ABSTRACT
The report of a program related to the prevention of traffic accidents in Bogotá, Columbia, in 1983, is presented. The methodology applied showed that ostensive and preventive policing produced immediate results and its adoption was relatively simple: the number of accidents declined from 414 to 48 within on year of the launching of the Program.
Subject(s)
Accidents, Traffic/prevention & control , Pan American Health Organization , Program Development , Accidents, Traffic/statistics & numerical data , Colombia , HumansABSTRACT
The authors analyze the relationship between development of anesthesiology as a specialty and cardiopulmonary resuscitation in the last decades, pointing out to the link between them. In this context, the anesthesiologist is seen as a professional particularly suited to take care of emergency cases. Training programs, both at graduate and postgraduate levels, that are carried on at the Anesthesiology Department of the University of São Paulo are presented. The main goal of these programs is the full training of the anesthesiologist rescuer physician.
Subject(s)
Critical Care , Resuscitation/education , Teaching/methods , Anesthesiology/education , Brazil , Humans , UniversitiesABSTRACT
The common failure of patients to follow medical instructions creates a problem for the physicians who need to know whether or not their patient are following advice. Lack of patient compliance with prescribed regimens is an important and fascinating problem in medical care. Reports indicate that patients do not follow medical instructions faithfully and that physicians are unable to determine their patient's cooperation levels. Medication compliance has been defined in terms of agreement between the prescription and the behaviour of those who will be taking medicines. The conclusion that can be drawn is that more research in the cited field is quite necessary.
Subject(s)
Patient Compliance , Communication , Humans , Physician-Patient Relations , Self AdministrationABSTRACT
Na Sala de Recuperaçäo Pós-Anestésica (SRPA), o aacompanhamento do doente, quanto a observaçäo dos sinais vitais, fornece dados de grande valor, quando comparados aqueles do período intra-anestésico. Permitem, assim, uma avaliaçäo adequada da evoluçäo do doente, sevindo, mesmo, como orientaçäo para o estabelecimento de condutas anestésicas. Sendo muito numerosos, estabelecemos um sistema de computadorizaçäo para avaliaçäo de 27 itens referentes a problemáticas respiratória, cardiovascular, neurológica, renal, digestiva, metabólica, hidroeletrolítica, etc. Comparados entre si, contribuem para análises retro e prospectiva da evoluçäo pós-anestésica
Subject(s)
Humans , Anesthesia Recovery Period , Data Collection , Electronic Data Processing , Surveys and Questionnaires , Recovery RoomSubject(s)
Anesthesia, General , Benzamides , Ketamine , Myasthenia Gravis/therapy , Thymectomy , Tiapamil Hydrochloride , Adolescent , Adult , Child , Female , Humans , Male , SternumABSTRACT
Twenty-seven patients with generalized myasthenia gravis (moderate, severe and acute fulminating forms) who underwent thymectomy were studied. The effects of several anesthetic agents were analyzed with special attention being given to immunologic considerations. The authors conclude that the association of ketamine, tiapride, droperidol, fentanil and nitrous oxide allowed fast recovery of consciousness and spontaneous respiration, and made safe extubation possible before leaving the operating room.
Subject(s)
Anesthetics , Myasthenia Gravis/therapy , Thymectomy/methods , Adolescent , Adult , Female , Humans , Male , Preanesthetic MedicationABSTRACT
Foi estudada a acao analgesica do fentanil adminsitrado no espaco peridural de 18 pacientes politraumatizados. A puncao foi feita em L2 - L3 introduzindo-se um cateter por 3 cm em direcao cefalica, mantendo-se todos os pacientes decubito dorsal, em aclive de 45o. por trinta minutos, apos cada dose; receberam a 1 a 6 doses de acordo com as necessidades.Foram analisados a frequencia do pulso, a pressao arterial, a frequencia ventilatoria, os limites da faixa da dor (superior e inferior) e a duracao de analgesia.O resultado mais importante foi a diminuicao da faixa da dor, o que contribuiu para um melhor comportamento dos pacientes frente a fisioterapia ventilatoria
Subject(s)
Adolescent , Adult , Middle Aged , Humans , Male , Analgesia , Fentanyl , Injections, Spinal , Wounds and InjuriesABSTRACT
Foram estudados 13 cobaios adultos, submetidos a eletronistagmografia, para observacao do nistagmo, apos administracao de droperidol (0,24 mg. kg1 i.p.). Verificou-se diminuicao significativa do nistagmo, interpretada como resultante da acao depressiva, do droperidol, no tronco cerebral e reflexo vestibulo-ocular
Subject(s)
Male , Animals , Rats , Droperidol , Nystagmus, Pathologic , Vestibular Function Tests , Electronystagmography , Injections, IntraperitonealABSTRACT
Os autores estudaram as variacoes da glicemia em criancas submetidas a adenoamigdalectomia, anestesiadas com quetamina. Um grupo recebeu solucao de glicose a 5% no periodo pos-anestesico imediato.Observaram que nao houve diferenca estatisticamente significante entre o grupo que recebeu glicose e o outro, quanto aos valores da glicemia, colhidos antes do inicio da cirurgia, imediatamente apos o termino e no momento da alta (entre 5 e 6 horas apos).Verificaram que os valores sao maiores, estatisticamente significantes ao final da cirurgia, em relacao aos valores iniciais e finais, em ambos os grupos
