Clinically, anesthesia monitoring with the BIS can be justified because it allows advantages from reducing the recovery time after waking, mainly by reducing the administration of general anesthetics as well as the risk of adverse events.
Even in task-forces studies of renowned international regulating institutions, there are some controversies on the risks of occupational exposure to anesthetic gases residue. Minimal values for occupational exposure are stipulated, but acknowledging the lack of epidemiological evidence of any type of damage caused by said exposure in places where standard measures of ventilation and exhaust systems and the use of anesthetic equipment are observed. In our country, most of the time those measures are not implemented and, when they are, they are not supervised properly. Besides, differences in techniques and working conditions have to be considered. Taking into consideration the multifactorial nature of the exposure of health care professionals, measures should be undertaken to minimize occupational exposure to agents with known or probable toxic potential. The demand for better equipped operating rooms, with adequate ventilation and exhaust systems as well as their maintenance should be stimulated.
The results of the main articles in literature on the subject are discussed, concerning the sources of noise pollution and its effects on workers, particularly the anesthesiologist. Emphasis is given to legislation and recommendations to minimize the effects caused by noise.
RESUMO
não invasiva. Foi realizada pré-oxigenação com oxigênio a 100% por 3 minutos e indução inalatória sob m á s c a r a c o m o x i g ê n i o a 1 0 0 % e s e v o f l u r a n o e m concentrações crescentes até 7%. Após acesso venoso periférico com cateter 22G, foram injetados propofol (50 mg) e succinilcolina (20 mg) e realizada intubação traqueal com tubo
U N I T E R M O S -A N E S T E S I A , P e d i á t r i c a ; D O E N Ç A S : xeroderma pigmentoso
SUMMARY
i e n t w i t h X e r o d e r m a P i g m e n t o s u m s u b m i t t e d t o
Although there is insensitivity to pain, some patients present tactile hyperesthesia that can cause unpleasant feelings during surgical manipulation. Despite reports in the literature of patients undergoing neuroaxis blocks, and even procedures without anesthesia, intravenous anesthesia, which provided adequate conditions for the anesthetic-surgical procedure was used in this case.
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