ABSTRACT
Abstract Coronavirus disease (COVID-19) is caused by SARS-CoV-2 and has spread rapidly and caused a global pandemic. Knowledge about clinical and laboratory manifestations in the pediatric population is necessary to guide and monitor such patients. A 3-year-old female patient diagnosed with COVID-19 presented with high fever. After defervescence, she experienced a maculopapular rash that worsened by the sixth day of the disease with self-limited evolution without relevant laboratory changes. The identification of rashes in children with COVID-19 is an unusual and important condition that must be recognized in view of the high transmissibility shown.
Subject(s)
Humans , Female , Pneumonia, Viral/diagnosis , Coronavirus Infections/diagnosis , Exanthema/virology , Pneumonia, Viral/complications , Coronavirus Infections , Coronavirus Infections/complications , PandemicsABSTRACT
Com o objetivo de avaliar as respostas hemodinâmicas e cardiovasculares durante a induçäo anestésica com etomidato (hipnótico) e vecurônio (bloqueador neuromuscular) na doença de Chagas humana analisaram-se 41 pacientes (15 chagásicos e 26 näo chagásicos). Durante o ato anestésico colheu-se sangue para sorologia e foram registrados pressöes arteriais, frequência e ritmos cardíacos e saturaçäo arterial de oxigênio em seis momentos diferentes. A análise das pressöes arteriais e da freqüência cardíaca, tanto nos chagásicos como nos näo chagásicos, mostrou variaçäo significante nos diferentes tempos do ato anestésico, mas näo entre os dois grupos no mesmo tempo. A saturaçäo arterial de oxigênio manteve-se constante em todos os casos estudados. Conclui-se que as duas drogas säo seguras para uso na induçäo da anestesia do chagásico crônico
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Anesthesia, General/adverse effects , Vecuronium Bromide/pharmacology , Chagas Disease , Etomidate/pharmacology , Heart Rate , Hemodynamics , Arterial PressureABSTRACT
The effects of epinephrine added to 0,5 por cent isobaric bupivacaine for spinal anesthesia were investigated in 96 patients ASA Physical Status I or II, aged 15-87 years old, undergoing surgeries below T12. Patients classified in Group A (n=48) received 15 mg of 0,5 por cent isobaric bupivacaine and patients classified in Group B (n=48) received 0,2 mg of epinephrine added to 15 mg of isobaric bupivacaine. The response to the pinprick stimulation did not show significant differences in times to achieve analgesia in L3-L4 and T12 and no differences were observed in terms of cephalic spread of the anesthesia and incidence of complications. Howerever, significant prolongtion of motor block observed in Group B patients who received epinephrine added to isobaric bupivacaine
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Anesthesia, Spinal , Bupivacaine , Drug Interactions , Epinephrine , Anesthesia, ConductionABSTRACT
Os autores fixam os objetivos no manejo do derrame pleural neoplásico associado ao carcinoma brônquico, com ênfase nas medidas que melhoram a qualidade da sobrevida. Discutem a conduta nos casos em que a citologia do líquido pleural e a histopatologia da pelura säo negativas para células malígnas e destacam o papel de talcagem e da tetraciclina intrapleural como paliativos eficientes no controle dos derrames pleurais
Subject(s)
Humans , Male , Female , Carcinoma, Bronchogenic/complications , Lung Neoplasms/complications , Pleural Effusion/complicationsABSTRACT
Os autores visam com este trabalho de revisäo de literatura dar noçöes básicas sobre o procedimento; suas indicaçöes, a avaliaçäo nutricional, a técnica de preparo e administraçäo das soluçöes nutritivas e suas complicaçöes