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Ultrasound-guided central venous catheterization ---‘‘Syringe-Free’’ approach

Matias, F; Semedo, E; Carreira, C; Pereira, P

Background and objectives Central venous catheterization of the internal jugular vein is a commonly performed invasive procedure associated with a significant morbidity and even mortality. Ultrasound-guided methods have shown to significantly improve the success of the technique and are recommended by various scientific societies, including the American Society of Anesthesiologists. The aim of this report is to...


Acute onset pulmonary toxicity associated to amiodarone

Ferreira, PG; Saraiva, F; Carreira, C

Amiodarone is a potent anti-arrhythmic drug with a well-known potential chronic pulmonary toxicity. We describe a case of acute pulmonary toxicity (APT) induced by amiodarone in a 57 year old patient submitted to a perfusion of 900 mg in just 6 hours, to control an auricular flutter with rapid ventricular response. During the administration, the patient developed hemodynamic instability and oxygen dessaturation...


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