Introduction: The diagnosis of airway obstruction can be made through FEV1/FVC ratio <0.7 or FEV1/VC ratio < lower limit of normality (LLN). Several authors advocate that FEV1/FEV6 ratio is an alternative to diagnosing obstructive ventilatory defect, while others have determined that the best cut-off for this ratio (best combined sensitivity and specificity) is 0.73. Objective: To evaluate the non-inferiority o...
Background: Patients with intellectual disability (ID) often require general anesthesia during oral procedures. Anesthetic depth monitoring in these patients can be difficult due to their already altered mental state prior to anesthesia. In this study, the utility of electroencephalographic indexes to reflect anesthetic depth was evaluated in pediatric patients with ID. Methods: Seventeen patients (mean age, 9....
Background and objectives: Postoperative delirium and postoperative cognitive dysfunction are some of the most common complications in older surgical patients and are associated with adverse outcomes. The aim of this study was to evaluate portuguese anesthesiologists' perspectives and knowledge about adverse postoperative cognitive disorders, and routine clinical practice when caring for older surgical patients...
Uma semana após a revolução que depôs a ditadura do Estado Novo, o 1º de Maio de 1974 foi a primeira grande manifestação depois de décadas em que o direito à “reunião” esteve proibido. As ruas de Lisboa foram tomadas pela população, que rompeu a ordem quotidiana da capital portuguesa, quando, a Alameda Dom Afonso Henriques, tomada por expressões massivas em prol da liberdade, se torna palco da maior concentraçã...
INTRODUCTION: Narcoleptic patients may be at increased risk of prolonged emergence, postoperative hypersomnia, apneic episodes, and sleep paralysis after general anesthesia. Modafinil is the first-line treatment, however, the implication it has on general anesthesia is not clear. This report present 2 cases of narcoleptic patients medicated with modafinil that were submitted to total intravenous anesthesia for ...
O processo de pós-industrialização desencadeou o investimento nas atividades industriais inovadoras e nos setores de serviços de alto valor adicionado devido à transformação de valores sociais e culturais, celebrando o culto das mudanças e inovação. Nesse contexto, ganha destaque a indústria do conhecimento e da criatividade, surgindo os conceitos “indústrias criativas”, “economia criativa” e “cidades criativas...
O biólogo e urbanista Patrick Geddes, representante do movimento britânico Town Planning, precursor do planeamento regional, procurou fomentar o valor cívico urbano do habitante através de exercícios do olhar sobre o território e através de mostras urbanas, criando no início do séc. XX o conceito de civics. Geddes parte do estudo das relações de simbiose conceptualizadas na biologia como processos de entreajuda...
Bleeding changes the haemodynamics, compromising organ perfusion. In this study, the effects of bleeding followed by replacement with hydroxyethyl starch 130/0.4 (HES) or lactated Ringer's (LR) on cerebral oxygenation and electroencephalogram-derived parameters were investigated. Twelve young pigs under propofol-remifentanil anaesthesia were bled 30 mL/kg and, after a 20-minute waiting period, volume replacemen...
Background and Goal of Study: Post-operative Quality Recovery Scale (PQRS), is the first scale evaluating several domains of postoperative recovery. The objectives of this study were to compare overal and physiologic, cognitive, and functional domains of post-operative recovery af ter elective surgical procedures using neostigmine or sugammadex as neuromuscular blocking (NMB) reversal agents, to validate the us...