999 resultados para anestesia geral
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The present study investigated the benefits of tumescent anesthesia with lidocaine in dogs undergoing mastectomy, seeking the patients' comfort and their postoperative recovery. Seven animals, with different weight and breed, who had cancer in the region of mammary chain underwent mastectomy surgery. All animals received the same anesthetic protocol being used as the association between acepromazine and morphine doses of 0.04mg.kg-1 and 0.4mg.kg-1 (IM), respectively. After 15 minutes a catheter was placed in the cephalic vein and induction with propofol 4mg.kg-1 and 0.2mg.kg-1 followed by maintenance with isoflurane anesthesia was done. After instrumentation, we proceeded to the tumescent anesthesia technique with ice-cold solution consisting of Ringer's lactate, lidocaine 2% without epinephrine and adrenaline in a total volume of 15mL.kg-1. The average duration of the procedure was 74±18 minutes. The plasmatic peak of lidocaine was between 30 and 60 minutes after infiltration. The rescue analgesic was performed after approximately seven hours of infiltration. It can be concluded that the tumescent anesthesia with lidocaine should be considered as a constituent of anesthetic and analgesic protocol in dogs undergoing mastectomy surgery providing parameter stability, safety and good quality postoperative recovery.
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The hemodynamic effects of total intravenous anesthesia with propofol or propofol in combination with lidocaine were investigated in 12 dogs. In the P group (n=6), the dogs received a loading dose (LD) of 6mg kg-1 of propofol followed by a constant rate infusion (CRI) of 1.25mg kg-1 min-1. In the PL group (n=6), dogs received a LD of 6mg kg-1 of propofol and 1.5mg kg-1 of lidocaine followed by CRIs of 1.0mg kg-1 min-1 and 0.25mg kg-1 min-1 of propofol and lidocaine, respectively. The animals were instrumented for measurement of hemodynamic variables and bispectral index (BIS), recorded at 75, 90, 105 and 120 minutes during anesthesia. Cardiac index, stroke index, systolic, diastolic and mean arterial blood pressures were lower in the P group compared to the PL group (P<0.05). There were no significant differences between groups in heart rate, systemic vascular resistance index and BIS. Plasma concentrations of propofol were lower in group PL than in group P (medians of 5.7 to 6.1mg mL-1 in the P group versus 3.1 to 3.7mg mL-1 in the PL group). Measured lidocaine plasma concentrations (medians of 2.27 to 2.51mg mL-1) were in the range that result in analgesia and were below values that result in toxicity in dogs. The BIS values observed in the two groups of dogs were compatible with deep anesthesia (mean values of 43-46 and 45-49 in groups P and PL, respectively). Maintenance of deep anesthesia with lidocaine-propofol causes less cardiovascular depression than equipotent doses of propofol alone.
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Pós-graduação em Medicina Veterinária - FMVZ
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Estudos Literários - FCLAR
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The main purpose of this work is to evaluate the chemical composition of the groundwaters from Guarani Aquifer System and Serra Geral Aquifer System in the Rio Pardo basin, located at the southwestern of São Paulo state. To the hydrochemical characterization, physicalchemical analyses from 32 sampled wells were used. These results were plotted in Piper diagrams allowing the classification of groundwater as calcium or calcium-magnesium bicarbonate type and sodium bicarbonate type for both aquifer systems. Distribution of hydrochemical facies over the study area was obtained using Stiff diagrams. The groundwater can be classified, representing in this sequence its hydrochemical evolution. The recognized mechanisms responsible for groundwater evolution are dissolution of minerals magnesium, such as olivine, present in the basalt, dissolution of feldspars and removal of the carbonate cement of the sandstones mineral framework. Ionic exchange may represent an important processes in the groundwater evolution, responsible for the increase in the sodium concentration and decrease of calcium
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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This study aims to investigate the manifestation of the tellurism in the book Tratado Geral das Grandezas do Ínfimo (2001), written by the contemporary poet Manoel de Barros. Our intention is to examine how the poet works with this aspect in his poetry and how he uses it in his poetic conception. This research was motivated by his earth language which internalizes the man and the earth cultural elements, it´s how if the poet scratches it to find his roots and to create his poetic language, the mato-grossense poet moves the earth in search of the uselessness and he also does it in search of supposed uselessness of expression. His poetic universe, his “swamp”, seems to have no limits, its elements move in complete freedom, things, beings and words that once seemed not to communicate themselves, meet and mix like an alchemical process, this is his poetry origin
