Estudo da eficiência eletroquímica para tratamento de chorume gerado em aterro sanitário brasileiro

This work was performing effluent degradation studies by electrochemical treatment. The electrochemical oxidation (EO) hydroquinone (H2Q) was carried out in acid medium, using PbO2 electrode by galvanostatic electrolysis, applying current densities of 10 and 30 mA/cm2 . The concentration of H2Q was monitored by differential pulse voltammetry (DPV). The experimental results showed that the galvanostatic electrolysis process performance significantly depends on the applied current density, achieving removal efficiencies of 100% and 80 % and 10 applying 30 mA/cm2 , respectively. Furthermore, the electroanalytical technique was effective in H2Q be used as a detection method. In order to test the efficiency of PbO2 electrode, the electrochemical treatment was conducted in an actual effluent, leachate from a landfill. The liquid waste leachate (600ml effluent) was treated in a batch electrochemical cell, with or without addition of NaCl by applying 7 mA/cm2 . The efficiency of EO was assessed against the removal of thermo-tolerant coliforms, total organic carbon (TOC), total phosphorus and metals (copper, cobalt, chromium, iron and nickel). These results showed that efficient removal of coliforms was obtained (100%), and was further decrease the concentration of heavy metals by the cathode processes. However, results were not satisfactory TOC, achieving low total removal of dissolved organic load. Because it is considered an effluent complex were developed other tests with this effluent to monitor a larger number of decontamination parameters (Turbidity, Total Solids, Color, Conductivity, Total Organic Carbon (TOC) and metals (barium, chromium, lithium, manganese and Zinc), comparing the efficiency of this type of electrochemical treatment (EO or electrocoagulation) using a flow cell. In this assay was compared to electro streaming. In the case of the OE, Ti/IrO2-TaO5 was used as the anode, however, the electrocoagulation process, aluminum electrodes were used; applying current densities of 10, 20 and 30 mA/cm2 in the presence and absence of NaCl as an electrolyte. The results showed that EO using Ti/IrO2–TaO5 was anode as efficient when Cl- was present in the effluent. In contrast, the electrocoagulation flow reduces the dissolved organic matter in the effluent, under certain experimental conditions.

Anemômetro ultrassônico baseado em sensor de distância

In this work we propose the development of an ultrasonic anemometer using distance sensors. The wind is an important tool for studying the dynamics of the atmosphere, changes in climate and agricultural crops meteorological variable. Thus it is necessary advances in studies that provide increasingly characterizing the behavior of the wind. Currently there are several types of anemometers to measure wind speed, among which stands out due to the ultrasonic anemometer accuracy in measurements. But this device has a high cost difficult to use. Therefore, we sought to lower the cost of the ultrasonic anemometer, developing an apparatus capable of measuring wind velocity using distance sensors. In this type of anemometer wind speed is measured based on the transit time of the ultrasonic pulse, in this same distance sensors to space technique measures. Here various assemblies seeking the best configuration which could use the distance sensor to measure wind speed were made. Arrangements bulkhead and separate transducers are examples of worked assemblies that will be detailed in chapter 3. With the measures collected (with and without wind) histograms, which show the distribution of records transit time of the sound wave for each case were generated. Two of the studied configurations show favorable results regarding the use of the distance sensor as the wind speed.

Aplicação e otimização de métodos eletroquímicos combinados para remoção e determinação de cromo hexavalente em efluentes simulados

