Raquianestesia contínua em paciente submetido à gastrectomia parcial. Relato de caso

BACKGROUND AND OBJECTIVES: Due to the high incidence of technical and neurological complications, continuous spinal blocks were not performed for several years. With the advent of intermediate catheters the technique has been used more often and gaining acceptance among anesthesiologists. The objective of this report was to demonstrate the usefulness of the technique as a viable alternative for medium and major size surgeries. CASE REPORT: This is a 58 years old female patient, weighing 62 kg, physical status ASA I, with a history of migraines, low back pain, and prior surgeries under spinal block without intercurrence. The patient was scheduled for exploratory laparotomy for a probable pelvic tumor. After venoclysis with an 18G catheter, monitoring with cardioscope, non-invasive blood pressure and pulse oximetry was instituted; she was sedated with 2 mg of midazolam and 100 μg of fentanyl, and placed in left lateral decubitus. The patient underwent continuous spinal block through the median approach in L 3-L 4; 9 mg of 0.5% hyperbaric bupivacaine and 120 μ g of morphine sulfate were administered. Inspection of the abdominal cavity revealed a gastric stromal tumor that required an increase in the incision for a partial gastrectomy. A small dose of hyperbaric solution was required for the entire procedure, which was associated with complete hemodynamic stability. Postoperative admission to the ICU was not necessary; the patient presented a good evolution without complaints and with a high degree of satisfaction. She was discharged from the hospital after 72 hours without intercurrence. CONCLUSIONS: Intermediate catheters used in continuous spinal blocks have shown the potential to turn it an attractive and useful technique in medium and large size surgeries and it can even be an effective alternative in the management of critical patients to whom hemodynamic repercussions can be harmful.

Influência de fontes de nitrogênio no consumo e digestibilidade aparente total e parcial de novilhos alimentados com cana- deaçúcar

The objective of this work was to evaluate the effect of nitrogen sources, using sugarcane supplemented with urea, corn gluten meal-60 or soybean meal. It was evaluated Intake, total and partial apparent digestibility were evaluated using four rumen and duodenal cannulated crossbred steers. The treatments were evaluated in a 4 × 4 Latin square design. The total feces were collected to determine the apparent digestibility on the total intestinal tract. The indigestible acid detergent fiber (iADF) was used as marker of duodenal flux to determine ruminal and intestinal digestibility and dry matter daily flux. The DM, OM, CP, EE, DE, NDF, ADF and TC intakes and digestibility rates were influenced by nitrogen sources, and lower intake was observed in animals fed exclusively with cane sugar compared to animals fed the other experimental diets. Meanwhile the sources of nitrogen did not affect the total digestible nutrients (TDN) values. The RDP sources did not affect the total, ruminal, and intestinal nutrients apparent digestibility. However, the total, ruminal, and intestinal dry matter, and protein apparent digestibility were affected by the RDP sources.

Utilização do coque verde de petróleo da Petrobras em substituição parcial ao carvão mineral das misturas injetadas em altos fornos

The Petrobras produced green petroleum coke (GPC) is a carbon rich fuel, virtually ash-free, with low sulfur content, and is a fuel suitable to replace metallurgical coke in blast furnaces. The GPC was tested in a pulverized coal injection simulator built in the Volta Redonda research center. It presented a low burning efficiency due to low volatile material content and high substitution rate by the carbon content. The tests were carried out in blast furnaces with ≤ 50% Petrobras GPC in the coal blends. The injected coal/CVP mixtures produced no negative side effects in the blast furnace grinding systems, pneumatic conveying, or operating process. The mixture burning process inside the blast furnace showed a decrease in fuel consumption, with a significant reduction in metallurgical coke consumption. The industrial-scale tests of the GPC mixtures did not reach the 70% maximum for lack of the GPC feedstock, which is necessary to continue with standard coal mixtures.

O andar de pacientes hemiplégicos no solo e na esteira com suporte total e parcial de peso

Pós-graduação em Ciências da Motricidade - IBRC

Avaliação da capacidade antioxidante de frações orgânicas do cogumelo Agaricus blazei Murril e purificação parcial de peroxidase e polifenoloxidase

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Reação de trans-splicing in vitro utilizando extrato nuclear livre de células e sequencia parcial de alfa tubulina de Trypanosoma cruzi

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Determinação da incidência de Rh D fraco e Rh D parcial na população da área de abrangência do hemocentro de Botucatu

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Isolamento, fracionamento e caracterização parcial das proteínas de amêndoa de Baru (Dipteryx alata Vog.)

Pós-graduação em Alimentos e Nutrição - FCFAR

Alterações histopatológicas e imunohistoquímicas induzidas pela obstrução parcial da bexiga de coelhos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Caracterização molecular parcial e localização subcelular de um isolado brasileiro do vírus do mosaico do feijoeiro do sul dos E.U.A

Pós-graduação em Genética - IBILCE

Identificação de estirpes de rizóbios por seqüenciamento parcial dos genes 16S rDNA e nifH

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Isolamento e caracterização parcial de adesina de Paracoccidioides brasiliensis ligante de fibronectina

Pós-graduação em Biociências e Biotecnologia Aplicadas à Farmácia - FCFAR

Purificação e caracterização parcial de proteínas presentes no veneno de Bothrops leucurus

Pós-graduação em Microbiologia - IBILCE

Imobilização e caracterização parcial de lipase produzida por Fusarium oxysporum em fermentação submersa

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Isolamento de linhagens fúngicas termofílicas produtoras de pectinases termoestáves: produção, caracterização e purificação parcial da poligalacturonase

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)