7 research outputs found
OsteossÃntese diafisiária de tÃbia em cães mediante inserção intramedular de pinos de Steinmann pela crista tibial
Prevalence and costs of hospitalizations for poisoning and accidental intoxication in Brazilian elderly
Challenges that opioid-dependent women present to the obstetric anaesthetist
A retrospective casenote review was performed to identify anaesthetic challenges relevant to the opioid-dependent obstetric population. Medical records showed that of the 7,449 deliveries during a 24 month period, 85 women (1.1%) were taking regular opioids such as methadone and/or heroin. Of these 67 (79%) received anaesthetic services, ten of whom (11.7%) were referred antenatally. Forty opioid-dependent women (47%) received epidural analgesia in labour compared with the overall hospital rate of 38%. Twenty-three women (27%) delivered by caesarean section: five received general anaesthesia, five combined spinal anaesthesia, five spinal anaesthesia and eight epidural anaesthesia. Twenty opioid-dependent women (23.5%) had documented problems related to labour analgesia and 17 (74%) had problems with analgesia after caesarean section. A variety of postoperative analgesia methods were administered in addition to maintenance methadone. Fourteen patients (16.5%) had difficult intravenous access and seven arrest calls were documented. One anaesthetist was exposed to hepatitis C. This review demonstrates the demands placed on obstetric anaesthetic services by opioid-dependent women. Early antenatal referral for anaesthetic review is recommended.B Cassidy and A M Cyn
Epidemiologic and Molecular Pathophysiology of Chronic Opioid Dependence and the Place of Naltrexone Extended-Release Formulations in its Clinical Management
An aid to the identification of the South American species of Amphisbaena (Squamata, Amphisbaenidae)
A matrix of meristic characters is presented to orient the identification of South American Amphisbaena. Complementarily is given a checklist containing the citation of the original description, the type locality, identified, and a citation of a modern description useful to the identification