Hexavalent chromium is a heavy metal present in various industrial effluents, and depending on its concentration may cause irreparable damage to the environment and to humans. Facing this surrounding context, this study aimed on the application of electrochemical methods to determine and remove the hexavalent chromium (Cr6+) in simulated wastewater. To determine was applied to cathodic stripping voltammetry (CSV) using ultra trace graphite electrodes ultra trace (work), Ag/AgCl (reference) and platinum (counter electrode), the samples were complexed with 1,5- diphenylcarbazide and then subjected to analysis. The removal of Cr6+ was applied electrocoagulation process (EC) using Fe and Al electrodes. The variables that constituted the factorial design 24, applied to optimizing the EC process, were: current density (5 and 10 mA.cm-2), temperature (25 and 60 ºC), concentration (50 and 100 ppm) and agitation rate (400 and 600 RPM). Through the preliminary test it was possible the adequacy of applying the CSV for determining of Cr6+, removed during the EC process. The Fe and Al electrodes as anodes sacrifice showed satisfactory results in the EC process, however Fe favored complete removal in 30 min, whereas with Al occurred at 240 min. In the application of factorial design 24 and analysis of Response Surface Methodology was possible to optimize the EC process for removal of Cr6+ in H2SO4 solution (0.5 mol.L-1), in which the temperature, with positive effect, was the variable that presented higher statistical significance compared with other variables and interactions, while in optimizing the EC process for removal of Cr6+ in NaCl solution (0.1 mol.L-1) the current density, with positive effect, and concentration, with a negative effect were the variables that had greater statistical significance with greater statistical significance compared with other variables and interactions. The utilization of electrolytes supports NaCl and Na2SO4 showed no significant differences, however NaCl resulted in rapid improvement in Cr6+ removal kinetics and increasing the NaCl concentration provided an increase in conductivity of the solution, resulting in lower energy consumption. The wear of the electrodes evaluated in all the process of EC showed that the Al in H2SO4 solution (0.5 mol.L-1), undergoes during the process of anodization CE, then the experimental mass loss is less than the theoretical mass loss, however, the Fe in the same medium showed a loss of mass greater experimental estimated theoretically. This fact is due to a spontaneous reaction of Fe with H2SO4, and when the reaction medium was the NaCl and Na2SO4 loss experimental mass approached the theoretical mass loss. Furthermore, it was observed the energy consumption of all processes involved in this study had a low operating cost, thus enabling the application of the EC process for treating industrial effluents. The results were satisfactory, it was achieved complete removal of Cr6+ in all processes used in this study.

Música e surdez: o ensino de música numa perspectiva bilíngue na escola regular

The present study focuses on the development of pedagogical activities in Music Teaching, aiming to enhance the accessibility of musical knowledge for both deaf and hearing students, using a bilingual approach in regular schools. Few studies address Music and Deafness, and those that do focus exclusively on the context of special education, and specifically the deaf student, which signals the urgent need for conducting research on this issue in the context of inclusion – empirically and carried out on school grounds. Therefore, we developed our study at a Natal City Public Elementary school, in a class of 6th graders, comprised of 37 students, 3 of whom were deaf. The objective of the study was to develop a proposal for a pedagogical intervention in Music Teaching, using a bilingual approach, with deaf and hearing students, in the context of regular school classes. The research is based on the theoretical framework presented in Penna (2010), Brito (2001) and Fonterrada (2008), with reference to music education, and Haguiara-Cervellini (2003), Finck (2009) and Louro (2006), with reference to inclusion in teaching music. To achieve this objective, we developed a proposal for intervention based on the methodological dictates of intervention research, presented in studies by Jobim and Souza (2011) in light of the theoretical concepts posited by Mikhail Bakhtin, which assert that knowledge is produced through interaction between subjects, dialogically and through alterity. This methodology was carried out in pedagogical workshops, conceived as spaces for the construction of knowledge, mobilizing participants to engage in ludic activities of musical experimentation. Content covered in these workshops focused on Pulse and Rhythm – basic elements in music education – demonstrating that awareness about and sensitivity to these elements is not limited to the auditory sensory perception of the student, once the entire body is used as an agent of acquisition and expression. Thus, we began the trajectory of our research from the starting point of the identification and perception of „Pulse‟, using one‟s own body and the body of classmates, representing it through physical expressions and movement. Subsequently, this Pulse was extended from the body to a percussion instrument, and was then represented graphically as lines of rhythm, constituting a process of reading and writing; ultimately the intervention culminated in the class presentation with the musical group De Pau e Lata (Stick and Can). In our analysis, faced with the challenges and possibilities presented in our study, findings showed satisfactory results with regard to the participation of all of the students: completing the activities proposed in the class, asking questions when they did not understand, positioning themselves when they thought it necessary, expressing opinions about the work completed, evaluating the workshops given, interacting, helping in the activities, constructing knowledge collaterally, experimenting and experiencing musical elements through the body in activities that applied to both groups (deaf and hearing) in the one class. These indications elucidate the viability of teaching music to deaf and hearing students, using a bilingual approach, and based on experiences with the body and communicative and cultural specificities involved, confirming, as well, the role of Sign Language as a mediator in the teaching/learning process.

