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Head trauma is an increasingly common injury, especially due to the increase in the frequency of road accidents in our countries. It can cause serious permanent after-effects.The progress made in the initial management of patients with severe head trauma, the understanding of the pathophysiological mechanisms leading to neuronal death as well as the recent contribution of new multimodal monitoring techniques have contributed to the improvement of the prognosis of these patients.
A anestesia pediátrica tem muitas particularidades que podem parecer bastante difíceis para os novos internos de anestesia. De facto, a criança apresenta várias particularidades fisiopatológicas. Para fins didáticos, tentamos usar este manual prático para apresentar os protocolos de anestesia do departamento de cirurgia pediátrica em Sfax, na Tunísia. Este trabalho apresenta uma breve recordação teórica com exemplos de procedimentos fáceis.
Pediatric anesthesia presents many particularities that may seem rather difficult for new anesthesia interns. Indeed, children present a variety of pathophysiological particularities. For pedagogical purposes, we have tried to present in this practical manual the anesthesia protocols of the Sfax pediatric surgery department in Tunisia. The book presents a brief theoretical review, with examples of easy procedures.
Pharmacological changes in anesthetic agents must be taken into account when performing anesthesia in a pregnant woman.No scheduled surgery should be performed during pregnancy unless it is vitally necessary. Locoregional anesthesia is the technique of choice in pregnant women, as it limits the exposure of the fetus to drugs, as well as the risk of fetal asphyxia; moreover, it avoids the maternal risks of difficult intubation and inhalation associated with general anesthesia in pregnant women.
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