807 resultados para Anestesia balanceada


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Pain control is an important aspect of equine medicine. Musculoskeletal and gastrointestinal diseases are the most important clinical and surgical painful situations in this specie. In these cases, opioids have been used successfully for the treatment of pain, administered both local (intra-articular and epidural) and systemically. Otherwise, opioids, specially mu agonists like morphine, present important side effects in horses. Amongst these effects, CNS stimulation with increased motor activity and impairment of intestinal motility are observed in several cases. Therefore, adequate dosing of administration are essential for the safe use of opioids in horses

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The behavior and experience of pain are characterized by alertness and anxiety, which disappear soon after the healing process begins. Based on this area, the present study aimed to quantify the expression of c-fos in segments of the brain of rats after surgical stimulation in one rear hind paw (analgesia), using anesthesia with sodium thiopental and practices of acupuncture pre and post operative. The animals were stimulated with intraperitoneal injections of solution (NaCl) 0.2% (2ml), and divided into three groups, control, preoperative and postoperative. Each treatment was divided in manual acupuncture (AM) and electroacupuncture (EA). The animals were randomly distributed in each group. The c-fos expression was quantitated using immunohistochemistry for all situations. The results showed a great efficiency of all treatment compared to the control group (p <0.001), thus reenforcing data in the literature on the potential of acupuncture analgesia. There were no statistical differences among the different treatments, although there was a trend of EA being more efficient than AM

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A síndrome metabólica é um mal que, segundo projeções, poderá no ano de 2010, acometer de 50 a 75 milhões de pessoas somente nos Estados Unidos. Dessa forma, é de grande interesse a implementação de procedimentos mais eficazes para prevenção e tratamento desta doença. Uma vez que existem limitações nas pesquisas com seres humanos, torna-se necessário o desenvolvimento de modelos experimentais apropriados ao estudo desta questão. Na busca de um modelo experimental adequado ao estudo do papel do exercício na prevenção e no tratamento da síndrome metabólica, o presente estudo analisou o perfil metabólico e a capacidade aeróbia de ratos mantidos com dieta rica em frutose, substrato que tem sido associado à síndrome metabólica, na vida intra-uterina e pós-natal. Foram utilizadas ratas adultas (90 dias) da linhagem Wistar, alimentadas durante a prenhez e a lactação com dois tipos de dieta: balanceada (AIN-93G) e rica em frutose (60% de frutose). Durante a amamentação, os filhotes foram distribuídos em ninhadas pequenas (4/mãe) ou adequadas (8/mãe). Após o desmame, manteve-se as mesmas dietas até os 90 dias, quando foram analisados: tolerância à glicose (teste de tolerância à glicose), sensibilidade periférica à insulina (teste de tolerância à insulina); capacidade aeróbia (determinação da máxima fase estável de lactato em natação), conteúdo pancreático de insulina; peso e concentração de lipídios totais no tecido adiposo de diferentes regiões e concentrações séricas de glicose, insulina, triglicerídeos, colesterol total, colesterol LDL, colesterol HDL. Constatou-se que a dieta rica em frutose conduziu os animais a resistência à insulina. O grupo FP apresentou dislipidemia, com aumento nas concentrações séricas de colesterol total e triglicerídeos, mostrando que o modelo animal avaliado é potencialmente interessante para o estudo da síndrome metabólica.

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Hypothermia is a common phenomenon in the perioperative period, and it affects 60 to 90% of patients submitted to anesthetic-surgical procedures. In order to minimize its incidence, warming methods are used. Such methods can be passive, such as orthopedic cotton, sheets and blankets, or active, such as warm-air blankets and thermal mattresses. In this scenario, the present study aimed at comparing two warming methods used in the intraoperative period. Patients submitted to abdominal surgery in the specialties of gynecology and gastric surgery from August to September 2010 were included in the study. After randomization, they were divided into two groups: one using a thermal blanket (group I) and one using orthopedic cotton (group II). At last, 9 patients were included. The variables for each question were considered according to occurrence frequency. Comparison between groups was performed by Student’s t test. With the purpose to analyze whether there was an association, the chi-square test or Fisher’s Exact test was used. Whenever it was applicable for multiple comparisons, Tukey’s test was utilized; p values < 0.05 were considered to be statistically significant for analysis. The sample comprised 6 males and 3 females submitted to gynecological and gastric surgeries. Their mean age was 48 years for group I and 46.2 years for group II. A predominance of general anesthesia was observed. The time of permanence in the operating room ranged from 80 to 360 minutes. With regard to warming parenteral solutions, the procedure was performed on 5 patients, and infusion of warm solution into the abdominal cavity was performed on 50% of the sample. Concerning the warming method used, 5 patients used a thermal blanket. In view of the results presented, it was not possible to conclude which warming method should be used due to sample size