Las palabras de la música. Las voces relacionadas con la música en el Diccionario de autoridades

Existe un amplio consenso acerca de que uno de los medios más efectivos para medir el grado de conocimientos que una nación ha alcanzado, tanto en materia de ciencias como de artes, puede consistir en el análisis de sus diccionarios o enciclopedias. En ellos se codifica el sentir general de una sociedad y, mediante una lectura integral y analítica, parecen servir como muestra del pulso intelectual y cultural de una comunidad lingüística en un momento determinado. Partiendo de dichas hipótesis, Las palabras de la música… plantea un estudio en profundidad –a caballo entre la ciencia musicológica y la investigación lexicográfica– de las voces de la música contenidas en el Diccionario de autoridades (1726-1739). De igual manera, con el presente trabajo pretendemos apuntar las principales problemáticas derivadas de la inclusión de una alta cantidad de léxico de la música en el primer corpus académico, la ambigua relación de la Corporación con esta disciplina, así como reivindicar enfoques y metodologías interdisciplinares para ensayar, desde la musicología, nuevas narrativas historiográficas.

Estudo fitoquímico e biológico das folhas de Banisteriopsis argyrophylla (A. Juss.) B. Gates (Malpighiaceae)

With the increasing fungi resistance compared with existing drugs on the market and the side effects reported by some compounds with antioxidant properties and enzymatic inhibitors, in particular against α-amylase and α-glucosidase, the discovery of new compounds with biological potential, becomes a need. In this context, natural products can be an important source for the discovery of new active molecular architectures. Then, this study aimed to evaluate the antioxidant activity, the enzymatic inhibitory activity of α-amylase and α-glucosidase, the antifungal and cytotoxic activities of ethanolic extract (EE) the leaves of Banisteriopsis argyrophylla (Malpighiaceae) and their fractions, obtained by liquid-liquid extraction using solvents of increasing polarity. The antioxidant activity was evaluated by the free radical DPPH scavenging method (2,2-diphenyl-1-picrylhydrazyl) and the ethyl acetate fractions (FAE) and n-butanol (FB) were the most active, confirmed by the peak current and the oxidation potential obtained by differential pulse voltammetry (DPV). The inhibitory activity of the α-amylase and α-glucosidase was analyzed considering the reactions between substrates α-(2-chloro-4-nitrophenyl)-β-1,4-galactopiranosilmaltoside (Gal-α-G2-CNP) and 4-nitrophenyl-α-D-glucopyranoside (p-NPG), respectively. Initially, it was found that the EE showed considerable activity against α-amylase (EC50 = 2.89±0.1 μg m L–1) compared to the acarbose used as positive control (EC50 = 0.08±0.1 μg mL–1) and that did not showed promising activity against the α-glucosidase. After this observation we evaluated the inhibitory activity of α-amylase fractions, with FAE (EC50 = 2.33±0.1 μg mL–1) and FB (EC50 = 2.57 ± 0.1 μg mL–1) showing the best inhibitions. The antifungal activity was evaluated against Candida species, and the FAE had better antifungal potential (MIC's between 93.75 and 11.72 μg mL–1) compared with amphotericin as positive standard (MIC = 1.00 and 2.00 μg L–1 for C. parapsilosis and C. krusei used as controls, respectively). The EE (CC50 = 360.00 ± 12 μg mL–1) and fractions (CC50's> 270.00 μg mL–1) were considerably less toxic to Vero cells than the cisplatin used as positive control (CC50 = 7.01 ± 0 6 μg mL–1). The FAE showed the best results for the activities studied, this fraction was submitted to ultra performance liquid chromatography coupled with mass spectrometry (UPLC-MS)), and the following