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Evaluation of a closed-loop intravenous total anesthesia delivery system with BIS monitoring compared to an open-loop target-controlled infusion (TCI) system: randomized controlled clinical trial

Abstract: Introduction: Intravenous general anesthesia is an anesthetic technique that can be administered with TCI (target-controlled infusion) or closed-loop systems. The authors designed an automatic delivery system using clinical variables such as bispectral index

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Comparison of effectiveness between a conventional catheter and a manual commercial catheter: randomized trial of simulation of intraosseous access in a biological model

Abstract: Introduction: In the emergency services an action of paramount importance in critically ill patients is to obtain an early vascular access. When vascular access is not established, an intraosseous route should be obtained; otherwise, the mortality of these c

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Management and perioperative outcomes of traumatic brain injury: retrospective study

Abstract: Introduction: Cranioencephalic traumatism (CET) is a cause of mortality and morbidity in the surgical patient. However, the perioperative management of this entity has not been evaluated in the country's health institutions, despite its high disease burden a

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Legal review of the civil, criminal, and administrative consequences of informed consent violation in medical practice

Abstract: Introduction: The informed consent (IC) ensures respect of the patient's rights to information, freedom, and autonomy. However, when the physician neglects the obligation to inform, legal consequences may follow, including the award of damages or even impris

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Relationship among mental models, theories of change, and metacognition: structured clinical simulation

Abstract: Learning is a change in the way of thinking that lasts over time and allows for solving problems; on the other hand, education based on structured clinical simulation is a pedagogic mediation between the classroom and clinical practice, which allows experienc

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Fetal anesthesia for twin-to-twin transfusion syndrome and fetal hydrothorax drainage: case report

Abstract: Fetal surgery in utero is an alternative for treatable congenital malformations. Prognosis will improve with early correction. Once the surgical technique is planned, the anesthetist's knowledge of maternal and fetal physiology is crucial for the selection of

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Atrial fibrillation with hemodynamic instability after the use of the third dose of adenosine during surgery for 7 intracranial aneurysms: case report

Abstract: Adenosine-induced asystole is a technique that prevents and controls the intraoperative rupture of cerebral aneurysm, facilitating temporary, and/or definitive clipping of the aneurysm. This is the case of a 58-year-old woman who underwent clipping of 7 intra

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The ultrasound-guided erector spinae plane (ESP) block in chronic pain due to bone metastasis: case report

Abstract: The article describes the use of the bilateral erector spinae plane block at the level of T7, as an alternative technique outside the operating room to do contrast magnetic resonance images in a patient with chronic metastatic pain in the dorsal region, with

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Challenging the management of bleeding and coagulopathy in ascending aortic surgery in a Jehovah's Witness patient: case report

Abstract: Introduction: Not transfusing in certain medical settings can be a life-threatening decision; however, Jehovah's Witness patients who reject transfusions have led to learning and multiple medical interventions to avoid it. Despite this, heart surgery follows

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