ABSTRACT
Abstract Headache is a common symptom in the postoperative period and may be attributable to, dehydration, sleep deprivation, intentional or inadvertent dural puncture during a neuraxial anesthesia technique, from an inhaled anesthetic agent, or from specific surgical procedures, among other etiologies. However, more serious, uncommon and life-threatening conditions as carotid artery dissection can be associated with severe neurologic sequelae in otherwise young, healthy patients. For these reasons, clinicians involved with postoperative patients should be familiar with the presentation and management strategies for this complication.
Resumo A cefaleia é um sintoma comum no período pós-operatório e pode ser atribuída à desidratação, privação do sono, punção dural intencional ou acidental durante a administração de anestesia neuraxial, ao anestésico inalatório ou a procedimentos cirúrgicos específicos, entre outras etiologias. Entretanto, condições mais graves, incomuns e potencialmente fatais, como a dissecção da artéria carótida, podem estar associadas a sequelas neurológicas graves em pacientes jovens e, sob outros aspectos, saudáveis. Portanto, os médicos envolvidos com pacientes pós-operados devem estar familiarizados com as estratégias de apresentação e manejo dessa complicação.
Subject(s)
Humans , Laparoscopy/instrumentation , Carotid Artery, Internal, Dissection , Headache/etiology , Anesthesia/methodsABSTRACT
Headache is a common symptom in the postoperative period and may be attributable to, dehydration, sleep deprivation, intentional or inadvertent dural puncture during a neuraxial anesthesia technique, from an inhaled anesthetic agent, or from specific surgical procedures, among other etiologies. However, more serious, uncommon and life-threatening conditions as carotid artery dissection can be associated with severe neurologic sequelae in otherwise young, healthy patients. For these reasons, clinicians involved with postoperative patients should be familiar with the presentation and management strategies for this complication.
Subject(s)
Humans , Nutritional Support/methods , Nutritional Support/standards , Critical Care , Intensive Care Units , Chile , Consensus , Enteral Nutrition , Critical Illness/therapy , Monitoring, Physiologic , Nutrition Assessment , Nutritional Requirements , Nutritional Status , Parenteral Nutrition , Practice Guidelines as TopicABSTRACT
Se registraron eventos de potenciales sincronizados relacionados con las respuestas EMG durante tareas sensoriales motoras en sujetos (N=20) con habilidades motores variadas. Las latencias ERP y EMG aumentaron con tareas de mayor dificultad: El grupo de habilidad superior incrementó las amplitudes N100 (para estímulos frecuentes) y P200 (para estímulos raros) y decremento el tiempo de movimiento. Los resultados sugieren que la habilidad motora superior modificó la respuesta motora pero no afectó la latencia de ERP. El grupo de habilidades superiores necesitó un tiempo más corto, menos preparación o expectativa y menos errores para realizar la tarea sensoriomotora.
Event Related potentials synchronized with EMG responses were recorded during sensorimotor tasks for subjects (N=20) who varied in motor ability. ERPs and EMG latencies increases with increasing task difficulty. The high ability group increases N100 (for frequent stimuli) and P200 (for rare stimuli) amplitudes and decreases the movement time. Results suggest that the high motor ability modify motor response but the ERPs latency are unaffected. The high motor ability group needs a shorter time, less preparedness or expectancy and less errors for carrying out the sensorimotor tasks.