Alfaxalona como alternativa para indução anestésica de cães e gatos durante a pandemia de Covid-19: revisão bibliográfica / Alfaxalone as an alternative for anesthetic induction in dogs and cats during the Covid-19 pandemic: literature review

This article characterizes hypersensitivity reactions during anesthetic-surgical procedures. This integrative literature review was conducted in the LILACS, CINAHL, COCHRANE and MEDLINE databases including papers published from 1966 to September 2011. A total of 17 case reports, two prevalence studies and one cohort study were identified. Latex reactions were mainly type III and the primary source of intraoperative reaction was latex gloves. The average time for clinical manifestation was 59.8 minutes after anesthetic induction; 44.4% of patients reported a reaction to latex at the pre-anesthetic evaluation. It was determined that the history of allergic reactions to latex obtained in the pre-anesthetic evaluation does not ensure the safety of patients if the staff is inattentive to the severity of the issue. There is also a tendency to initially attribute the anaphylactic event to the anesthetic drugs.

Download Full-text

Tempo de jejum no pré-operatório e suas repercussões: revisão integrativa

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2358-3088.2020.10.29.19-29 ◽

2020 ◽

Vol 10 (29) ◽

pp. 19-29

Author(s):

Danielle Varvounis Pampolha ◽

Cintia Silva Fassarella ◽

Flávia Giron Camerini ◽

Ricardo De Oliveira Meneses ◽

Priscilla Valladares Broca

Keyword(s):

Insulin Resistance ◽

Literature Review ◽

Surgical Patient ◽

Preoperative Fasting ◽

Prolonged Fasting ◽

Anesthetic Induction ◽

Solid Foods ◽

Fasting Time ◽

Resistencia A La Insulina ◽

Care Nursing

Identificar evidências na literatura do tempo de jejum prolongado no paciente cirúrgico, incluindo os possíveis tipos de alimentação e suas consequências pós-operatórias. Trata-se de uma revisão integrativa da literatura realizada nas bases de dados BDENF, LILACS MEDLINE e CINAHL no período de abril e maio de 2019. Foram incluídos neste estudo artigos publicados na íntegra que respondessem à pergunta norteadora. Percebeu-se um tema pouco explorado. O tempo de jejum variou de 8 horas para alimentos sólidos, 2 horas para fluidos claros em adultos e outros ainda permanecem com intervalos maiores. O tipo de alimentação mais indicado é a bebida rica em carboidratos de 2 a 4 horas antes da indução anestésica. As consequências pós-operatórias foram à resistência insulínica, alteração na cicatrização, reação inflamatória aumentada, sede, irritabilidade e ansiedade. As variáveis estudadas nessa revisão mostraram-se relevantes para subsidiar os cuidados de enfermagem no pré-operatório.Descritores: Jejum, Assistência Perioperatória, Enfermagem. Preoperative fasting time and repercussions: integrative reviewAbstract: The objective is to identify evidences in the literature of prolonged fasting time in the surgical patient, including the possible types of feeding and its postoperative consequences. This is an integrative literature review performed in the databases BDENF, LILACS MEDLINE and CINAHL between April and May 2019. We included in this study articles published in full that answered the guiding question. A theme little explored was noticed. Fasting times ranged from 8 hours for solid foods, 2 hours for clear fluids in adults and still others with longer intervals. The most appropriate type of diet is the carbohydrate drink 2 to 4 hours before anesthetic induction. Postoperative consequences were insulin resistance, alteration in healing, increased inflammatory reaction, thirst, irritability and anxiety. The variables studied in this review were relevant to subsidize preoperative nursing care.Descriptors: Fasting, Perioperative Care, Nursing. Tiempo de ayuno preoperatorio y sus repercusiones: revisión integradoraResumen: Identificar evidencia en la literatura del tiempo de ayuno prolongado en el paciente quirúrgico, incluidos los posibles tipos de alimentación y sus consecuencias postoperatorias. Esta es una revisión integral de la literatura realizada en las bases de datos BDENF, LILACS MEDLINE y CINAHL de abril a mayo de 2019. Incluimos en este estudio artículos publicados en su totalidad que respondieron a la pregunta guía. Se notó un tema poco explorado. Los tiempos de ayuno oscilaron entre 8 horas para alimentos sólidos, 2 horas para líquidos claros en adultos y aún otros con intervalos más largos. El tipo de dieta más apropiado es la bebida de carbohidratos 2 a 4 horas antes de la inducción anestésica. Las consecuencias postoperatorias fueron resistencia a la insulina, alteración en la curación, aumento de la reacción inflamatoria, sed, irritabilidad y ansiedad. Las variables estudiadas en esta revisión fueron relevantes para subsidiar la atención de enfermería preoperatoria. Descriptores: Ayuno, Atención Perioperativa, Enfermería.

Download Full-text

Effect of Computerized Auditory Training on Speech Perception of Adults With Hearing Impairment

Perspectives on Aural Rehabilitation and Its Instrumentation ◽

10.1044/arri20.3.91 ◽

2013 ◽

Vol 20 (3) ◽

pp. 91-106 ◽

Cited By ~ 6

Author(s):

Rachel Pizarek ◽

Valeriy Shafiro ◽

Patricia McCarthy

Keyword(s):

Hearing Loss ◽

Speech Perception ◽

Literature Review ◽

Low Cost ◽

Experimental Designs ◽

Auditory Training ◽

Hearing Impairments ◽

Communicative Disorders ◽

And Training

Computerized auditory training (CAT) is a convenient, low-cost approach to improving communication of individuals with hearing loss or other communicative disorders. A number of CAT programs are being marketed to patients and audiologists. The present literature review is an examination of evidence for the effectiveness of CAT in improving speech perception in adults with hearing impairments. Six current CAT programs, used in 9 published studies, were reviewed. In all 9 studies, some benefit of CAT for speech perception was demonstrated. Although these results are encouraging, the overall quality of available evidence remains low, and many programs currently on the market have not yet been evaluated. Thus, caution is needed when selecting CAT programs for specific patients. It is hoped that future researchers will (a) examine a greater number of CAT programs using more rigorous experimental designs, (b) determine which program features and training regimens are most effective, and (c) indicate which patients may benefit from CAT the most.

Download Full-text

Taking Care of Children After Traumatic Brain Injury

Perspectives on School-Based Issues ◽

10.1044/sbi13.3.79 ◽

2012 ◽

Vol 13 (3) ◽

pp. 79-86 ◽

Cited By ~ 1

Author(s):

Julie Haarbauer-Krupa

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Literature Review ◽

School Setting ◽

Leadership Role ◽

Speech Language Pathologists ◽

Educational Information ◽

Taking Care

AbstractPurpose: The purpose of this article is to inform speech-language pathologists in the schools about issues related to the care of children with traumatic brain injury.Method: Literature review of characteristics, outcomes and issues related to the needs serving children.Results: Due to acquired changes in cognition, children with traumatic brain injury have unique needs in a school setting.Conclusions: Speech-Language Pathologists in the school can take a leadership role with taking care of children after a traumatic brain injury and coordination of medical and educational information.

Download Full-text