Navegando por Palavras-chave "cesárea"

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    Anestesia para tratamento intraparto extraútero (EXIT) em fetos com diagnóstico pré-natal de malformações cervical e oral: relato de casos
    (Sociedade Brasileira de Anestesiologia, 2012-06-01) Helfer, Daniel Corrêa [UNIFESP]; Clivatti, Jefferson [UNIFESP]; Yamashita, Américo Massafuni [UNIFESP]; Moron, Antonio Fernandes [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND AND OBJECTIVES: Fetus prenatally diagnosed with neck tumors, or with any other disease that obstructs the airways, should not be treated conventionally, as the assistant physician has to face two challenges right after the infant's delivery: the limited time to establish the access to the potentially difficult airways and the lack of anesthesia of the neonate in case of instrumentation of the airways. The ex utero intrapartum treatment, i.e., the EXIT procedure consists of maintaining the fetoplacental circulation during the cesarean section, until the airways of the fetus be secured. CASE REPORTS: Female patient, 37 years old, G3P2, 38 weeks pregnant, having polyhydramnios and fetus diagnosed with large cervical masses by prenatal ultrasound. A cesarean section was performed using the EXIT procedure to enable safe access to the infant's airways. After hysterotomy, the fetus was intubated by direct laryngoscopy. The neonate was immediately transferred to another operating room, where cervical tumor resection of the neck tumor and tracheostomy were successfully performed. Female patient, 27 years old, G3P1A1, 32 weeks pregnant, whose fetus was prenatally diagnosed with a large oral tumor. As the tumor obstructed the fetus' airways, a tracheostomy was performed when the fetus underwent EXIT procedure. It was then possible to use direct laryngoscopy for neonate intubation. The fetus underwent tumor resection and was sent to the Neonatal Intensive Care Unit. CONCLUSIONS: Reports describe the successful use of general anesthesia with isoflurane for cesarean delivery followed by the EXIT procedure in fetus diagnosed with tumors obstructing the airways.
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    Qualidade da informação sobre cesariana disponível na internet
    (Universidade Federal de São Paulo (UNIFESP), 2014-08-31) Fioretti, Beatriz Trentini dos Santos [UNIFESP]; Torloni, Maria Regina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: Examine the quality and completeness of information on caesarean section (CS) in Webpages used by laypersons in Portuguese. Methods: This was across-sectional analytical study. The term ?caesarean delivery? and 25 synonyms were entered into the 5 most popular search engines in Brazil (google.com.br; bing.br.com; google.com; br.ask.com e br.search.yahoo.com) using the browser Google Chrome. The first 3 pages of hits were downloaded and assessed for possible inclusion. Freely available Web pages written in Portuguese in a language accessible for lay persons and which presented at least two paragraphs with information on CS were analyzed by two independent investigators using the Discern instrument to assess quality and a content checklist to assess completeness of information on CS. Results: 3900 Webpages were retrieved and 176 fulfilled the selection criteria. The overall average Discern score was 43.6 (+ 8.9 SD), of a maximum score of 75. Overall, 30% of the pages were of very poor or poor quality (total score < 39) and 47% were of regular quality (total score 39-50). Most pages scored low especially in questions related to reliability of the information presented. The most frequently covered topics were indications for CS (80% of Páginas Web), which did not reflect clinical practice, short-term maternal risks (80%) and potential benefits of CS (56%), including maternal and doctor convenience. Less than half of the Páginas Web mentioned perinatal risks and less than one third mentioned longterm maternal risks associated with CS such as uterine rupture (17%) or placenta praevia/accreta (12%) in future pregnancies. Conclusions: The quality and completeness of Web-based resources in Portuguese about CS were poor to regular. Pending improvement of these resources, Brazilian obstetricians should warn their patients about these facts and encourage them to discuss what they have read on the net about CS.