flavonoids have been identified: (±)-catechin, quercetin-3-O-β-D-Glc/ quercetin-3-O-β-D-Gal, quercetin-3-O-β-L-Ara, quercetin-3-O-β-D-Xyl, quercetin-3-O-α-L-Rha, kaempferol-3-O-α-L-Rha, quercetin-3-O-(2''-galoil)-α-L-Rha, quercetin-3-O-(3''-galoil)-α-L-Rha and kaempferol-3-O-(3''-galoil)-α-L-Rha,. FAE was submitted to column chromatography using C18 phase, and (±)-catechin was isolated (FAE-A1, 73 mg) and three fractions consisting of a mixture of flavonoids were obtained (FAE-A2, FAE-A3 and FAE-A4). These compounds were identified by thin layer chromatography (TLC) and (–)-ESI-MS. The (±)-catechin fraction showed an MIC = 2.83 μg ml–1 in assay using C. glabrata, with amphotericin as positive control. The fractions FAE-A2, FAE-A3, FAE-A4, showed less antifungal potential in tested concentrations. The identified flavonoids are described in the literature, regarding their antioxidant capacity and (±)-catechin, quercetin-3-O-Rha and kaempferol-3-O-Rha are described as α-amylase inhibitors. Thus, B. argyrophylla is an important species that produces compounds with antioxidant potential that can be related to the traditional use as anti-inflammatory and also has antifungal compounds and inhibitors of α-amylase. Therefore, these leaves are promising resources for the production of new drugs.

Travel, back and forth, to the myth. Cinema´s contribution to the formation of the tourist iconography of Mallorca

Mallorca, the largest of the Balearic Islands, is a well-known summer holidays destination; an ideal place to relax and enjoy the sun and the sea. That tourist gaze reflected on postcards results from advertising campaigns, where cinema played an important role with documentaries and fiction films. The origins of that iconography started in the decades of the 1920’s and 1930’s, reflecting the so-called myth of the “island of calm”. On the other hand, the films of the 1950’s and 1960’s created new stereotypes related to the mass tourism boom. Busy beaches and the white bodies of tourists replaced white sandy beaches, mountains and landscapes shown up in the movies of the early decades of the 20th century. Besides, hotels and nightclubs also replaced monuments, rural landscapes and folk exhibitions. These tourist images mirror the social and spatial transformations of Mallorca, under standardization processes like other seaside mass tourist destinations. The identity was rebuilt on the foundations of "modernity". Although "balearization" has not ceased, nowadays filmmaking about Mallorca is advertising again a stereotype close to that one of the 1920s and 1930s, glorifying the myth of the "island of calm". This singular identity makes the island more profitable for capital that searches socio-spatial differentiation in post-fordist times.

A philosophy in action: Carl Einstein and Die Fabrikation der Fiktionen

Carl Einstein is a not very well known figure within German culture, but his essay Die Fabrikation der Fiktionen remains ignored even among scholars of his work despite containing highly valuable clues to understand the intersection between philosophy and politics that characterizes much of the European thought of the twentieth century. Given this situation, after an initial part where the author’s personality and his latest ideas and actions are taken in account, the article makes a thorough review of Die Fabrikation der Fiktionen by doing firstly a comparison of the different interpretations that it has received until now, and continues by carrying out a new reading of its main ideas –the conflict between Realität and Wirklichkeit or the very concept of Fiktion– and an exercise of contrast between the essay and certain works by contemporary thinkers like Siegfried Kracauer and Paul Nizan.

