Maintenance of epidural analgesia with programmed intermittent epidural bolus is associated with a reduced incidence of caesarean delivery with equally high maternal satisfaction and no adverse outcomes.

Maintenance of epidural analgesia with programmed intermittent epidural bolus is associated with a reduced incidence of caesarean delivery with equally high maternal satisfaction and no adverse outcomes.

Neuraxial anaesthesia is an essential technique in obstetric anaesthesia practice. Cerebrospinal fluid (CSF) fistula is a rare complication and there is no consensus about its clinical approach. We present a case of a 28-year-old nulliparous woman that developed a cutaneous CSF fistula following combined spinal and epidural block for caesarean delivery. After multidisciplinary discussion it was decided that hydration, absolute bed-rest and compressive dressing with abdominal binder was the best option and the patient fully recovered without any sequelae.Based on literature, symptoms of intracranial hypotension and leakage of clear fluid surrounding the puncture site usually motivate referral to anaesthesia. Management strategies can be both conservative and invasive, including direct suture of the skin puncture site and epidural blood patch.Regarding the anaesthesia practice on this topic, most of the available evidence is based on case reports, rendering the decision-making process challenging.

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As caraterísticas de um destino turístico reveladas através de uma produção cinematográfica e a sua interligação com os consumidores.The characteristics of a tourist destination revealed through a film production and its interconnection with consumers. RESUMOQuando pensamos em turismo e em cinema, ambos fenómenos sociais e culturais, não nos apercebemos da forte interligação que existe entre ambos, dando mesmo origem a um novo tipo de turismo, o turismo cinematográfico. Pretendemos então com este estudo, analisar a ligação entre ambos os fenómenos, cinema e turismo, e perceber em que medida as produções cinematográficas irão influenciar os consumidores e as suas escolhas e preferências no que diz respeito aos destinos turísticos.Palavras-chave: turismo, cinema, turismo cinematográfico. ABSTRACTWhen we think of tourism and cinema, both social and cultural phenomena, we do not realize the strong connection that exists between them, even giving rise to a new type of tourism, film tourism. We intend then to this study, examining the link between the two phenomena, film, and tourism, and realize to what extent the film productions will influence consumers and their choices and preferences concerning tourist destinations.

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