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The study was performed to verify if there are changes in salivary pH in patients with hyperhidrosis who were treated by Videothoracoscopic Sympathectomy. Twelve patients underwent sympathectomy with clamping the sympathetic chain along the vertebrae T2, T3 and T4, under inhalation and intravenous general anesthesia and with drainage of pneumothorax through probe N° 16. These patients had their saliva collected 1 day before and 7 days after surgery for measurement of pH by the colorimetric method with indicator paper. All patients showed no sign or symptom of hyperhidrosis in the immediate postoperative period, which demonstrates the success of sympathetic denervation on these levels. No patient had compensatory sweating and there was no post-operatively surgical complication. No drug or substance has been administered to patients for the study. The pH results obtained were analyzed using test ´´t´´ Student. Although the average pH in samples obtained after surgery was lower than the preoperative, the test revealed no statistically significant difference (p = 0.181). It is concluded that sympathectomy, an excellent therapeutic and definitive method for hyperhidrosis, does not alter the salivary pH, and so, did not influence the cariogenic process

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A obesidade é um problema de saúde pública mundial e está fortemente associada à doença cardíaca isquêmica, aterosclerose, hipertensão arterial, entre outros problemas cardiovasculares. Na atualidade, o tratamento sugerido para as doenças cardiovasculares, comumente decorrentes da obesidade, consiste na diminuição da ingestão de gordura aliada à atividade física. Contudo, pouco se sabe quanto aos protocolos de treinamento mais adequados para a prevenção ou tratamento dessas doenças. O presente estudo objetivou analisar os efeitos do exercício físico na intensidade de 80% do limiar anaeróbio (LAn) sobre os aspectos bioquímicos cardíacos de ratos obesos. Para a indução da obesidade, os animais, a partir dos 90 dias de idade, foram mantidos com dieta hiperlipídica/hipercalórica (35% de gordura animal/vegetal) e os animais controles, mantidos com dieta balanceada (AIN-93M). Todos os animais pertencentes ao grupo treinado foram submetidos a testes de lactato mínimo para a identificação do limiar anaeróbio (LAn) durante exercício de natação, treinando desde os 28 dias de idade até aos 90 dias em intensidade equivalente a 80% do LAn 1 h/dia, 5 dias/semana. Depois dos 90 dias uma parte dos animais treinados interrompeu o treinamento ficando em observação até o final do experimento (150 dias de idade). Os demais animais permaneceram sedentários ao longo de todo o experimento. Foram analisados: peso corporal, tolerância à glicose e à insulina (TTGo e TTI), perfil lipídico sérico (colesterol total, triglicerídeos, AGL e HDL), concentrações séricas de glicose e insulina e alíquotas do ventrículo esquerdo foram retiradas para análise das concentrações de triglicerídeos, glicogênio, proteína/DNA e atividade lipogênica. Os animais tratados com dieta hiperlipídica tiveram aumento significativo no peso corporal, intolerância à glicose e resistência à insulina e o treinamento físico neutralizou tais...

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The equine anesthesia is proven to be a high risk procedure, for both patient and anesthetist, compared to other animal species. In these conditions, a good anesthetic protocol that can deliver sedation, making access and manipulation easier, analgesia fair enough to realize cirurgical procedures, and minimal physiologic changes would be ideal. Since there aren’t any drugs suporting all these qualities, the Neuroleptoanalgesic Associations show themselves as a valuable technique to provide anesthetic quality and safety, possibly diminishing our drug of choice’s doses, therefore offering less fisiological changes and easier monetary access in some cases. This paper objective was to list all these associations found in literature, evaluating their advantages and practical applications

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An experimental study in dogs was accomplished to evaluate impedances at the acupuncture points and the relative false points. According to the physics concepts and the Ohm’ Law, an electrical circuit was set up to determine the impedance. This circuit was introduced into three experiments in anesthetized dogs with needles at selected points. In the first two experiments, was applied an alternating tension with 200Hz frequency in the circuit and, in the last experiment, the frequency was increased to 10kHz, the tensions and electrical currents were measured between every pair of points for the all experiments. The impedances were calculated with the values obtained by experiments. The analysis of impedance values indicated that there is a coherent relation between the results and the applied frequencies in circuit, so just at high frequency condition admits the correct measurement of total impedance, therefore the last experiment gave the result which agreed with the theory, that the impedances at acupuncture points are lower than the impedances at false points

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Pós-graduação em Medicina Veterinária - FCAV

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Pós-graduação em Cirurgia Veterinária - FCAV

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Pós-graduação em Medicina Veterinária - FCAV

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Pós-graduação em Cirurgia Veterinária - FCAV

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