Analysis of testosterone pulsatility in women with ovulatory menstrual cycles

Objetivo: Avaliar o padrão pulsátil da secreção da testosterona em mulheres normais. Métodos: Oito mulheres saudáveis com ciclos ovulatórios foram selecionadas. Amostras sanguíneas foram coletadas a cada dez minutos durante seis horas, começando entre 7 e 8 h da manhã, após dez horas de jejum, nas três fases do ciclo menstrual: folicular média (Dia 7), folicular tardia (Dia 12) e lútea (Dia 21). Foram mensurados: testosterona, LH e, no basal, também SHBG. Resultados: A frequência dos pulsos de testosterona, média da amplitude do pulso, porcentagem do incremento da amplitude, duração e intervalos dos pulsos foram similares nas três fases (p > 0,05). A pulsatilidade do LH foi estatisticamente diferente entre as três fases (p < 0,001), caracterizando padrão característico do ciclo ovulatório normal. Conclusões: Esses dados aumentam o conhecimento sobre o padrão de secreção da testosterona no ciclo menstrual humano e representam uma contribuição para a investigação clínica, tanto no hiperandrogenismo como na síndrome de insuficiência androgênica __________________________________________________ ABSTRACT Objective: To evaluate the pattern of the pulsatile secretion of testosterone in normal menstrual cycle. Methods: Eight healthy women with ovulatory menstrual cycles were enrolled. Blood samples were collected at ten-minute intervals for six hours, starting between 7 and 8 am, after a ten-hour fasting, in three phases: mid-follicular (Day 7), late follicular (Day 12) and mid-luteal phase (Day 21). Samples were assayed for testosterone, LH and the baseline also for SHBG. Results: Testosterone pulse frequency, mean amplitude pulse, percentage of increment in pulse amplitude, mean duration of pulses and pulse interval were similar in the three phases. LH pulsatility was statistically different among the three phases (p < 0.001) representing normal ovulatory cycles. Conclusions: These data increase the knowledge about the testosterone secretion profile in the human menstrual cycle and can be used as a contribution to clinical investigation in both hyperandrogenism and androgen insufficiency syndrome

Isquemia Crítica dos Membros Superiores. Manifestação Inicial de Arterite de Células Gigantes - Caso Clínico

Introdução: A arterite de células gigantes (ACG), de etiologia desconhecida, é a vasculite sistémica mais comum nos adultos e pode ter uma ampla variedade de apresentações clínicas. Atinge mais frequentemente os ramos extracranianos da artéria carótida mas, em 10-15% dos casos, pode ocorrer o envolvimento das artérias subclávia, axilar e braquial. Caso clínico: Tratava-se de uma doente do sexo feminino, de 80 anos, com antecedentes de HTA e doença cerebrovascular. Foi observada no serviço de urgência por arrefecimento e dor em repouso nos membros superiores, com evidências de cianose digital distal bilateral. As queixas tinham tido início 2 meses antes e agravamento progressivo desde então. Realizou um angio-TC que mostrou a existência de oclusão de ambas as artérias axilares/braquiais proximais e imagens sugestivas de vasculite ao nível de ambas as artérias subclávias, aorta e artérias femorais comuns. Foi medicada com corticoterapia; contudo, por não apresentar melhoria significativa após 5 dias, optou-se por realizar um bypass carotídeo-umeral bilateral. Após a cirurgia, ocorreu resolução completa das queixas e a doente apresentava pulso radial palpável bilateralmente. Seis meses após a cirurgia, a doente encontrava-se assintomática e os bypasses permeáveis. Conclusão: O presente trabalho pretende expor o caso de uma doente com o diagnóstico inaugural e ACG,que se apresentou com isquemia crítica bilateral e simultânea. Este quadro clínico exigiu a realização de um procedimento de revascularização raro.