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The constancy of the speed of light appears to be an unbreakable barrier for future interstellar journeys, tending to infinite energy would be needed to achieve such speed. However in the general relativity one can circumvent this limit and get arbitrarily higher global speeds, without violating the constancy of the speed of light. The so-called “warp-drive metrics is a theoretical means to achieve global superluminal speeds. The Alcubierre metric is one case in which the science fiction inspired reality, from which was drawn the term “warp-drive. In the present work, a study of the theories of special and general relativity and of some works on solutions that allow superluminal speeds will be done
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The searches for a health service it’s a part of a process, searches for a qualified evaluation can arise the perception, in form of irritating factors taking for an alert state. The personal expectation, it makes influence in its perceptions, too. The objective was to evaluate the satisfaction degree of the users of “Seção Técnica de Ambulatório Geral do Hospital das Clínicas de Botucatu”. The work is about a quantitative and transversal study, with calculated sample of 366 users, chosen randomly and invited to participate through a questionnaire. The population was compounded by a majority of women (64,5%), between 50 to 59 years old and average degree of education (38,3%). 25 specialties were cited. The evaluate about comfort, cleaning, reception, waiting time, medical attention and nursing vary between “very good” and “good”. Obtained significant “regular” assessment, the comfort in the waiting rooms (24%), silence (25%) and cleaning bathroom (63%). Others negative evaluation was the reception about the waiting time (26%), waiting time between arrival and the consultation (34%), waiting time between the request and consultation (27%). 30,6% report to know the place for complaints and 79,4% of these pointed to the ombudsman. 62% consider their problems solved, 84,4% would indicate the hospital, 57,4% would consider the hospital better than imagined. 42,62% used the opened area for thanking, critical for staff, suggestion infrastructure improvements, cleaning and waiting time. The biggest complaint was the staff turnover in the treatment. There was disharmony between the objective and subjective questions, but, all of them must be considered to propose improvements. The satisfaction evaluation makes the service more effective, bringing credibility to the health service and the patients adhere better to the treatment
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The genome of multicellular organisms shows a ruge index of RNA transcripts that are not protein coding. These ncRNAs act in housekeeping and genic regulation, as well in signaling and cell differentiation, crucial events to embryonic and ontogenetic development. Moreover, another events require the orderly expression these transcripts, as in cromossomic inactivation and genomic imprinting process, and their fail may cause several syndromes, malformations, illness and even death of affected individual. This review focus is to present the main acting pathways of ncRNAs already studied, as well to introduce the actual landscape of Dapper gene cluster and its performance in vertebrate development.
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This research, theoretically founded on Corpus Linguistics and Phraseology, has the purpose of extracting and analyzing general language and specialized collocations in the medical field, taken from a parallel corpus comprised of transcriptions of the TV serial Grey’s Anatomy. Based on this extraction, it is proposed a compilation of a bilingual glossary, so that the referred material can be used by learner translators as well as English language teachers.
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The flow of Ricci is an analytical tool, and a similar equation for heat geometry, a diffusive process which acts on a variety of metrics Riemannian and thus can be used in mathematics to understand the topology of varieties and also in the study geometric theories. Thus, the Ricci curvature plays an important role in the General Theory of Relativity, characterized as a geometric theory, which is the dominant term in the Einstein field equations. The present work has as main objectives to develop and apply Ricci flow techniques to general relativity, in this case, a three-dimensional asymptotically flat Riemannian metric as a set of initial data for Einstein equations and establish relations and comparisons between them.