O uso do pneumoperitônio progressivo no pré-operatório das hérnias volumosas da parede abdominal

Context - Correction of voluminous hernias and large abdominal wall defects is a big challenge in surgical practice due to technical difficulties and the high incidence of respiratory and cardiovascular complications. Objectives - To present the authors experience with inducing progressive pneumoperitoneum preoperative to surgical treatment of voluminous hernias of the abdominal wall. Methods - Retrospective study of six patients who presented voluminous hernias of the abdominal wall and were operated after installation of a pneumoperitoneum. The procedure was performed by placing a catheter in the abdominal cavity at the level of the left hypochondrium with ambient air insufflation for 10 to 15 days. Results - Four of the six patients were female and two male. Ages ranged from 42 to 62 years. Hernia duration varied from 5 to 40 years. Four patients had incisional, one umbilical, and one inguinal hernias. Mean pneumoperitoneum time was 11.6 days. There were no complications related to pneumoperitoneum installation and maintenance. All hernias were corrected without technical difficulties. The Lichtenstein technique was used to correct the inguinal hernia, peritoneal aponeurotic transposition for one of the incisional hernias, with the rest corrected using polypropylene mesh. One death and one wall infection were observed post operatively. No recurrences were reported until now, in 4 to 36 months of follow-up. Conclusion - Preoperative progressive pneumoperitoneum is a safe and easy executed procedure, which simplifies surgery and reduces post-operative respiratory and cardiovascular complications. It is indicated for patients with hernias that have lost the right of domain in the abdominal cavity.

Aplicação da espirometria durante teste padrão de exercício progressivo em esteira para avaliação da troca gasosa respiratória de equinos da raça árabe

The current study evaluated equine gas exchange responses through spirometry, by measuring oxygen uptake (VO2), carbon dioxide production (VCO2), respiratory exchange ratio (R) and maximum oxygen uptake (VO2max) of Arabian horses during a standard incremental exercise test performed on a high-speed treadmill. Six clinically healthy Arabian horses were submitted to a standard incremental exercise test, performed on a high-speed treadmill at a 6% slope, and initial speed of 1,8 m.s-1 for 5 minutes, then 4,0 m.s-1 for 3 minutes, 6,0 m.s-1 for 2 minutes and 8,0 m.s-1, 9,0 m.s-1, 10,0 m.s-1 and 11,0 m.s-1 for one minute for each of these speed. The end of the exercise test was defined as the point in which the horse was no longer able to keep pace with the treadmill. Gas exchange was measured through respiratory analyses horse mask on the last 10 seconds at the end of each speed transition and at 1, 2 and 3 minutes after the end of the exercise, defined as experiment moments. During exercise, it was noticed an increase on both VO2 and VCO2 with linear relationship between exercise and speed. Arabian horses VO2max was 114,9 mL.kg-1.min-1. The respiratory exchange ratio increased over 1,0 by the speed of 9,0 m.s-1, indicating the preponderance of the anaerobic metabolism, and remains at a high level on the post-exercise period.

Avaliações clínicas e metabólicas de cavalos da raça Árabe submetidos a exercício progressivo em esteira

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

Avaliação espirométrica de cavalos da raça puro sangue árabe durante teste padrão de exercício progressivo em esteira

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Respostas hematológicas e bioquímicas de eqüinos da raça Puro Sangue Árabe em testes de esforço progressivo realizados em esteira rolante durante a fase de treinamento e em prova de enduro a campo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Concentração de lactato, eletrólitos e hemogasometria em eqüinos não treinados e treinados durantes testes de esforço progressivo

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

Mapeamento geológico-geotécnico por meio do método do detalhamento progressivo: ensaio de aplicação na área urbana do município de Rio Claro (SP)

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

Relaxamento de tensão em molas T de Beta-Titânio: avaliação e uma possivel solução

Pós-graduação em Ciências Odontológicas - FOAR

Administração de maltodextrina em cavalos submetidos a teste de exercício progressivo e a exercícios sequenciais de alta intensidade e curta duração em esteira

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Mapeamento geológico-geotécnico pelo método de detalhamento progressivo: aplicação no planejamento e gestão de obras rodoviárias

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Justiça e legalidade do Imposto Predial e Territorial Urbano progressivo

Inclui notas explicativas e bibliográficas

A criatividade como competência essencial no desenvolvimento progressivo do aluno em artes visuais

Relatório da Prática de Ensino Supervisionada, Mestrado em Ensino das Artes Visuais, Universidade de Lisboa, Instituto de Educação, 2016