Analysis of testosterone pulsatility in women with ovulatory menstrual cycles

Objetivo: Avaliar o padrão pulsátil da secreção da testosterona em mulheres normais. Métodos: Oito mulheres saudáveis com ciclos ovulatórios foram selecionadas. Amostras sanguíneas foram coletadas a cada dez minutos durante seis horas, começando entre 7 e 8 h da manhã, após dez horas de jejum, nas três fases do ciclo menstrual: folicular média (Dia 7), folicular tardia (Dia 12) e lútea (Dia 21). Foram mensurados: testosterona, LH e, no basal, também SHBG. Resultados: A frequência dos pulsos de testosterona, média da amplitude do pulso, porcentagem do incremento da amplitude, duração e intervalos dos pulsos foram similares nas três fases (p > 0,05). A pulsatilidade do LH foi estatisticamente diferente entre as três fases (p < 0,001), caracterizando padrão característico do ciclo ovulatório normal. Conclusões: Esses dados aumentam o conhecimento sobre o padrão de secreção da testosterona no ciclo menstrual humano e representam uma contribuição para a investigação clínica, tanto no hiperandrogenismo como na síndrome de insuficiência androgênica __________________________________________________ ABSTRACT Objective: To evaluate the pattern of the pulsatile secretion of testosterone in normal menstrual cycle. Methods: Eight healthy women with ovulatory menstrual cycles were enrolled. Blood samples were collected at ten-minute intervals for six hours, starting between 7 and 8 am, after a ten-hour fasting, in three phases: mid-follicular (Day 7), late follicular (Day 12) and mid-luteal phase (Day 21). Samples were assayed for testosterone, LH and the baseline also for SHBG. Results: Testosterone pulse frequency, mean amplitude pulse, percentage of increment in pulse amplitude, mean duration of pulses and pulse interval were similar in the three phases. LH pulsatility was statistically different among the three phases (p < 0.001) representing normal ovulatory cycles. Conclusions: These data increase the knowledge about the testosterone secretion profile in the human menstrual cycle and can be used as a contribution to clinical investigation in both hyperandrogenism and androgen insufficiency syndrome

Sistema electrónico para cuantificar poblaciones de insectos voladores y evaluar atrayentes y repelentes

Esta invención se refiere a un sistema electrónico que permite hacer una evaluación cuantitativa de la cantidad de insectos voladores que intentan atravesar una determina zona del espacio. La zona en donde se realiza el seguimiento de los insectos que intentan atravesarla es una superficie preferentemente plana, donde se ha situado una serie de electrodos conductores, conectados a una fuente de alto voltaje. La finalidad del sistema es proporcionar, un pulso eléctrico cada vez que sea electrocutado un insecto y este pulso eléctrico tiene unas características que permiten que pueda ser aprovechado y procesado por otros sistemas electrónicos, tales como contadores, autómatas programables, microcontroladores, o ser acoplado a los buses de entrada de un ordenador.

Levobupivacaina al 0.5 por ciento sin epinefrina en anestesia de plexo braquial por via axilar con neuroestimulador. Hospitales Vicente Corral y José Carrasco, Cuenca 2007

