Search

O presente estudo investigou sentimentos e expectativas em mães grávidas do segundo filho. Participaram da pesquisa 21 mulheres que estavam no terceiro trimestre de gestação do segundo filho e que o primeiro filho estava em idade pré-escolar. Todas as participantes residiam na região metropolitana de Porto Alegre (RS), eram casadas e o marido era o pai de seus dois filhos. As mães foram entrevistadas individualmente e suas respostas foram examinadas através de uma análise de conteúdo qualitativa. Foi desenvolvida uma estrutura de categorias derivadas da literatura, assim como da leitura das entrevistas. Percebeu-se que há especificidades no que diz respeito aos sentimentos e às expectativas da mãe no contexto do nascimento de um segundo filho, especialmente em relação à vivência da gestação e ao envolvimento emocional da mãe com este bebê, devido ao fato de ela já ter um filho. Implicações clínicas dos achados também são discutidas

Background: Preventive analgesia is the administration of an analgesic drug with the aim of attenuating post-operative pain, hyperalgesia and allodynia. Its use is justified in order to offer analgesia and reduce anxiety in patients undergoing laparoscopic procedures., Objective: To evaluate if pregabalin in a dose of 1 mg/kg of weight is effective as preventive analgesia in post-operated laparoscopic cholecystectomy patients., Methods: A single-blind controlled clinical trial was conducted, which included 60 patients scheduled for laparoscopic cholecystectomy randomly divided into 2 groups, where Group 1 received placebo and Group 2 received pregabalin a daily dose 72 h prior to surgical intervention. The intensity of pain was assessed using the emergency nurses association scale at 2, 6, 12 and 24 post-operative h, as well as the level of presurgical anxiety with the Hamilton scale., Results: Pain reduction was demonstrated in patients in the pregabalin group from the 1 st h (p = 0.002), later the decrease in pain was more noticeable compared to patients who were given placebo (p < 0.001), the same happened with the anxiety level evaluated with the Hamilton scale (p < 0.005)., Conclusion: The use of pregabalin as preventive analgesia turns out to be effective in the post-operative period and the pre-operative anxiety with minimal adverse effects in the post-operated patients of laparoscopic cholecystectomy., (Copyright: © 2019 SecretarÍa de Salud.)

The authors report their experience with the percutaneous closure of the patent ductus arteriosus with the Rashkind technique. They performed 42 procedures with a success of 97.6% and one embolization episode. The mean age was 8.7 +/- 6.7 years, the mean weight was 25.0 +/- 15.8 Kg and the minimum diameter of the ductus was 4.0 +/- 1.3 mm. The immediate overall prevalence of residual shunt was 48.8% falling to 21% in a mean follow-up of 17 +/- 13 months in 29 cases. Two patients underwent late reocclusion: one with a new umbrella and the other with a coil. Another patient had an immediate severe residual shunt and it was reoccluded in the same procedure with a coil. The anatomical type and minimum internal diameter of the ductus, age and weight, size of the umbrella and the rotation of the umbrella were not predictors of residual shunt. There were no deaths, hemolysis, endarteritis or fracture of the umbrella's arms. One patient remained with a slight gradient in the left pulmonary artery. The authors conclude that the Rashkind technique is safe and efficient and has good long term results. It should be considered as the first line therapeutic modality in the treatment of selected patients with persistent ductus arteriosus.