumps have improved the overall maternal satisfaction rate and have enabled us to customize a suitable analgesic regimen for each parturient. Recent randomized controlled trials and Cochrane studies have concluded that the association of epidurals with increased caesarean section and long-term backache remains only a myth.
Studies have also shown that the newer, low-dose regimes do not have a statistically significant impact on the duration of labour and breast feeding and also that these reduce the instrumental delivery rates thus improving maternal and foetal safety.
Advances in medical technology like use of ultrasound for localizing epidural space have helped the clinicians to minimize the failure rates, and many novel drug delivery modalities like PCEA and computer-integrated PCEA have contributed to the overall maternal satisfaction and safety.
Epidural analgesia during labor vs no analgesia : A comparative study. Full Text Available Background: Epidural analgesia is claimed to result in prolonged labor. Previous studies have assessed epidural analgesia vs systemic opioids rather than to parturients receiving no analgesia. This study aimed to evaluate the effect of epidural analgesia on labor duration compared with parturients devoid of analgesia.
Methods: One hundred sixty nulliparous women in spontaneous labor at full term with a singleton vertex presentation were assigned to the study. Parturients who request epidural analgesia were allocated in the epidural group, whereas those not enthusiastic to labor analgesia were allocated in the control group. Epidural analgesia was provided with 20 mL bolus 0. Duration of the first and second stages of labor, number of parturients receiving oxytocin, maximal oxytocin dose required for each parturient, numbers of instrumental vaginal, vacuum-assisted, and cesarean deliveries and neonatal Apgar score were recorded.
Results: There was no statistical difference in the duration of the active-first and the second stages of labor, instrumental delivery, vacuum-assisted or cesarean delivery rates, the number of newborns with 1-min and 5-min Apgar scores less than 7 between both groups and number of parturients receiving oxytocin, however, the maximal oxytocin dose was significantly higher in the epidural group. Conclusion: Epidural analgesia by lidocaine 0.
Epidural Analgesia in the Postoperative Period. This descriptive study was conducted to determine which surgical patients experienced the most analgesia with the fewest side effects when receiving epidural analgesia in the postoperative period Ambos os grupos receberam 40 mg de tenoxicam e 30 mg.
Efecto de medidas preventivas contra la toxoplasmosis en embarazadas.
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PubMed Central. Objetivo Describir el uso de sustancias en mujeres con desventaja social e identificar factores de riesgo de contagio de VIH, asociados a este consumo. Revision curricular a partir de un analisis comparativo de las discrepancias en los curriculos de una escuela de optometria en Puerto Rico con las competencias requeridas para las agencias de revalida y acreditacion El proposito de esta investigacion, un estudio cualitativo de caso, fue comparar y contrastar el curriculo vigente de la Escuela de Optometria de la UIAPR con las competencias y estandares requeridos por las agencias de acreditacion y de revalida.
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