Objetivo: cuantificar duración de bloqueo sensitivo, bloqueo motor, pulso, presión sanguínea, efectos secundarios y complicaciones de la anestesia de plexo braquial por vía axilar con L-Bupivacaína. Materiales y método. Con un diseño descriptivo longitudinal se incluyeron 101 pacientes ASA I-II, a quienes se administró 150 mg de L-Bupivacaína al 0,5% (30 ml) por vía axilar luego de identificar el plexo con neuroestimulador. Resultados: el 92,1% (n = 92) de bloqueos fueron exitosos. El 65,6% (n = 61) de los intervenidos fueron varones. En un rango de 18 a 79 años la mediana de edad fue de 39 años. La mitad de la muestra tuvo entre 25 y 48 años (P25 y P75). Según índice de masa corporal (IMC) el 43% de los pacientes tuvo sobrepeso. Obreros (32,3%) y oficinistas (29%) fueron las principales ocupaciones. Los casados fueron el 57%. Las constantes basales fueron: pulso 75,1 ± 12,2 latidos/min, PAS 145,8 ± 22,7 mm Hg, PAD 79,6 ± 9,8 mm Hg y SpO2 94,1 ± 2,3%. La presión sanguínea trans y postoperatoria varió entre un 0,6 y 4.7% con respecto del promedio basal. La SpO2 se modificó no más del 2,5% y las variaciones del pulso tampoco fueron importantes. Hubo analgesia por 578,9 ± 114,4 min (rango 360 a 840 min) y bloqueo motor por 154, 5 ± 116,5 min (rango 30 a 460 min) para un tiempo promedio de cirugía de 61,5 ± 25,7 min (rango 25 a 140 min). No se registraron complicaciones ni efectos secundarios. Discusión: como señala la literatura médica especializada, la estabilidad hemodinámica y la ausencia de complicaciones convierten a la anestesia de plexo braquial por vía axilar en un método de elección para cirugía del miembro superior porque evita los trastornos fisiológicos y la respuesta del estrés quirúrgico asociados al uso de la anestesia general

Anestesia epidural en cesárea: estudio comparativo entre lidocaina + Fentanyl vs. dosis convencional de lidocaina. Cuenca, HVCM/IESS.199-2000

El estudio trata de demostrar que una dosis de 220 mg de lidocaína + 100mcg de fentanyl para anestesia epidural en cesaria es suficiente para la intervensión y proporciona mejor estabilidad hemodinámica, menor toxicidad materno fetal y por consiguiente disminución de efectos secundarios. Realizamos un estudio clínico controlado en dos grupos de 50 pacientes cada uno. El grupo A recibió lidocaína + fentanyl y el grupo B recibió unicamente 400 mg de lidocaína. Las variaciones hemodinámicsa del grupo A fueron menores reflejadas en las mediciones de tensión arterial tanto sistólicas como diastólicas, con diferencia estadísticamente significativas [ p menor 0.05]. En los valores de frecuencia cardíaca y saturación parcial de oxígeno arterial medida por oximetría de pulso no hubieron diferencias significativas. El grupo B tuvo mayor incidencia de escalofrío y somnolencia [p menor 0.05]. En la paciente obstétrica debe disminuírse la dosis de anestesia local al máximo a condición de conseguir el efecto esperado para la intervención. La asociación de un opioide como el fentanyl porporciona resultados muy alentadores

Macrodosis de fentanil en la inducción de la anestesia general y sus efectos sobre el recuerdo de la intubación traqueal. Hospital José Carrasco Arteaga. Cuenca 2000

Es un estudio clínico controlado se incluyeron 100 pacientes adultos, ASA I-II de ambos sexos, en dos grupos de 50 pacientes cada uno seleccionados aleatoriamente: grupo A recibió 10 mcg.Kg-1 de fentanil y grupo B) recibió 15 mcg.kg-1 de fentanil. Se aplicó un formulario durante los 12 min de la inducción y a las 6 horas de posanestésico para valorar el recuerdo del procedimiento y de la intubación endotraqueal. No hubieron diferencias entre los grupos en cuanto a edad, sexo, procedencia, instrucción y tipo de cirugía. El procedimiento de inducción fue recordado por menor porcentaje de pacientes de grupo B. La intubación endotraqueal registró el 88 por ciento de olvido en el grupo A. y el 96 por ciento en el B [P mayor 0.05]. El recuerdo de la intubación endotraqueal no fue traumático y hubo un 4 por ciento de euforia transitoria en el grupo B. Las variaciones hemodinámicas en cuanto a pulso, TA y SpO2 medidas en cuatro momentos: basal, 4 min, 8 min y 12 min no fueron estadísticamente signigicativas